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Socio-Economic Determinants of the Need for Dental Care in Adults

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  • Gilda Trohel
  • Valérie Bertaud-Gounot
  • Marion Soler
  • Pierre Chauvin
  • Olivier Grimaud

Abstract

Background: Oral health has improved in France. However, there are still inequalities related to the socio-economic status. Objectives: The aim of this study was to measure the prevalence of dental care needs in an adult population and to identify the demographic, socio-economic and behavioral variables that may explain variations in this parameter. Methods: A cross-sectional analysis of the French SIRS cohort (n = 2,997 adults from the Paris region; 2010 data) was carried out to determine the prevalence of self-reported dental care needs relative to demographic, socio-economic and behavioral variables. A logistic regression model was used to identify the variables that were most strongly associated with the level of need. Results: In 2010, the prevalence of the need for dental care in the SIRS cohort was 35.0% (95% CI [32.3–37.8]). It was lower in people with higher education levels (31.3% [27.9–34.6]), without immigrant background (31.3% [28.0–34.6]) and with comprehensive health insurance (social security + complementary health cover; 32.8% [30.2–35.4]). It decreased as the socio-economic status increased, but without following a strict linear change. It was also lower among individuals who had a dental check-up visit in the previous two years. In multivariate analyses, the socioeconomic variables most strongly associated with the need for dental care were: educational attainment (OR = 1.21 [1.02–1.44]), income level (OR = 1.66 [1.92–2.12]) and national origin (OR = 1.53 [1.26–1.86]). Conclusion: These results confirm that the prevalence of dental care needs is higher among adults with low socio-economic status. Education level, income level and also national origin were more strongly associated with the need for dental care than insurance cover level.

Suggested Citation

  • Gilda Trohel & Valérie Bertaud-Gounot & Marion Soler & Pierre Chauvin & Olivier Grimaud, 2016. "Socio-Economic Determinants of the Need for Dental Care in Adults," PLOS ONE, Public Library of Science, vol. 11(7), pages 1-11, July.
    • Handle: RePEc:plo:pone00:0158842
    DOI: 10.1371/journal.pone.0158842
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    References listed on IDEAS

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    1. Siddiqi, Arjumand & Zuberi, Daniyal & Nguyen, Quynh C., 2009. "The role of health insurance in explaining immigrant versus non-immigrant disparities in access to health care: Comparing the United States to Canada," Social Science & Medicine, Elsevier, vol. 69(10), pages 1452-1459, November.
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    5. Noha Gomaa & Michael Glogauer & Howard Tenenbaum & Arjumand Siddiqi & Carlos Quiñonez, 2016. "Social-Biological Interactions in Oral Disease: A ‘Cells to Society’ View," PLOS ONE, Public Library of Science, vol. 11(1), pages 1-19, January.
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    Cited by:

    1. Kristina L Wanyonyi & David R Radford & Jennifer E Gallagher, 2017. "Dental Treatment in a State-Funded Primary Dental Care Facility: Contextual and Individual Predictors of Treatment Need?," PLOS ONE, Public Library of Science, vol. 12(1), pages 1-17, January.
    2. Mazevet, Marco E. & Garyga, V. & Pitts, Nigel B. & Pennington, Mark W., 2018. "The highly controversial payment reform of dentists in France: Seeking a new compromise after the 2017 strike," Health Policy, Elsevier, vol. 122(12), pages 1273-1277.

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