Access to oral health services in children under twelve years of age in Peru, 2014

Akram Hernández-Vásquez Surgeon, Master’s degree in Management and Public Policies. Postgraduate student, Faculty of Medicine, Universidad de Buenos Aires. Buenos Aires, Argentina. image/svg+xml , Diego Azañedo Dental surgeon. Research Assistant, Research Institute, Faculty of Dentistry, Universidad Católica los Ángeles de Chimbote. Chimbote, Peru. image/svg+xml , Deysi Díaz-Seijas Undergraduate degree in Nursing, Specialist in Intensive Care. Assistential nurse, Instituto Nacional Cardiovascular (INCOR), EsSalud. Lima, Peru. image/svg+xml , Guido Bendezú-Quispe Surgeon, Scientific Advisor, Sociedad Científica de Estudiantes de Medicina de Ica (SOCEMI), Faculty of Medicine, Universidad Nacional San Luis Gonzaga. Ica, Peru. image/svg+xml , Hugo Arroyo-Hernández Surgeon. Assistant Editor, General Office of Information and Systems, Instituto Nacional de Salud. Lima, Peru. image/svg+xml , Stalin Vilcarromero Surgeon, Master’s degree in Public Health. Advisor, Scientific Society of Medicine Students of the Peruvian Amazon, Faculty of Medicine, Universidad Nacional de la Amazonía Peruana, Peru. image/svg+xml , Andrés A. Agudelo-Suárez Dental surgeon, PhD in Public Health. Head of the Research and Extension Center, Faculty of Dentistry, Universidad de Antioquia. Medellin, Colombia. image/svg+xml
Received: 29 March 2016, Accepted: 29 July 2016, Published: 4 October 2016 Open Access
Abstract views
2065
Metrics Loading ...

Abstract


The aim of the study was to explore the patterns of dental health services access in children under twelve years of age in Peru. Data from 25,285 children under 12 years who participated in the Demographic and Family Health Survey of 2014 were reviewed. An exploratory spatial analysis was performed to project the proportions of children with access to dental health services, according to national regions, type of health service and urban or rural place of residence. The results show that of the total sample, 26.7% had access to dental health services in the last six months, 39.6% belonged to the age group 0-4 years, 40.6% lived in the Andean region and 58.3% lived in urban areas. The regions of Huancavelica, Apurimac, Ayacucho, Lima and Pasco had the highest percentages of access nationwide. In conclusion, there is low access to dental health services in the population under 12 years of age in Peru. The spatial distribution of access to dental health services allows regions to be identified and grouped according to similar access patterns, in order to better focus public health actions.

References


1. Bagramian RA, Garcia-Godoy F, Volpe AR. The global increase in dental caries: A pending public health crisis. American Journal of Dentistry. 2009;22(1):3-8.

2. Çolak H, Dülgergil ÇT, Dalli M, Hamidi MM. Early childhood caries update: A review of causes, diagnoses, and treatments. Journal of Natural Science, Biology, and Medicine. 2013;4(1):29-38.

3. Jin LJ, Lamster IB, Greenspan JS, Pitts NB, Scully C, Warnakulasuriya S. Global burden of oral diseases: emerging concepts, management and interplay with systemic health. Oral Diseases. 2015. doi: 10.1111/odi.12428.

4. Ministerio de Salud. Prevalencia nacional de caries dental, fluorosis del esmalte y urgencia de tratamiento en escolares de 6 a 8, 10, 12 y 15 años, Perú 2001-2002 [Internet]. Lima: Oficina General de Epidemiología, MINSA; 2005 [citado 25 feb 2016]. Disponible en: http://goo.gl/x6prdM.

5. Petersen PE, Bourgeois D, Ogawa H, Estupinan-Day S, Ndiaye C. The global burden of oral diseases and risks to oral health. Bulletin of the World Health Organization. 2005;83:661-669.

6. American Academy of Pediatric Dentistry. Guideline on periodicity of examination, preventive dental services, anticipatory guidance/counseling, and oral treatment for infants, children, and adolescents [Internet]. 2013 [citado 25 feb 2016]. Disponible en: http://goo.gl/HPYLZX

7. Ramos-Gomez FJ, Crystal YO, Ng MW, Crall JJ, Featherstone JD. Pediatric dental care: prevention and management protocols based on caries risk assessment. Journal of the California Dental Association. 2010;38(10):746-761.

