Factors associated with unmet dental care needs in Canadian immigrants: an analysis of the longitudinal survey of immigrants to Canada

Calvasina, Paola; Muntaner, Carles; Quiñonez, Carlos

doi:10.1186/1472-6831-14-145

Cited by 42 publications

(39 citation statements)

References 18 publications

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“…Our results corroborate findings of a recent study, where Calvasina et al showed high unmet dental needs among immigrants in Canada due to low income and lack of dental insurance. 22 We also expect covariation between immigrant and income indicators in our data, but this analysis was not feasible as data obtained were aggregated. The observation that trends have worsened significantly over time in all groups and are consistently inequitable indicates an important need for both universal and targeted approaches to primary prevention of dental conditions.…”

Section: Discussionmentioning

confidence: 99%

Trends in emergency department visits for non-traumatic dental conditions in Ontario from 2006 to 2014

Singhal

McLaren

Quiñonez

2017

Can J Public Health

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OBJECTIVE: In Canada, non-traumatic dental conditions (NTDCs) presenting in emergency departments (EDs) are dealt with by non-dental professionals who are generally not equipped to deal with such emergencies, resulting in an inefficient usage of heath care resources. This study aimed to assess the burden of ED visits for NTDCs in Ontario by observing trends from 2006 to 2014. METHODS:Aggregate data for Ontario were obtained from the Canadian Institute for Health Information's National Ambulatory Care Reporting System. Data were examined for the whole of Ontario and stratified by 14 Local Health Integration Networks. Descriptive analysis was conducted for both number of people and number of visits, stratified by sex and age groups (0-5, 6-18, 19-64, and 65+ years). Numbers were also examined by neighbourhood stratifications, including urban/rural, income quintile and immigrant tercile. CONCLUSION:The upward and inequitable trends of utilization of EDs for NTDCs reinforce recognition of the important need for both universal and targeted approaches for primary prevention of dental conditions. To enhance equitable access to dental care, policy advocacy is required for publicly funding essential and emergency dental services for all.KEY WORDS: Dental care; emergency service; hospital; health status disparities La traduction du résumé se trouve à la fin de l'article.

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Section: Discussionmentioning

confidence: 99%

Trends in emergency department visits for non-traumatic dental conditions in Ontario from 2006 to 2014

Singhal

McLaren

Quiñonez

2017

Can J Public Health

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“…The self-reporting of unmet dental care needs identified adults who needed but did not receive dental care (yes/no), as a measure of overall barriers to accessing dental care [17]. The dental visit measure was a self-reported measure of whether each respondent had at least 1 visit for preventive care, including scaling, sealant, and fluoride varnish (yes/no), as a measure of preventive dental care utilization.…”

Section: Methodsmentioning

confidence: 99%

Changes in dental care access upon health care benefit expansion to include scaling

Park

Lee

Park

et al. 2016

J Periodontal Implant Sci

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PurposeThis study aimed to evaluate the effects of a policy change to expand Korean National Health Insurance (KNHI) benefit coverage to include scaling on access to dental care at the national level.MethodsA nationally representative sample of 12,794 adults aged 20 to 64 years from Korea National Health and Nutritional Examination Survey (2010–2014) was analyzed. To examine the effect of the policy on the outcomes of interest (unmet dental care needs and preventive dental care utilization in the past year), an estimates-based probit model was used, incorporating marginal effects with a complex sampling structure. The effect of the policy on individuals depending on their income and education level was also assessed.ResultsAdjusting for potential covariates, the probability of having unmet needs for dental care decreased by 6.1% and preventative dental care utilization increased by 14% in the post-policy period compared to those in the pre-policy period (2010, 2012). High income and higher education levels were associated with fewer unmet dental care needs and more preventive dental visits.ConclusionsThe expansion of coverage to include scaling demonstrated to have a significant association with decreasing unmet dental care needs and increasing preventive dental care utilization. However, the policy disproportionately benefited certain groups, in contrast with the objective of the policy to benefit all participants in the KNHI system.

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“…According to previous studies, the prevalence rates of unmet needs for dental treatments vary from about 20% to 32% 12,13) . National studies have confirmed the various consequences of unmet dental care needs; e.g., 19% of Korean adolescents reported having unmet needs for dental treatments 20) and 37% of Korean adults reported having unmet needs for dental treatments 21) .…”

Section: Discussionmentioning

confidence: 99%

“…The primary predictors of unmet needs for dental treatments were identified as lack of dental insurance and low income 13) , and cost in accessing dental cares 12) . These factors are closely related to each other and act as a barrier to achieving good oral health.…”

Section: Introductionmentioning

confidence: 99%

Association between unmet needs for dental treatment and the DMFT index among Korean adults

Chung

Cho

Jung

et al. 2017

J Korean Acad Oral Health

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This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.Objectives: Unmet needs for dental treatment are one of the potential contributing factors to poor oral health because oral health problems worsen if left untreated. This study aimed to demonstrate the prevalence of and the causes for unmet dental needs, and to evaluate the association between unmet needs for dental treatment and oral health status. Methods: Data on 3,883 subjects aged ≥18 years from the Korean National Oral Health Survey 2006 were analyzed. Information regarding unmet needs for dental treatment was obtained using standardized questionnaires. Eight trained dentists examined decayed, missing, or filled teeth (DMFT). Multiple regression models were built to assess the association between unmet needs for dental treatment and the DMFT scores. Results: The prevalence of perceived unmet needs for dental treatment was 34.7% among the adult Korean population. Economic constraints were the main cause (38.6%) for unmet dental needs. The average DMFT scores were higher in the subjects with unmet needs for dental treatment than in those without. In individuals with unmet needs for dental treatment within the past 1 year, the number of decayed teeth after adjusting for confounders was likely to be greater by 0.58 and that of missing teeth by 0.27 compared to that in their counterparts with no unmet dental needs in the past 1 year. Conclusions: Perceived unmet needs for dental treatment were significantly associated with poor oral health status among the adult Korean population. Further studies are needed to clarify the direct and indirect effects of unmet needs for dental treatment on an individual's oral health status by investigating critical variables of the causal pathways among perceived dental needs, dental care utilization, and oral health status.

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Factors associated with unmet dental care needs in Canadian immigrants: an analysis of the longitudinal survey of immigrants to Canada

Cited by 42 publications

References 18 publications

Trends in emergency department visits for non-traumatic dental conditions in Ontario from 2006 to 2014

Trends in emergency department visits for non-traumatic dental conditions in Ontario from 2006 to 2014

Changes in dental care access upon health care benefit expansion to include scaling

Association between unmet needs for dental treatment and the DMFT index among Korean adults

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