Volume 26, Issue 2 (6-2023)                   jha 2023, 26(2): 51-65 | Back to browse issues page

XML Persian Abstract Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

feizi A, Hafezi B, Bagheri faradonbeh S, Tofighi S. Analysis of factors affecting the utilization of oral and dental health services: a population-based study in urban and rural households in Ahvaz. jha 2023; 26 (2) :51-65
URL: http://jha.iums.ac.ir/article-1-4341-en.html
1- PhD Student, Department of Economics‚ Khomeinishahr Branch, Islamic Azad University, Khomeinishahr/Isfahan
2- Assistant Professor, Department of Economics‚ Khomeinishahr Branch, Islamic Azad University, Khomeinishahr/Isfahan , hafezi@iaukhsh.ac.ir
3- Assistant Professor, Department of Healthcare Services Management, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz
4- Associate Professor, Department of Forecasting, Theory building and Health Observatory, Medical Academy of IRI, Tehran,
Abstract:   (363 Views)
Introduction: An increase in the use of oral and dental health services and routine examinations can lead to better health and improve health equity indicators. This study aimed to analyze the factors affecting the utilization of oral and dental health services in the households of Ahvaz in 2022.
Methods: The present study is a cross-sectional descriptive-analytical study in which 715 households including 2680 people living in the city of Ahvaz were studied by using the stratified-cluster sampling method. The collection of the required data was performed through a questionnaire, and the logistic model and Stata software were used to analyze the data and estimate the elasticity of the influencing factors.
Results: According to the results of this study, the utilization rate of oral and dental health services is 80.55%, and the odd ratio of the utilization of these services is 0.26% less for women compared to men, which is a statistically significant result. People with tertiary education also have a 1.83 times higher chance compared to other people to receive the services, which is statistically significant. People with income but without work have a 0.29 lower chance of receiving these services compared with unemployed people, although this result is not significant. Furthermore, people who have private insurance have 5.84 times more chances to receive these services, and this result is completely significant. Also, the individuals who exercise less than 3 times a week have the chance of receiving these services by 1.25 times compared to people who do not exercise at all, which is a significant result.
Conclusion: Based on the results of this study, it can be mentioned that employment and household income status, increased insurance coverage, higher education level, and a healthy lifestyle, including engaging in physical exercise, increase the chance of benefiting from dental services.
Full-Text [PDF 1258 kb]   (100 Downloads)    
Type of Study: Research | Subject: Health Economics
Received: 2023/04/16 | Accepted: 2023/06/21 | Published: 2023/12/13

