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Annals of Agricultural and Environmental Medicine
Article . 2018 . Peer-reviewed
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Socio-economic inequalities in the use of dental care in urban and rural areas in Poland

Authors: Dorota Elżbieta Piotrowska; Bartosz Pędziński; Dorota Jankowska; Dorota Huzarska; Angelika Edyta Charkiewicz; Andrzej Stanisław Szpak;

Socio-economic inequalities in the use of dental care in urban and rural areas in Poland

Abstract

The issue of inequalities in the use of health services and health inequalities between urban and rural dwellers is a subject of numerous scientific reports, but similar publications on dental health are scarce.The aim of this study is to assess the correlations between the use or non-use of dental services and the classical socio-economic factors (SES) in urban and rural groups in a representative population of Poland.The analysis consisted in desk research based on a questionnaire survey conducted by the Central Statistical Office of Poland on 12,532 individuals (urban areas - 6411, rural areas - 6121) in 2013. The chi-squared test, multivariate and univariate logistic regression models were applied.There were major differences in the use of dental services depending on income level, education and source of income among rural and urban populations, as well as differences between these populations. Urban dwellers had 1.34 times greater odds of using dental services than rural ones (95% CI: 1.20-1.51). In the case of the highest income group, the odds were 3.26 (95% CI 2.21-4.83) times greater in cities and 2.07 (95% CI 1.51-2.85) times greater in villages than the odds in the lowest income group. In the highest education group, the odds were 1.58 (95% CI 1.17-2.13) times greater in urban areas and 2.08 (95% CI 1.48-2.91) times greater in rural areas than the odds in the lowest education group.There are considerable inequalities in the use of dental services, yet the differences in non-use, despite such a need, are less evident. This could imply that health disparities arise not only from economic constraints and unavailability of health care, but also from health attitudes and behaviours.

Keywords

Adult, Male, Rural Population, Adolescent, Urban Population, Socioeconomic factors, preschool, Urban population, Young Adult, Healthcare disparities - economics, 80 and over, Humans, GE1-350, Healthcare Disparities, Middle aged, Child, Dental Care, health disparities, Aged, Aged, 80 and over, S, Dental care - statistics & numerical data, Infant, Agriculture, health inequalities, Middle Aged, Environmental sciences, Young adult, rural/urban environment, Socioeconomic Factors, Child, Preschool, Rural population, Income, socio-economic factors, Female, Poland, Dental care - economics, dental public health

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
8
Top 10%
Average
Top 10%
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