ArticleInternational journal for equity in health2024
To appreciate the influence of contributed determinants on dental care utilization in the context of socio-economic inequalities.
Article in International journal for equity in health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Socioeconomic status and dental service utilization among children and adolescents: systematic reviews and meta analysis.BMC oral health · 2025Pooled it
- Decomposing socio-economic inequalities in edentulism among community-dwelling older adults in a socially diverse metropolitan by using the Erreygers concentration index.BMC geriatrics · 2026Article
- Dental visits in crisis: analyzing dental service utilization amidst the pandemic.BMC oral health · 2025Article
- Effect of Regional Deprivation and Dental Care Resources on the Unmet Dental Care Needs due to Cost of Older Individuals in South Korea.Gerodontology · 2025Article
- Factors associated with socioeconomic inequalities in the use of dental services among Brazilian older adults: an Oaxaca-Blinder decomposition analysis.BMC oral health · 2025Article
- Myths about Oral Health and Associated Factors in Pregnant Women in a Public Hospital in Peru.Oral health & preventive dentistry · 2025Article
- Factors associated with dental care utilization among Iranian adult populations based on Anderson model.BMC public health · 2025Article
- Social capital and regional influences: key predictors of unmet dental care needs among older adults in Korea.Epidemiology and health · 2025Article
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3 authors.
Funding
Abstract
backgroundTo appreciate dental care utilization in the context of socio-economic inequalities, it is imperative to identify sources of inequalities and evaluate the extent to which dental care utilization is still related to socio-economic status. This study aimed to quantify the influence of contributed determinants on dental care utilization in the context of socio-economic inequalities amongst adults residing in Tehran metropolis.
methodsIn this cross-sectional community-based study, a stratified random sample of 1,510 subjects aged over 18 years was investigated by the zero-inflated Poisson analysis to measure the effect of determinants on utilization of dental care, and concentration index as well as the decomposition approach to identify the contributions of deterministic variables to the socio-economic inequality. Data was obtained by employing a phone interview survey. Individuals who were not willing or able to answer the questions in the telephone interview due to hearing or neurological problems did not participate in the interview. Dental care utilization was measured using the number of dental appointments.
resultsGender (male), oral health-related behaviors (such as brushing and dental flossing), experience of toothache, and concern about dental appearance were associated with an increased likelihood of utilizing dental care. Individuals who belonged to advanced age groups and lived alone significantly underutilized dental care. The concentration index equaling 0.05 (SE = 0.05) corroborates a pro-rich inequality. Decomposition analysis demonstrated the impact of oral health-related behaviors (i.e. dental brushing and use of dental flossing), concern about dental appearance, toothache, gender (male), insurance coverage of dental care, and smoking habit on the poor-rich gap in the dental care utilization.
conclusionsThe influence of socio-economic inequalities on dental care utilization is discernable along the entire spectrum of socio-economic status. Individuals with lower socio-economic status experience more underutilization of dental care. Community subgroups, particularly the more deprived bracket, require consideration from key stakeholders, including policymakers and health professionals for the enhancement of dental care utilization as revealed by underlying determinants.
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