Education-Related Inequalities in Dental Services Use among Older Adults in 23 Countries
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
Texto Completo: | https://www.arca.fiocruz.br/handle/icict/58384 |
Resumo: | Rene Rachou Institute. Oswaldo Cruz Foundation. Belo Horizonte, MG, Brazil. |
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Andrade, Fabíola Bof deAntunes, José Leopoldo FerreiraAndrade, Flavia Cristina DrumondCosta, Maria Fernanda Furtado de LimaMacinko, James2023-05-15T13:27:50Z2023-05-15T13:27:50Z2020ANDRADE, Fabiola Bof de et al. Education-Related Inequalities in Dental Services Use among Older Adults in 23 Countries. J Dent Res., v. 99, n. 12, p. 1341-1347, 2020. doi: 10.1177/0022034520935854.0022-0345https://www.arca.fiocruz.br/handle/icict/5838410.1177/0022034520935854engAmerican Dental AssnEducation-Related Inequalities in Dental Services Use among Older Adults in 23 Countriesinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleRene Rachou Institute. Oswaldo Cruz Foundation. Belo Horizonte, MG, Brazil.Department of Epidemiology. School of Public Health. University of São Paulo. São Paulo, SP, Brazil.School of Social Work. University of Illinois at Urbana-Champaign. Champaign, IL, USA.Rene Rachou Institute. Oswaldo Cruz Foundation. Belo Horizonte, MG, Brazil.Departments of Health Policy and Management and Community Health Sciences. UCLA Fielding School of Public Health. Los Angeles, CA, USA.This study aimed to measure the magnitude of education-related inequalities in the use of dental services among older adults (aged 50 y or older) from a sizable multicountry sample of 23 upper-middle- and high-income countries. This study used cross-sectional data from nationally representative surveys of people aged 50 y and over. Countries included in the Health and Retirement Study surveys were the following: Brazil, China, South Korea, Mexico, United States, Austria, Belgium, Croatia, Czech Republic, Denmark, Estonia, France, Germany, Greece, Italy, Israel, Luxembourg, Poland, Portugal, Slovenia, Spain, Sweden, and Switzerland. The dependent variable was the use of dental services, based on the self-report of having had a dental visit within the previous year, except for the United States and South Korea, which used 2-y recall periods. Educational level was used as the measure of socioeconomic position and was standardized across countries. Multivariate logistic regression modeling was used to evaluate the factors associated with the use of dental services, and the magnitude of education inequalities in the use of dental services was assessed using the slope index of inequality (SII) to measure absolute inequalities and the relative index of inequality for relative inequalities. The pooled prevalence of the use of dental services was 31.7% and ranged from 18.7% in China to 81.2% in Sweden. In the overall sample, the absolute difference in the prevalence of use between the lowest and highest educational groups was 20 percentage points. SII was significant for all countries except Portugal. Relative educational inequalities were significant for all countries and ranged from 3.2 in Poland to 1.2 in Sweden. There were significant education-related inequalities in the use of dental care by older adults in all countries. Monitoring these inequalities is critical to the planning and delivery of dental services.dental careepidemiologyhealth care disparitieshealth services for the agedoral healthsocioeconomic factorsinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZORIGINALEducation-Related Inequalities in Dental Services Use among Older Adults in 23 Countries.pdfEducation-Related Inequalities in Dental Services Use among Older Adults in 23 Countries.pdfapplication/pdf415795https://www.arca.fiocruz.br/bitstream/icict/58384/2/Education-Related%20Inequalities%20in%20Dental%20Services%20Use%20among%20Older%20Adults%20in%2023%20Countries.pdf94363d4f2dfc15e44835d449df8bbc8fMD52LICENSElicense.txttext/plain1748https://www.arca.fiocruz.br/bitstream/icict/58384/1/license.txt8a4605be74aa9ea9d79846c1fba20a33MD51icict/583842023-05-15 10:27:51.947oai:www.arca.fiocruz.br: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Repositório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352023-05-15T13:27:51Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false |
dc.title.en_US.fl_str_mv |
Education-Related Inequalities in Dental Services Use among Older Adults in 23 Countries |
title |
Education-Related Inequalities in Dental Services Use among Older Adults in 23 Countries |
spellingShingle |
Education-Related Inequalities in Dental Services Use among Older Adults in 23 Countries Andrade, Fabíola Bof de dental care epidemiology health care disparities health services for the aged oral health socioeconomic factors |
title_short |
Education-Related Inequalities in Dental Services Use among Older Adults in 23 Countries |
title_full |
Education-Related Inequalities in Dental Services Use among Older Adults in 23 Countries |
title_fullStr |
Education-Related Inequalities in Dental Services Use among Older Adults in 23 Countries |
title_full_unstemmed |
Education-Related Inequalities in Dental Services Use among Older Adults in 23 Countries |
title_sort |
Education-Related Inequalities in Dental Services Use among Older Adults in 23 Countries |
author |
Andrade, Fabíola Bof de |
author_facet |
Andrade, Fabíola Bof de Antunes, José Leopoldo Ferreira Andrade, Flavia Cristina Drumond Costa, Maria Fernanda Furtado de Lima Macinko, James |
author_role |
author |
author2 |
Antunes, José Leopoldo Ferreira Andrade, Flavia Cristina Drumond Costa, Maria Fernanda Furtado de Lima Macinko, James |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Andrade, Fabíola Bof de Antunes, José Leopoldo Ferreira Andrade, Flavia Cristina Drumond Costa, Maria Fernanda Furtado de Lima Macinko, James |
dc.subject.en.en_US.fl_str_mv |
dental care epidemiology health care disparities health services for the aged oral health socioeconomic factors |
topic |
dental care epidemiology health care disparities health services for the aged oral health socioeconomic factors |
description |
Rene Rachou Institute. Oswaldo Cruz Foundation. Belo Horizonte, MG, Brazil. |
publishDate |
2020 |
dc.date.issued.fl_str_mv |
2020 |
dc.date.accessioned.fl_str_mv |
2023-05-15T13:27:50Z |
dc.date.available.fl_str_mv |
2023-05-15T13:27:50Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
ANDRADE, Fabiola Bof de et al. Education-Related Inequalities in Dental Services Use among Older Adults in 23 Countries. J Dent Res., v. 99, n. 12, p. 1341-1347, 2020. doi: 10.1177/0022034520935854. |
dc.identifier.uri.fl_str_mv |
https://www.arca.fiocruz.br/handle/icict/58384 |
dc.identifier.issn.en_US.fl_str_mv |
0022-0345 |
dc.identifier.doi.none.fl_str_mv |
10.1177/0022034520935854 |
identifier_str_mv |
ANDRADE, Fabiola Bof de et al. Education-Related Inequalities in Dental Services Use among Older Adults in 23 Countries. J Dent Res., v. 99, n. 12, p. 1341-1347, 2020. doi: 10.1177/0022034520935854. 0022-0345 10.1177/0022034520935854 |
url |
https://www.arca.fiocruz.br/handle/icict/58384 |
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eng |
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eng |
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info:eu-repo/semantics/openAccess |
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openAccess |
dc.publisher.none.fl_str_mv |
American Dental Assn |
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American Dental Assn |
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reponame:Repositório Institucional da FIOCRUZ (ARCA) instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
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