Association between access to dental services and altitude of the residence of Peruvian children
Keywords:
accessibility, Health services, oral health, dental care, kids, altitude.Abstract
Introduction: Access to dental services is important to guarantee adequate oral health. Therefore, it is important to assess the geographical barriers that may affect access, such as altitude.
Objective: To determine the association between access to dental services and the altitude of residence of children under 12 years of age in Peru, 2019.
Methods: The study was a cross-sectional with a sample of 42,350 records of children under 12 years of age. The variables were access to dental care, time of dental care, place of dental care, altitude, region, area of residence, place of residence, natural region, health insurance, wealth index, sex and age. A descriptive and bivariate analysis was performed with the chi square test. The results underwent multivariate analysis using Poisson regression to obtain prevalence ratios and adjusted prevalence ratios. There was a confidence level of 95% and p < 0.05.
Results: It was found that altitude was linked to access to dental care (PR = 1.15; 95% CI: 1.12 - 1.18; p < 0.001), it was also found when considering the variables area of residence, place of residence, natural region, health insurance, wealth index, sex and age (RPa = 1.10; 95% CI: ºº1.04 - 1.16; p < 0.001).
Conclusions: In 2019, Peruvian children under 12 years, living at more than 2500 masl, were more likely to receive dental care in the last 2 years.
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References
Bastos LF, Hugo FN, Hilgert JB, Cardozo DD, Bulgarelli AF, Santos CMD. Access to dental services and oral health-related quality of life in the context of primary health care. Braz Oral Res. 2019;33:e018. DOI: 10.1590/1807-3107bor-2019.vol33.0018.
Bright T, Felix L, Kuper H, Polack S. A systematic review of strategies to increase access to health services among children in low and middle income countries. BMC Health Serv Res. 2017;17(1):252. DOI: 10.1186/s12913-017-2180-9
Tanahashi T. Health service coverage and its evaluation. Bulletin of the World Health Organization. 1978;56(2):295-303. Disponible en: https://apps.who.int/iris/handle/10665/261736
Comes Y, Solitario R, Garbus P, Mauro M, Czerniecki S, Vásquez A, et al. El concepto de accesibilidad: la perspectiva relacional entre población y servicios. Anuario de Investigaciones. 2007;14:201-9. Disponible en: https://www.redalyc.org/pdf/3691/369139943019.pdf
Pegon Machat E, Jourdan D, Tubert Jeannin S. Oral health inequalities: Determinants of access to prevention and care in France. Sante Publique. 2018;30(2):243-51. Disponible en: https://www.cairn.info/revue-sante-publique-2018-2-page-243.htm
Azañedo D, Hernández Vásquez A, Casas Bendezú M, Gutiérrez C, Agudelo Suárez AA, Cortés S. Factors determining access to oral health services among children aged less than 12 years in Peru. F1000Res. 2017;6:1680. DOI: 10.12688/f1000research.12474.1
Calderón M, Alvarado-Villacorta R, Barrios M, Quiroz-Robladillo D, Guzmán D, Obregón A, et al. Health need assessment in an indigenous high-altitude population living on an island in Lake Titicaca, Perú. International Journal for Equity in Health. 2019;18(94). DOI: 10.1186/s12939-019-0993-3.
Hernández Vásquez A, Azañedo D, Díaz Seijas D, Bendezú Quispe G, Arroyo Hernandez H, Vilcarromero S, Agudelo Suárez. Acceso a servicios de salud dental en menores de doce años en Perú, 2014. Salud Colectiva. 2016;12(3):429-41. Disponible en: https://www.scielosp.org/article/scol/2016.v12n3/429-441/
Northridge ME, Kumar A, Kaur R. Disparities in Access to Oral Health Care. Annu Rev Public Health. 2020;41:513-35. DOI: 10.1146/annurev-publhealth-040119-094318
Dante M, Cesar E, Ottavia S, Jose R, Christian M. Altitud geográfica de residencia y dependencia alcohólica en pobladores peruanos. Rev Colomb Psiquiat. 28/10/2021)2016;45(3):178-85. Disponible en: https://www.redalyc.org/pdf/806/80648398006.pdf
Luks AM, Swenson ER, Bärtsch P. Acute high-altitude sickness. Eur Respir Rev. 2017.31;26(143):160096. DOI: 10.1183/16000617.0096-2016
Aravena Rivas Y, Carbajal Rodríguez G. Geographical and socioeconomic inequalities in dental attendance among children in Peru: Findings from the Demographic and Family Health Survey 2017. Community Dent Oral Epidemiol. 2020;49(1):78-86. DOI: 10.1111/cdoe.12580
Instituto Nacional de Estadística e Informática del Perú. Perú en cifras. (acceso 25/07/2021). [acceso 28/10/2021]. Disponible en: https://www.inei.gob.pe/
Alarcón R, León R. Acceso a la Atención Odontológica e Inequidad en el Perú en el año 2015. Revista OACTIVA UC Cuenca 2018;3(1) 13-20. [acceso 28/10/2021]. Disponible en: https://oactiva.ucacue.edu.ec/index.php/oactiva/article/download/143/181
Bernabé E. Delgado Angulo E, Murasko J, Marcenes W. Family Income and Tooth Decay in US Children: Does the Association Change with Age? Caries Res. [acceso 28/10/2020];2012;46:221-7. Disponible en: https://www.karger.com/Article/Abstract/337389
Carbajal Rodríguez G, Aravena Rivas Y, León Manco RA. Social gradients in dental attendance among older adults: Findings from the National Survey on Demographics and Health in Peru. 2019;36,281-6. DOI: 10.1922/CDH_4597Carbajal-Rodriguez06
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