Unmet Dental Care Need in West of Iran: Determinants and Inequality

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Amjad Mohamadi-Bolbanabad ◽  
Farman Zahir Abdullah ◽  
Hossein Safari ◽  
Satar Rezaei ◽  
Abdorrahim Afkhamzadeh ◽  
...  

Purpose The purpose of this study was to assess the self-perceived need, seeking and use of dental care and its main determinants in Kurdistan province, Iran. Design/methodology/approach A total of 1,056 adults in Kurdistan province were included in this cross-sectional study. Multistage sampling approach was used to select the samples. Data on sociodemographic characteristics, economic status, self-perceived need, seeking and use of dental care were collected using a self-administrated questionnaire. Multivariate logistic regression model was used to assess factors affecting the use of dental care. In addition, socioeconomic inequality relating to dental care needs and use of dental care were examined using concentration curve and concentration index. Findings In this study, unmet dental care need was 62.7%. There was a perceived need for dental care among 13.7% (n = 145) of the participants in the past month, with only 39.3% (n = 57) seeking the care. The most important reasons for unmet dental care need were “Could not afford the cost” and “Insurance did not cover the costs.” Multivariate logistic regression showed that supplementary insurance status and household economic status were identified as main determinants affecting dental care-seeking behavior. The result of concentration index revealed that seeking dental care was more concentrated among the rich, whereas the perceived dental care need is more prevalent among the poor. Originality/value This study demonstrated that the prevalence of unmet dental care needs is high in the study setting. Also, financial barrier was identified as the main determinant of unmet dental care needs.

Author(s):  
Hye-Eun Lee ◽  
Nam-Hee Kim ◽  
Tae-Won Jang ◽  
Ichiro Kawachi

This study investigates whether workers with long working hours as well as shift workers perceive higher unmet dental care needs, and whether there is a gender difference in the associations. We used the Korea Health Panel (2009, 2011–2014) involving 20,451 person-wave observations from 5567 individuals. Perceived unmet dental care needs was defined when the participants reported that they perceived a need for dental treatment or check-up but had failed to receive dental care services during the past year. Fixed effects logit models were applied to examine how changes in weekly working hours or shift work status were linked to changes in perceived unmet dental needs within each individual. Among participants, 15.9–24.7% reported perceived unmet dental needs and the most common reason was time scarcity. We found that long working hours (>52 h/week) was significantly associated with perceived unmet dental needs due to time scarcity in both men (OR = 1.42, 95% CI 1.13–1.78) and women (OR = 1.35, 95% CI 1.03–1.79) compared workers working 40–52 h per week. Shift work was also a significant risk factor, but only in women (OR = 1.57, 95% CI 1.06–2.32). These findings provide evidence for labor policies to reduce working hours in order to improve access to dental care services.


2010 ◽  
Vol 30 (2) ◽  
pp. 72-76 ◽  
Author(s):  
Fernanda Weber de Morais Gallarreta ◽  
Fernanda Pierobon Lopes Bernardotti ◽  
Aldevina Campos de Freitas ◽  
Alexandra Mussolino de Queiroz ◽  
Gisele Faria

2021 ◽  
Vol 45 (2) ◽  
pp. 77-81
Author(s):  
Jun Ha Kim ◽  
So Yeong Kim ◽  
Kyung Hee Jo ◽  
Ye Rim Kim ◽  
Mijin Choi

2017 ◽  
Vol 28 (3) ◽  
Author(s):  
Granidya Rosa Atlantika ◽  
Anne Agustina Suwargiani ◽  
Sri Susilawati

Introduction: Dental care necessity is a set of dental and oral care must obtained by someone in a certain period in order to achieve good dental health status in accordance to dentist assessment. Productive age according to WHO is group of 35-44 years old as standard age to see adult oral health condition. The purpose of this research was to get data of dental care necessity at productive age in Cilayung Village. Methods: The research method is descriptive with cluster sampling technique. Samples of 80 respondents of productive age group were obtained by using pathfinder surveys technique. Dental care necessity assessment was assessed by using WHO oral health surveys basic methods and the oral condition of respondents was examined by using mouth glass. Results: The results of the study indicated that the most needed dental care was caries prevention, with as much as 80 people (100%) and the need for one surface treatment with as much as 75 people (93.75%). Conclusion: The priority of dental care needs in Cilayung Village were the prevention of caries and the surface one.


2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Rosa M. Urbanos-Garrido

Abstract Background Dental health is an important component of general health. Socioeconomic inequalities in unmet dental care needs have been identified in the literature, but some knowledge gaps persist. This paper tries to identify the determinants of income-related inequality in unmet need for dental care and the reasons for its recent evolution in Spain, and it inquires about the traces left by the Great Recession. Methods Data from the EU-SILC forming a decade (2007–2017) were used. Income-related inequalities for three years were measured by calculating corrected concentration indices (CCI), which were further decomposed in order to compute the contribution of different factors to inequality. An Oaxaca-type decomposition approach was also used to analyze the origin of changes over time. Men and women were analyzed separately. Results Pro-rich inequality in unmet dental care needs significantly increased over time (CCI 2007: − 0.0272 and − 0.0334 for males and females, respectively; CCI 2017: − 0.0704 and − 0.0776; p < 0.001). Inequality showed a clear “pro-cycle” pattern, growing during the Great Recession and starting to decrease just after the economic recovery began. Gender differences only were significant for 2009 (p = 0.004) and 2014 (p = 0.063). Income was the main determinant of inequality and of its variation along time -particularly for women-, followed by far by unemployment –particularly for men-; the contributions of both were mainly due to changes in elasticites. Conclusions The Great Recession left its trace in form of a higher inequality in the access to dental care. Also, unmet need for dental care, as well as its inequality, became more sensitive to the ability to pay and to unemployment along recent years. To broaden public coverage of dental care for vulnerable groups, such as low-income/unemployed people with high oral health needs, would help to prevent further growth of inequality.


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