Frequency, inequalities and spatial distribution of oral health services utilization in Peruvian children under twelve years of age: a population-based comparative analysis of the years 2017 and 2021

Azañedo, Diego; Hernández-Vásquez, Akram; Visconti-Lopez, Fabriccio J.; Turpo Cayo, Efrain Y.

doi:10.1186/s12903-023-03528-4

Cited by 3 publications

(4 citation statements)

References 32 publications

(29 reference statements)

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“…However, an Australian study described that 59.2% of the population attended OHS in the 12 months prior to the application of the survey, and the same study reported that the number of insured persons attending OHS increased from 66.3% in 1994 to 69% in 2008 [ 27 ]. On the other hand, the study by Azañedo et al reported that the probability of OHS use in Peruvian children under 12 years of age decreased by 45% between 2017 and 2021 [ 29 ]. The use of OHS may depend on several factors that influence the population.…”

Section: Discussionmentioning

confidence: 99%

Impact of health insurance on the use of oral health services in the Peruvian population 2015–2019

Ruiz,

Pisfil-Benites,

Azañedo

et al. 2024

BMC Oral Health

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Background The high treatment cost of oral diseases is a barrier for accessing oral health services (OHS), particularly in low-income countries. Therefore, this study aimed to evaluate the impact of health insurance on the use of OHS in the Peruvian population from 2015 to 2019. Methods We conducted a prospective, longitudinal study of secondary data using the National Household Survey (ENAHO) 2015–2019 panel databases, which collected information from the same participants during each of the five years. The dependent variable was the use of OHS in the three months prior to the survey (yes/no). The independent variable was health insurance affiliation (four years or less/all five years). Both were measured by survey questions. Generalized estimating equation (GEE) Poisson regression models with robust standard errors were used to estimate the relative risk (RR) associated with use of OHS. Results We included 4064 individuals distributed in 1847 households, who responded to the survey during each of the five years. The adjusted GEE model showed that those who had health insurance during all five years without interruption were more likely to attend OHS than those who had insurance for four years or less (adjusted relative risk [aRR]: 1.30; 95%CI: 1.13–1.50). In addition, we carried out a sensitivity analysis by recategorizing the independent variable into three categories (never/some years/ all five years), which also showed (aRR: 1.45; 95%CI: 1.11–1.89) that participants with health insurance during all five years were more likely to have used OHS than those who never had insurance. Conclusion Therefore, in the Peruvian context, health insurance affiliation was associated with greater use of OHS. The panel data used derives from a subsample of consecutive nationally representative samples, which may have led to a loss of representativeness. Furthermore, the data was collected between 2015 and 2019, prior to the onset of the COVID-19 pandemic, and insurance conditions may have changed.

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Section: Discussionmentioning

confidence: 99%

Impact of health insurance on the use of oral health services in the Peruvian population 2015–2019

Ruiz,

Pisfil-Benites,

Azañedo

et al. 2024

BMC Oral Health

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“…Insurance such as EsSalud leads to parents being three times more aware of taking their child to the dentist than those without health insurance (OR = 2.627, p = 0.044) (Table 2). However, in previous studies in the population of children affiliated with this social insurance (EsSalud), the prevalence of dental caries was 79.8% in children aged 3 to 5 years and 90.4% in those aged 12 years [20,50].…”

Section: Importance Of Taking Your Child To the Dentist In The Primar...mentioning

confidence: 97%

“…A confidence level of 95%, confidence limits as % of 100 (absolute +/−%) of 5%, and prevalence of 26.4% for the center area and 22.2% for the peripheral area were used. The latter values were obtained from the literature on using oral health services in Peruvian children under 12 years of age [20]. The samples for the central and peripheral zones were 282 and 219, respectively.…”

Section: Design Population Sample and Samplingmentioning

confidence: 99%

“…In Peru, the prevalence of untreated caries in primary teeth of children aged 1-9 years was estimated at 41.4-45.8%, whereas, in permanent teeth of persons ≥5 years, it was 35.6-40.6% in 2019 [6,20]. Previous studies found that parents' knowledge, attitudes, and practices regarding their children's oral health are fair, based on three categories (poor, fair, and good knowledge) [21].…”

