Changes in oral health inequalities in adults in Chile

Meza, Marjorie Borgeat; Espinoza, Iris; Carvajal, Paola; Cuevas, Rosa Paula

doi:10.1111/cdoe.12701

Cited by 7 publications

(9 citation statements)

References 23 publications

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“…The training was conducted by dentists and covered theoretical and practical skills needed to conduct oral clinical exams. Nurses participating in the study achieved very good inter‐rater reliability (kappa = 0.85) 13 …”

Section: Methodsmentioning

confidence: 95%

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Inequalities by sex on remaining teeth in adults: A decomposition analysis

Meza

Espinoza

Rdz-Navarro

et al. 2023

Comm Dent Oral Epid

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Oral health is essential for general health and well-being. However, oral diseases continue to be a global problem of public health as inequalities in oral health indicators between different social groups are increasing. 1 Inequalities in the number of remaining teeth between men and women have been reported. 2,3 Gender refers to the socially constructed norms that interact with biological sex to create and determine roles, relationships and position of power for all people throughout lifetime. 4 Gender is a

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Section: Methodsmentioning

confidence: 95%

“…Nurses participating in the study achieved very good inter-rater reliability (kappa = 0.85). 13 For this study, the oral health outcome was the number of remaining teeth. The explanatory variables were grouped as structural and intermediary social determinants of health according to the WHO framework.…”

Section: Study Measuresmentioning

confidence: 99%

Inequalities by sex on remaining teeth in adults: A decomposition analysis

Meza

Espinoza

Rdz-Navarro

et al. 2023

Comm Dent Oral Epid

Self Cite

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“…The pilot test of this web platform showed that a semi-presential teledentistry workflow can help elderly people who are impeded to look for traditional dental assistance during a pandemic, and made it possible to obtain a database with relevant information from the medical-dental examination carried out on the elderly population in five regions of Chile [ 22 ]. Former studies and National surveys related age, educational level, low income, depression and oral health inequalities as the main risk factors of dental caries and tooth loss in Chilean adults [ 23 , 24 , 25 ]. These studies are crucial due to the continuous need to provide adequate information for decision making.…”

Section: Introductionmentioning

confidence: 99%

Tooth Loss and Caries Experience of Elderly Chileans in the Context of the COVID-19 Pandemic in Five Regions of Chile

Beltrán

Flores

Sanzana-Luengo

et al. 2023

IJERPH

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Risk factors associated with tooth loss have been studied; however, the current status of the epidemiological profiles and the impact of the pandemic on the oral health of the elderly is still unknown. This study aims to determine the experience of caries and tooth loss among elderly Chilean citizens in five regions and to identify the risk factors associated with tooth loss. The sample includes 135 participants over 60 years old assessed during COVID-19 lockdown. Sociodemographic variables such as education and RSH (Social Registry of Households) were obtained through a teledentistry platform called TEGO. The history of chronic diseases such as diabetes, obesity, depression and dental caries reported by DMFT index scores were incorporated. The statistical analysis included Adjusted Odds Ratios (ORs) to assess risk factors associated with the lack of functional dentition. Multivariate hypothesis testing was used to compare the mean equality of DMFT and its components between regions (p-value < 0.05). Individuals with RSH ≤ 40% were at higher risk of having no functional dentition with OR 4.56 (95% CI: 1.71, 12.17). The only mean difference between regions was the filled tooth component. Tooth loss was associated with multidimensional lower income, where the elderly belonging to the 40% most vulnerable population had a higher prevalence of non-functional dentition. This study highlights the importance of implementing a National Oral Health Policy that focuses on oral health promotion and minimally invasive dentistry for the most vulnerable population.

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“…15,16 In Chile, oral health inequalities have been observed in relation to caries prevalence and tooth loss. 17 There are also inequalities in health care use, particularly in specialist dental services. [18][19][20] Therefore, monitoring and evaluation of programmes which aim to increase access to dental services is essential to assess their impact on oral health inequalities.…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, inequalities in access to dental services have been suggested to explain oral health inequalities, although previous studies show that they do not fully explain them, partially because of their narrow impact on the structural determinants of oral health 15,16 . In Chile, oral health inequalities have been observed in relation to caries prevalence and tooth loss 17 . There are also inequalities in health care use, particularly in specialist dental services 18–20 .…”

Section: Introductionmentioning

confidence: 99%

Inequalities in dental services use by older adults in Chile according to eligibility for a national dental programme

Aravena‐Rivas,

Venturelli,

Stennett

et al. 2023

Comm Dent Oral Epid

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ObjectivesThe objectives of this study were to determine the prevalence and trends in dental service use among Chilean older adults (60+ years) between 2006 and 2017; to assess the association between socioeconomic factors and dental service use and type (public/private) in 2017 and whether these differ by eligibility to a national dental programme (GES‐60).MethodsThis study involved secondary data analysis of five nationally representative cross‐sectional surveys between 2006 and 2017. Trends were assessed for use of dental services and types of services used among 60‐79‐year‐olds. Logistic regression models examined the association between use of dental services in 2017 and socioeconomic variables (income and education), accounting for covariates (age, gender, residence, ethnicity, cohabiting status, employment and disability). Estimated marginal means and odds ratios (ORs) were calculated to assess the association between socioeconomic variables and the outcomes by GES‐60 eligibility.ResultsAcross surveys, the average prevalence of use of dental services in the last 3 months was 5.0%. There was a slight increase in dental visits between 2006 and 2017. This trend was higher among GES‐60 eligible individuals using public dental services. Inequalities were observed in regression analyses. Compared to the poorest quintile and those with no formal education respectively, the ORs were 2.36 (95% confidence interval (CI) 1.79–5.68) for the richest quintile and ranged from 2.91 (95% CI 1.49–5.68) to 6.43 (3.26–12.68) for each higher level of educational attainment. Inequalities were wider among GES‐60 non‐eligible than GES‐60 eligible older adults for both outcomes.ConclusionsSocioeconomic inequalities were present among older adults regardless of GES‐60 eligibility. However, these inequalities were more pronounced among non‐eligible individuals. Our findings suggest a limited impact of GES‐60 only among eligible older adults. Policies considering the needs of the whole older adult population are likely to have a stronger impact.

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Changes in oral health inequalities in adults in Chile

Cited by 7 publications

References 23 publications

Inequalities by sex on remaining teeth in adults: A decomposition analysis

Inequalities by sex on remaining teeth in adults: A decomposition analysis

Tooth Loss and Caries Experience of Elderly Chileans in the Context of the COVID-19 Pandemic in Five Regions of Chile

Inequalities in dental services use by older adults in Chile according to eligibility for a national dental programme

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