{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T23:52:32Z","timestamp":1792194752498,"version":"4.4.0"},"reference-count":39,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2023,8,17]],"date-time":"2023-08-17T00:00:00Z","timestamp":1692230400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100006378","name":"Universitas Indonesia","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100006378","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur J Dent"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective\u2003This study aimed to investigate Indonesian dentists' perceived barriers in providing caries prevention for pediatric patients.<\/jats:p><jats:p>\n          Materials and Methods\u2003A total of 362 general dentists were included in this cross-sectional study. The participants were asked to complete a self-administered online questionnaire of dentist characteristics and perceived barriers in multiple domains (children, parents, dentists, and healthcare system-related barriers). The frequency of responses to items of the questionnaire was presented. The Mann\u2013Whitney U test was used to compare perceived barriers by gender, Kruskal\u2013Wallis by practice sector, and Spearman analysis was used to assess the correlation between perceived barrier with age, years of practice experience, weekly practice hours, percentage of pediatric patients, percentage of pediatric preventive care, and percentage of insured patients. A multivariate analysis was conducted through structural equation modeling.<\/jats:p><jats:p>\n          Results\u2003The highest perceived barrier was found to be healthcare system-related, followed by parents, children, and dentists themselves. Most participants thought parents have poor knowledge of pediatric caries prevention (n\u2009=\u2009290; 80%), and dental care for young children emphasizes curative treatment over prevention (n\u2009=\u2009257; 70%). The multivariate analysis showed that dentists' practice sector and age affect perceived barriers and pediatric preventive care the most.<\/jats:p><jats:p>\n          Conclusion\u2003Factors and barriers identified in this study must be the main focus of oral health programs, and dentists, as service providers, need proper training to address these barriers to optimize caries prevention in Indonesia.<\/jats:p>","DOI":"10.1055\/s-0043-1771336","type":"journal-article","created":{"date-parts":[[2023,8,17]],"date-time":"2023-08-17T23:02:40Z","timestamp":1692313360000},"page":"632-639","source":"Crossref","is-referenced-by-count":4,"title":["Perceived Barriers among Indonesian General Dentists in Providing Caries Preventive Care for Pediatric Patients"],"prefix":"10.1055","volume":"18","author":[{"given":"Safira","family":"Khairinisa","sequence":"additional","affiliation":[{"name":"Department of Preventive and Public Health Dentistry, Faculty of Dentistry, Universitas Indonesia, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Febriana","family":"Setiawati","sequence":"additional","affiliation":[{"name":"Department of Preventive and Public Health Dentistry, Faculty of Dentistry, Universitas Indonesia, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Risqa Rina","family":"Darwita","sequence":"additional","affiliation":[{"name":"Department of Preventive and Public Health Dentistry, Faculty of Dentistry, Universitas Indonesia, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diah Ayu","family":"Maharani","sequence":"additional","affiliation":[{"name":"Department of Preventive and Public Health Dentistry, Faculty of Dentistry, Universitas Indonesia, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,8,17]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"328","DOI":"10.3389\/fpubh.2019.00328","article-title":"The burden of early childhood caries in Canadian children and associated risk factors","volume":"7","author":"A Pierce","year":"2019","journal-title":"Front Public Health"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"670154","DOI":"10.3389\/froh.2021.670154","article-title":"Oral health policies to tackle the burden of early childhood caries: a review of 14 countries\/regions","volume":"2","author":"J Chen","year":"2021","journal-title":"Front Oral Health"},{"issue":"01","key":"ref3","first-page":"32","article-title":"Barriers to providing oral health care to pre-school children-differences between paediatric dentists' and general dental practitioners' beliefs","volume":"32","author":"G HM Lee","year":"2015","journal-title":"Community Dent Health"},{"issue":"01","key":"ref4","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1186\/s12903-018-0494-6","article-title":"Oral health service utilization patterns among preschool children in Beijing, China","volume":"18","author":"M Xu","year":"2018","journal-title":"BMC Oral Health"},{"issue":"03","key":"ref5","doi-asserted-by":"crossref","first-page":"669","DOI":"10.1055\/s-0041-1739446","article-title":"Knowledge, attitudes, and practices of parents on early childhood caries in Qatar-a questionnaire study","volume":"16","author":"A S Al-Jaber","year":"2022","journal-title":"Eur J Dent"},{"issue":"21","key":"ref6","doi-asserted-by":"crossref","first-page":"11437","DOI":"10.3390\/ijerph182111437","article-title":"Parents' willingness to invest in primary