8. Alarcón M, Aquino C, Quintanilla C, Raymundo L, Álvarez J. Odontología basada en evidencia: las 82 revistas de mayor impacto. International Journal of Odontostomatology. 2015;9(1):43-52.

9. Pulgar R, Jimenez-Fernandez I, Jimenez-Contreras E, Torres-Salinas D, Lucena-Martin C. Trends in world dental research: an overview of the last three decades using the Web of Science. Clinical Oral Investigations. 2013;17(7):1773-1783.

10. Hernandez-Vasquez A, Vilcarromero S, Rubilar-Gonzalez J. Neglect of oral health in children as a public health problem in Peru. Revista Peruana de Medicina Experimental y Salud Pública. 2015;32(3):604-605.

11. Edelstein BL, Chinn CH. Update on disparities in oral health and access to dental care for America's children. Academic Pediatrics. 2009;9(6):415-419.

12. Seerig LM, Nascimento GG, Peres MA, Horta BL, Demarco FF. Tooth loss in adults and income: Systematic review and meta-analysis. Journal of Dentistry. 2015;43(9):1051-1059.

13. Marinho VC, Higgins JP, Sheiham A, Logan S. Fluoride toothpastes for preventing dental caries in children and adolescents. The Cochrane Database of Systematic Reviews. 2003(1):CD002278.

14. Ahovuo-Saloranta A, Hiiri A, Nordblad A, Makela M, Worthington HV. Pit and fissure sealants for preventing dental decay in the permanent teeth of children and adolescents. The Cochrane Database of Systematic Reviews. 2008(4):CD001830.

15. Iheozor-Ejiofor Z, Worthington HV, Walsh T, O'Malley L, Clarkson JE, Macey R, et al. Water fluoridation for the prevention of dental caries. The Cochrane Database of Systematic Reviews. 2015;6:CD010856.

16. Marinho VC, Higgins JP, Logan S, Sheiham A. Fluoride gels for preventing dental caries in children and adolescents. The Cochrane Database of Systematic Reviews. 2002(2):CD002280.

17. Nakre PD, Harikiran AG. Effectiveness of oral health education programs: A systematic review. Journal of International Society of Preventive & Community Dentistry. 2013;3(2):103-115.

18. Guay AH. Access to dental care: solving the problem for underserved populations. Journal of the American Dental Association. 2004;135(11): 1599-1605.

19. Ismail AI, Sohn W. The impact of universal access to dental care on disparities in caries experience in children. Journal of the American Dental Association. 2001;132(3):295-303.

20. Delamater PL, Messina JP, Shortridge AM, Grady SC. Measuring geographic access to health care: raster and network-based methods. International Journal of Health Geographics. 2012;11(1):15.

21. Instituto Nacional de Estadística e Informática. Perú: enfermedades no transmisibles y transmisibles [Internet]. Lima: INEI; 2013 [citado 25 feb 2016]. Disponible en: https://goo.gl/aPfD8p.

22. Loyola E, Castillo-Salgado C, Najera-Aguilar P, Vidaurre M, Mujica OJ, Martinez-Piedra R. Geographic information systems as a tool for monitoring health inequalities. Revista Panamericana de Salud Pública. 2002;12(6):415-428.

23. Musa GJ, Chiang PH, Sylk T, Bavley R, Keating W, Lakew B, et al. Use of GIS Mapping as a Public Health Tool-From Cholera to Cancer. Health Services Insights. 2013;6:111-116.

24. World Bank. World Development Indicators [Internet]. 2013 [citado 20 feb 2016]. Disponible en: http://data.worldbank.org/country

25. Sanchez-Moreno F. The national health system in Peru. Revista Peruana de Medicina Experimental y Salud Pública. 2014;31(4):747-753.

26. Alcalde-Rabanal JE, Lazo-Gonzalez O, Nigenda G. The health system of Peru. Salud Pública de México. 2011;53(Suppl 2):S243-S254.

27. Ypanaque-Luyo P, Martins M. Utilization of outpatient health services in the Peruvian population. Revista Peruana de Medicina Experimental y Salud Pública. 2015;32(3):464-470.

28. Instituto Nacional de Estadística e Informática. En el Perú existen alrededor de 7 millones de niñas y niños menores de 12 años de edad [Internet]. Lima: INEI; 2015 [citado 4 jun 2016]. Disponible en: https://goo.gl/ZbXSU6.

