Desigualdades socioeconómicas en la utilización de servicios de salud bucal: estudio en escolares mexicanos de 6 a 12 años de edad

Abstract

El objetivo del estudio fue evaluar la asociación entre diversos indicadores socioeconómicos y la utilización de servicios de salud bucal. Se realizó un estudio transversal en 3.048 escolares. La variable utilización de servicios de salud bucal y las variables sociodemográficas y socioeconómicas se colectaron a través de un cuestionario dirigido a las madres. Para determinar las necesidades de salud se realizó un examen clínico bucal a los niños. Las asociaciones ajustadas fueron evaluadas con regresión logística politómica. Las variables asociadas a servicios preventivos y curativos fueron mayor edad, mayor frecuencia de cepillado y menor edad al inicio de cepillado dental, tener seguro público o privado, y mejor nivel socioeconómico. Además, sólo para los servicios preventivos, también se asoció estar inscrito en una escuela privada, y sólo para los servicios curativos, la posesión de automóvil y tener necesidades de salud bucal entre moderadas y muy altas. Los resultados sugieren la existencia de desigualdades socioeconómicas en la utilización de servicios de salud bucal en niños mexicanos.

Dental plaque, preventive care, and tooth brushing associated with dental caries in primary teeth in schoolchildren ages 6–9 years of Leon, Nicaragua

“…We included 2 indicator variables for SEP, education and occupation of parents; according to Galobardes et al [ 31 ] these are valid indicators to measure the SEP. However, contrary to other studies in others countries [ 4 , 6 , 12 , 14 , 15 , 32 – 37 ] where oral health indicators held well defined trends associated with SEP variables, this study failed to confirm this association. We can speculate that the reason for this finding could be the relatively narrow distribution of SEP in the Nicaraguan study population.…”

“…We found that the presence of dental plaque increased the expected caries index, and that more frequent tooth brushing decreased it. These findings are consistent with those reported in studies elsewhere [ 4 , 5 , 14 , 18 ].…”

Dental plaque, preventive care, and tooth brushing associated with dental caries in primary teeth in schoolchildren ages 6–9 years of Leon, Nicaragua

“…We included 2 indicator variables for SEP, education and occupation of parents; according to Galobardes et al [ 31 ] these are valid indicators to measure the SEP. However, contrary to other studies in others countries [ 4 , 6 , 12 , 14 , 15 , 32 – 37 ] where oral health indicators held well defined trends associated with SEP variables, this study failed to confirm this association. We can speculate that the reason for this finding could be the relatively narrow distribution of SEP in the Nicaraguan study population.…”

“…We found that the presence of dental plaque increased the expected caries index, and that more frequent tooth brushing decreased it. These findings are consistent with those reported in studies elsewhere [ 4 , 5 , 14 , 18 ].…”

Dental caries' experience, prevalence and severity in Mexican adolescents and young adults

“…In agreement with most studies, it was found that the experience of caries was higher in females than males and dental caries' prevalence and severity was higher as age increased, as in observations made in other Mexican studies (6,(8)(9)(10)(11)(12)(13)(14)35) and in studies performed in other parts of the world. It should be mentioned that no differences were founded regarding prevalence and/or severity.…”

Analysis and Evaluation of Dental Caries in a Mexican Population: A Descriptive Transversal Study

“…In relation to schooling, a statistically significant relationship was found with the prevalence in permanent dentition (p = 0.001), as well as with gender (p < 0.05), as it was more prevalent in the female sex; these results coincide with other international studies [33].…”

Dental plaque, preventive care, and tooth brushing associated with dental caries in primary teeth in schoolchildren ages 6–9 years of Leon, Nicaragua

“…We included 2 indicator variables for SEP, education and occupation of parents; according to Galobardes et al [ 31 ] these are valid indicators to measure the SEP. However, contrary to other studies in others countries [ 4 , 6 , 12 , 14 , 15 , 32 – 37 ] where oral health indicators held well defined trends associated with SEP variables, this study failed to confirm this association. We can speculate that the reason for this finding could be the relatively narrow distribution of SEP in the Nicaraguan study population.…”

“…We found that the presence of dental plaque increased the expected caries index, and that more frequent tooth brushing decreased it. These findings are consistent with those reported in studies elsewhere [ 4 , 5 , 14 , 18 ].…”

Dental caries' experience, prevalence and severity in Mexican adolescents and young adults

“…In agreement with most studies, it was found that the experience of caries was higher in females than males and dental caries' prevalence and severity was higher as age increased, as in observations made in other Mexican studies (6,(8)(9)(10)(11)(12)(13)(14)35) and in studies performed in other parts of the world. It should be mentioned that no differences were founded regarding prevalence and/or severity.…”

Analysis and Evaluation of Dental Caries in a Mexican Population: A Descriptive Transversal Study

“…In relation to schooling, a statistically significant relationship was found with the prevalence in permanent dentition (p = 0.001), as well as with gender (p < 0.05), as it was more prevalent in the female sex; these results coincide with other international studies [33].…”

Dental plaque, preventive care, and tooth brushing associated with dental caries in primary teeth in schoolchildren ages 6–9 years of Leon, Nicaragua

“…We included 2 indicator variables for SEP, education and occupation of parents; according to Galobardes et al [ 31 ] these are valid indicators to measure the SEP. However, contrary to other studies in others countries [ 4 , 6 , 12 , 14 , 15 , 32 – 37 ] where oral health indicators held well defined trends associated with SEP variables, this study failed to confirm this association. We can speculate that the reason for this finding could be the relatively narrow distribution of SEP in the Nicaraguan study population.…”

“…We found that the presence of dental plaque increased the expected caries index, and that more frequent tooth brushing decreased it. These findings are consistent with those reported in studies elsewhere [ 4 , 5 , 14 , 18 ].…”

Dental caries' experience, prevalence and severity in Mexican adolescents and young adults

“…In agreement with most studies, it was found that the experience of caries was higher in females than males and dental caries' prevalence and severity was higher as age increased, as in observations made in other Mexican studies (6,(8)(9)(10)(11)(12)(13)(14)35) and in studies performed in other parts of the world. It should be mentioned that no differences were founded regarding prevalence and/or severity.…”

Analysis and Evaluation of Dental Caries in a Mexican Population: A Descriptive Transversal Study

“…In relation to schooling, a statistically significant relationship was found with the prevalence in permanent dentition (p = 0.001), as well as with gender (p < 0.05), as it was more prevalent in the female sex; these results coincide with other international studies [33].…”