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Table 3 Interaction of each independent variable in the SCR of deciduous tooth extraction

From: Associations between school-based fluoride mouth-rinse program, medical-dental expense subsidy policy, and children's oral health in Japan: an ecological study

 

Model 1

Model 2

Model 3

Model 4

Model 5

Model 6

Coef.a

95%CI

Coef.a

95%CI

Coef.a

95%CI

Coef.a

95%CI

Coef.a

95%CI

Coef.a

95%CI

 

The rate of S-FMR utilization (per person) (%)

-0.10

(-0.21; 0.003)

-0.11

(-0.20; -0.01)*

-0.104

(-0.200; -0.008)*

-0.46

(-0.70; -0.21)*

-0.63

(-1.32; 0.05)

-0.11

(-0.20; -0.01)*

Subsidy policy (REF: Co-pay until children enters elementary school)

No co-payment until children enters elementary school

8.70

(-3.3; 20.71)

12.34

(-3.91; 28.58)

51.12

(1.15; 101.09)*

11.45

(3.47; 19.44)*

11.13

(2.84; 19.42)*

11.42

(3.12; 19.71)*

Co-payment continuing beyond elementary school

2.56

(-1.5; 6.62)

-10.37

(-24.14; 3.39)

15.72

(-13.73; 45.16)

2.79

(-0.85; 6.43)

2.56

(-1.21; 6.32)

2.00

(-1.76; 5.75)

 

SCR of dental sealants

0.12

(0.05; 0.19)*

0.11

(0.01; 0.21)

0.13

(0.07; 0.20)*

0.04

(-0.04; 0.13)

0.12

(0.05; 0.19)*

0.40

(0.03; 0.77)*

 

Per capita prefectural income (1,000 JPY)

0.01

(0.0003; 0.02)*

0.01

(0.002; 0.017)*

0.010

(0.002; 0.024)*

0.01

(-0.001; 0.014)

0.01

(-0.002; 0.014)

0.020

(0.003; 0.029)*

 

The rate of Industrial Structure 3 (Service / Commerce) (%)

0.52

(0.05; 0.98)*

0.50

(0.05; 0.96)*

0.49

(0.03; 0.96)*

0.53

(0.09; 0.96)*

0.58

(0.12; 1.03)*

0.450

(-0.008; 0.914)

 

Number of families (per household)

14.59

(-4.50; 33.69)

16.17

(-1.75; 34.1)

14.63

(-3.23; 32.50)

14.26

(-3.21; 31.73)

18.38

(0.07; 36.68)*

14.42

(-3.75; 32.58)

 

Percentage of the nuclear family (%)

-0.34

(-1.17; 0.49)

-0.30

(-1.09; 0.49)

-0.26

(-1.05; 0.53)

-0.31

(-1.08; 0.46)

-0.37

(-1.17; 0.43)

-0.41

(-1.22; 0.40)

 

Percentage of households living with older adults (%)

0.39

(-0.26; 1.04)

0.46

(-0.17; 1.09)

0.36

(-0.29; 1.01)

0.47

(-0.15; 1.08)

0.36

(-0.28; 0.99)

0.41

(-0.22; 1.05)

 

Total fertility rate (%)

-13.21

(-33.83; 7.41)

-10.84

(-30.87; 9.18)

-8.77

(-29.12; 11.57)

-14.7

(-34.23; 4.84)

-10.44

(-30.49; 9.62)

-7.74

(-28.25; 12.76)

 

Percentage of college graduates (%)

-0.79

(-1.71; 0.14)

-0.69

(-1.60; 0.21)

-0.83

(-1.74; 0.09)

-0.70

(-1.59; 0.19)

-0.72

(-1.64; 0.20)

-0.65

(-1.58; 0.28)

 

The unemployment rate (%)

1.03

(-0.32; 2.38)

1.03

(-0.29; 2.35)

1.11

(-0.22; 2.44)

1.11

(-0.17; 2.39)

1.089

(-0.23; 2.41)

1.05

(-0.26; 2.37)

 

The number of dentists working in private dental office (per 100,000 people)

0.08

(-0.14; 0.30)

0.05

(-0.17; 0.26)

0.09

(-0.12; 0.31)

0.12

(-0.08; 0.33)

0.13

(-0.09; 0.35)

0.07

(-0.14; 0.28)

Interaction term policy and S-FMR (REF: Co-pay until children enters elementary school * S-FMR)

No co-payment until children enters elementary school * S-FMR

0.21

(-0.45; 0.87)

          

Co-payment continuing beyond elementary school * S-FMR

-0.04

(-0.25; 0.17)

          

Interaction term policy and dental sealant (REF: Co-pay until children enters elementary school * SCR of dental sealants)

No co-payment until children enters elementary school * S-FMR

  

-0.02

(-0.16; 0.13)

        

Co-payment continuing beyond elementary school * S-FMR

  

0.12

(-0.01; 0.24)

        

Interaction term policy and prefectural income (REF: Co-pay until children enters elementary school * Per capita prefectural income)

No co-payment until children enters elementary school * S-FMR

    

-0.013

(-0.03; 0.003)

      

Co-payment continuing beyond elementary school * S-FMR

    

-0.005

(-0.015; 0.006)

      

Interaction term S-FMR and SCR of dental sealants

      

0.004

(0.001;0.01)*

    

Interaction term S-FMR and Per capita prefectural income

        

0.0002

(-0.0001; 0.0004)

  

Interaction term SCR of dental sealants and per capita prefectural income

          

-0.00009

(-0.0002; 0.00003)

  1. Each model incorporates different interaction terms. The interaction terms for each model are as follows: Model 1; policy and S-FMR, Model 2; policy and dental sealant, Model 3; policy and prefectural income, Model 4; S-FMR and SCR of dental sealants, Model 5; S-FMR and per capita prefectural income, Model 6; SCR of dental sealants and per capita prefectural income
  2. The analysis was conducted to examine the presence of six types of interaction terms on the SCR of deciduous tooth extraction
  3. Abbreviations: Coef. Coefficient, SCR standardized claim ratio, S-FMR school-based fluoride mouth-rinse, CI confidence interval, REF reference
  4. *It means P < 0.05
  5. aCoefficient was estimated using a multilevel mixed-effects linear regression model with all variables simultaneously entered into the model