Socioeconomic-Related Inequalities in Dental Care Utilization in Northwestern Iran.
decomposition
inequality
socioeconomic status
dental care utilization
Journal
Clinical, cosmetic and investigational dentistry
ISSN: 1179-1357
Titre abrégé: Clin Cosmet Investig Dent
Pays: New Zealand
ID NLM: 101579785
Informations de publication
Date de publication:
2020
2020
Historique:
received:
10
03
2020
accepted:
17
04
2020
entrez:
20
5
2020
pubmed:
20
5
2020
medline:
20
5
2020
Statut:
epublish
Résumé
There have been multiple studies on socioeconomic-related inequalities in the use of dental services in Iran, but the evidence is still limited. This study measured inequality in dental care utilization by socioeconomic status and examined factors explaining this inequality among households in Ardabil, Iran in 2019. A total of 436 household heads participated in this cross-sectional study. Using a validated questionnaire, face-to-face interviews were conducted to collect data on dental care utilization, unmet needs, sociodemographic characteristics, economic status, health insurance, and oral health status of the participants. We used the concentration curve and relative concentration index (RCI) to visualize and quantify the level of inequality in dental care utilization by income. Regression-based decomposition was also applied to understand the causes of inequality. About 59.2% (95% CI 54.4%-63.7%) and 14.7% (95% CI 11.6%-18.4%) of participants had visited a dentist for dental treatment in the previous 12 months and for 6-month dental checkups, respectively. The RCI for the probability of visiting a dentist in the last 12 months was 0.243 (95% CI 0.140-0.346). This suggests that dental care utilization was more concentrated among the rich. The RCI for unmet dental care needs was negative, which indicates more prevalence among the poor. Monthly household income (20.9%), self-rated oral health (6.9%), regular brushing (3.2%), and dental health insurance (2.5%) were the main factors in socioeconomic inequality in dental care utilization. This study reveals that dental care-service utilization did not match the need for dental care, due to differences in socioeconomic status in Ardabil, Iran. Policies could be implemented to increase the coverage of dental care services among socioeconomically disadvantaged groups to tackle socioeconomic-related inequality in dental care utilization.
Identifiants
pubmed: 32425612
doi: 10.2147/CCIDE.S253242
pii: 253242
pmc: PMC7196241
doi:
Types de publication
Journal Article
Langues
eng
Pagination
181-189Informations de copyright
© 2020 Rezaei et al.
Déclaration de conflit d'intérêts
The authors declare that there is no conflict of interest.
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