| Abstract | dc.description.abstract | Objectives: The aim of this study was to analyse inequalities in the
use of dental care services according to socioeconomic position (SEP) in
individuals aged ≥50 years in European countries in 2006, to examine the
association between the degree of public coverage of dental services and the
extent of inequalities, and specifically to determine whether countries with
higher public health coverage show lower inequalities. Methods: We carried out
a cross-sectional study of 12 364 men and 14 692 women aged ≥50 years from
11 European countries. Data were extracted from the second wave of the
Survey of Health, Ageing and Retirement in Europe (SHARE 2006). The
dependent variable was use of dental care services within the previous year,
and the independent variables were education level as a measure of SEP,
whether services were covered to some degree by the country’s public health
system, and chewing ability as a marker of individuals’ need for dental
services. Age-standardized prevalence of the use of dental care as a function of
SEP was calculated, and age-adjusted indices of relative inequality (RII) were
computed for each type of dental coverage, sex and chewing ability. Results:
Socioeconomic inequalities in the use of dental care services were higher in
countries where no public dental care cover was provided than in countries
where there was some degree of public coverage. For example, men with
chewing ability from countries with dental care coverage had a RII of 1.39 (95%
CI: 1.29–1.51), while those from countries without coverage had a RII of 1.96
(95%CI: 1.72–2.23). Women without chewing ability from countries with dental
care coverage had a RII of 2.15 (95%CI: 1.82–2.52), while those from countries
without coverage had a RII of 3.02 (95%CI: 2.47–3.69). Conclusions: Dental
systems relying on public coverage seem to show lower inequalities in their
use, thus confirming the potential benefits of such systems. | en_US |
