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Type: Journal article
Title: Social inequality in use of dental services: relief of pain and extractions
Author: Roberts-Thomson, K.
Luzzi, L.
Brennan, D.
Citation: Australian and New Zealand Journal of Public Health, 2008; 32(5):444-449
Publisher: Public Health Assoc Australia Inc
Issue Date: 2008
ISSN: 1326-0200
Abstract: Objectives:The aim of this study was to assess social inequality in use of dental services by examination of visiting for relief of pain and receipt of extractions. Methods: Data were collected in the period of 2004-06, from a stratified clustered sample of Australians aged 15+ years, using a computer-aided telephone interview. Analysis was restricted to n=10,099 dentate adults. Results: Visiting for relief of pain varied by age, country of birth, education and income with lower odds (Odds ratio, 95%CI) among 55-74 (0.43, 0.35-0.54) and 75+ year-olds (0.22, 0.15-0.33) compared to the 15-34 year-olds, lower odds among Australian-born persons (0.82,0.69-0.98) compared to those born overseas, higher odds for those with no post-secondary education (1.31, 1.07-1.61) and with TAFE, trade or other qualifications (1.34, 1.09-1.66) compared to university qualified, and for those in the <$20,000 income group (1.61, 1.23-2.12), the $20,000-<$40,000 (1.53, 1.20-1.96) and the $40,000-<$60,000 group (1.33, 1.02-1.72) compared to <$80,000+. Receipt of extractions varied by age, sex, qualifications and income, with lower odds of extraction among persons of 75+ years (0.61,0.40-0.93) compared to the youngest age group, higher odds among males (1.34, 1.13-1.59) compared to females, those with no post-secondary education (1.59, 1.27-1.99) and with TAFE, trade or other qualifications (1.49, 1.21-1.84) compared to university qualified, and for the income groups <$20,000 (3.06, 2.27-4.12), $20,000-<40,000 (2.37, 1.80-3.12) and $40,000-<60,000 (1.94 1.47-2.55) compared to the $80,000+ income group. Conclusions: The results indicate social inequality in provision of dental services and suggest an urgent need for the dental profession and governments to address this inequality.
Keywords: Humans
Facial Pain
Tooth Extraction
Dental Health Surveys
Multivariate Analysis
Sampling Studies
Dental Care
Age Factors
Socioeconomic Factors
Aged, 80 and over
Middle Aged
Educational Status
Continuity of Patient Care
Health Services Accessibility
Patient Acceptance of Health Care
Healthcare Disparities
DOI: 10.1111/j.1753-6405.2008.00277.x
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Appears in Collections:Aurora harvest 6
Dentistry publications

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