Cakradonya Dental Journal
Vol. 18 No. 2 (2026): August

Associations of Health Insurance Type and Wealth Status Quintiles with Dental Care Utilization Among Indonesian Adults

Pemmika Intato (Faculty of Dentistry, Mahidol University, Bangkok, Thailand)
Fadli Alwi (Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, Tokyo, Japan)



Article Info

Publish Date
20 Sep 2026

Abstract

Dental care utilization remains low in Indonesia, structured by complex socioeconomic gradients. This cross-sectional study investigated the independent and interactive associations of health insurance type and wealth status quintiles with dental care utilization among Indonesian adults aged ≥ 25 years. Overall survey-weighted prevalence of dental care utilization was 8.27% [95% CI: 8.10, 8.43]. Compared with being uninsured, all health insurance types were significantly associated with higher utilization, led by private/other insurance (PR = 1.96; 95% CI: 1.79–2.13), government non-subsidized insurance (PR = 1.46; 95% CI: 1.39–1.54), and government subsidized insurance (PR = 1.24; 95% CI: 1.18–1.31). The highest quintile exhibited double the utilization of the lowest stratum (PR = 2.22; 95% CI: 2.06–2.40). Across all four insurance types, absolute risk differences between the highest and lowest wealth quintiles persisted (ranging from +7.00% to +19.68%), although formal multiplicative interaction terms were not statistically significant. Health insurance coverage and wealth status are independently associated with higher dental care utilization. Nevertheless, wealth-related differences in visits persist across all insurance types, indicating that targeted policy interventions addressing broader socioeconomic barriers remain essential.

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Journal Info

Abbrev

cdj

Publisher

Subject

Description

Cakradonya Dental Journal (CDJ) aims to publish original research articles relevant to dental care, oral health, general dentistry, dental materials, medicine, and public health. It also publishes conceptual articles and case ...