Changes in socioeconomic inequalities in the use of dental care following major healthcare reform in Chile, 2004-2009

International Journal of Environmental Research and Public Health
Marco Cornejo-OvalleCarme Borrell

Abstract

The study examines changes in the distribution and socioeconomic inequalities of dental care utilization among adults after the major healthcare reform in Chile, 2004-2009. We evaluated the proportion of people who visited the dentist at least once in the previous two years, and the mean number of visits. These outcome variables were stratified by sex, age (20-39, 40-59, 60-63; ≥64 years), educational level (primary, secondary, higher), type of health insurance (public, private, uninsured), and socioeconomic status (quintiles of an asset-index). We also used the concentration index (CIndex) to assess the extent of socioeconomic inequalities in the use of dental care, stratified by age and sex as a proxy for dental care needs. The use of dental care significantly increased between 2004 and 2009, especially in those with public health insurance, with lower educational level and lower socioeconomic status. The CIndex for the total population significantly decreased both for the proportion who used dental care, and also the mean number of visits. Findings suggest that the use of dental care increased and socioeconomic-related inequalities in the utilization of dental care declined after a Major Health Reform, which included univers...Continue Reading

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Citations

Apr 30, 2016·International Journal of Environmental Research and Public Health·José Leonardo Barbosa Melgaço-CostaAntônio Paulino Ribeiro Sobrinho
Jul 27, 2017·Community Dentistry and Oral Epidemiology·Fabíola Bof de AndradeKenya Noronha
Apr 11, 2018·BMC Health Services Research·Enrico di BellaMarcello Montefiori
Nov 24, 2017·Community Dentistry and Oral Epidemiology·Romain FantinCristina Barboza Solís
Jul 25, 2017·Journal of Immigrant and Minority Health·Natalia Muñoz-PinoElena Ronda-Pérez
Oct 18, 2018·Cadernos de saúde pública·Fabiola Bof de Andrade, Jose Leopoldo Ferreira Antunes
Jul 25, 2019·Ciência & saúde coletiva·Luciane Maria Pilotto, Roger Keller Celeste
Sep 24, 2020·International Journal of Environmental Research and Public Health·Xiaomin QuBei Wu
Oct 6, 2020·Community Dentistry and Oral Epidemiology·Yanela Aravena-Rivas, Gisselle Carbajal-Rodríguez
Mar 16, 2021·Community Dentistry and Oral Epidemiology·Luciane Maria Pilotto, Roger Keller Celeste
Aug 28, 2021·Cost Effectiveness and Resource Allocation : C/E·Peivand BastaniSisira Edirippulige
Oct 30, 2021·Community Dentistry and Oral Epidemiology·Marjorie Borgeat MezaRosa Cuevas

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