scholarly journals Place of Birth Inequalities in Dental Care Use Before and After the Economic Crisis in Spain

2019 ◽  
Author(s):  
Elena Rodriguez-Alvarez ◽  
Nerea Lanborena ◽  
Luisa N. Borrell
Keyword(s):  
Economic Crisis ◽  
Dental Care ◽  
Cross Sectional Study ◽  
Place Of Birth ◽  
Region Of Origin ◽  
Dental Services ◽  
Cross Sectional ◽  
Care Services ◽  
Binomial Regression ◽  
Before And After

This study evaluates inequalities in the use of dental services according to place of birth before and after the economic crisis in Spain. A cross-sectional study was performed in the population aged 18 to 65 years in Spain. We used data from three Spanish National Health Surveys for years 2006 (before the crisis), 2014 and 2017 (after the crisis). Log-binomial regression was used to quantify the association between region of origin and use of dental care services before and after controlling for the selected covariates. In 2006, we found a greater probability of not using dental care services in immigrants from Asia (PR:1.36, 95% CI:1.10–1.67) and Africa (PR:1.16; 95% CI:1.05–1.28) compared to the natives. For 2014, the probability of not using dental care services was greater for all immigrants compared to the natives, with the greatest odds for those from Africa (PR:1.71; 95% CI:1.46–2.01) and Asia (PR:1.3; 95% CI:1.23–1. 47). The associations for 2017 were weaker in magnitude than the ones observed for 2014, although stronger than for 2006. This study suggests that the economic recovery did not have the same impact for natives and immigrants regardless of regions of origin, given the observed inequalities in use of dental services.

scholarly journals Place of Birth Inequalities in Dental Care Use before and after the Economic Crisis in Spain

2019 ◽  
Vol 16 (10) ◽  
pp. 1691
Author(s):  
Elena Rodriguez-Alvarez ◽  
Nerea Lanborena ◽  
Luisa N. Borrell
Keyword(s):  
Economic Crisis ◽  
Dental Care ◽  
Cross Sectional Study ◽  
Place Of Birth ◽  
Sectional Study ◽  
Dental Services ◽  
Cross Sectional ◽  
Care Services ◽  
Binomial Regression ◽  
Before And After

This study evaluates inequalities in the use of dental services according to place of birth before and after the economic crisis in Spain. A cross-sectional study was performed in adults aged 18 to 65 years in Spain. We used data from three Spanish National Health Surveys for the years 2006 (before the crisis), 2014, and 2017 (after the crisis). Log-binomial regression was used to quantify the association between place of birth and use of dental care services before and after controlling for the selected covariates. In 2006, we found a greater probability of not using dental care services in immigrants from Asia (PR: 1.36, 95% CI: 1.10–1.67) and Africa (PR: 1.16, 95% CI: 1.05–1.28) compared to the natives. For 2014, the probability of not using dental care services was greater for all immigrants relative to natives, with the greatest probability for those from Africa (PR: 1.71, 95% CI: 1.46–2.01) and Asia (PR: 1.3, 95% CI: 1.23–1.47). The associations for 2017 were weaker in magnitude than the ones observed for 2014, although stronger than for 2006. This study suggests that the economic recovery did not have the same impact for natives and immigrants regardless of regions of origin, given the observed inequalities in use of dental services.

scholarly journals Impact of COVID-19 on Dental Emergency Services in Cluj-Napoca Metropolitan Area: A Cross-Sectional Study

2020 ◽  
Vol 17 (21) ◽  
pp. 7716
Author(s):  
Nausica Bianca Petrescu ◽  
Ovidiu Aghiorghiesei ◽  
Anca Stefania Mesaros ◽  
Ondine Patricia Lucaciu ◽  
Cristian Mihail Dinu ◽  
...  
Keyword(s):  
Dental Care ◽  
Emergency Services ◽  
Cross Sectional Study ◽  
Dental Service ◽  
Care Needs ◽  
Dental Services ◽  
Cross Sectional ◽  
Care Services ◽  
Number Of Patients ◽  
Dental Care Needs

