scholarly journals Employment status and unmet dental care needs in South Korea: a population-based panel study

BMJ Open ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. e022436 ◽  
Author(s):  
Jae Woo Choi ◽  
Young Choi ◽  
Tae-Hoon Lee ◽  
Hyo Jung Lee ◽  
Yeong Jun Ju ◽  
...  
Keyword(s):  
Low Income ◽  
Dental Care ◽  
Economic Burden ◽  
Employment Status ◽  
Dental Treatment ◽  
Panel Study ◽  
Income Group ◽  
Care Needs ◽  
Healthcare Needs ◽  
Dental Care Needs

ObjectivesThis study was designed to evaluate whether employment status is associated with the experience of unmet dental care needs.MethodsA total of 4620 workers were retrieved from Korea Health Panel data (2010–2013), and potential relationships were explored among their income levels, changes in employment and unmet dental care needs.ResultsAmong the 4620 workers, 17.3% said they had failed at least once to get dental treatment or check-up, despite their needs. Precarious workers and those not in employment were more likely to experience unmet dental care needs due to economic burden compared with permanent workers (OR 1.36, 1.40, respectively). In addition, people in low-income group were 4.46 times more likely to experience unmet dental care needs caused by economic burden, compared with those with the highest income.ConclusionThis disparity means that precarious workers and those not in employment are more likely to face barriers in obtaining needed health services. Given the insecure employment status of low income people, meeting their healthcare needs is an important consideration.

scholarly journals Impact of Long Working Hours and Shift Work on Perceived Unmet Dental Need: A Panel Study

2021 ◽  
Vol 18 (6) ◽  
pp. 2939
Author(s):  
Hye-Eun Lee ◽  
Nam-Hee Kim ◽  
Tae-Won Jang ◽  
Ichiro Kawachi
Keyword(s):  
Shift Work ◽  
Dental Care ◽  
Fixed Effects ◽  
Panel Study ◽  
Working Hours ◽  
Care Needs ◽  
Long Working Hours ◽  
Care Services ◽  
Dental Care Needs ◽  
Dental Needs

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.

scholarly journals Income-related inequalities in unmet dental care needs in Spain: traces left by the Great Recession

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Rosa M. Urbanos-Garrido
Keyword(s):  
Low Income ◽  
Dental Care ◽  
Great Recession ◽  
Unmet Need ◽  
Vulnerable Groups ◽  
Care Needs ◽  
Decomposition Approach ◽  
The Great Recession ◽  
Dental Care Needs ◽  
Over Time

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.

scholarly journals Dental Care for a Child with Congenital Hydrocephalus: A Case Report with 12-Month Follow-Up

2021 ◽  
Vol 18 (3) ◽  
pp. 1209
Author(s):  
Yasser Alsayed Tolibah ◽  
Chaza Kouchaji ◽  
Thuraya Lazkani ◽  
Mohammad Tamer Abbara ◽  
Saffana Jbara ◽  
...  
Keyword(s):  
Dental Care ◽  
Dental Treatment ◽  
Clinical Skills ◽  
Medical Condition ◽  
Congenital Hydrocephalus ◽  
Care Needs ◽  
Dental Management ◽  
The Central Nervous System ◽  
Dental Care Needs ◽  
Dental Needs

Hydrocephalus affects the central nervous system as a result of progressive ventricular dilatation from the accumulation of cerebrospinal fluid in the brain’s lateral ventricles. This paper reports on the oral characteristics of a child with congenital hydrocephalus, discusses her complex dental care needs, and presents dental management of this case. Despite the complex and challenging dental needs, this child received dental treatment in a chairside approach without general anesthesia. A thorough knowledge of the patient’s medical condition, together with expert clinical skills, was indispensable for managing the child and improving the quality and length of her life.

Unmet dental care needs according to employment status

2015 ◽  
Vol 39 (1) ◽  
pp. 56 ◽  
Author(s):  
Jeong-Hee Kang ◽  
Chul-Woung Kim ◽  
Cheoul-Sin Kim ◽  
Nam-Kyu Seo
Keyword(s):  
Dental Care ◽  
Employment Status ◽  
Care Needs ◽  
Dental Care Needs

scholarly journals KEBUTUHAN PERAWATAN GIGI PADA ANAK BERKEBUTUHAN KHUSUS DI SEKOLAH LUAR BIASA TAMAN PENDIDIKAN ISLAM MEDAN

2018 ◽  
Vol 3 (1) ◽  
pp. 81-89
Author(s):  
Essie Octiara ◽  
Siti Salmiah ◽  
Zulfi Amalia ◽  
Luthfiani
Keyword(s):  
Dental Caries ◽  
Special Needs ◽  
Dental Care ◽  
Dental Treatment ◽  
High Risk Group ◽  
Caries Experience ◽  
Children With Special Needs ◽  
Care Needs ◽  
Treatment Need ◽  
Dental Care Needs

