Use of oral health care services in Peru: Trends of socio-economic inequalities before and after the implementation of Universal Health Assurance

dc.contributor.author Hernández Vásquez, Akram
dc.contributor.author Bendezú Quispe, Guido
dc.contributor.author Azañedo, Diego
dc.contributor.author Santero, Marilina
dc.date.accessioned 2019-04-01T21:29:15Z
dc.date.available 2019-04-01T21:29:15Z
dc.date.issued 2019-03
dc.description.abstract Background: Oral health inequalities are profound worldwide. Despite major improvements in oral health, inequalities exist for many racial and ethnic groups, by socioeconomic status, gender, age, and geographic location. Therefore, the purpose of this study was to investigate trends of socio-economic inequalities in access to oral health services in Peru before and after the implementation of Universal Health Assurance (AUS). Methods: Analytical cross-sectional study based on the National Household Survey on Living Conditions and Poverty (ENAHO) 2004, 2008, 2010 and 2017. Two periods were defined before and after the AUS Law (2009). Use of oral health services was the dependent variable, for the general population and according to ages, the area of residence, and natural region. Measurements of inequality in the use of health services were made based on the concentration curves (CC), dominance test and concentration index (CI). Results: We included a number of 85,436 (2004), 88,673 (2008), 87,074 (2010) and 124,142 (2017) participants. The proportion of people who used oral health services was 8.4% (2014), 10.1% (2008), 10.6% (2010) and 10.4% (2017). Use of oral health services showed an increase in different age groups, urban and rural areas, and natural regions of residence during the study period. The CC were distributed below the line of equality, indicating an inequality of use of oral health services, in favor of the richest groups and dominance of the CC in 2017 over the previous years. Changes in the CI were statistically significant for < 5 years and in the rural area, and for the period 2010-2017 they were also significant in the general population, children aged 5-17 years, urban area, and Andean and Jungle regions, which indicates a reduction in the concentration of use of these services in these groups. es_ES
dc.description.peer-review Revisado por pares es_ES
dc.format application/pdf
dc.identifier.citation Hernández-Vásquez, A., Bendezu-Quispe, G., Azañedo, D., & Santero, M. (2019). Use of oral health care services in Peru: trends of socio-economic inequalities before and after the implementation of Universal Health Assurance. BMC Oral Health, 19(1), 39. en
dc.identifier.doi 10.1186/s12903-019-0731-7
dc.identifier.issn 1472-6831
dc.identifier.journal BMC Oral Health en
dc.identifier.uri https://repositorio.usil.edu.pe/handle/usil/8704
dc.identifier.uri https://doi.org/10.1186/s12903-019-0731-7
dc.identifier.uri https://bmcoralhealth.biomedcentral.com/articles/10.1186/s12903-019-0731-7
dc.language.iso eng
dc.publisher BioMed Central Ltd.
dc.relation.ispartof BMC Oral Health
dc.rights info:eu-repo/semantics/openAccess es_ES
dc.rights.uri https://creativecommons.org/licenses/by/4.0/ es_ES
dc.source Universidad San Ignacio de Loyola es_ES
dc.source Repositorio Institucional - USIL es_ES
dc.subject controlled study es_ES
dc.subject cross-sectional study es_ES
dc.subject dependent variable es_ES
dc.subject health care disparity es_ES
dc.subject human experiment es_ES
dc.subject preschool child es_ES
dc.title Use of oral health care services in Peru: Trends of socio-economic inequalities before and after the implementation of Universal Health Assurance es_ES
dc.type info:eu-repo/semantics/article es_ES
Archivos
Paquete original
Mostrando 1 - 1 de 1
Imagen en miniatura
Nombre:
2049_Hernandez_Use-of-oral-health-care-services-in-Peru.pdf
Tamaño:
1.39 MB
Formato:
Adobe Portable Document Format
Descripción: