Acceso a servicios de salud dental en menores de doce años en Perú, 2014

Hernández-Vasquéz, Akram; Azañedo, Diego; Díaz-Seijas, Deysi; Bendezú-Quispe, Guido; Arroyo-Hernández, Hugo; Vilcarromero, Stalin; Agudelo‐Suárez, Andrés A.

doi:10.18294/sc.2016.912

Cited by 10 publications

(12 citation statements)

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“…We identified that the region with the highest probability of access to oral health services for children was the Peruvian highlands. These findings reinforce those of another study 24 where the frequency of access to oral health services was higher in the Peruvian highlands than in coastal or jungle regions. This result corresponds to the regions where the JUNTOS program has been in place the longest according to its performance report ( http://goo.gl/9psqai ).…”

Section: Discussionsupporting

confidence: 90%

Factors determining access to oral health services among children aged less than 12 years in Peru

et al. 2017

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Background: Understanding problems of access to oral health services requires knowledge of factors that determine access. This study aimed to evaluate factors that determine access to oral health services among children aged <12 years in Peru between 2014 and 2015. Methods: We performed a secondary data analysis of 71,614 Peruvian children aged <12 years and their caregivers. Data were obtained from the Survey on Demography and Family Health 2014-2015 (Encuesta Demográfica y de Salud Familiar - ENDES). Children’s access to oral health services within the previous 6 months was used as the dependent variable (i.e. Yes/No), and the Andersen and col model was used to select independent variables. Predisposing (e.g., language spoken by tutor or guardian, wealth level, caregivers’ educational level, area of residence, natural region of residence, age, and sex) and enabling factors (e.g. type of health insurance) were considered. Descriptive statistics were calculated, and multivariate analysis was performed using generalized linear models (Poisson family). Results: Of all the children, 51% were males, 56% were aged <5 years, and 62.6% lived in urban areas. The most common type of health insurance was Integral Health Insurance (57.8%), and most respondents were in the first quintile of wealth (31.6%). Regarding caregivers, the most common educational level was high school (43.02%) and the most frequently spoken language was Spanish (88.4%). Univariate analysis revealed that all variables, except sex and primary educational level, were statistically significant. After adjustment, sex, area of residence, and language were insignificant, whereas the remaining variables were statistically significant. Conclusions: Wealth index, caregivers’ education level, natural region of residence, age, and type of health insurance are factors that determine access to oral health services among children aged <12 years in Peru. These factors should be considered when devising strategies to mitigate against inequities in access to oral health services.

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Section: Discussionsupporting

confidence: 90%

Factors determining access to oral health services among children aged less than 12 years in Peru

et al. 2017

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“…Según la OMS la caries logra afectar entre el 60 % y 90 % de la población escolar y su aparición se asocia con factores socioculturales, económicos, ambientales y del comportamiento (Cerón-Bastidas, 2015;Corrêa-Faria et al, 2016). Otro factor que influye son las barreras para recibir tratamiento dental adecuado: barreras de acceso y utilización de servicios odontológicos (Hernández-Vásquez et al, 2016), donde los factores económicos influyen en el acceso a los servicios de salud y la capacidad de los individuos para obtener cobertura (Palomer Roggerone, 2016).…”

Section: Introductionunclassified

Prevalencia y Severidad de Caries Dental en los Niños Beneficiarios del Programa de Salud Oral Asociados a Escuelas de Chile

Espinoza-Espinoza

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Atala-Acevedo

et al. 2021

Int. J. Odontostomat.

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“…Peruvian 2014 Demographic and Health Survey (DHS) showed a rather discouraging outlook concerning the oral health services utilization, where only 22% of the elderly attended any dental health service [7]. Furthermore, only 27% of children under 12 years used any dental service in the previous 6 months prior to the survey [8]. Percentage of utilization in both groups are low taking in account the at least 2 visits per year internationally accepted recommendation [9].…”

Section: Introductionmentioning

confidence: 99%

“…Percentage of utilization in both groups are low taking in account the at least 2 visits per year internationally accepted recommendation [9]. Additionally, studies show important inequalities in the oral health services utilization by many other characteristics like type of health insurance, residency region and urban or rural setting [7, 8]. These findings show a problem of great magnitude that needs to be analyzed and addressed by decision makers and health researchers to shorten the inequality gaps in Peru.…”

Section: Introductionmentioning

confidence: 99%

Use of oral health care services in Peru: trends of socio-economic inequalities before and after the implementation of Universal Health Assurance

et al. 2019

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Background Oral health inequalities are profound worldwide. Despite major improvements in oral health, inequalities exist for many racial and ethnic groups, by socioeconomic status, gender, age, and geographic location. Therefore, the purpose of this study was to investigate trends of socio-economic inequalities in access to oral health services in Peru before and after the implementation of Universal Health Assurance (AUS). Methods Analytical cross-sectional study based on the National Household Survey on Living Conditions and Poverty (ENAHO) 2004, 2008, 2010 and 2017. Two periods were defined before and after the AUS Law (2009). Use of oral health services was the dependent variable, for the general population and according to ages, the area of residence, and natural region. Measurements of inequality in the use of health services were made based on the concentration curves (CC), dominance test and concentration index (CI). Results We included a number of 85,436 (2004), 88,673 (2008), 87,074 (2010) and 124,142 (2017) participants. The proportion of people who used oral health services was 8.4% (2014), 10.1% (2008), 10.6% (2010) and 10.4% (2017). Use of oral health services showed an increase in different age groups, urban and rural areas, and natural regions of residence during the study period. The CC were distributed below the line of equality, indicating an inequality of use of oral health services, in favor of the richest groups and dominance of the CC in 2017 over the previous years. Changes in the CI were statistically significant for < 5 years and in the rural area, and for the period 2010-2017 they were also significant in the general population, children aged 5-17 years, urban area, and Andean and Jungle regions, which indicates a reduction in the concentration of use of these services in these groups. Conclusions The use of oral health services in Peru increased and inequality decreased in the period 2004-2017, coinciding with the implementation of the AUS. However, the use of these services continue having a distribution in favor of the richest populations. It requires the introduction of new strategies and oral health programs in the Peruvian population, with the aim of closing the gap currently mediated by the economic possibilities.

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Acceso a servicios de salud dental en menores de doce años en Perú, 2014

Cited by 10 publications

References 35 publications

Factors determining access to oral health services among children aged less than 12 years in Peru

Factors determining access to oral health services among children aged less than 12 years in Peru

Prevalencia y Severidad de Caries Dental en los Niños Beneficiarios del Programa de Salud Oral Asociados a Escuelas de Chile

Use of oral health care services in Peru: trends of socio-economic inequalities before and after the implementation of Universal Health Assurance

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