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

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dc.contributor.authorHernández Vásquez, Akram
dc.contributor.authorBendezú Quispe, Guido
dc.contributor.authorAzañedo, Diego
dc.contributor.authorSantero, Marilina
dc.date.accessioned2019-04-01T21:29:15Z
dc.date.available2019-04-01T21:29:15Z
dc.date.issued2019-03
dc.description.abstractBackground: 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-reviewRevisado por pareses_ES
dc.formatapplication/pdf
dc.identifier.citationHernández-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.doi10.1186/s12903-019-0731-7
dc.identifier.issn1472-6831
dc.identifier.journalBMC Oral Healthen
dc.identifier.urihttps://hdl.handle.net/20.500.14005/8704
dc.identifier.urihttps://doi.org/10.1186/s12903-019-0731-7
dc.identifier.urihttps://bmcoralhealth.biomedcentral.com/articles/10.1186/s12903-019-0731-7
dc.language.isoeng
dc.publisherBioMed Central Ltd.
dc.relation.ispartofBMC Oral Health
dc.rightsinfo:eu-repo/semantics/openAccesses_ES
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/es_ES
dc.sourceUniversidad San Ignacio de Loyolaes_ES
dc.sourceRepositorio Institucional - USILes_ES
dc.subjectcontrolled studyes_ES
dc.subjectcross-sectional studyes_ES
dc.subjectdependent variablees_ES
dc.subjecthealth care disparityes_ES
dc.subjecthuman experimentes_ES
dc.subjectpreschool childes_ES
dc.titleUse of oral health care services in Peru: Trends of socio-economic inequalities before and after the implementation of Universal Health Assurancees_ES
dc.typeinfo:eu-repo/semantics/articlees_ES
dspace.entity.typePublication
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