Influence of socioeconomic conditions on access to oral health services: a scoping review
Keywords:Oral Health; Public Health Dentistry; Health Services Accessibility; Public Health; Socioeconomic Factors; Health Teaching.
The aims of the study were to assess the availability of scientific evidence that correlates socioeconomic conditions with access to oral health services, to verify theories that explain this relationship and to identify gaps regarding them. The search for the articles was carried out in the Embase, Lilacs, PubMed / MEDLINE, Scielo, Web of Science and Open Gray databases and an analysis of the theory present in each of the selected articles was carried out. A total of 277 articles were identified, 9 of which were included in this review. Only two types of theories were used in these studies: the theory according to Andersen, which is focused on the influence of individual factors, mainly the self-perception of health on access to health services and the theory according to Penchansky & Thomas, which attributes the concept to relationship between service provision and individuals. We conclude that there is a tendency to expand the concept of access to health services, incorporating the use of these services.
Andersen, R. M. (1995). Revisiting the behavioral model and access to medical care: does it matter? Journal of Health and Social Behavior, 36, 1-10.
Baldani, M. H., Mendes, Y. B. E., Lawder, J. A. C., Lara, A. P. I., Rodrigues, M. M. A. S., & Antunes, J. L. F. (2011). Inequalities in dental services utilization among Brazilian low-income children: the role of individual determinants. Journal of Public Health Dentistry, 71, 46–53.
Bastos, L. F., Hugo, F. N., Hilgert, J. B., Cardozo, D. D., Bulgarelli, A. F., & dos Santos, C. M. (2019). Access to dental services and oral health-related quality of life in the context of primary health care. Brazilian Oral Research, 33, 1–9.
Bastos, T. F., Medina, L. P. B., Sousa, N. F. S., Lima, M. G., Malta, D. C., & Barros, M. B. A. (2019). Income inequalities in oral health and access to dental services in the Brazilian population: National health survey, 2013. Revista Brasileira de Epidemiologia, 22 (Suppl 2).
Donabedian, A. (1973). Aspects of medical care administration. Boston: Harvard University Press.
Fisher-Owens, S. A., Gansky, S. A., Platt, L. J., Weintraub, J. A., Soobader, M. J., Bramlett, M. D., et al. (2007). Influences on children’s oral health: A conceptual model. Pediatrics, 120(3).
Fonseca, E. P., Fonseca, S. G. O., & Meneghim, M. C. (2017) Analysis of public dental services access in Brazil. ABCS Health Sciences, 42(2), 85-92.
Frenk, J. (1985). Conceptand measurement of accessibility. Salud Publica, 27:438-453.
Kim, N., Kim, C., & Shin, H. (2017). Inequality in unmet dental care needs among South Korean adults. BMC Oral Health,17, 80-9.
Kramer, A. C. A., Petzold, M., Hakeberg, M., & Östberg, A. L. (2018). Multiple socioeconomic factors and dental caries in Swedish children and adolescents.Caries research,52(1-2), 42-50.
Locker, D., Maggirias, J., & Quiñonez, C. (2011) Income, dental insurance coverage, and financial barriers to dental care among Canadian adults. Journal of Public Health Dentistry, 71, 327–34.
Lupi-Pegurier, L., Clerc-Urmes, I., Abu-Zaineh, M., Paraponaris, A., & Ventelou, B. (2011). Density of dental practitioners and access to dental care for the elderly: A multilevel analysis with a view on socio-economic inequality. Health Policy, 103, 160– 67.
Maltz, M., & Silva, B. B. (2001). Relação entre cárie, gengivite e fluorose e nível socioeconômico em escolares. Revista de Saúde Publica, 35(2), 170–6.
Millman, M. (1993). Access to health care in America. Washington DC: National Academy Press.
Miquilin, I. O. C., Marín-León, L., Monteiro, M. I., & Corrêa Filho, H. R. (2013). Inequalities in health services access and use among formal, informal, and unemployed workers, based on data from the Brazilian National Household Sample Survey, 2008. Caderno de Saúde Pública, 29(7), 1392-406.
Monteiro, C. N., Beenackers, M. A., Goldbaum, M., Azevedo Barros, M. B., Gianini, R. J., Cesar, C. L. G., et al. (2016). Socioeconomic inequalities in dental health services in Sao Paulo, Brazil, 2003-2008. BMC Health Services Research, 16(1), 1–10.
Onyejaka, N. K., Folayan, M. O., & Folaranmi, N. (2016). Barriers and facilitators of dental service utilization by children aged 8 to 11 years in Enugu State, Nigeria. BMC Health Services Research, 16, 93.
Penchansky, D. B. A., & Thomas, J. W. (1981). The concept of access – definition and relationship to consumer satisfaction. Medical Care, 19, 127-40.
Peters, M. D. J., Godfrey, C. M., BPharm, H. K., McInerney, P., Parker, D., & Soares, C.B. (2015). Guidance for conducting systematic scoping reviews. International Journal of Evidence-Based Healthcare, 13, 141-6.
Rossi, T. R. A., Sobrinho, J. E. L., Chaves, S. C. L., & Martelli, P. J. L. (2019). Economic crisis, austerity and its effects on the financing of oral health and access to public and private services. Ciência & Saúde Coletiva, 14(12), 4427-36.
Singh, A., Harford, J., Watt, R. G., & Peres, M. A. (2015). The role of theories in explaining the association between social inequalities and population oral health: A scoping review protocol. JBI Database of Systematic Reviews Implementation Reports, 13, 11.
Stopa, S. R., Malta, D. C., Monteiro, C. N., Szwarcwald, C. L., Goldbaum, M., & Cesar, C. L. G. (2017). Acesso e uso de serviços de saúde pela população brasileira, Pesquisa Nacional de Saúde 2013. Revista de Saúde Publica, 51(Supl 1), 3s.
Teixeira, A. K. M., Roncalli, A. G., & Noro, L. R. A. (2018). Inequalities in dental care during the life course of young people: a cohort study. Ciência & Saúde Coletiva, 23(1), 249-58.
Thompson, B., Cooney, P., Lawrence, H., Ravaghi, V., & Quiñonez, C. (2014). Cost as a barrier to accessing dental care: findings from a Canadian population-based study. Journal of Public Health Dentistry, 74, 210–8.
Travassos, C., & Martins, M. (2004). A review of concepts in health services access and utilization. Caderno de Saúde Pública, 20(Suppl 2), 190-8.
Verlinden, D. A., Reijneveld, S. A., Lanting, C. I., van Wouwe, J. P., & Schuller, A. A. (2019). Socio-economic inequality in oral health in childhood to young adulthood, despite full dental coverage. European Journal of Oral Sciences, 127(3), 248–53.
Verma, H., Aggarwal, A. K., Rattan, V., & Mohanty, U. (2012). Access to public dental care facilities in Chandigarh. Indian Journal of Dental Research, 23, 121.
Wamala, S., Merlo, J., & Boström, G. (2006). Inequity in access to dental care services explains current socioeconomic disparities in oral health: The Swedish National Surveys of Public Health 2004–2005. Journal of Epidemiology and Community Health, 60, 1027–33.
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Copyright (c) 2022 Raisa Giulia Ferreira; Mariana Esperendi Bastianini; Juliane Avansini Marsicano; Rosana Leal do Prado
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