Evidence map›Paper›PMID 34446051›Full record

ArticleCost effectiveness and resource allocation : C/E2021

What makes inequality in the area of dental and oral health in developing countries? A scoping review.

Peivand Bastani, Mohammadtaghi Mohammadpour, Gholamhossein Mehraliain, Sajad Delavari, Sisira Edirippulige

Open access · goldAbstract readScoping Review
In one paragraph

Article in Cost effectiveness and resource allocation : C/E, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
9.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.

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  6. From Clinics to Communities: Understanding Public Perceptions of Dental Services in Pakistan.Health expectations : an international journal of public participation in health care and health policy · 2025
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  20. The triangle of inequality in dental services: arguments for a new conceptual framework.Archives of public health = Archives belges de sante publique · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Peivand Bastani *Health Human Resources Research Centre, School of Health Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran. bastanip@sums.ac.ir.ORCID http://orcid.org/0000-0002-0412-0267
Mohammadtaghi Mohammadpour *Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
Gholamhossein MehraliainSchool of Pharmacy, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Sajad DelavariHealth Human Resources Research Centre, School of Health Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran.
Sisira EdirippuligeCenter for Health Services Research, Faculty of Medicine, The University of Queensland, Brisbane, Australia.
Shiraz University of Medical Sciences · IRShahid Beheshti University of Medical Sciences · IRThe University of Queensland · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEquity in health is an important consideration for policy makers particularly in low and middle income developing country. The area of oral and dental health is not an exception. This study is conducted to explore the main determinants that make inequality in oral and dental health area in developing countries.

methodsThis was a scoping review applying the framework enhanced by Levac et al. Four databases of Scopus, PubMed, WOS and ProQuest were systematically searched applying to related keywords up to 27.11.2020. There restriction was placed in the English language but not on the study design. All the related studies conducted in the low or middle income developing countries were included. A qualitative thematic analysis was applied for data analysis and a thematic map was presented.

resultsAmong 436 articles after excluding duplications, 73 articles were included that the number of publications from Brazil was greater than other developing countries (33.33%). Thematic analysis of the evidence has led to 11 determinants that may result in inequality in oral and dental health services in developing countries including personal characteristics, health status, health needs and health behaviours, social, economic, cultural and environmental factors, as well as insurance, policies and practices and provided related factors.

conclusionThe policymakers in the low and middle income developing countries should be both aware of the role of inequality determinants and also try to shift the resources to the policies and practises that can improve the condition of population access to oral and dental services the same as comprehensive insurance packages, national surveillance system and fair distribution of dentistry facilities. It is also important to improve the population's health literacy and health behaviour through social media and other suitable mechanisms according to the countries' local contexts.

Indexed as

Dental healthDeveloping countriesInequalityOral health

Identifiers

PMID34446051
PMCPMC8394054
OpenAlexW3196238753

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.