Jiménez-Gayosso SI, Medina-Solís CE, Lara-Carrillo E, Scougal-Vilchis RJ, de la Rosa-Santillana R, Márquez-Rodríguez S, Mendoza-Rodríguez M, Navarrete-Hernández JJ

Language: Spanish
References: 43
Page: 27-33
PDF size: 83.38 Kb.

ABSTRACT

Objective: To determine the prevalence and the existence of socioeconomic inequalities in dental health service utilization (DHSU) any time in the life of Mexican schoolchildren aged 6-12 years of Pachuca Hidalgo, Mexico. Material and methods: We performed a cross-sectional study in 1,404 school children 6-12 years of age from 14 public schools in the city of Pachuca, Hidalgo, Mexico. Questionnaires were distributed to determine socioeconomic position variables (SEP). The dependent variable was DHSU once in life (0 = No, 1 = Yes). The analysis was performed in Stata 9 using chi-square tests. Results: The mean age was 8.97 ± 1.99 years, 50.1% were boys. The prevalence of DHSU any time in life was 71.4%. The DHSU percentage increased according increasing age (p ‹ 0.05). Significant differences (p ‹ 0.05) in percentages of USSB through SEP variables: health insurance, car ownership in the home, dwelling and household characteristics, a better level of SEP increased prevalence of DHSU. Although in the mother’s schooling no differences were observed (p › 0.05), father’s schooling was associated (p ‹ 0.05) inversely to expectations. Conclusions: The findings of this study demonstrate that the prevalence of DHSU was not 100%; 28.6% of children have never had contact with a dentist. We identified certain indicator variables of SEP associated with DHSU, indicating the existence of inequalities in this oral health indicator

REFERENCES

1. Pérez-Núñez R, Medina-Solis CE, Maupomé G, Vargas-Palacios A. Factors associated with dental health care coverage in Mexico: Findings from the National Performance Evaluation Survey 2002-2003. Community Dent Oral Epidemiol. 2006;34(5):387-97.

2. Medina-Solís CE, Casanova-Rosado AJ, Casanova-Rosado JF, Vallejos- Sánchez AA, Maupomé G, Ávila-Burgos L. Factores socioeconómicos y dentales asociados a la utilización de servicios dentales en escolares de Campeche, México. Bol Med Hosp Infant Mex. 2004; 61:324-33.

3. Pontigo-Loyola AP, Medina-Solís CE, Márquez-Corona ML, et al. Influencia de variables predisponentes, facilitadoras y de necesidades sobre la utilización de servicios de salud bucal en adolescentes mexicanos en un medio semirrural. Gac Med Mex. 2012;148:218-26.

4. Medina-Solís CE, Pontigo-Loyola AP, Mendoza-Rodríguez M, et al. Treatment needs for dental caries, restorative care index, and index of extractions in adolescents 12 to 15 years old. West Indian Med J. 2013;62(7):636-41.

5. Molina-Frechero N, Pierdant-Rodríguez AI, Oropeza-Oropeza A, Bologna- Molina R. Fluorosis and dental caries: an assessment of risk factors in Mexican children. Rev Invest Clin. 2012;64(1):67-73.

6. Irigoyen ME, Mejía-González A, Zepeda-Zepeda MA, Betancourt-Linares A, Lezana-Fernández MÁ, Álvarez-Lucas CH. Dental caries in Mexican schoolchildren: a comparison of 1988-1989 and 1998-2001 surveys. Med Oral Patol Oral Cir Bucal. 2012;17(5):e825-32.

7. Villalobos-Rodelo JJ, Medina-Solís CE, Verdugo-Barraza L, et al. Experiencia de lesiones cariosas reversibles y no-reversibles en escolares mexicanos de 11 y 12 años de edad: un análisis de regresión binomial negativa. Biomedica. 2013;33(1):88-98.

8. Padilla-Suzuki BE, Llodra-Calvo JC, Belío-Reyes IA, et al. Predicción de riesgo de caries en escolares del noroeste de México: estudio longitudinal. Rev Invest Clin. 2013;65(1):24-9.

