International Journal of Environmental Research and Public Health
Volume 16, Issue 10, 2019

Place of birth inequalities in dental care use before and after the economic crisis in Spain (Article) (Open Access)

Rodriguez-Alvarez E.* , Lanborena N. , Borrell L.N.
  • a Department of Nursing I, University of the Basque Country (UPV/EHU), Leioa, Bizkaia 48940, Spain, OPIK-Research Group for Social Determinants of Health and Demographic Change, University of the Basque Country (UPV/EHU), Leioa, Bizkaia 48940, Spain
  • b Department of Nursing I, University of the Basque Country (UPV/EHU), Leioa, Bizkaia 48940, Spain, OPIK-Research Group for Social Determinants of Health and Demographic Change, University of the Basque Country (UPV/EHU), Leioa, Bizkaia 48940, Spain
  • c OPIK-Research Group for Social Determinants of Health and Demographic Change, University of the Basque Country (UPV/EHU), Leioa, Bizkaia 48940, Spain, Department of Epidemiology and Biostatistics, Graduate School of Public Health and Health Policy, City University of New York, New York, NY 10027, United States, Department of Surgery, Medical and Social Science, University of Alcalá, Madrid, 28871, Spain

Abstract

This study evaluates inequalities in the use of dental services according to place of birth before and after the economic crisis in Spain. A cross-sectional study was performed in adults aged 18 to 65 years in Spain. We used data from three Spanish National Health Surveys for the years 2006 (before the crisis), 2014, and 2017 (after the crisis). Log-binomial regression was used to quantify the association between place of birth and use of dental care services before and after controlling for the selected covariates. In 2006, we found a greater probability of not using dental care services in immigrants from Asia (PR: 1.36, 95% CI: 1.10–1.67) and Africa (PR: 1.16, 95% CI: 1.05–1.28) compared to the natives. For 2014, the probability of not using dental care services was greater for all immigrants relative to natives, with the greatest probability for those from Africa (PR: 1.71, 95% CI: 1.46–2.01) and Asia (PR: 1.3, 95% CI: 1.23–1.47). The associations for 2017 were weaker in magnitude than the ones observed for 2014, although stronger than for 2006. This study suggests that the economic recovery did not have the same impact for natives and immigrants regardless of regions of origin, given the observed inequalities in use of dental services. © 2019 by the authors. Licensee MDPI, Basel, Switzerland.

Author Keywords

immigrants inequalities Economic crisis Health survey Dental care

Index Keywords

immigrant dental health demography indigenous people Economic Recession human middle aged Asia probability Aged dental procedure Residence Characteristics Young Adult Dental Care cross-sectional study migrant Humans Adolescent male Emigrants and Immigrants case report Spain Socioeconomic Factors female economic instability Africa socioeconomics clinical article health services Article adult health survey
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85066834833&doi=10.3390%2fijerph16101691&partnerID=40&md5=bbe1335ba88cfe9468a97436c5c8f9bd
DOI: 10.3390/ijerph16101691
ISSN: 16617827
Original Language: English