Children with Special Needs  is a person who has behavioral, physical and intellectual barriers that make doctor have to change approach with various ways to do the treatment.  Children with special needs is a high-risk group for health problems, especially dental caries and periodontal disease, but in fact they are often too late to get dental treatment or never get the treatment. The purpose of this study was to determine the prevalence and experience of caries and dental care needs in children with special needs atSLB Taman Pendidikan Islam in Medan. The research was conducted by descriptive survey. The sample was 96 children with special needs with aged between 5-29 years old. Clinical caries examination using def-t / DMF-T (WHO) index and modified Treatment Need Index (TNI). The study is represent that the prevalence of children's caries is 92,71%. Experience of dental caries is 2,28+3,25; while the permanent dental caries experience was 3,02+2,98. Based on Treatment Need Index (TNI), the level of dental care needs was 656 teeth or average dental treatment of each child requires was 6.83 teeth, with the three most needed treatment is a surface restoration was 2.49 teeth, followed by tooth extraction was1.43 teeth and pulp treatment was 0.70 teeth. From the study it can be concluded that the level of dental hygiene in the chidren with special needs was still quite low, as well as the utilization of dental facilities.

Unmet dental care needs in South Korea: how do they differ by insurance system?

2019 ◽  
Vol 24 (3) ◽  
pp. 164-171 ◽  
Author(s):  
Xianhua Che ◽  
Minsung Sohn ◽  
Hee-Jung Park
Keyword(s):  
Health Insurance ◽  
Confidence Interval ◽  
South Korea ◽  
National Health Insurance ◽  
National Health ◽  
Dental Care ◽  
Income Group ◽  
Care Needs ◽  
Medical Aid ◽  
Dental Care Needs

Objectives This study aimed to analyse and compare the influence of National Health Insurance and Medical Aid coverage on the persistency of unmet dental care needs in South Korea. Methods This study was based on a longitudinal sample of 4461 adults aged 19 years and older who participated in the South Korea Health Panel from 2011 to 2014, using weights to make the data nationally representative. Propensity score matching was used to adjust the demographic, socioeconomic and health status information of National Health Insurance and Medical Aid groups. Panel logistic regression analyses were conducted to examine the association between health insurance type and unmet dental needs for three consecutive years. Results The odds of the lowest income group reporting unmet dental care needs compared with the highest income group was 6.75 (confidence interval 5.94−7.67), which reduced to 4.19 (confidence interval 3.76−4.67) in the models including health insurance schemes. Additionally, Medical Aid recipients (odds ratio 2.49; 95% confidence interval 2.18−2.48) were more likely to have unmet needs than those covered by National Health Insurance. Conclusions The dental care needs of Medical Aid beneficiaries were not being met, unlike those of the National Health Insurance beneficiaries. Such evidence suggests that increasing health insurance coverage to include several essential dental services would improve the accessibility of dental care services for Medical Aid beneficiaries.

Characteristics of individuals with hydrocephalus and their dental care needs

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
Keyword(s):  
Dental Care ◽  
Care Needs ◽  
Dental Care Needs

scholarly journals Impact of fees on access to dental care: evidence from France

2020 ◽  
Vol 30 (6) ◽  
pp. 1066-1071
Author(s):  
Anne-Charlotte Bas ◽  
Paul Dourgnon ◽  
Sylvie Azogui-Levy ◽  
Jérôme Wittwer
Keyword(s):  
Health Insurance ◽  
Dental Care ◽  
P Value ◽  
Care Needs ◽  
Enabling Factors ◽  
Healthcare Needs ◽  
Out Of Pocket Payments ◽  
Access To Dental Care ◽  
The Impact ◽  
Dental Prosthetics

Abstract Background For financial reasons, dental prosthetics is one of the major unmet dental healthcare needs [Financial-SUN (F-SUN)]. Private fees for dental prosthetics result in significant out-of-pocket payments for users. This study analyzes the impact of geo-variations in protheses fees on dental F-SUN. Methods Using a nationwide French declarative survey and French National Health Insurance administrative data, we empirically tested the impact of prosthetic fees on dental F-SUN, taking into account several other enabling factors. Our empirical strategy was built on the homogeneous quality of the dental prosthesis selected and used to compute our price index. Results Unmet dental care needs due to financial issues concern not only the poorest but also people with middle incomes. The major finding is the positive association between dental fees and difficulty in gaining access to dental care when other enabling factors are taken into account (median fee in the highest quintile: OR = 1.35; P value = 0.024; 95% CI 1.04–1.76). People with dental F-SUN are those who have to make a greater financial effort due to a low/middle income or a lack of complementary health insurance. For identical financial reasons, the tendency to give up on healthcare increases as health deteriorates. Conclusions The results underscore the need for fee regulation regarding dental prosthetics. This is in line with the current French government dental care reform.

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