This study aimed to assess dental care needs in Cluj region during the State of Emergency, declared due to the COVID-19 pandemic, compared to the same period of the year 2019. A descriptive retrospective analysis was conducted, which retrieved patients seeking emergency dental services at the Emergency Department of County General Hospital and “Iuliu Hațieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania, the only dental service available in April 2020. Recorded data cover the month of April 2020 and is compared with the same period of 2019. During April 2020, 724 patients received dental care, whereas only 160 patients were treated in April 2019 in the same facility. The number of patients with acute apical periodontitis, abscess, and acute pulpitis was significantly higher in 2020. The percentage of patients receiving sedative filling for the treatment of acute pulpitis in 2020 was significantly higher than in 2019, while the proportion of patients receiving pulpectomy was higher in 2019. The percentage of patients receiving endodontic drainage for the treatment of acute periapical periodontitis in 2020 was higher. This study demonstrates that the COVID-19 pandemic impacted the use of medical care services and could further impact the oral health and quality of life of patients.

scholarly journals Integrality of care for hemodialysis patient in Brazil: an analysis of access to dental care

2020 ◽  
Vol 25 (2) ◽  
pp. 533-540
Author(s):  
Bruna Mara Ruas ◽  
Lia Silva Castilho ◽  
Natália Cristina Ruy Carneiro ◽  
Natália Mendes de Matos Cardoso ◽  
Augusto Barbosa Reis ◽  
...  
Keyword(s):  
Dental Caries ◽  
Dental Care ◽  
Formal Education ◽  
Cross Sectional Study ◽  
Hemodialysis Patients ◽  
Southeastern Brazil ◽  
Cross Sectional ◽  
Care Services ◽  
Access To Dental Care ◽  
Belo Horizonte

Abstract The present study aimed to analyze factors associated with access of dental care services by Brazilian hemodialysis patients. A cross-sectional study was carried out with 467 hemodialysis patients aging from 19 to 90 years in two renal therapy centers located in the cities of Contagem and Belo Horizonte, Southeastern Brazil. Data were collected through an oral clinical examination of the patients and the application of a structured questionnaire. The dependent variable was the access to dental care, measured by the question "Have you consulted with a dentist in last six months?". The mean age of participants was 49.9 years. The average number of teeth present in the mouth was 19.3. An average of 1.5 teeth with dental caries cavities lesion was diagnosed among hemodialysis patients. One-third of the sample had gone to the dentist in the last six months (27.8%). The access to dental care was associated with formal education (OR = 1.5 [1.1-2.4]), professional advising to consult with a dentist (OR = 2.1 [1.2-3.8]) and prevalence of dental caries (OR = 2.1 [1.3-3.2]). Hemodialysis patients with eight or more years of formal education, who received professional advising to consult with a dentist and without dental caries cavities had higher chances obtaining access to dental care.

scholarly journals Obesity Inequalities According to Place of Birth: The Role of Education

2018 ◽  
Vol 15 (8) ◽  
pp. 1620 ◽  
Author(s):  
Elena Rodriguez-Alvarez ◽  
Nerea Lanborena ◽  
Luisa Borrell
Keyword(s):  
Health Survey ◽  
Cross Sectional Study ◽  
National Health Survey ◽  
Lower Probability ◽  
Significant Heterogeneity ◽  
Place Of Birth ◽  
Cross Sectional ◽  
Before And After ◽  
European Health ◽  
Using Data

This study examined obesity inequalities according to place of birth and educational attainment in men and in women in Spain. A cross-sectional study was conducted using data from the Spanish National Health Survey 2011–2012 and from the European Health Survey in Spain 2014. We used data for 27,720 adults aged 18–64 years of whom 2431 were immigrants. We used log-binomial regression to quantify the association of place of birth with obesity before and after adjusting for the selected characteristics in women and in men. We found a greater probability of obesity in immigrant women (PR: 1.42; 95% CI: 1.22–1.64) and a lower probability of obesity in immigrant men (PR: 0.73; 95% CI: 0.59–0.89) relative to natives after adjustment. Significant heterogeneity was observed for the association of place of birth and obesity according to education in men (p-interactions = 0.002): Men with lower educational levels (PR: 0.47; 95% CI: 0.26–0.83) have a protective effect against obesity compared with their native counterparts. This study suggests that place of birth may affect obesity in women and in men. However, this effect may be compounded with education differently for women and men.

scholarly journals The impact of out-of pocket payments of households for dental healthcare services on catastrophic healthcare expenditure in Iran

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Abraha Woldemichael ◽  
Satar Rezaei ◽  
Ali Kazemi Karyani ◽  
Mohammad Ebrahimi ◽  
Shahin Soltani ◽  
...  
Keyword(s):  
Dental Care ◽  
Rural Areas ◽  
Healthcare Expenditure ◽  
Financial Burden ◽  
Healthcare Services ◽  
Dental Services ◽  
Cross Sectional ◽  
Care Services ◽  
Out Of Pocket Payments ◽  
The Impact

