ArticleBMC oral health2019
Use of oral health care services in Peru: trends of socio-economic inequalities before and after the implementation of Universal Health Assurance.
Article in BMC oral health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 21 citations in OpenAlex.
- Baseline Prediabetes, Hyperglycemia, and Incident Dental Outcomes Among Peruvian Formal-Sector Workers: A Retrospective Occupational Cohort Study.Dentistry journal · 2026Article
- 11-year analysis of inequalities in access to oral health care in Peru.BMC oral health · 2026Article
- Impact of health insurance on the use of oral health services in the Peruvian population 2015-2019.BMC oral health · 2024Article
- Oral Health Service Use in Older Peruvians Before and During the COVID-19 Pandemic.International dental journal · 2024Article
- Article
- Indicators of integrating oral health care within universal health coverage and general health care in low-, middle-, and high-income countries: a scoping review.BMC oral health · 2023Article
- Factors associated with the use of oral health services in Peruvian children under the age of 12 years.Clinical and experimental dental research · 2023Article
- Impact of the COVID-19 pandemic on the timing of dental care in elderly peruvians.Acta odontologica latinoamericana : AOL · 2022Article
- Associations between chronic conditions and oral health services utilization in older Peruvian adults: a pooled analysis of the Demographic and Health Survey 2015-2017.Epidemiology and health · 2020Article
- Does the national dental scaling policy reduce inequalities in dental scaling usage? A population-based quasi-experimental study.BMC oral health · 2019Article
- Factors Influencing Adolescents' Knowledge, Practices, and Attitudes Towards Oral Health in the Rupa-Rupa District, Peru.Journal of International Society of Preventive & Community DentistryArticle
- [Impact of dental anxiety on the oral health-related quality of life of older adults in a rural area of Peru].Revista cientifica odontologica (Universidad Cientifica del Sur)Article
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOral health inequalities are profound worldwide. Despite major improvements in oral health, inequalities exist for many racial and ethnic groups, by socioeconomic status, gender, age, and geographic location. Therefore, the purpose of this study was to investigate trends of socio-economic inequalities in access to oral health services in Peru before and after the implementation of Universal Health Assurance (AUS).
methodsAnalytical cross-sectional study based on the National Household Survey on Living Conditions and Poverty (ENAHO) 2004, 2008, 2010 and 2017. Two periods were defined before and after the AUS Law (2009). Use of oral health services was the dependent variable, for the general population and according to ages, the area of residence, and natural region. Measurements of inequality in the use of health services were made based on the concentration curves (CC), dominance test and concentration index (CI).
resultsWe included a number of 85,436 (2004), 88,673 (2008), 87,074 (2010) and 124,142 (2017) participants. The proportion of people who used oral health services was 8.4% (2014), 10.1% (2008), 10.6% (2010) and 10.4% (2017). Use of oral health services showed an increase in different age groups, urban and rural areas, and natural regions of residence during the study period. The CC were distributed below the line of equality, indicating an inequality of use of oral health services, in favor of the richest groups and dominance of the CC in 2017 over the previous years. Changes in the CI were statistically significant for < 5 years and in the rural area, and for the period 2010-2017 they were also significant in the general population, children aged 5-17 years, urban area, and Andean and Jungle regions, which indicates a reduction in the concentration of use of these services in these groups.
conclusionsThe use of oral health services in Peru increased and inequality decreased in the period 2004-2017, coinciding with the implementation of the AUS. However, the use of these services continue having a distribution in favor of the richest populations. It requires the introduction of new strategies and oral health programs in the Peruvian population, with the aim of closing the gap currently mediated by the economic possibilities.
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