Density of dental practitioners and access to dental care for the elderly: A multilevel analysis with a view on socio-economic inequality

Laurence Lupi-Pegurier (), Isabelle Clerc-Urmes, Mohammad Abu-Zaineh (), Alain Paraponaris () and Bruno Ventelou ()
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Laurence Lupi-Pegurier: MICORALIS - Microbiologie Orale, Immunothérapie et Santé - UNS - Université Nice Sophia Antipolis (1965 - 2019) - UniCA - Université Côte d'Azur
Isabelle Clerc-Urmes: CIC 1433 - Centre d'investigation clinique de Nancy - CHRU Nancy - Centre Hospitalier Régional Universitaire de Nancy - INSERM - Institut National de la Santé et de la Recherche Médicale - UL - Université de Lorraine
Mohammad Abu-Zaineh: AMSE - Aix-Marseille Sciences Economiques - EHESS - École des hautes études en sciences sociales - AMU - Aix Marseille Université - ECM - École Centrale de Marseille - CNRS - Centre National de la Recherche Scientifique
Alain Paraponaris: AMSE - Aix-Marseille Sciences Economiques - EHESS - École des hautes études en sciences sociales - AMU - Aix Marseille Université - ECM - École Centrale de Marseille - CNRS - Centre National de la Recherche Scientifique, AMU - Aix Marseille Université
Bruno Ventelou: SESSTIM - U912 INSERM - Aix Marseille Univ - IRD - Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale - IRD - Institut de Recherche pour le Développement - AMU - Aix Marseille Université - INSERM - Institut National de la Santé et de la Recherche Médicale

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Abstract: Objectives To examine the relations between density of dental practitioners (DDP) and socio-economic and demographic factors shown to affect access to dental care for the elderly. Methods Data are taken from a cross-sectional survey – 2008 Disability Healthcare – Household section Survey (HSM). HSM is a representative random sample of French people living in their own domiciles. Our study focuses on the 9233 individuals aged 60 years and above. Multilevel models are employed to disentangle the relations between the determinants of dental care utilisation and DDP. Statistical analyses are conducted using SAS 9.2 and HLM 6. Results Low-income and lack of complementary health insurance are associated with higher odds of not having visited a dentist, revealing a high unequal access to dental care. By using multilevel modelling, DDP appears to be a significant factor to access to dental services. When considering the intricate relations between income gradient and DDP, the latter lessens the income-related inequality to access dental services. Conclusion DDP seems favouring a more equitable access to dental care, mitigating under-caring of the poorest. This point is to be added in the debate about density of healthcare suppliers.

Keywords: Oral health services; Multilevel; Elderly; Social inequality; Density of practitioners; Oral health services Multilevel Elderly Social inequality Density of practitioners (search for similar items in EconPapers)
Date: 2011-12
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Published in Health Policy, 2011, 103 (2-3), pp.160-167. ⟨10.1016/j.healthpol.2011.09.011⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-05717671

DOI: 10.1016/j.healthpol.2011.09.011

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