Abstract Background Dental healthcare is the costliest and single most source of the financial barrier to seeking and use of needed healthcare. Hence, this study aims to analyses impact of out-of-pocket (OOP) payments for dental services on prevalence catastrophic healthcare expenditure (CHE) among Iranian households during 2018. Methods We performed a cross-sectional analysis to determine the prevalence rate of CHE due to use of dental healthcare services among 38,858 Iranian households using the 2018 Household Income and Expenditure Survey (HIES) survey data of Iran. The WHO approach was used to determine the CHE due to use of dental care services at the 40% of household capacity to pay (CTP). Multiple logistic regression models were used to obtain the odds of facing with CHE among households that paid for any dental healthcare services over the last month while adjusting for covariates included in the model. These findings were reported for urban, rural areas and also for low, middle and high human development index HDI across provinces. Results The study indicated that the prevalence of CHE among households that used and did not used dental services over the last month was 16.5% (95% CI: 14.9 to 18.3) and 4.3% (95% CI: 4.1 to 4.6), respectively. The adjusted odds ratio (AOR) for the covariates revealed that the prevalence of CHE for the overall households that used dental healthcare service was 6.2 times (95% CI: 5.4 to 7.1) than those that did not use dental healthcare services. The urban households that used dental healthcare had 7.8 times (95%CI: 6.4–9.4) while the rural ones had 4.7 times (95% CI: 3.7–5.7) higher odds of facing CHE than the corresponding households that did not use dental healthcare services. Conclusions The study indicates that out-of-pocket costs for dental care services impose a substantial financial burden on household’s budgets at the national and subnational levels. Alternative health care financing strategies and policies targeted to the reduction in CHE in general and CHE due to dental services in particular are urgently required in low and middle income countries such as Iran.

scholarly journals Assessment of Oral Health Care Delivery System in Greater Noida Using Five A’s Model

2019 ◽  
Vol 3 (9) ◽  
pp. 303-313
Author(s):  
Insha Nissar ◽  
Bhuvandeep Gupta ◽  
Priyanka Kotia ◽  
Kirti Raina ◽  
Akansha Monga
Keyword(s):  
Family Income ◽  
Care Delivery ◽  
Dental Health ◽  
Health Care Delivery System ◽  
Cross Sectional Study ◽  
Dental Services ◽  
Cross Sectional ◽  
Services Utilization ◽  
Care Services ◽  
Study Population

BACKGROUND: Access to dental health services refers not only to utilization but also to the extent by which the utilization is judged as per the professional norms using five independent dimensions of accessibility, availability, accommodation, affordability and acceptability. AIM: The aim of the study is to assess the dental services utilization among population of Greater Noida using Five A’s model. MATERIALS AND METHOD: The study was conducted in Dental College in Greater Noida. This cross-sectional study was carried out on the 200 subjects using convenient sampling on the patients visiting dental OPD.A self-administered structured questionnaire in English and Hindi language was used. Data was entered in the Microsoft excel sheet and analysed using SPSS (version 20.0).RESULTS: Mean level of access to dental services in the study population was 60.3.Corresponding figures for affordability, availability, accessibility, accommodation and acceptability were 55.2 ± 12.1,57.1± 12.8,60.75 ± 14.7,61.75 ± 8.7,58.65± 11.4 respectively.CONCLUSION: According to the results of our study , the level of access to dental care services is not very good with family income, location and level of education being the determinants of this access.

scholarly journals Prescription Patterns of Antidepressants: The Effect of the Black Box Warning among Pediatric Patients

2019 ◽  
Vol 4 (1) ◽  
pp. 1
Author(s):  
H. Sher ◽  
Z.H. Perry ◽  
S. Arbel ◽  
H. Reuveni
Keyword(s):  
Health Care Services ◽  
Antidepressant Medication ◽  
Cross Sectional Study ◽  
Study Data ◽  
Black Box ◽  
Cross Sectional ◽  
Prescription Patterns ◽  
Care Services ◽  
Health Agencies ◽  
Before And After

