This study aimed to measure socioeconomic‐related inequality and horizontal inequity in the use of oral health services and decompose this inequality among adults of different age groups in China. In total, 10 973 adults (3669 aged 35‐44 years, ...
http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
https://www.riss.kr/link?id=O111396627
Mengru Xu ; Xiaoli Gao ; Huijing Wu ; Min Ding ; Chunzi Zhang ; Shuo Du ; Xing Wang ; Xiping Feng ; Baojun Tai ; Deyu Hu ; Huancai Lin ; Bo Wang ; Chunxiao Wang ; Shuguo Zheng ; Xuenan Liu ; Wensheng Rong ; Weijian Wang ; Tao Xu ; Yan Si
2021년
-
0301-5661
1600-0528
SCI;SCIE;SCOPUS
학술저널
47-54 [※수록면이 p5 이하이면, Review, Columns, Editor's Note, Abstract 등일 경우가 있습니다.]
0
상세조회0
다운로드다국어 초록 (Multilingual Abstract)
This study aimed to measure socioeconomic‐related inequality and horizontal inequity in the use of oral health services and decompose this inequality among adults of different age groups in China. In total, 10 973 adults (3669 aged 35‐44 years, ...
This study aimed to measure socioeconomic‐related inequality and horizontal inequity in the use of oral health services and decompose this inequality among adults of different age groups in China.
In total, 10 973 adults (3669 aged 35‐44 years, 3767 aged 55‐64 years and 3537 aged 65‐74 years) who participated in the 4th National Oral Health Survey (2015‐2016) in China were included. Concentration curves and the Erreygers‐corrected concentration index (EI) were employed to measure socioeconomic‐related inequality in the use of oral health services. Then, inequity in this utilization was measured by the horizontal inequity index (HI). Furthermore, decomposition analyses were conducted for the three groups to explain the contributions of income level, need factors (ie self‐assessed oral health and evaluated oral health status), other factors (ie sex, residential location, educational attainment level and type of basic insurance) and a residual term to overall inequality in oral health service utilization.
The significant positive EI and HI values indicated that pro‐rich inequality and inequity in oral health service utilization exist among Chinese adults. Income and type of basic medical insurance contributed the most to socioeconomic‐related inequality in the use of oral health services among adults aged 55‐64 and 65‐74 years. However, the main driving factors of socioeconomic inequality among adults aged 35‐44 years in dental care use included income, educational achievement, type of basic medical insurance and residential location. The need variables accounted for a very small proportion of overall socioeconomic‐related inequality in oral health service use in all three groups.
Oral healthcare service utilization was disproportionately concentrated among better‐off Chinese adults. The primary determinants of inequality in dental care use in different age groups provide information for policymakers to create more targeted policies to achieve equity in the oral healthcare system in China.
Association between disability status and dental attendance in Australia—A population‐based study