Abstract

SANABRIA-CASTELLANOS, Cindy Marleyi; SUAREZ-ROBLES, Moisés Alberto  and  ESTRADA-MONTOYA, John Harold. Relationship between Socioeconomic Determinants, Health Coverage, and Dental Caries in Twenty Countries. Rev. Gerenc. Polit. Salud [online]. 2015, vol.14, n.28, pp.161-189. ISSN 1657-7027.  https://doi.org/10.11144/Javeriana.rgyps18-28.rdsc.

Objective: establishing the relationship between structural socioeconomic determinants, coverage of the health system, and dental caries in twenty countries. Methods: ecologic mixed analysis of secondary data of twenty countries. The inclusion criteria were countries that showed three COP values (decayed, filled, lost) during the last four decades. The independent variables were: total expenses on health; public sanitation expenses; poverty index; literacy rate in adults; maternal mortality rate; mortality rate in children younger than 5 and life expectancy at birth. Results: Dental caries shows stable scores (COP 2.4) from 1990, with a tendency toward lower scores in more developed countries and toward higher scores in less developed ones. Conclusion: the countries were classified in three groups: universalist (best indicators), dualist, and excluding (worse socioeconomic conditions). Dualist and excluding countries did now show any association between the prevalence of caries and socioeconomic determinant factors.

Keywords : dental caries; oral health; health systems; health insurance; developed countries; developing countries.

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