Self-report of gingival problems and periodontitis in indigenous and non-indigenous populations in Chiapas, Mexico

International Dental Journal

2019

Objectives This study aimed to explore the influence of dental insurance coverage on access to preventive periodontal care. Data were extracted from the 2011, 2013 and 2015 Korean Community Health Surveys conducted by the Korea Centers for Disease Control and Prevention. Materials and methods This study was designed as a 5‐year time series analysis using secondary data. Trends in the utilisation rate of dental scaling services before and after the introduction of insurance coverage for dental scaling were evaluated, and the influence of dental insurance coverage on access to preventive periodontal care was assessed. Results In the 4 years after 2011, the utilisation rate of scaling services increased by 12.3%. The increase in the utilisation rate from 2011 to 2015 was greater for participants ≥ 65 years old and 45–64 years old compared with those who were 19–34 or 35–44 years old. The odds ratios (ORs) for using scaling in 2011, 2013 and 2015 were 0.9, 1.1 and 1.5, respectively, for participants with healthy gingiva. For elderly participants with gingival bleeding, the utilisation rate of scaling services increased after 2015 with ORs of 0.8, 0.9 and 1.2 for 2011, 2013 and 2015, respectively. Conclusions Insurance coverage for dental scaling positively influenced access to preventive care for periodontal disease in middle‐aged and elderly individuals. In the future, the long‐term contributions of dental insurance coverage to the prevalence of periodontal disease and oral health disparities should be evaluated.

Section: Methodsmentioning

confidence: 99%

Influence of dental insurance coverage on access to preventive periodontal care in middle-aged and elderly populations: analysis of representative Korean Community Health Survey Data (2011–2015)

Jang

International Dental Journal

2019

“…A recent update from the American Academy of Periodontology indicated that the classification of periodontal disease should include evaluation of the following: (i) gingival attachment level; (ii) chronic versus aggressive periodontitis; and (iii) localised versus generalised periodontitis, with a focus on the percentage of affected teeth. The second method is a subjective measurement that identifies periodontal disease through self‐reported measures. In the objective measurement, severe periodontitis is defined as having one or more site(s) with a probing pocket depth ≥ 6 mm or clinical attachment loss (CAL) ≥ 5 mm.…”

Section: Introductionmentioning

confidence: 99%

Socioeconomic status and self-reported periodontal symptoms in community-dwelling individuals: data from the Korea Community Health Surveys of 2011 and 2013

Jang

International Dental Journal

et al. 2018

The severity of self-reported periodontal symptoms differed according to socioeconomic status. Subjects with lower socioeconomic status reported more advanced periodontal disease symptoms, such as gingival swelling, while those with higher socioeconomic status reported more incipient periodontal symptoms, such as gingival bleeding. Socioeconomic status remains a factor affecting self-reported periodontal symptoms in community-dwelling individuals in Korea.

“…Self-reporting health conditions is often used in epidemiologic surveillance for general and dental health [51,52,53,54]. Such approach in dental situations has been applied to periodontal disease [51,55,56], caries [57,58], tooth loss [59,60], or presence of teeth [61,62]. Future studies would allow measuring more accurately the financial burden of dental care in Mexican households.…”

Section: Discussionmentioning

confidence: 99%

Out-Of-Pocket Expenditures on Dental Care for Schoolchildren Aged 6 to 12 Years: A Cross-Sectional Estimate in a Less-Developed Country Setting

Medina‐Solís

Ávila-Burgos

Márquez-Corona

et al. 2019

IJERPH

Aim: The objective of this study was to estimate the Out-Of-Pocket Expenditures (OOPEs) incurred by households on dental care, as well as to analyze the sociodemographic, economic, and oral health factors associated with such expenditures. Method: A cross-sectional study was conducted among 763 schoolchildren in Mexico. A questionnaire was distributed to parents to determine the variables related to OOPEs on dental care. The amounts were updated in 2017 in Mexican pesos and later converted to 2017 international dollars (purchasing power parities–PPP US $). Multivariate models were created: a linear regression model (which modeled the amount of OOPEs), and a logistic regression model (which modeled the likelihood of incurring OOPEs). Results: The OOPEs on dental care for the 763 schoolchildren were PPP US $53,578, averaging a PPP of US $70.2 ± 123.7 per child. Disbursements for treatment were the principal item within the OOPEs. The factors associated with OOPEs were the child’s age, number of dental visits, previous dental pain, main reason for dental visit, educational level of mother, type of health insurance, household car ownership, and socioeconomic position. Conclusions: The average cost of dental care was PPP US $70.2 ± 123.7. Our study shows that households with higher school-aged children exhibiting the highest report of dental morbidity—as well as those without insurance—face the highest OOPEs. An array of variables were associated with higher expenditures. In general, higher-income households spent more on dental care. However, the present study did not estimate unmet needs across the socioeconomic gradient, and thus, future research is needed to fully ascertain disease burden.