oral health prevention for their preschool children","volume":"18","author":"P CJM van Spreuwel","year":"2021","journal-title":"Int J Environ Res Public Health"},{"issue":"01","key":"ref7","first-page":"96","article-title":"Whose responsibility is it anyway? Exploring barriers to prevention of oral diseases across Europe","volume":"6","author":"H Leggett","year":"2021","journal-title":"JDR Clin Trans Res"},{"issue":"01","key":"ref8","doi-asserted-by":"crossref","first-page":"E1","DOI":"10.1038\/sj.bdj.2014.1141","article-title":"Is further intervention required to translate caries prevention and management recommendations into practice?","volume":"218","author":"P Elouafkaoui","year":"2015","journal-title":"Br Dent J"},{"issue":"04","key":"ref9","first-page":"219","article-title":"Dentists' views on the effects of changing economic conditions on dental services provided for children and adolescents in Iceland","volume":"31","author":"E G Sveinsdottir","year":"2014","journal-title":"Community Dent Health"},{"issue":"06","key":"ref10","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1080\/00016357.2019.1587503","article-title":"Barriers and facilitators for prevention in Danish dental care","volume":"77","author":"K Rosing","year":"2019","journal-title":"Acta Odontol Scand"},{"issue":"04","key":"ref11","doi-asserted-by":"crossref","first-page":"291","DOI":"10.4103\/JISPPD.JISPPD_124_17","article-title":"Road blocks perceived by the dentists toward the treatment of early childhood caries in Chennai city - a cross-sectional study","volume":"35","author":"H Faizunisa","year":"2017","journal-title":"J Indian Soc Pedod Prev Dent"},{"issue":"04","key":"ref12","doi-asserted-by":"crossref","first-page":"475","DOI":"10.4103\/ejd.ejd_170_17","article-title":"Impact of preventive care orientation on caries status among preschool children","volume":"11","author":"H Y El Batawi","year":"2017","journal-title":"Eur J Dent"},{"issue":"01","key":"ref13","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1186\/s13012-018-0744-7","article-title":"To fill or not to fill: a qualitative cross-country study on dentists' decisions in managing non-cavitated proximal caries lesions","volume":"13","author":"F Schwendicke","year":"2018","journal-title":"Implement Sci"},{"issue":"07","key":"ref14","first-page":"ZC90","article-title":"Knowledge and attitude among general dental practitioners towards minimally invasive dentistry in Riyadh and AlKharj","volume":"10","author":"A H Shah","year":"2016","journal-title":"J Clin Diagn Res"},{"issue":"06","key":"ref15","doi-asserted-by":"crossref","first-page":"E7","DOI":"10.1038\/sj.bdj.2015.711","article-title":"Differences by age and sex in general dental practitioners' knowledge, attitudes and behaviours in delivering prevention","volume":"219","author":"H Yusuf","year":"2015","journal-title":"Br Dent J"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1186\/s13012-015-0366-2","article-title":"Patient-, organization-, and system-level barriers and facilitators to preventive oral health care: a convergent mixed-methods study in primary dental care","volume":"11","author":"A R Templeton","year":"2016","journal-title":"Implement Sci"},{"issue":"10","key":"ref17","doi-asserted-by":"crossref","first-page":"e107831","DOI":"10.1371\/journal.pone.0107831","article-title":"Factors that drive dentists towards or away from dental caries preventive measures: systematic review and metasummary","volume":"9","author":"U SG Suga","year":"2014","journal-title":"PLoS One"},{"issue":"01","key":"ref18","doi-asserted-by":"crossref","first-page":"e74","DOI":"10.4317\/jced.51770","article-title":"Perceived barriers to the provision of preventive care among dentists of Udaipur, India","volume":"7","author":"R Nagarajappa","year":"2015","journal-title":"J Clin Exp Dent"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1186\/s12903-015-0029-3","article-title":"A study of the provision of hospital based dental General Anaesthetic services for children in the North West of England: Part 2\u2013the views and experience of families and dentists regarding service needs, treatment and prevention","volume":"15","author":"M Goodwin","year":"2015","journal-title":"BMC Oral Health"},{"issue":"02","key":"ref20","doi-asserted-by":"crossref","first-page":"181","DOI":"10.4103\/1305-7456.110166","article-title":"Dental subscale of children's fear survey schedule and dental caries prevalence","volume":"7","year":"2013","journal-title":"Eur J Dent"},{"issue":"01","key":"ref21","doi-asserted-by":"crossref","first-page":"24340","DOI":"10.3402\/ljm.v9.24340","article-title":"Perceived barriers to preventive dental care among Libyan dentists","volume":"9","author":"A Arheiam","year":"2014","journal-title":"Libyan J Med"},{"issue":"08","key":"ref22","doi-asserted-by":"crossref","first-page":"e0219931","DOI":"10.1371\/journal.pone.0219931","article-title":"Perspectives of general dental practitioners on preventive, patient-centred, and evidence-based oral healthcare-a Q-methodology study","volume":"14","author":"F Ba\u00e2doudi","year":"2019","journal-title":"PLoS One"},{"key":"ref23","doi-asserted-by":"crossref","first-page":"17","DOI":"10.3352\/jeehp.2021.18.17","article-title":"Sample size determination and power analysis using the G*Power