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Int. J. Environ. Res. Public Health 2017, 14(8), 903; doi:10.3390/ijerph14080903

Socioeconomic Inequalities in Visits to the Dentist to Receive Professionally Applied Topical Fluoride in a Developing Country

1
Faculty of Dentistry of National Autonomous, University of Nicaragua, León 21000, Nicaragua
2
Academic Area of Dentistry of Health Sciences Institute at Autonomous, University of Hidalgo State, Pachuca 42039, Mexico
3
Advanced Studies and Research Center in Dentistry “Keisaburo Miyata” of Faculty of Dentistry at Autonomous, University State of Mexico, Toluca 50000, Mexico
4
Health Systems Research Centre at National Institute of Public Health, Cuernavaca 62100, Mexico
5
Faculty of Dentistry of Autonomous, University of Campeche, Campeche 24039, Mexico
Current address: Avenida Álamo # 204, Fraccionamiento Paseo de los Solares, Colonia Santiago Tlapacoya, CP. 42113, Pachuca de Soto, Hidalgo, Mexico.
*
Author to whom correspondence should be addressed.
Received: 17 July 2017 / Revised: 31 July 2017 / Accepted: 5 August 2017 / Published: 11 August 2017
(This article belongs to the Section Health Services and Health Economics Research)
View Full-Text   |   Download PDF [343 KB, uploaded 11 August 2017]

Abstract

Objective: To determine the frequency and associated factors of visits to the dentist in the last year by Nicaraguan schoolchildren to receive professionally applied topical fluoride (PATF). Material and Methods: A cross-sectional study was designed in children from public schools in the city of León, Nicaragua, were included. A series of socioeconomic, sociodemographic, and behavioural variables were collected through a questionnaire. The dependent variable was the visit to the dentist to receive professionally applied topical fluoride in the last year, which was dichotomised as (0) Did not receive PATF and (1) Yes received PATF. In the statistical analysis, binary logistic regression was used. Results: The mean age of the students included was 9 years, and 49.9% were girls. The prevalence of visits to the dentist in the last year to receive PATF was 3.1%. In the multivariate model, the associated characteristics (p < 0.05) were: female (OR = 2.73, 95% CI = 1.34–4.50); the positive attitude of the mother to the oral health of her child (OR = 2.15, 95% CI = 1.03–4.50); and the best socioeconomic position (OR = 2.68, 95% CI = 1.36—5.31). Conclusions: The prevalence of visits to the dentist in the last year to receive professionally applied topical fluoride was very low (3.1%). The results of the socioeconomic position suggest the existence of certain inequalities in oral health. It is necessary to implement policies and programs aimed at improving this scenario. View Full-Text
Keywords: oral health; health services; caries prevention; topical fluoride; Nicaragua oral health; health services; caries prevention; topical fluoride; Nicaragua
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Herrera, M.D.S.; Medina-Solís, C.E.; Pontigo-Loyola, A.P.; Rosa-Santillana, R.; Ávila-Burgos, L.; Scougall-Vilchis, R.J.; Márquez-Rodríguez, S.; Minaya-Sánchez, M.; Casanova-Rosado, A.J. Socioeconomic Inequalities in Visits to the Dentist to Receive Professionally Applied Topical Fluoride in a Developing Country. Int. J. Environ. Res. Public Health 2017, 14, 903.

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