Effects of a national economic crisis on dental habits and checkup behaviors - a prospective cohort study.
OBJECTIVES
The effects of economic recessions on dental health behaviors and care utilization are vastly unexamined. Thus, we aimed to ascertain changes in dental health behaviors and checkup frequency from before to after the start of the 2008 Icelandic economic collapse using a nationally representative, prospective cohort - the Health and Wellbeing in Iceland cohort.


METHODS
Participants in the cohort (n = 4100) were contacted first from October to December of 2007 and again from November to December of 2009. The questionnaires assessed respondent's demographics, dental behaviors (brushing, flossing), and dental checkup frequency. We present odds ratios derived from multivariate logistic regression of visiting a dentist annually after the collapse compared with before, as well as odds ratios of daily brushing and flossing habits.


RESULTS
Overall, there was no strong evidence for drastic changes in dental health behaviors as from 2007 to 2009. However, employed men (odds ratio 1.29; 95% confidence interval 1.07-1.54) - as well as unemployed women (1.98; 1.00-3.92) - experienced increased odds of visiting a dentist at least annually. Additionally, men were more likely to brush (1.42; 1.05-1.93) and floss daily (1.20; 1.03-1.42) after the collapse compared with before.


CONCLUSIONS
Overall, it seems as if the collapse did not have drastic negative effects on dental health behaviors of the population in Iceland. Our findings suggest that men may have opted for healthier dental health behaviors following the national economic collapse in 2008.
['McClure|Christopher Bruce|CB|', 'Saemundsson|Sigurður Rúnar|SR|']
D000293:Adolescent D000328:Adult D000367:Age Factors D000368:Aged D003729:Dental Care D003742:Dental Devices, Home Care D057172:Economic Recession D005260:Female D006801:Humans D007055:Iceland D008297:Male D017533:Marital Status D008875:Middle Aged D009910:Oral Hygiene D011446:Prospective Studies D012737:Sex Factors D012959:Socioeconomic Factors D011795:Surveys and Questionnaires D014099:Toothbrushing D055815:Young Adult
economics dental health dental services research health services research public health