1. Sisson, K.L., Theoretical explanations for social inequalities in oral health. Community dentistry and oral epidemiology, 2007. 35(2): p. 81-88. [DOI:10.1111/j.1600-0528.2007.00354.x]
2. World Health, O., WHO Results Report-Programme Budget 2018-2019. Cited, 2020. 31: p. 2018-2019.
3. Rezapour, A., Population -Based Study of Equity in Financing and Inequality in Access and Utilization of Health Care Services in Tehran(2012), in health Economics. 2013, Iran University of Medical Sciences: Tehran.
4. Vettore, M.V., S.F.H. Ahmad, C. Machuca, and H. Fontanini, Socio‐economic status, social support, social network, dental status, and oral health reported outcomes in adolescents. European journal of oral sciences, 2019. 127(2): p. 139-146. [DOI:10.1111/eos.12605]
5. Benson, P.E., et al., Relationships between dental appearance, self-esteem, socio-economic status, and oral health-related quality of life in UK schoolchildren: A 3-year cohort study. European journal of orthodontics, 2015. 37(5): p. 481-490. [DOI:10.1093/ejo/cju076]
6. Rezaei, S., M.H. Pulok, T.Z. Moghadam, and H. Zandian, Socioeconomic-related inequalities in dental care utilization in northwestern Iran. Clinical, cosmetic and investigational dentistry, 2020. 12: p. 181. [DOI:10.2147/CCIDE.S253242]
7. Arineitwe, S., Factors Affecting Utilization of Oral and Dental Services among Patients attending Dental Clinic at Katate Health Center IV, Kanungu District. A Cross-sectional study. Student's Journal of Health Research Africa, 2023. 4(3): p. 17-17.
8. Rad, E.H., Z. Kavosi, and M. Arefnezhad, Economic inequalities in dental care utilizations in Iran: Evidence from an urban region. Medical journal of the Islamic Republic of Iran, 2016. 30: p. 383.
9. Rezaei, S., et al., Dental care utilization in the west of Iran: a cross-sectional analysis of socioeconomic determinants. International Journal of Human Rights in Healthcare, 2016. [DOI:10.1108/IJHRH-06-2016-0008]
10. Üstün, T.B., S. Chatterji, A. Mechbal, and C.J.L. Murray, The world health surveys. Health systems performance assessment: debates, methods and empiricism. Geneva, World Health Organization, 2003. 797.
11. Gambhir, R.S., et al., Utilization of dental care: An Indian outlook. Journal of natural science, biology, and medicine, 2013. 4(2): p. 292. [DOI:10.4103/0976-9668.116972]
12. Hamasha, A.A.-H., et al., Barrier to access and dental care utilization behavior with related independent variables in the elderly population of Saudi Arabia. Journal of International Society of Preventive & Community Dentistry, 2019. 9(4): p. 349. [DOI:10.4103/jispcd.JISPCD_21_19]
13. Chen, M., et al., Predictors of dental care utilization in north‐central Appalachia in the USA. Community dentistry and oral epidemiology, 2019. 47(4): p. 283-290. [DOI:10.1111/cdoe.12453]
14. Su, T.T., B. Kouyaté, and S. Flessa, Catastrophic household expenditure for health care in a low-income society: a study from Nouna District, Burkina Faso. Bulletin of the World Health Organization, 2006. 84(1): p. 21-27. [DOI:10.2471/BLT.05.023739]
15. Al Johara, A., Factors affecting utilization of dental health services and satisfaction among adolescent females in Riyadh City. The Saudi dental journal, 2010. 22(1): p. 19-25. [DOI:10.1016/j.sdentj.2009.12.004]
16. Cheng, M.L., et al., Utilisation of oral health services and economic burden of oral diseases in China. Chin J Dent Res, 2018. 21(4): p. 275-284.
17. Gholami, M., A.A. Nasiripoor, and M.R. Maleki, The relation between social determinant of health with access to health services in Gonbad Kavoos. 2016.
18. Jang, Y., et al., Dental care utilization and unmet dental needs in older Korean Americans. Journal of aging and health, 2014. 26(6): p. 1047-1059. [DOI:10.1177/0898264314538663]
19. NouraeiMotlagh, S., et al., FactorsAffectingDemandandUtilizationof DentalServices: Evidence fromaDevelopingCountry. ShirazE-MedJ., 2019.
20. Maharani, D.A., Inequity in dental care utilization in the Indonesian population with a self-assessed need for dental treatment. The Tohoku journal of experimental medicine, 2009. 218(3): p. 229-239. [DOI:10.1620/tjem.218.229]
21. Kim, N., C.-y. Kim, and H. Shin, Inequality in unmet dental care needs among South Korean adults. BMC Oral Health, 2017. 17: p. 1-9. [DOI:10.1186/s12903-017-0370-9]
22. Rezapour, A., et al., Estimating the odd-ratio of factors affecting households' exposure to catastrophic and impoverishing health expenditures. Journal of Military Medicine, 2016. 18(1): p. 355-361.
23. Piovesan, C., J.L.F. Antunes, R.S. Guedes, and T.M. Ardenghi, Influence of self-perceived oral health and socioeconomic predictors on the utilization of dental care services by schoolchildren. Brazilian oral research, 2011. 25: p. 143-149. [DOI:10.1590/S1806-83242011005000004]
24. Meyerhoefer, C.D., S.H. Zuvekas, and R. Manski, The demand for preventive and restorative dental services. Health economics, 2014. 23(1): p. 14-32. [DOI:10.1002/hec.2899]

Add your comments about this article : Your username or Email:

Send email to the article author

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Journal of Health Administration

Designed & Developed by : Yektaweb