Dental health-care service utilisation and its determinants in West Iran: a cross-sectional study

Rezaei, Satar; Woldemichael, Abraha; Zandian, Hamed; Rad, Enayatollah Homaie; Veisi, Navid

doi:10.1111/idj.12346

Cited by 21 publications

(51 citation statements)

References 28 publications

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“…As our study demonstrated SES, being a male, older age and being a widow or divorced as the main factors contributing to the concentration of DMFT among the worse-off in Iran, it is recommended to focus in the oral health status of these groups in order to reduce socioeconomic inequality in oral health among adults in Iran. For example, as the existing studies (e.g., [47][48][49][50]) showed prorich inequalities in health care utilization in Iran, it is recommended to expand oral health care services for these groups through publicly funded primary health care in Iran. Moreover, it should be noted that reducing socioeconomic inequalities in dental caries should be accompanied by appropriate health promotion policies that focus actions on the fundamental SES causes of dental disease.…”

Section: Resultsmentioning

confidence: 99%

Decomposing socioeconomic inequality in dental caries in Iran: cross-sectional results from the PERSIAN cohort study

et al. 2020

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Background: The current study aimed to measure and decompose socioeconomic-related inequalities in DMFT (decayed, missing, and filled teeth) index among adults in Iran. Methods: The study data were extracted from the adult component of Prospective Epidemiological Research Studies in IrAN (PERSIAN) from 17 centers in 14 different provinces of Iran. DMFT score was used as a measure of dental caries among adults in Iran. The concentration curve and relative concentration index (RC) was used to quantify and decompose socioeconomic-related inequalities in DMFT. Results: A total of 128,813 adults aged 35 and older were included in the study. The mean (Standard Deviation [SD]) score of D, M, F and DMFT of the adults was 3.3 (4.6), 12.6 (10.5), 2.1 (3.4) and 18.0 (9.5), respectively. The findings suggested that DMFT was mainly concentrated among the socioeconomically disadvantaged adults (RC = − 0.064; 95% confidence interval [CI), − 0.066 to − 0.063). Socioeconomic status, being male, older age and being a widow or divorced were identified as the main factors contributing to the concentration of DMFT among the worse-off adults. Conclusions: It is recommended to focus on the dental caries status of socioeconomically disadvantaged groups in order to reduce socioeconomic-related inequality in oral health among Iranian adults. Reducing socioeconomicrelated inequalities in dental caries should be accompanied by appropriate health promotion policies that focus actions on the fundamental socioeconomic causes of dental disease.

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Section: Resultsmentioning

confidence: 99%

Decomposing socioeconomic inequality in dental caries in Iran: cross-sectional results from the PERSIAN cohort study

et al. 2020

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“…Oral health is one of the main components of general health, which affects quality of life of the population. 1,2 Increasing utilization of dental care services and routine oral checkups could lead to better oral health. 3 Studies have highlighted that socioeconomic status 4 is significantly associated with oral health status.…”

Section: Introductionmentioning

confidence: 99%

<p>Socioeconomic-Related Inequalities in Dental Care Utilization in Northwestern Iran</p>

Rezaei

Pulok

Moghadam

et al. 2020

CCIDE

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Introduction: 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. Methods: 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. Results: 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%), selfrated 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. Conclusion: 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.

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“…For example, as the existing studies (e.g., (36)(37)(38)(39)) showed pro-rich inequalities in health care utilization in Iran, it is recommended to expand oral health care services for these groups through publicly funded primary health care in Iran. Moreover, it should be noted that reducing socioeconomic inequalities in oral health should be accompanied by appropriate health promotion policies that focus actions on the fundamental SES causes of dental disease.…”

Section: Resultsmentioning

confidence: 99%

Does Socioeconomic Status Affect Oral Health? Results from the PERSIAN Cohort Study

Najafi¹,

Hajizadeh²,

Soofi³

et al. 2019

Preprint

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Background: The current study aimed to measure and decomposes socioeconomic-related inequalities in DMFT (decayed, missing, and filled teeth) index among adults in Iran. Methods: The study data was drawn from the adult component of Perspective Epidemiological research studies in IrAN (PERSIAN) from 17 centers in 14 different provinces of Iran. DMFT score was used as a measure of oral health among adults in Iran. The relative and generalized (absolute) concentration index (RC and GC, respectively) was used to quantify and decompose socioeconomic-related inequalities in DMFT among Iranian adults (35 years and older). Results: A total of 128813 adults aged 35 and older, who are enrolled in the Prospective Epidemiological Research Studies in IrAN (PERSIAN), were included in the study. The mean score of DMFT of the adults was 6.01 (SD=3.17). The findings suggested that DMFT was mainly concentrated among the poor in the 14 provinces included in the study (RC = -0.064; 95% confidence interval (CI), -0.066 to -0.063 and GC = -0.387; 95% CI, 0.397 to -0.377). In addition, SES, being male, older age and being widow or divorced were identified as the main factors contributing to the concentration of DMFT among the worse-off in Iran. Conclusions: It is recommended to focus in the oral health status of socioeconomically disadvantaged groups in order to reduce socioeconomic-related inequality in oral health among adults in Iran. Moreover, it should be noted that reducing socioeconomic-related inequalities in oral health should be accompanied by appropriate health promotion policies that focus actions on the fundamental socio-economical causes of dental disease.

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Dental health-care service utilisation and its determinants in West Iran: a cross-sectional study

Cited by 21 publications

References 28 publications

Decomposing socioeconomic inequality in dental caries in Iran: cross-sectional results from the PERSIAN cohort study

Decomposing socioeconomic inequality in dental caries in Iran: cross-sectional results from the PERSIAN cohort study

<p>Socioeconomic-Related Inequalities in Dental Care Utilization in Northwestern Iran</p>

Does Socioeconomic Status Affect Oral Health? Results from the PERSIAN Cohort Study

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