Does Dental Insurance Make a Difference in Type of Service Received by Iranian Dentate Adults?
Identifieur interne : 004229 ( Main/Exploration ); précédent : 004228; suivant : 004230Does Dental Insurance Make a Difference in Type of Service Received by Iranian Dentate Adults?
Auteurs : Fariborz Bayat [Finlande, Iran] ; Heikki Murtomaa [Finlande] ; Miira M. Vehkalahti [Finlande] ; Heikki Tala [Finlande]Source :
- European Journal of Dentistry [ 1305-7456 ] ; 2011.
Abstract
To assess the relationship between insurance status and type of service received among dentate adults in a developing oral health care system.
A cross-sectional survey based on phone interviews in Tehran, Iran. Four trained interviewers collected data using a structured questionnaire. Of 1,531 subjects answering the phone call, 224 were <18 years; of the remaining 1,307, 221 (17%) refused to participate, and 85 (6%) were excluded as edentate or reporting no dental visit, leaving 1,001 eligible subjects in the sample. The questionnaire covered insurance status, socio-demographics, frequency of tooth brushing, dental attendance as reasons for, and time since last dental visit, and dental service received then. Data analysis included the chi-square test and logistic regression.
Of the subjects, 71% had a dental insurance. Those with no insurance were more likely to report tooth extractions (OR=1.5) than those with an insurance coverage; for all other treatments no differences according to the insurance status appeared. Among the insured subjects, extractions were more likely for those reporting a problem-based dental visit (OR=6.0) or having a low level of education (OR=2.3).
In Iran, with its developing oral health care system, dental insurance had only a minor impact on dental services reported.
Url:
PubMed: 21311609
PubMed Central: 3037191
Affiliations:
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Vehkalahti</name><affiliation wicri:level="4"><nlm:aff id="af1-dent05_p0068">Institute of Dentistry, University of Helsinki, Helsinki, Finland</nlm:aff><country xml:lang="fr">Finlande</country><wicri:regionArea>Institute of Dentistry, University of Helsinki, Helsinki</wicri:regionArea><orgName type="university">Université d'Helsinki</orgName><placeName><settlement type="city">Helsinki</settlement><region type="région" nuts="2">Uusimaa</region></placeName></affiliation></author><author><name sortKey="Tala, Heikki" sort="Tala, Heikki" uniqKey="Tala H" first="Heikki" last="Tala">Heikki Tala</name><affiliation wicri:level="4"><nlm:aff id="af1-dent05_p0068">Institute of Dentistry, University of Helsinki, Helsinki, Finland</nlm:aff><country xml:lang="fr">Finlande</country><wicri:regionArea>Institute of Dentistry, University of Helsinki, Helsinki</wicri:regionArea><orgName type="university">Université d'Helsinki</orgName><placeName><settlement type="city">Helsinki</settlement><region type="région" nuts="2">Uusimaa</region></placeName></affiliation></author></analytic><series><title level="j">European Journal of Dentistry</title><idno type="ISSN">1305-7456</idno><idno type="eISSN">1305-7464</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objectives:</title><p>To assess the relationship between insurance status and type of service received among dentate adults in a developing oral health care system.</p></sec><sec><title>Methods:</title><p>A cross-sectional survey based on phone interviews in Tehran, Iran. Four trained interviewers collected data using a structured questionnaire. Of 1,531 subjects answering the phone call, 224 were <18 years; of the remaining 1,307, 221 (17%) refused to participate, and 85 (6%) were excluded as edentate or reporting no dental visit, leaving 1,001 eligible subjects in the sample. The questionnaire covered insurance status, socio-demographics, frequency of tooth brushing, dental attendance as reasons for, and time since last dental visit, and dental service received then. Data analysis included the chi-square test and logistic regression.</p></sec><sec><title>Results:</title><p>Of the subjects, 71% had a dental insurance. Those with no insurance were more likely to report tooth extractions (OR=1.5) than those with an insurance coverage; for all other treatments no differences according to the insurance status appeared. Among the insured subjects, extractions were more likely for those reporting a problem-based dental visit (OR=6.0) or having a low level of education (OR=2.3).</p></sec><sec><title>Conclusions:</title><p>In Iran, with its developing oral health care system, dental insurance had only a minor impact on dental services reported.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Macek, Md" uniqKey="Macek M">MD Macek</name></author><author><name sortKey="Cohen, La" uniqKey="Cohen L">LA Cohen</name></author><author><name sortKey="Reid, Bc" uniqKey="Reid B">BC Reid</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bagewitz, Ic" uniqKey="Bagewitz I">IC Bagewitz</name></author><author><name sortKey="Soderfeldt, B" uniqKey="Soderfeldt B">B Soderfeldt</name></author><author><name sortKey="Palmqvist, S" uniqKey="Palmqvist S">S 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uniqKey="Brennan D">DS Brennan</name></author><author><name sortKey="Spencer, Aj" uniqKey="Spencer A">AJ Spencer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bates, E" uniqKey="Bates E">E Bates</name></author><author><name sortKey="Linder Pelz, S" uniqKey="Linder Pelz S">S Linder-Pelz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tomlinson, P" uniqKey="Tomlinson P">P Tomlinson</name></author><author><name sortKey="Treasure, E" uniqKey="Treasure E">E Treasure</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Slad, G" uniqKey="Slad G">G Slad</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sweet, M" uniqKey="Sweet M">M Sweet</name></author><author><name sortKey="Damiano, P" uniqKey="Damiano P">P Damiano</name></author><author><name sortKey="Rivera, E" uniqKey="Rivera E">E Rivera</name></author><author><name sortKey="Kuthy, R" uniqKey="Kuthy 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Vehkalahti</name></country><country name="Iran"><noRegion><name sortKey="Bayat, Fariborz" sort="Bayat, Fariborz" uniqKey="Bayat F" first="Fariborz" last="Bayat">Fariborz Bayat</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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