scholarly journals Unmet dental health care needs in Serbia

2021 ◽  
Vol 2 (2) ◽  
pp. 43-51
Author(s):  
Jovana Todorović ◽  
Nataša Popović ◽  
Pavle Piperac ◽  
Slavica Đurđević-Todorović ◽  
Zorica Terzić-Šupić

Aim: The aim of this study was the analysis of the social and health status characteristics of the population with unmet dental health care needs. Materials and methods: This cross-sectional study included 20,069 respondents from the Survey on Income and Living Conditions (SILC) in the Republic of Serbia in 2014. Results: Nearly every sixth citizen (16.1%) reported unmet dental health care needs. Participants between the ages of 27 and 44 years (OR: 1.48, 95% CI: 1.21 - 1.82), and between 45 and 64 years (OR: 1.49, 95% CI: 1.19 - 1.86), participants who assessed their health status as: good (OR: 1.91, 95% CI: 1.63 - 2.25), fair (OR: 3.16, 95% CI: 2.64 - 3.77), bad (OR: 3.65, 95% CI: 2.94 - 4.53), or very bad (OR: 4.22, 95% CI: 3.10 - 5.74), had a higher likelihood of reporting unmet dental health care needs. The most frequent reasons for unmet dental health care needs were financial obstacles to the accessibility of dental health care (66.6%) and fear or treatment (15.1%). Conclusion: The study found associations between unmet dental health care needs and social and health status characteristics. Health policy should adopt a multidimensional approach and eliminate barriers which restrict the accessibility of dental health care.

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
Z Terzic-Supic ◽  
J Todorovic ◽  
K Vojvodic ◽  
P Piperac ◽  
M Santric-Milicevic

Abstract Background Changes in the health insurance law in 2005 led to the changes in the organization of the provision of dental health care in Serbia. Prior to this law, dental health care was available for every resident covered by mandatory health insurance without additional out-of-pocket payments. Now the dental health care is available only for children under the age of 18, students under the age of 26, pregnant women and for emergency dental care. The aim of this study was to assess the prevalence of unmet dental health care needs among adults and to assess the factors associated with unmet dental health care needs. Methods The study was the secondary analysis of the data from the Survey on income and Living conditions in Serbia, conducted during 2017. Multivariate logistic regression analysis was used to assess the association of unmet dental health care needs and socio-demographic and socio-economic factors. Results Total of 1718/12437 (12.1%) adults reported unmet dental health care needs. The main reason reported was not being able to afford it (1014/1718, 59.0%), along with the fear of doctors or hospitals (260/1718, 15.5%). Multivariate logistic regression analysis showed the association of unmet dental health care needs and being employed (OR: 1.50, 95% CI: 1.24-1.80), unemployed (OR: 1.96, 95% CI: 1.65-2.33), having primary (OR: 1.47, 95% CI: 1.16-1.86), or secondary education (OR: 1.43, 95% CI: 1.21-1.69), being divorced (OR: 1.47, 95% CI: 1.17-1.85), having good (OR:1.44, 95% CI: 1.20- 1.74), average (OR: 2.36, 95% CI: 1.91-2.92), poor (OR: 2.29, 95%CI: 1.77-2.97), or very poor general health (OR: 2.42, 95% CI: 1.68-3.48), having limitation in daily activities (OR: 0.66, 95% CI: 0.60-0.77) and being materially deprived (OR: 1.67, 95% CI: 1.46-1.90). Conclusions The prevalence of unmet dental health care needs in high among adults in Serbia. There is an association between social characteristics and health status with unmet dental health care needs in Serbia. Key messages There is a high prevalence of unmet dental health care needs in Serbia. Unmet dental health care needs are associated with social characteristics and health status.


2019 ◽  
Author(s):  
Mukesh Poudel ◽  
Asmita Ojha ◽  
Deepak Kumar Yadav ◽  
Ram Bilakshan Sah ◽  
Avaniendra Chakravartty ◽  
...  