9. Maupome G, Martínez-Mier EA, Holt A, Medina-Solís CE, Mantilla-Rodríguez A, Carlton B. The association between geographical factors and dental caries in a rural area in Mexico. Cad Saude Publica. 2013;29(7):1407-14.

10. García-Pérez A, Irigoyen-Camacho ME, Borges-Yáñez A. Fluorosis and dental caries in mexican schoolchildren residing in areas with different water fluoride concentrations and receiving fluoridated salt. Caries Res. 2013;47(4):299-308.

11. Zuñiga-Manriquez AG, Medina-Solís CE, Lara-Carrillo E, et al. Experiencia, prevalencia y severidad de caries dental asociada con el estado nutricional en infantes mexicanos de 17 a 47 meses de edad. Rev Invest Clin. 2013;65(3):228-36.

12. Baldani MH, Brito WH, Lawder JA, Mendes YB, Da Silva Fde F, An low-income adult and elderly individuals. Rev Bras Epidemiol. 2010; 13(1):150-62.

13. Baldani MH, Bittencourt Y, Mendes E, et al. Inequalities in dental services utilization among Brazilian low-income children: the role of individual determinant. J Public Health Dent. 2011;71(1):46-53.

14. Franco-Cortés AM, Ramírez-Puerta S, Escobar-Paucar G, Isaac-Millán M, Londoño-Marín PA. Barreras de acceso a los servicios odontológicos de niños y niñas menores de 6 años pertenecientes a familias desplazadas. Revista CES Odontología. 2010;23:41-8.

15. American Academy of Pediatrics. Oral health risk assessment timing and establishment of the dental home. AAP Policy Statement. Pediatrics. 2003;111:1113-6.

16. American Academy of Pediatric Dentistry, Council on Clinical Affairs. Policy on the dental home. 2010. [Internet] Disponible en: www.aapd.org/media/ Policies_Guidelines/P_DentalHome.pdf. Consultado el 12 de julio de 2011.

17. Vellakkal S, Subramanian SV, Millett C, Basu S, Stuckler D, Ebrahim S. Socioeconomic inequalities in non-communicable diseases prevalence in India: disparities between self-reported diagnoses and standardized measures. PLoS One. 2013;8(7):e68219.

18. Mhaskar RS, Ricardo I, Azliyati A, et al. Assessment of risk factors of helicobacter pylori infection and peptic ulcer disease. J Glob Infect Dis. 2013;5(2):60-7.

19. Kibele EU. Individual- and area-level effects on mortality risk in Germany, both East and West, among male Germans aged 65+. Int J Public Health. 2014;59(3):439-48.

20. Padyab M, Malmberg G, Norberg M, Blomstedt Y. Life course socioeconomic position and mortality: A population register-based study from Sweden. Scand J Public Health. 2013;41(8):785-91.

21. Moysés SJ. Inequalities in oral health and oral health promotion. Braz Oral Res. 2012;26 Suppl 1:86-93.

22. Mantonanaki M, Koletsi-Kounari H, Mamai-Homata E, Papaioannou W. Prevalence of dental caries in 5-year-old Greek children and the use of dental services: evaluation of socioeconomic, behavioural factors and living conditions. Int Dent J. 2013;63(2):72-9.

23. Chaffin JG, Moss D, Martin G, Leiendecker T, Mascarenhas AK. Children’s utilization of the U.S. Military Dental Insurance. Mil Med. 2013;178(7):816-8.

24. Barriuso-Lapresa L, Sanz-Barbero B. Análisis multinivel del uso de servicios de salud bucodental por población infanto-juvenil. Gac Sanit. 2011;25(5):391-6.

25. Barriuso-Lapresa L, Sanz-Barbero B. Variables asociadas al uso de los servicios de salud bucodental por la población preescolar en España: un análisis de la Encuesta Nacional de Salud. Rev Esp Salud Publica. 2012;86(1):115-24.

