The potential oral health impact of cost barriers to dental care: findings from a Canadian population-based study

Thompson, Brandy; Cooney, Peter; Lawrence, Herenia P.; Ravaghi, Vahid; Quiñonez, Carlos

doi:10.1186/1472-6831-14-78

Cited by 50 publications

(64 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It is well known that dental insurance is a strong predictor of access to dental care and therefore reduces the prevalence and severity of dental diseases. 40,41 Thus, increasing the awareness of oral health disparities in the pediatric SDB population is a necessary prerequisite to improving the oral health of this population. There are some limitations in this study.…”

Section: Discussionmentioning

confidence: 99%

Oral Health Status of Children With High Risk of Sleep-Disordered Breathing

Tamasas¹,

Godfrey²,

Nelson³

et al. 2018

JDSM

View full text Add to dashboard Cite

JDSMStudy Objectives: To evaluate caries, gingival and periodontal status, and oral health-related quality of life (OHRQoL) in children with high risk of sleep-disordered breathing (SDB) in comparison to those with low risk of SDB. Methods:This cross-sectional study recruited consecutive children between the ages of 8 to 17 years from a university-based pediatric dental clinic. Caregivers completed the Pediatric Sleep Questionnaire (PSQ) to stratify risk of SDB. Children and their caregivers completed the Child Oral Health Impact Profile (COHIP) to measure OHRQoL. A dental examination blinded to the results of the PSQ and COHIP was conducted. Group characteristics were compared between those with high risk (SDB+) and low risk for SDB (SDB−). Results:One hundred twenty-three children were enrolled (11.5 ± 2.7 years, female = 48%). Forty-nine percent were classified as SDB+. COHIP scores were higher among the SDB+ group (24.5 versus 11.6, P < .001 as reported by caregivers, and 25.9 versus 10.3, P < .001 as reported by children). The incidence of dental caries present on examination was higher (60% versus 20%, P < .001) in the SDB+ group. In addition, the indices of periodontal diseases were higher among the SDB+ group when compared to the SDB− group (periodontal pocket depth was 2.0 ± 1.0 versus 0.0 ± 0.7, P < .0001, and bleeding on probing was 90% versus 20%, P < .001).Conclusions: This study suggests that caregiver reports of SDB symptoms in those seeking pediatric dental care are common. In addition, children in the SDB+ group had poorer OHRQoL, with increased incidence of caries lesion and periodontal disorders when compared to the SDB− group.

show abstract

Section: Discussionmentioning

confidence: 99%

Oral Health Status of Children With High Risk of Sleep-Disordered Breathing

Tamasas¹,

Godfrey²,

Nelson³

et al. 2018

JDSM

View full text Add to dashboard Cite

show abstract

“…Significantly, though, our study identified income-related differences for opioid use only among those who reported a toothache in the past month (that is, no real income effect exists for prescription opioid use in the absence of a toothache). Given that those from lower socioeconomic backgrounds disproportionately suffer from untreated dental needs [56–57], our findings suggest that policies designed to improve access to dental services for those who are most socially and economically marginalized may, in part, assuage the need for opioid analgesics among those in BC by either preventing, or directly treating, the cause of pain.…”

Section: Discussionmentioning

confidence: 99%

Patterns of analgesic use to relieve tooth pain among residents in British Columbia, Canada

2017

Self Cite

View full text Add to dashboard Cite

The use of prescription opioids has increased dramatically in Canada in recent decades. This rise in opioid prescriptions has been accompanied by increasing rates of opioid-related abuse and addiction, creating serious public health challenges in British Columbia (BC), one of Canada's most populated provinces. Our study explores the relationship between dental pain and prescription opioid use among residents in BC. We used data from the 2003 Canadian Community Health Survey (CCHS), which asked respondents about their use of specific analgesic medications, including opioids, and their history of tooth pain in the past month. We used logistic regression, controlling for potential confounding variables, to identify the predictive value of socioeconomic factors, oral health-related variables, and dental care utilization indicators. The Relative Index of Inequality (RII) was calculated to assess the magnitude of socioeconomic inequalities in the use of particular analgesics by incorporating income-derived ridit values into a binary logistic regression model. Our results showed that conventional non-opioid based analgesics (such as aspirin or Tylenol) and opioids were more likely to be used by those who had experienced a toothache in the past month than those who did not report experiencing a toothache. The use of non-opioid painkillers to relieve tooth pain was associated with more recent and more frequent dental visits, better self-reported oral health, and a greater income. Conversely, a lower household income was associated with a preference for opioid use to relieve tooth pain. The RII for recent opioid use and conventional painkiller use were 2.06 (95% CI: 1.75–2.37) and 0.62 (95% CI: 0.35–0.91), respectively, among those who experienced recent tooth pain, suggesting that adverse socioeconomic conditions may influence the need for opioid analgesics to relieve dental pain. We conclude that programs and policies targeted at improving the dental health of the poor may help to reduce the use of prescription opioids, thereby narrowing health inequalities within the broader society.

show abstract

“…Forgoing dental care is associated with poorer oral health [ 28 – 32 ]. A very recent study published in this Journal showed that Canadians from the general adult population who reported cost barriers to dental care had more untreated decay, missing teeth, poorer oral health and more frequent oral pain [ 30 ]. Those reporting cost barriers also had a higher prevalence of needing dental treatment [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

Forgoing dental care for economic reasons in Switzerland: a six-year cross-sectional population-based study

et al. 2014

View full text Add to dashboard Cite

BackgroundWhile oral health is part of general health and well-being, oral health disparities nevertheless persist. Potential mechanisms include socioeconomic factors that may influence access to dental care in the absence of universal dental care insurance coverage. We investigated the evolution, prevalence and determinants (including socioeconomic) of forgoing of dental care for economic reasons in a Swiss region, over the course of six years.MethodsRepeated population-based surveys (2007–2012) of a representative sample of the adult population of the Canton of Geneva, Switzerland. Forgone dental care, socioeconomic and insurance status, marital status, and presence of dependent children were assessed using standardized methods.ResultsA total of 4313 subjects were included, 10.6% (457/4313) of whom reported having forgone dental care for economic reasons in the previous 12 months. The crude percentage varied from 2.4% in the wealthiest group (monthly income ≥13,000CHF, 1CHF ≈ 1$) to 23.5% among participants with the lowest income (<3,000CHF). Since 2007/8, forgoing dental care remained stable overall, but in subjects with a monthly income of <3,000CHF, the adjusted percentage increased from 16.3% in 2007/8 to 20.6% in 2012 (P trend = 0.002). Forgoing dental care for economic reasons was independently associated with lower income, younger age, female gender, current smoking, having dependent children, divorced status and not living with a partner, not having a supplementary health insurance, and receipt of a health insurance premium cost-subsidy.ConclusionsIn a Swiss region without universal dental care insurance coverage, prevalence of forgoing dental care for economic reasons was high and highly dependent on income. Efforts should be made to prevent high-risk populations from forgoing dental care.Electronic supplementary materialThe online version of this article (doi:10.1186/1472-6831-14-121) contains supplementary material, which is available to authorized users.

show abstract

The potential oral health impact of cost barriers to dental care: findings from a Canadian population-based study

Cited by 50 publications

References 28 publications

Oral Health Status of Children With High Risk of Sleep-Disordered Breathing

Oral Health Status of Children With High Risk of Sleep-Disordered Breathing

Patterns of analgesic use to relieve tooth pain among residents in British Columbia, Canada

Forgoing dental care for economic reasons in Switzerland: a six-year cross-sectional population-based study

Contact Info

Product

Resources

About