Socioeconomic inequalities in dental visits among high school students in Chile, years 2013 and 2017.

IF 0.9 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Community dental health Pub Date : 2023-08-31 DOI:10.1922/CDH_00276Garrido-Urrutia05

C Garrido-Urrutia, C Tapia-Pinto, M Cornejo-Ovalle

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引用次数: 1

Abstract

Objective: To analyze prevalence changes in dental visits and socioeconomic inequalities among high school students in Chile, years 2013 and 2017.

Methods: Analysis of nationally representative data from 2013 and 2017 waves of the Chilean National Socioeconomic Characterization Survey (CASEN). In a sample of high school students aged 14 to 20 years old (n=12699 in 2013; n=11122 in 2017) we investigated prevalence of dental visits in the last 3 months, by urban-rural residence, sex, type of health insurance, type of school, income level and benefit of dental care at school. For inequality analysis we estimated prevalence ratio of dental visits in the last 3 months according to study variables.

Results: There was a significant increase in the prevalence of dental visits in the last 3 months and the receipt of dental care at school between years 2013 and 2017. The highest prevalence of dental visits in the last 3 months was found among students living in urban residence, women, with private insurance, in the highest income level, that attended private schools. Inequalities persist but the gap associated with type of residence, health insurance and between the lowest income quintiles decreased over the years.

Conclusions: The Comprehensive Dental Care for senior year high school students, a public policy that began in 2015 in Chile, could have aided the gap reduction and the increase in visits to the dentist in the last 3 months in this group.

查看原文本刊更多论文

2013年和2017年智利高中生牙科就诊中的社会经济不平等。

目的:分析2013年和2017年智利高中生牙科就诊的患病率变化和社会经济不平等。方法:分析2013年和2017年智利国家社会经济特征调查(CASEN)的全国代表性数据。在一组14 - 20岁的高中生样本中(2013年n=12699;N =11122(2017年))我们调查了最近3个月的牙科就诊率，按城乡居住、性别、医疗保险类型、学校类型、收入水平和学校牙科保健福利进行调查。对于不平等分析，我们根据研究变量估计了最近3个月的牙科就诊患病率。结果:2013年至2017年，小学生近3个月的牙科就诊率和在校牙科护理接受率均有显著上升。在过去3个月里，在城市居住的学生、拥有私人保险的女性、最高收入水平、就读于私立学校的学生中，牙科就诊的患病率最高。不平等现象仍然存在，但与居住类型、医疗保险和最低收入五分之一之间的差距多年来有所缩小。结论:智利于2015年开始实施的高三学生综合牙科保健公共政策可能有助于减少这一群体在过去3个月里的差距和增加看牙医的次数。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Community dental health 医学-牙科与口腔外科

CiteScore

2.20

自引率

11.80%

发文量

审稿时长

6-12 weeks

期刊介绍： The journal is concerned with dental public health and related subjects. Dental public health is the science and the art of preventing oral disease, promoting oral health, and improving the quality of life through the organised efforts of society. The discipline covers a wide range and includes such topics as: -oral epidemiology- oral health services research- preventive dentistry - especially in relation to communities- oral health education and promotion- clinical research - with particular emphasis on the care of special groups- behavioural sciences related to dentistry- decision theory- quality of life- risk analysis- ethics and oral health economics- quality assessment. The journal publishes scientific articles on the relevant fields, review articles, discussion papers, news items, and editorials. It is of interest to dentists working in dental public health and to other professionals concerned with disease prevention, health service planning, and health promotion throughout the world. In the case of epidemiology of oral diseases the Journal prioritises national studies unless local studies have major methodological innovations or information of particular interest.