<p><strong><em>Introduction</em></strong><em>:<strong> </strong></em><em>Our aim was to investigate the prescription patterns of antidepressant in the southern Israel during the years 2000 to 2005, before and after the FDA black box warning issued regarding the prescription of antidepressants in children. </em><em></em></p><p><strong><em>Patients and methods</em></strong><em>:</em><em> </em><em>A cross sectional study. Data regarding prescription of anti-depressant drugs was examined retrospectively. All information was obtained from the computerized databases of the Clalit Health care services, southern county. Data was analyzed by using descriptive statistics, and analytical statistics. Multi-variate analysis was performed when applicable.</em></p><p><strong><em>Results</em></strong><em>: When comparing the prescription rate of fluoxetine and fluvoxamine versus other SSRI’s included in the health agencies warnings during the years mentioned, there was a gradual increase in the percentage of the other SSRI’s until 2003 from 12.2% in 2000 to 64.2% in 2003 and then a reversal of this trend from 51.9% in 2004 to 47.8% in 2005.</em><em></em></p><strong><em>Discussion and conclusions</em></strong><em>: This study shows that the CSM advice has not had a significant effect in reversing the rising prevalence of antidepressant prescribed to children and adolescents in primary care. It has however changed the choice of antidepressant medication chosen within the group of SSRI’s.</em>

scholarly journals Inequalities in access and utilization of dental services: a cross-sectional study in an area covered by the Family Health Strategy

2011 ◽  
Vol 27 (suppl 2) ◽  
pp. s272-s283 ◽  
Author(s):  
Márcia Helena Baldani ◽  
José Leopoldo Ferreira Antunes
Keyword(s):  
Dental Care ◽  
Family Health ◽  
Cross Sectional Study ◽  
Dental Services ◽  
Cross Sectional ◽  
Dental Visits ◽  
Regular Source ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

This cross-sectional study aimed to investigate the presence of inequalities in the access and use of dental services for people living in the coverage area of the Family Health Strategy (FHS) in Ponta Grossa, Paraná State, Brazil, and to assess individual determinants related to them. The sample consisted of 747 individuals who answered a pre-tested questionnaire. Data analysis was performed by chi-square test and Poisson regression analysis, obtaining explanatory models for recent use and, by limiting the analysis to those who sought dental care, for effective access. Results showed that 41% of the sample had recent dental visits. The lowest visit rates were observed among preschoolers and elderly people. The subjects who most identified the FHS as a regular source of dental care were children. Besides age, better socioeconomic conditions and the presence of a regular source of dental care were positively associated to recent dental visits. We identified inequalities in use and access to dental care, reinforcing the need to promote incentives to improve access for underserved populations.

scholarly journals Dental Caries and the Influence of Associated Factors – A Cross-Sectional Study

2021 ◽  
Vol 10 (21) ◽  
pp. 1616-1620
Author(s):  
Aliya Ehsan ◽  
Jawwad Iqbal Afridi ◽  
Hina Abid ◽  
Muhammad Yusuf
Keyword(s):  
Socioeconomic Status ◽  
Dental Caries ◽  
Dental Care ◽  
Oral Hygiene ◽  
Care Facility ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Care Services ◽  
Access To Dental Care ◽  
The Difference

BACKGROUND The study was carried out to determine the prevalence of dental caries among urban and suburban population in Pakistan to assess the association of dental caries with oral hygiene status, socioeconomic status, and dental service availability. METHODS A total of 200 patients was enrolled in this cross-sectional study. Decayed, filled, and missing teeth (DMFT), oral hygiene status, socioeconomic status (SES), and presence / absence of dental care facility were recorded. A specially designed proforma was used to record the data regarding oral hygiene practices, dental treatment availability and socioeconomic background, for the study. The data obtained was statistically analysed using SPSS version 15 software. Chi-square test was applied for association between categorical variables. Analysis of variance (ANOVA) was done to test the difference in DMFT scores of various age groups. Student t test was applied to test the difference in DMFT scores in both sexes. RESULTS Comparison of mean D, M and F status revealed a high tendency towards decayed teeth. Mean DMFT score was found to be 4.41. Maximum DMFT was recorded among 50 years and above age group, followed closely (2.39) by 40 - 49 years. Increased caries prevalence was seen in people with poor oral hygiene and belonging to low socioeconomic status. Caries rate was also high in areas with lack of dental care facilities. CONCLUSIONS Oral hygiene practices, dietary habits, and access to dental care services played an important role in prevalence of dental caries. Socio-economic status has been found to play an important role in access to dental care facilities. From the current report, importance for public health was noted; the socioeconomic status, educational status of parents, and family structure, affect oral health in under-privileged communities. The prevalence of dental caries also plays an important role in oral hygiene procedures, eating patterns, and access to dental care services. KEY WORDS Dental Caries, SES, Oral Hygiene, Dental Care Facility, DMFT.

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