Socioeconomic inequality in dental care utilization in Iran: a decomposition approach

Rezaei, Satar; Hajizadeh, Mohammad; Irandoost, Seyed Fahim; Salimi, Yahya

doi:10.1186/s12939-019-1072-5

Cited by 45 publications

(54 citation statements)

References 25 publications

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“…This report is based on a questionnaire conducted from June 10 to 25, 2020, among Iranian dentists. The total number of dentists in Iran was estimated to be 20,000, that work in public, private, and nonprofit organizations [ 16 ]. We conducted the chain-referral sampling method as most of the participants were hard to find.…”

Section: Methodsmentioning

confidence: 99%

The impact of COVID-19 pandemic on dental practice in Iran: a questionnaire-based report

2020

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Background The highly contagious nature of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV2), besides the fact that dental procedures commonly generate blood and saliva droplets that could lead to the contagion have resulted in the closure of many dental clinics. In the present study, we aimed to evaluate the impact of coronavirus disease 2019 (COVID-19) pandemic on dental practice by conducting an online questionnaire among the Iranian dental practitioners and finding their perspectives on the subject. Methods This report is based on a questionnaire that was conducted among Iranian dentists. The survey included questions that evaluate the dentists’ perceptions and attitudes toward the COVID-19 pandemic and its effect on their personal life, financial status, and the quality of dental services for patients. Results Overall, 240 dentists contributed to this study (214 general dentists and 26 specialists). The majority of the participants (n = 170, 70%) did not perform non-emergency procedures during the pandemic. The dental practitioners have suggested several strategies to decrease the risk of contagion, such as reducing treatment sessions (n = 90, 37%), strict triage of patients (n = 156, 64%), and using personal protective equipment (n = 108, 45%). However, most of the dentists (n = 210, 87%) had problems, providing personal protective equipment during the pandemic. Moreover, 97% (n = 234) of the participants reported that they encountered a decrease in their financial income since the eruption of the pandemic. Conclusion Dental health care workers are at the highest risk of contracting COVID-19. Thus, dental practitioners ought to execute the standard protocols more cautiously during the pandemic. They could also lower their work hours and limit dental procedures to emergency treatments to reduce the risk of COVID-19 transmission. Besides, the public organizations should provide proper equipment for the dental practitioners to decrease the risk of contagion.

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Section: Methodsmentioning

confidence: 99%

The impact of COVID-19 pandemic on dental practice in Iran: a questionnaire-based report

2020

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“…This report is based on a questionnaire conducted from June 10 to 25, 2020, among Iranian dentists. The total number of dentists in Iran was estimated to be 20000, that work in public, private, and nonpro t organizations (16). We conducted the chain-referral sampling method as most of the participants were hard to nd.…”

Section: Study Design and Populationmentioning

confidence: 99%

The Impact of COVID-19 Pandemic on Dental Practice in Iran: A questionnaire-based report

Ahmadi

Ebrahimi

Ghorbani

2020

Preprint

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Background: The highly contagious nature of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV2), besides the fact that dental procedures commonly generate blood and saliva droplets that could lead to the contagion have resulted in the closure of many dental clinics. In the present study, we aimed to evaluate the impact of coronavirus disease 2019 (COVID-19) pandemic on dental practice by conducting an online questionnaire among the Iranian dental practitioners and finding their perspectives on the subject.Methods: This report is based on a questionnaire that was conducted among Iranian dentists. The survey included questions that evaluate the dentists’ perceptions and attitudes toward the COVID-19 pandemic and its effect on their personal life, financial status, and the quality of dental services for patients.Results: Overall, 240 dentists contributed to this study (214 general dentists and 26 specialists). The majority of the participants (n=170, 70%) did not perform non-emergency procedures during the pandemic. The dental practitioners have suggested several strategies to decrease the risk of contagion, such as reducing treatment sessions (n=90, 37%), strict triage of patients (n=156, 64%), and using personal protective equipment (n=108, 45%). However, most of the dentists (n=210, 87%) had problems, providing personal protective equipment during the pandemic. Moreover, 97% (n=234) of the participants reported that they encountered a decrease in their financial income since the eruption of the pandemic.Conclusion: Dental health care workers are at the highest risk of contracting COVID-19. Thus, dental practitioners ought to execute the standard protocols more cautiously during the pandemic. They could also lower their work hours and limit dental procedures to emergency treatments to reduce the risk of COVID-19 transmission. Besides, the public organizations should provide proper equipment for the dental practitioners to decrease the risk of contagion.

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“…19 Utilization of dental services is strongly associated with socioeconomic factors, such as income, age, level of education, and dental insurance, in Iran. 1,6,[20][21][22] There have been several studies on determinants of dental care utilization in different regions of Iran, 6,23 but empirical evidence on socioeconomic inequality in dental care utilization is scarce. 22 The objective of this study was to contribute to the literature by presenting new empirical evidence on socioeconomic-related inequality in dental care utilization and the causes of this inequality in Ardabil, Iran.…”

Section: Introductionmentioning

confidence: 99%

<p>Socioeconomic-Related Inequalities in Dental Care Utilization in Northwestern Iran</p>

Rezaei

Pulok

Moghadam

et al. 2020

CCIDE

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Introduction: There have been multiple studies on socioeconomic-related inequalities in the use of dental services in Iran, but the evidence is still limited. This study measured inequality in dental care utilization by socioeconomic status and examined factors explaining this inequality among households in Ardabil, Iran in 2019. Methods: A total of 436 household heads participated in this cross-sectional study. Using a validated questionnaire, face-to-face interviews were conducted to collect data on dental care utilization, unmet needs, sociodemographic characteristics, economic status, health insurance, and oral health status of the participants. We used the concentration curve and relative concentration index (RCI) to visualize and quantify the level of inequality in dental care utilization by income. Regression-based decomposition was also applied to understand the causes of inequality. Results: About 59.2% (95% CI 54.4%-63.7%) and 14.7% (95% CI 11.6%-18.4%) of participants had visited a dentist for dental treatment in the previous 12 months and for 6-month dental checkups, respectively. The RCI for the probability of visiting a dentist in the last 12 months was 0.243 (95% CI 0.140-0.346). This suggests that dental care utilization was more concentrated among the rich. The RCI for unmet dental care needs was negative, which indicates more prevalence among the poor. Monthly household income (20.9%), selfrated oral health (6.9%), regular brushing (3.2%), and dental health insurance (2.5%) were the main factors in socioeconomic inequality in dental care utilization. Conclusion: This study reveals that dental care-service utilization did not match the need for dental care, due to differences in socioeconomic status in Ardabil, Iran. Policies could be implemented to increase the coverage of dental care services among socioeconomically disadvantaged groups to tackle socioeconomic-related inequality in dental care utilization.

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Socioeconomic inequality in dental care utilization in Iran: a decomposition approach

Cited by 45 publications

References 25 publications

The impact of COVID-19 pandemic on dental practice in Iran: a questionnaire-based report

The impact of COVID-19 pandemic on dental practice in Iran: a questionnaire-based report

The Impact of COVID-19 Pandemic on Dental Practice in Iran: A questionnaire-based report

<p>Socioeconomic-Related Inequalities in Dental Care Utilization in Northwestern Iran</p>

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