Abstract Background : Global ageing population is in increasing trend. Morbidity increases with age and enhances the burden of health problems that results in new challenges to meet the additional demands. There can be various types of issues such as health problems, health care utilization, physical and social care which should be carefully assessed and addressed.Objective : This study aimed to assess the unmet health care needs among elderly.Methodology : A Community based, House to House, Cross sectional study was conducted in urban areas of sunsari district using face to face interview. Sample size of 530 elderly were selected by Systematic proportionate random sampling technique.Results : This study unfurled the prevalence of unmet need for consultation for Near vision 52.3%, Far vision 53.7%%, Hearing 79.7%, Dental 79.4%, Hypertension 6.7%, Diabetes 3.9%, CVD 5.3 %, and of at least one Unmet Health care need to be 64.9%. At least one unmet health need was significantly associated with higher odds among elderly of age more than 70, of dalit and janajati ethnicity, illiterate, poor, those with difficulty leaving home, distance of health facility > 30 mins, and those with depressive symptoms.Conclusion : The study highlighted higher prevalence and associated factors related to unmet health care needs among elderly. There is an urgent need to promote geriatric health services and make it available at the primary health care level.


2020 ◽  
Author(s):  
Mukesh Poudel ◽  
Asmita Ojha ◽  
Deepak Kumar Yadav ◽  
Ram Bilakshan Sah ◽  
Avaniendra Chakravartty ◽  
...  

Abstract Background: The global aging population is in increasing trend. Morbidity increases with age and enhances the burden of health problems that result in new challenges to meet additional demands. There can be various types of issues such as health problems, health care utilization, physical and social care which should be carefully assessed and addressed. This study aimed to assess the unmet health care needs among elderly. Methods: A Community based, House to House, Cross-sectional study was conducted in urban areas of the sunsari district using face to face interviews. The sample size of 530 elderly was selected by a systematic proportionate random sampling technique. Results: This study unfurled the prevalence of unmet need for consultation for Nearsightedness 52.3%, Farsightedness 53.7%%, Hearing 79.7%, Dental 79.4%, Hypertension 6.7%, Diabetes 3.9%, CVD 5.3 % among those with these specific health needs and of at least one Unmet Health care need to be 64.9% among the studied participants. At least one unmet health need was significantly associated with higher odds among elderly age more than 70, of dalit and janajati ethnicity, illiterate, poor, those with difficulty leaving home, the distance of health facility > 30 mins, and those with depressive symptoms. Conclusion: The study highlighted the higher prevalence and associated factors related to unmet health care needs among the elderly which should be addressed to promote healthy ageing. There is an urgent need to promote geriatric health services and make it available at the primary health care level the first level of contact with a national health system.


2021 ◽  
Vol 13 ◽  
pp. 64-70
Author(s):  
Vinod Anju ◽  
Raj Sunil N ◽  
Chinnappa Anitha

Objectives: Mucopolysaccharidosis (MPS) comprises of a set of rare inherited lysosomal disorder which results in deposition of glycosaminoglycans (GAGs) in various tissues and organs resulting in disturbances in the developing structures. The aim of the study was to systematically record the oral findings of patients diagnosed with MPS and subsequently assess their oral health needs. Methodology: A cross- sectional study was conducted on patients diagnosed with MPS (n=57). Complete soft tissue and hard tissue examination was done and the findings recorded. DMFT or def indices were recorded in accordance with WHO criteria and methods. Results: The study showed that the patients diagnosed with MPS have higher oral health care needs owing to the anatomical and pathological changes. The study showed that the patients diagnosed with MPS had poor oral hygiene and high caries incidence. However, the number of filled teeth in spite of high caries index wassignificantly less which showed neglected oral care. Interpretation and Conclusion: The patients diagnosed with MPS have higher oral health care needs. Hence, regular dental evaluation and treatment must be incorporated in their health care regimen.


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