Section: Introductionmentioning

confidence: 99%

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Knowledge and Attitudes of Parents about Oral Health in the Primary Dentition Stage in a Peruvian High Andean City

Rojas-Briceño,

Oc Carrasco,

Silva Díaz

et al. 2024

IJERPH

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Children’s oral health depends on parents’ knowledge and attitudes. The primary dentition stage, in particular, plays a crucial role in the comprehensive development of children. Therefore, the objective was to evaluate parents’ knowledge and attitudes about oral health in the primary dentition stage in Chachapoyas (Amazonas, NW Peru). A questionnaire was administered to 409 parents from 15 educational institutions, and the data were analyzed using multinomial logistic regression. Among the surveyed parents, 75.3% could identify at least one habit harmful to their children’s teeth (such as excessive sugar consumption) and one of its effects (such as dental caries). Additionally, 77.5% reported that their children presented some dental problem, more frequent in the peripheral areas than in the city’s center. Gender (odd ratio, OR = 0.484; p = 0.037), educational level (OR = 2.144; p = 0.043), and type of health insurance (OR = 2.627; p = 0.044) of the parents influenced awareness of taking care of their children’s primary dental health. The geographic location of the school (1.729 < OR < 2.079; p ≤ 0.011) and family income (OR = 3.504; p = 0.028) influenced parents’ identification of the different harmful effects of children’s habits. Factors such as low socioeconomic status and never taking the child to the dentist increased the risk of dental problems (p < 0.05). It is suggested that peripheral areas, like rural areas, lack the same oral health programs and access to treatment as central urban areas, leading to disparities in parental knowledge and attitudes.

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Translation, cultural adaptation, and validation of a smile aesthetics scale for Peruvian university students

Manchego Obando,

Orrego-Ferreyros

2024

F1000Res

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Background The absence of a culturally adapted and validated Smile Aesthetics Scale for Peruvian university students reveals a significant gap in aesthetic dentistry and public health research. Addressing this gap is essential for accurately assessing dental aesthetic satisfaction within this demographic, ensuring the scale’s relevance and effectiveness across Spanish-speaking cultures. The aim of the study was to translate, culturally adapt, and validate the Smile Aesthetics Satisfaction Scale for Peruvian university students. Methods This research was applied, with an instrumental, cross-sectional, and descriptive design. Face validity was conducted with 10 students through unstructured interviews. Content validity was carried out by three experts. The validation of psychometric properties was performed on 190 students recruited through university dentistry social networks using simple random probability sampling. The Aiken test was used for face and content validity. Construct validity and internal consistency were examined through principal component and exploratory factor analysis, using promax and varimax rotations, and internal consistency was assessed with Cronbach’s Alpha. Results Face and content validity confirmed that the items were relevant and applicable, highlighting the significance of the construct evaluated within the specific cultural context of the research. The adapted scale reflected high content validity, with a global Aiken’s V of 0.83, emphasizing the clarity, coherence, and relevance of the items according to expert evaluation. The psychometric properties of the adapted scale were exceptional among the student population, evidenced by a Cronbach’s Alpha of 0.889. Conclusions The translation and cultural adaptation process of the Smile Aesthetics Satisfaction Scale has proven to be successful not only in terms of coherence and fidelity with the original instrument but also in its applicability and relevance within the context of university dental students.

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Frequency, inequalities and spatial distribution of oral health services utilization in Peruvian children under twelve years of age: a population-based comparative analysis of the years 2017 and 2021

Cited by 3 publications

References 32 publications

Impact of health insurance on the use of oral health services in the Peruvian population 2015–2019

Impact of health insurance on the use of oral health services in the Peruvian population 2015–2019

Knowledge and Attitudes of Parents about Oral Health in the Primary Dentition Stage in a Peruvian High Andean City

Translation, cultural adaptation, and validation of a smile aesthetics scale for Peruvian university students

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