Abstract
In Mexico, as in many other Latin American countries, the use of dental health services (UDHS) has been scarcely studied, especially the one related with groups that are considered at risk in certain areas. The aim of this study was to evaluate the factors associated with UDHS in an at risk population in primary care. Material and Methods: Cross-sectional study, involving students (T), pregnant women (PW), workers (W) and older adults (OA) (n=368). Variables such as the use of dental health services and factors such as geographical, economic, and organizational barriers were measured. Descriptive statistics, Chi Square test and multivariate binary logistic regression analysis were used. Results: 40.2% (95% CI 30.2-50.2) of the W group had a history of UDHS in primary care, 20% (95% CI 11.8-28.2) of the PW group had spent more than a year without visiting the dentist and 33% (95% CI 23.7-43.9) had been treated at a private dental care service. Level of schooling, occupation, federal support from Programa Oportunidades and access to dental care services (p<0.01) were factors associated with UDHS, independent of potential confounders. Conclusion: The health system should guarantee health care by offering comprehensive dental health services and removing organizational barriers to promote a more equitable access to dental care.
Highlights
Health systems are responsible for managing and providing primary health care, and dental care, in most countries
40.2% of the W group had a history of use of dental health services (UDHS) in primary care, 20% of the pregnant women (PW) group had spent more than a year without visiting the dentist and 33% had been treated at a private dental care service
Occupation, federal support from "Programa Oportunidades" and access to dental care services (p
Summary
Health systems are responsible for managing and providing primary health care, and dental care, in most countries. Sociodemographic variables of interest were evaluated: age (in years), sex (male or female), marital status (single, cohabiting, married or widowed), education (none, primary, secondary, secondary or higher education) paid employment: (yes or no), monthly family income (greater than two minimum wages or equal to or less than two minimum wages), being a resident immigrant (living more than 10 years in the area) (yes or no), speaking indigenous language (yes or no), have social security or popular insurance (yes or no), being beneficiary of federal support "Programa Oportunidades"[11] (yes or no), monthly family income, monthly health spending and monthly dental health spending estimated in dollars. Secondary or higher education (p=0.033), paid employment (0.012), federal support from "Programa Oportunidades" (p=0.04) and having dental health care services (p=0.019) showed a significant effect on UHDS, independent of age, sex, marital status, income and speaking indigenous languages
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