NouraeiMotlagh, Soraya and Ghasempour, Saman and Bajoulvand, Razyeh and Hasanvand, Sara and Abbasi-Shakaram, Sheida and Imani-Nasab, MohammadHasan (2019) FactorsAffectingDemandandUtilizationof DentalServices: Evidence fromaDevelopingCountry. ShirazE-MedJ..
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Abstract
Background:Toachieveevidence-basedpolicymakingtoimproveaccesstodentalservicesandreduceinequalityintheutilization of theseservices,theidentificationof effectivefactorsontheuseof dentalservicesisessential. Objectives: Therefore,thepresentstudywasconductedtoinvestigatethemostimportantsocioeconomicfactorsaffectingthedemandandutilizationof dentalservicesamonghouseholdsinKhorramabad,Iran. Methods: This cross-sectional study was performed among 500 households in Khorramabad city in 2017. The participants were selected using a randomized stratified sampling method. Logistic regression was used to determine the most important factors affectingtheutilizationofdentalservicesandlinearregressiontoexamineincomeelasticity.Tomeasureinequalityamongincome groups,theconcentrationindexwasemployed. DataanalysiswasperformedusingSTATA-14softwareandtheinequalitymeasurementwascarriedoutusingDASP-2.3inSTATAsoftware. Results: Themeannumberof visitsbytherespondentswas2.78±1.8. Incomeelasticityandconcentrationindexfortheseservices wereestimatedtobe0.31and0.207,respectively.Increasinghouseholdincome,advancingage,highereducationleveloftheheadof thehousehold,andhavingcomplementaryinsurancecoverage(OR=1.72)hadpositiverelationshipswiththeincreasedutilization of dentalservices.Also,afemaleheadof thehousehold(OR=0.39)andincreasedhouseholdsize(OR=0.9)ledtoareductioninthe utilizationof theseservices. Conclusions: Inequalityisobservedintheuseof dentalservicesbetweendifferentsocioeconomicgroups. Therefore,healthpolicymakersshouldimplementinterventionssuchasdentalhealthinsurancetoreducethisinequalityinsuchawaythatinequalities betweensocioeconomicgroupsarereduced. Keywords: DentalServices,Utilization,SocioeconomicFactors,Iran
| Item Type: | Article |
|---|---|
| Subjects: | R Medicine > RK Dentistry |
| Divisions: | Faculty of Medicine, Health and Life Sciences > School of Medicine |
| Depositing User: | lorestan university |
| Date Deposited: | 22 Dec 2019 06:41 |
| Last Modified: | 22 Dec 2019 06:41 |
| URI: | http://eprints.lums.ac.ir/id/eprint/1883 |
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