Oral health information and access to dental care in peruvian children: a study of a national health survey database
Abstract
Introduction: Certain diseases of the oral cavity are associated with adopting inadequate health behaviors, where oral health information plays an essential role in preventing these conditions.
Objectives: To analyze the association between access to dental care and oral health information in Peruvian children.
Material and Methods: This research employed a cross-sectional design utilizing data from the 2021 Demographic and Family Health Survey database. The study focused on records of children under 12 who provided information regarding their access to oral health information. Independent variables encompassed access to dental care, time since the last care, and the place of care, with additional inclusion of covariates. Descriptive evaluations of the variables were conducted, followed by bivariate and multivariate analyses using Poisson regression. The statistical significance was established at a 95% confidence level, with p-value <0.05.
Results: Access to oral health information was oral health was 44.66% (n=11262); on the other hand, access to dental care reached 55.77% (n=13007), 12.37% (n=1507) expressed that their care was within the last two years and the main place of care was the Peruvian Ministry of Health with 45.51% (n=7396). Natural region, area of residence, place of residence, altitude, wealth index, health insurance coverage, and age were associated with access to oral health information. Access to oral health information showed a significant association with access to dental care (aPR: 1.72; 95%CI:1.59-1.86; p<0.001).
Conclusions: Peruvian children's access to dental care services and the time elapsed since the last dental care are associated with receiving information on oral health. Receiving care at the Social Health Insurance system was negatively associated.
References
World Health Organization. WHO highlights oral health neglect affecting nearly half of the world's population. https://www.who.int/news/item/18-11-2022-who-highlights-oral-health-neglect-affecting-nearly-half-of-the-world-s-population.
Cho HA, Kim BR, Shin H. Travel Time for Dental Care Services Based on Patient Preference in South Korea. Int J Environ Res Public Health. 2022 Feb 12;19(4):2051. https://doi.org/10.3390/ijerph19042051. PMID: 35206239; PMCID: PMC8872074.
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 Sep 12;6:1680. https://doi.org/10.12688/f1000research.12474.1. PMID: 29527289; PMCID: PMC5820620.
Angelopoulou MV, Kavvadia K. Experiential learning in oral health education. J Educ Health Promot. 2018 Jun 12;7:70. https://doi.org/10.4103/jehp.jehp_180_17. PMID: 29963563; PMCID: PMC6009146.
Barnes E, Bullock A, Chestnutt IG. What influences the provision and reception of oral health education? A narrative review of the literature. Community Dent Oral Epidemiol. 2022 Oct;50(5):350-359. https://doi.org/10.1111/cdoe.12698. Epub 2021 Sep 14. PMID: 34519366.
Kay EJ, Locker D. Is dental health education effective? A systematic review of current evidence. Community Dent Oral Epidemiol. 1996 Aug;24(4):231-5. https://doi.org/10.1111/j.1600-0528.1996.tb00850.x. PMID: 8871028.
Stein C, Santos NML, Hilgert JB, Hugo FN. Effectiveness of oral health education on oral hygiene and dental caries in school-children: Systematic review and meta-ana-lysis. Community Dent Oral Epidemiol. 2018 Feb;46(1):30-37. https://doi.org/10.1111/cdoe.12325. Epub 2017 Aug 16. PMID: 28815661.
World Health Organization. Global oral health status report. Towards universal health cove-rage for oral health by 2030. https://www.who.int/team/noncommunicable-diseases/global-status-report-on-oral-health-2022
Dudovitz RN, Valiente JE, Espinosa G, Yepes C, Padilla C, Puffer M, Slavkin HC, Chung PJ. A school-based public health model to reduce oral health disparities. J Public Health Dent. 2018 ;78(1):9-16. https://doi.org/10.1111/jphd.12216. PMID: 28467009.
Garcés-Elías MC, Del Castillo-López CE, Beltrán JA, Agudelo-Suárez AA, León-Manco RA. Peruvian Children's Access to Oral Health Information during the COVID- 19 Pandemic. J Int Soc Prev Community Dent. 2022;12(6):638-645. https://doi.org/10.4103/jispcd.JISPCD_103_22. PMID: 36777011; PMCID: PMC9912831.
United States Agency for International Development. The Demographic and Health Surveys Program. Wealth index. https://dhsprogram.com/topics/wealth-index/
National Institute of Statistics and Infor-matics, Peru. Demographic and Family Health Survey 2014. https://www.inei.gob.pe/media/ MenuRecurivo/publicaciones_digitales/Est/Lib 1153/libro.pdf
Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Crotty K. Low health literacy and health outcomes: an updated systematic review. Ann Intern Med. 2011;155(2):97-107. https://doi.org/10.7326/0003-4819-155-2-201107190-00005. PMID: 21768583.
Safari-Moradabadi A, Rakhshanderou S, Ramezankhani A, Ghaffari M. Explaining the concept of oral health literacy: Findings from an exploratory study. Community Dent Oral Epidemiol. 2022;50(2):106-114. https://doi.org/10.1111/cdoe.12637. PMID: 33760244.
Schillinger D. The Intersections Between Social Determinants of Health, Health Literacy, and Health Disparities. Stud Health Technol Inform. 2020;269:22-41. https://doi.org/10.3233/SHTI200020. PMID: 32593981; PMCID: PMC7710382.
National Institute of Statistics and Informatics. Non-Communicable Diseases Program. https://www.inei.gob.pe/media/MenuRecur sivo/publicaciones_digitales/Est/Lib 1839/
Torres-Mantilla JD, Newball-Noriega EE. Fac-tors associated with the use of oral health services in Peruvian children under the age of 12 years. Clin Exp Dent Res. 2023;9(1):230-239. https://doi.org/10.1002/cre2.674. PMID: 36305044; PMCID: PMC9932245.
Rajput S, Kumar A, Puranik MP, Sowmya KR, Chinam N. Oral health perceptions, behaviors, and barriers among differently abled and healthy children. Spec Care Dentist. 2021 May;41(3):358-366. https://doi.org/10.1111/scd.12573. Epub 2021 Feb 6. PMID: 33547693.
Kyoon-Achan G, Schroth RJ, DeMaré D, Sturym M, Edwards JM, Sanguins J, Campbell R, Chartrand F, Bertone M, Moffatt MEK. First Nations and Metis peoples' access and equity challenges with early childhood oral health: a qualitative study. Int J Equity Health. 2021 Jun 7;20(1):134. https://doi.org/10.1186/s12939-021-01476-5. PMID: 34098968; PMCID: PMC8183050.
Government of Peru. Seguro integral de salud. https://www.gob.pe/institucion/sis/institucional
Government of Peru. Emergency Decree No. 017-2019. Emergency decree that establishes measures for univesald health coverage. 2023.
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