Forgoing dental care for economic reasons in Switzerland: a six-year cross-sectional population-based study

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State: Public
Version: Final published version
Serval ID
serval:BIB_C300D612282D
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Forgoing dental care for economic reasons in Switzerland: a six-year cross-sectional population-based study
Journal
Bmc Oral Health
Author(s)
Guessous I., Theler J.M., Izart C.D., Stringhini S., Bodenmann P., Gaspoz J.M., Wolff H.
ISSN
1472-6831 (Electronic)
ISSN-L
1472-6831
Publication state
Published
Issued date
09/2014
Peer-reviewed
Oui
Volume
14
Pages
121
Language
english
Notes
IUMSP2014/09
Abstract
BACKGROUND: While oral health is part of general health and well-being, oral health disparities nevertheless persist. Potential mechanisms include socioeconomic factors that may influence access to dental care in the absence of universal dental care insurance coverage. We investigated the evolution, prevalence and determinants (including socioeconomic) of forgoing of dental care for economic reasons in a Swiss region, over the course of six years.
METHODS: Repeated population-based surveys (2007-2012) of a representative sample of the adult population of the Canton of Geneva, Switzerland. Forgone dental care, socioeconomic and insurance status, marital status, and presence of dependent children were assessed using standardized methods.
RESULTS: A total of 4313 subjects were included, 10.6% (457/4313) of whom reported having forgone dental care for economic reasons in the previous 12 months. The crude percentage varied from 2.4% in the wealthiest group (monthly income ≥ 13,000 CHF, 1 CHF ≈ 1$) to 23.5% among participants with the lowest income (<3,000 CHF). Since 2007/8, forgoing dental care remained stable overall, but in subjects with a monthly income of <3,000 CHF, the adjusted percentage increased from 16.3% in 2007/8 to 20.6% in 2012 (P trend = 0.002). Forgoing dental care for economic reasons was independently associated with lower income, younger age, female gender, current smoking, having dependent children, divorced status and not living with a partner, not having a supplementary health insurance, and receipt of a health insurance premium cost-subsidy.
CONCLUSIONS: In a Swiss region without universal dental care insurance coverage, prevalence of forgoing dental care for economic reasons was high and highly dependent on income. Efforts should be made to prevent high-risk populations from forgoing dental care.
Keywords
Dental care, Forgoing, Socioeconomic status, Insurance
Pubmed
Web of science
Open Access
Yes
Create date
30/10/2014 15:22
Last modification date
20/08/2019 16:38
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