29. Patrick DL, Lee RSY, Nucci M, Grembowski D, Jolles CZ, Milgrom P. Reducing oral health disparities: A focus on social and cultural determinants. BMC Oral Health. 2006;6(Suppl 1):S4.

30. Mouradian WE, Wehr E, Crall JJ. Disparities in children's oral health and access to dental care. Jama. 2000;284(20):2625-2631.

31. Heaton LJ, Smith TA, Raybould TP. Factors influencing use of dental services in rural and urban communities: considerations for practitioners in underserved areas. Journal of Dental Education. 2004;68(10):1081-1089.

32. Fisher-Owena SA, Soobader MJ, Gansky SA, Isong IA, Weintraub JA, Platt LJ, Newacheck PW. Geography matters: state-level variation in children's oral health care access and oral health status. Public Health. 2016;134:54-63.

33. Ballesteros MS, Freidin B. Reflections on the conceptualization and measurement of access to health services in Argentina: The case of the National Survey of Risk Factors 2009. Salud Colectiva. 2015;11(4):523-535.

34. Delgado BI, Cornejo-Ovalle M, Jadue H L, Huberman J. Determinantes sociales y de equidad de acceso a la salud dental en Chile. Científica Dental. 2013;10(2):101-109.

35. Tsakos G, Hill K, Chadwick B, Anderson T. Children's dental health survey 2013, Report 1: Attitudes, behaviours and children's dental health: England, Wales and Northern Ireland [Internet]. 2015 [citado 21 mar 2016]. Disponible en: http://goo.gl/NzkDdR

36. Li Y, Wang W. Predicting caries in permanent teeth from caries in primary teeth: an eight-year cohort study. Journal of Dental Research. 2002;81(8):561-566.

37. Lourenço CB, Saintrain MVL, Vieira A. Child, neglect and oral health. BMC Pediatrics. 2013;13:188.

38. Tagliaferro EP, Pereira AC, Meneghim Mde C, Ambrosano GM. Assessment of dental caries predictors in a seven-year longitudinal study. Journal of Public Health Dentistry. 2006;66(3):169-173.

39. David J, Raadal M, Wang NJ, Strand GV. Caries increment and prediction from 12 to 18 years of age: a follow-up study. European Archives of Paediatric Dentistry. 2006;7(1):31-37.

40. Finucane D. Rationale for restoration of carious primary teeth: a review. European Archives of Paediatric Dentistry. 2012;13(6):281-292.

41. World Health Organization. Oral health, strategies for oral disease prevention and health promotion [Internet]. Geneva: WHO [citado 21 mar 2016]. Disponible en: http://goo.gl/VqIcPq

42. Rowan-Legg A. Oral health care for children - a call for action. Paediatrics & Child Health. 2013;18(1):37-43.

43. Presidencia del Consejo de Ministros. Informe compilatorio: "El Programa JUNTOS, resultados y retos" [Internet]. Lima: Presidencia del Consejo de Ministros; 2010 [citado 16 feb 2016]. Disponible en: http://goo.gl/J7LlFJ.

44. Ministerio de Desarrollo e Inclusión Social. Juntos en cifras, 2005-2014 [Internet]. Lima: MIDIS; 2014 [citado 16 feb 2016]. Disponible en: http://goo.gl/9psqai.

45. Ministerio de Salud. Análisis de situación de salud del Perú [Internet]. Lima: MINSA; 2013 [citado 16 feb 2016]. Disponible en: http://goo.gl/34W8bp.

46. Guimarães MGS, Braña AM, Oliart-Guzmán H, Branco F, Delfino BM, Pereira TM, et al. Child health in the Peruvian Amazon: Prevalence and factors associated with referred morbidity and health care access in the city of Iñapari. Journal of Tropical Medicine. 2015. doi: 10.1155/2015/157430.

47. Malqvist M, Hoa DT, Liem NT, Thorson A, Thomsen S. Ethnic minority health in Vietnam: a review exposing horizontal inequity. Global Health Action. 2013;6:1-19.

48. Ministerio de Salud. Perfil epidemiológico de salud bucal en el Perú [Internet]. Lima: MINSA; 2013 [citado 25 feb 2016]. Disponible en: https://goo.gl/dEsCbW.

49. McKernan SC. Geographic accessibility and utilization of orthodontic services among Medicaid children and adolescents. Journal of Public Health Dentistry. 2013;73(1):56-64