26. Medina-Solis CE, Maupomé G, Herrera MS, Ávila-Burgos L, Pérez-Núñez R, Lamadrid-Figueroa H. Dental health services utilization in children 6-12 year old in a low-income country. J Public Health Dent. 2008;68(1):39-45.

27. Medina-Solís CE, Maupomé G, Ávila-Burgos L, Casanova-Rosado JF, Vallejos-Sánchez AA, Segovia-Villanueva A. Utilización de servicios odontológicos de salud por niños menores de 5 años con seguridad social. Rev Mex Pediatr. 2004;71:222-8.

28. Medina-Solís CE, Villalobos-Rodelo JJ, Márquez-Corona ML, Vallejos- Sánchez AA, López Portillo-Núñez C, Casanova-Rosado AJ. Desigualdades socioeconómicas en la utilización de servicios de salud bucal: estudio en escolares mexicanos de 6 a 12 años de edad. Cadernos de Saude Publica. 2009;25(12):2621-31.

29. Vallejos-Sánchez AA, Medina-Solís CE, Minaya-Sánchez M, et al. Maternal characteristics and treatment needs as predictors of dental health services utilisation among Mexican school children. Eur J Paediatr Dent. 2012;13(4):307-10.

30. SEGOB Secretaría de Gobernación, INAFED Instituto para el Federalismo y el Desarrollo Municipal. Enciclopedia de los Municipios y Delegaciones de México, 2010. Disponible en: http://www.elocal.gob.mx/wb2/ ELOCAL/EMM_hidalgo. Consultado el 24 de junio de 2013.

31. AMISAC. Distribución de Sal Yodada y Sal Yodada-Fluorurada en México. Disponible en: http://www.amisac.org.mx/index_archivos/31.htm. Consultado el 24 de junio de 2013.

32. Hernández-Martínez CT, Medina-Solís CE, Robles-Bermeo NL, Mendoza- Rodríguez M, Veras-Hernández M, De la Rosa-Santillana R, et al. Uso de auxiliares para la higiene bucal y su distribución por edad y sexo en escolares de 6 a 12 años de edad de Pachuca. Rev Invest Clin. 2014;66(2):157-163.

33. Kolenikov S, Ángeles G. The use of discrete data in principal component analysis with applications to socio-economic indices. CPC/MEASURE Working paper No. WP-04-85. 2004.

34. Goettems ML, Ardenghi TM, Demarco FF, Romano AR, Torriani DD. Children’s use of dental services: influence of maternal dental anxiety, attendance pattern, and perception of children’s quality of life. Community Dent Oral Epidemiol. 2012;40(5):451-8.

35. Marmot M, Bell R. Social determinants and dental health. Adv Dent Res. 2011;23(2):201-6.

36. Linares-Pérez N, López-Arellano O. Inequidades en la salud en México. Gac Med Mex. 2012;148(6):591-7.

37. Navarro MF, Modena KC, Bresciani E. Social disparity and oral health. Braz Oral Res. 2012;26 Suppl 1:17-24.

38. Marmot M, Wilkinson RG. Social Determinants of Health. Oxford University Press: 1999.

39. Borrell C, Malmusi D. La investigación sobre los determinantes sociales y las desigualdades en salud: evidencias para la salud en todas las políticas. Informe SESPAS 2010. Gac Sanit. 2010;24 Suppl 1:101-8.

40. Braveman P. Accumulating knowledge on the social determinants of health and infectious disease. Public Health Rep. 2011;126 Suppl 3:28-30.

41. Adler N, Bush NR, Pantell MS. Rigor, vigor, and the study of health disparities. Proc Natl Acad Sci U S A. 2012;109 Suppl 2:17154-9.

42. Laaksonen M, Rahkonen O, Martikainen P, Lahelma E. Socioeconomic position and self-rated health: the contribution of childhood socioeconomic circumstances, adult socioeconomic status, and material resources. Am J Public Health. 2005;95(8):1403-9.

43. Camargo MB, Barros AJ, Frazão P, et al. Predictors of dental visits for routine check-ups and for the resolution of problems among preschool children. Rev Saude Publica. 2012;46(1):87-97.