ArticleClinical, cosmetic and investigational dentistry2020
Socioeconomic-Related Inequalities in Dental Care Utilization in Northwestern Iran.
Article in Clinical, cosmetic and investigational dentistry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Utilization and Expenditure Changes of Dental Services Between 2016-2020: Disparity Analysis in USA Using Medical Expenditure Panel Survey.Journal of immigrant and minority health · 2026Article
- A national-wide analysis of dental services utilization in primary health care settings in rural areas of Iran.Journal of education and health promotion · 2026Article
- Mediating Role of Health Insurance on Socioeconomic Inequalities in Dental Utilisation Patterns Among Indonesian Adults.Community dentistry and oral epidemiology · 2025Article
- Article
- Oral Health Service Use in Older Peruvians Before and During the COVID-19 Pandemic.International dental journal · 2024Article
- Socioeconomic inequalities in the use of dental health care among the adult population in Serbia.Frontiers in public health · 2023Article
- Unmet health care needs among pregnant women during COVID-19 pandemic and its determinants in Kurdistan province, Iran: A cross-sectional study.Health science reports · 2022Article
- What makes inequality in the area of dental and oral health in developing countries? A scoping review.Cost effectiveness and resource allocation : C/E · 2021Article
- Decomposition of Healthcare Utilization Inequality in Iran: The Prominent Role of Health Literacy and Neighborhood Characteristics.Inquiry : a journal of medical care organization, provision and financingArticle
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4 authors.
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Abstract
introductionThere 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.
methodsA 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.
resultsAbout 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%), self-rated 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.
conclusionThis 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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