software","volume":"18","author":"H Kang","year":"2021","journal-title":"J Educ Eval Health Prof"},{"issue":"S 01","key":"ref24","first-page":"S78","article-title":"Assessment of knowledge, attitude, and practice among private dental practitioners toward preventive measures of pediatric patients in Durg-Bhilai city","volume":"13","author":"J Tiwari","year":"2020","journal-title":"Int J Clin Pediatr Dent"},{"key":"ref25","doi-asserted-by":"crossref","first-page":"211","DOI":"10.2147\/JMDH.S104807","article-title":"Information bias in health research: definition, pitfalls, and adjustment methods","volume":"9","author":"A Althubaiti","year":"2016","journal-title":"J Multidiscip Healthc"},{"issue":"01","key":"ref26","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1186\/1471-2288-10-13","article-title":"Cross-cultural adaptation of research instruments: language, setting, time and statistical considerations","volume":"10","author":"L Gjersing","year":"2010","journal-title":"BMC Med Res Methodol"},{"key":"ref27","volume-title":"A Primer on Partial Least Squares Structural Equation Modeling (PLS-SEM)","author":"M. Hult G. Tomas","year":"2022","edition":"3rd ed."},{"key":"ref28","volume-title":"Partial Least Squares Structural Equation Modeling (PLS-SEM) Using R: A Workbook","author":"J F Hair","year":"2021"},{"issue":"12","key":"ref29","first-page":"ZC71","article-title":"Knowledge, attitude and practice among dental practitioners pertaining to preventive measures in paediatric patients","volume":"10","author":"R U Patil","year":"2016","journal-title":"J Clin Diagn Res"},{"issue":"04","key":"ref30","doi-asserted-by":"crossref","first-page":"598","DOI":"10.1007\/s40615-019-00688-4","article-title":"Health literacy and parental oral health knowledge, beliefs, behavior, and status among parents of American Indian newborns","volume":"7","author":"A G Brega","year":"2020","journal-title":"J Racial Ethn Health Disparities"},{"issue":"05","key":"ref31","doi-asserted-by":"crossref","first-page":"150","DOI":"10.19177\/jrd.v4e52016150-156","article-title":"Knowledge, attitude, practice towards primary prevention of dental diseases among oral health professionals in India","volume":"4","author":"M D Kathariya","year":"2017","journal-title":"J Res Dent."},{"issue":"03","key":"ref32","doi-asserted-by":"crossref","first-page":"642","DOI":"10.1055\/s-0042-1757465","article-title":"Growth stunting prevention in Indonesia: dentist knowledge and perception","volume":"17","author":"Z Mayfitriana","year":"2023","journal-title":"Eur J Dent"},{"issue":"06","key":"ref33","doi-asserted-by":"crossref","first-page":"e1001244","DOI":"10.1371\/journal.pmed.1001244","article-title":"Comparative performance of private and public healthcare systems in low- and middle-income countries: a systematic review","volume":"9","author":"S Basu","year":"2012","journal-title":"PLoS Med"},{"issue":"02","key":"ref34","first-page":"67","article-title":"Does receiving clinical preventive services vary across different types of primary healthcare organizations? Evidence from a population-based survey","volume":"6","author":"S Provost","year":"2010","journal-title":"Healthc Policy"},{"issue":"04","key":"ref35","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1055\/s-0039-1697556","article-title":"A survey of common payment methods and their determinants in dental clinics, in Tehran, 2018","volume":"13","author":"R Emrani","year":"2019","journal-title":"Eur J Dent"},{"key":"ref36","doi-asserted-by":"crossref","first-page":"220","DOI":"10.12688\/f1000research.50869.2","article-title":"Spatial distribution analysis of dentists, dental technicians, and dental therapists in Indonesia","volume":"10","author":"N RP Gofur","year":"2021","journal-title":"F1000 Res"},{"issue":"23","key":"ref37","doi-asserted-by":"crossref","first-page":"9048","DOI":"10.3390\/ijerph17239048","article-title":"A nationwide survey on working hours and working environment among hospital dentists in Japan","volume":"17","author":"T Kodama","year":"2020","journal-title":"Int J Environ Res Public Health"},{"key":"ref38","doi-asserted-by":"crossref","first-page":"S73","DOI":"10.4103\/2231-0762.146200","article-title":"Dental insurance: a systematic review","volume":"4","author":"B K Garla","year":"2014","journal-title":"J Int Soc Prev Community Dent"},{"issue":"05","key":"ref39","first-page":"901","article-title":"Applying the Ottawa Charter to inform health promotion programme design","volume":"32","author":"D Fry","year":"2017","journal-title":"Health Promot Int"}],"container-title":["European Journal of Dentistry"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0043-1771336.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T11:08:44Z","timestamp":1730804924000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0043-1771336"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,17]]},"references-count":39,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2024,5,28]]},"published-print":{"date-parts":[[2024,5]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0043-1771336","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1305-7456","1305-7464"],"issn-type":[{"value":"1305-7456","type":"print"},{"value":"1305-7464","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,8,17]]}}}