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Table 4 The associations between S-FMR and medical-dental expense subsidy policy on children's DMFT

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

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) (%)

-0.004

(-0.006; -0.001)*

      

-0.003

(-0.005; -0.001)*

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

No co-payment until children enters elementary school

  

0.02

(-0.13;0.18)

    

0.05

(-0.08;0.18)

Co-payment continuing beyond elementary school

  

0.09

(-0.01;0.20)

    

0.07

(-0.02;0.17)

SCR of dental sealants

    

-0.001

(-0.003;-0.0001)*

  

-0.001

(-0.003;-0.0001)*

Per capita prefectural income (1,000 JPY)

      

0.0001

(-0.0001;0.0003)

0.00004

(-0.0001;0.0002)

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

0.01

(-0.004;0.022)

0.01

(-0.01;0.02)

0.005

(-0.01;0.02)

0.008

(-0.007;0.02)

0.01

(-0.002;0.03)

Number of families (per household)

-0.16

(-0.55;0.23)

-0.19

(-0.60;0.23)

-0.09

(-0.50;0.32)

-0.13

(-0.56;0.30)

-0.12

(-0.50;0.26)

Percentage of the nuclear family (%)

-0.01

(-0.02;0.007)

-0.004

(-0.02;0.01)

-0.004

(-0.02;0.01)

-0.002

(-0.022;0.02)

-0.004

(-0.02;0.01)

Percentage of households living with older adults (%)

-0.02

(-0.03; -0.001)

-0.02

(-0.04; -0.01)*

-0.02

(-0.04; -0.01)*

-0.02

(-0.04; -0.002)*

-0.02

(-0.03; -0.003)*

Total fertility rate (%)

0.45

(0.01;0.88)

0.44

(-0.03;0.90)

0.36

(-0.10;0.82)

0.41

(-0.07;0.88)

0.46

(0.05;0.87)*

Percentage of college graduates (%)

-0.03

(-0.05; -0.02)*

-0.03

(-0.05; -0.02)*

-0.03

(-0.05; -0.01)*

-0.03

(-0.05;-0.01)*

-0.04

(-0.06; -0.02)*

Percentage of receiving public assistance (%)

0.10

(0.04;0.17)*

0.10

(0.03;0.17)*

0.11

(0.04;0.17)*

0.11

(0.04;0.17)*

0.10

(0.04;0.17)*

The unemployment rate (%)

0.06

(0.03;0.10)*

0.06

(0.02;0.10)*

0.05

(0.02;0.09)*

0.06

(0.02;0.10)*

0.07

(0.03;0.10)*

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

-0.004

(-0.009; -0.0001)*

-0.004

(-0.01;0.0004)

-0.003

(-0.01;0.002)

-0.005

(-0.01;0.0003)

-0.003

(-0.008;0.001)

  1. Model 1: S-FMR + covariates (industrial structure 3 rate, number of families, percentage of nuclear family, percentage of households living with older adults, total fertility rate, percentage of college graduates, percentage of receiving public assistance, unemployment rate, total fertility rate, and dentist in private practice); Model 2: policy + covariates; Model 3: SCR of dental sealants + covariates; Model 4: per capita prefectural income + covariates; Model 5: Model 1 + policy + SCR of dental sealants + per capita prefectural income
  2. The analysis was conducted to identify predictors for DMFT
  3. Abbreviations: Coef. Coefficient, DMFT decayed, missing, or filled permanent teeth, S-FMR school-based fluoride mouth-rinse, SCR standardized claim ratio, 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