Dorota Elżbieta Piotrowska1, A,C–D, Bartosz Pędziński2, A,C,E, Dorota Jankowska1,B, Robert Milewski
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Zakład Statystyki i Informatyki Medycznej, Uniwersytet Medyczny w Białymstoku, Polska
Zakład Zdrowia Publicznego, Uniwersytet Medyczny w Białymstoku, Polska
Corresponding author
Dorota Elżbieta Piotrowska   

Zakład Statystyki i Informatyki Medycznej, Uniwersytet Medyczny w Białymstoku, ul. Szpitalna 37, 15-295, Białystok, Polska
Med Og Nauk Zdr. 2020;26(3):202-205
Introduction and Objective:
The aim of this study is presen-tation of the effect of socio-economic factors, such as income and its source, education, and place of residence, on the use of dental services, based on the results of the authors’ own study and a review of Polish and international literature.

Description of the state of knowledge:
Analysis of the data obtained from the Statistics Poland (GUS) covering 13,376 individuals in 2010 and 12,532 individuals in 2013 showed that income, education, and place of residence were significant factors exerting an effect on the use of dental services. With respect to non-use of services, the influence of education seemed to play a less important role while considering the two years of analysis and the adopted statistical methods (The analysis has shown it is a less clear-cut). International research confirms the relationship between income, education, and place of residence, and the use of dental services. The data and analyses of the source of income and use or non-use are scarce, both in Poland and worldwide.

The relationship observed between the use or non-use of dental services according to the analyzed socio--economic factors should be taken into account when ma-king decisions on reimbursing dental services from public funds, planning interventions regarding reduction of health inequalities, and creating an environment enabling health--conscious choices.

Costa SM, Martins CC, Bonfim MdeLC, Zina LG, Paiva S, Pordeus I, Abreu M. A Systematic review of socioeconomic indicators and dental caries in adults. Int J Environ Res Public Health, 2012; 9: 3540–3574. https://doi: 10.3390/ijerph9103540.
Filc D, Davidovich N, Novack L, Balicer RD. Is socioeconomic status associated with utilization of health care services in a single – payer universal health care system? Int J Equity Health, 2014; 13: 115. https://doi: 10.1186/s12939– 014– 0115–1.
Strinhini S, Sabia S, Shipley M, et al. Association of socioeconomic position with health behaviors and mortality. The Whitehall II study. JAMA. 2010, 303(12): 1159 –1166
Watt R, Listl S, Peres M, et al. Social inequalities in oral health: from evidence to action. London: International Centre for Oral Health Ine-qualities Research and Policy, 2015: 4, 6, 15.
Mejia GC, Hawazin EW, Harper S, Thomson WM, Ju X, Kawachi I, et al. Socieconomic status, oral health and dental disease in Australia, Canada, New Zealand and the United States. BMC Oral Health. 2018. https://doi:10.1186/s12903– 018– 0630–3.
GUS, Zdrowie i ochrona zdrowia w 2017 roku. (dostęp: 13.06.2020).
GUS, Zdrowie i ochrona zdrowia w 2018 roku. (dostęp: 13.06.2020).
Piotrowska D, Pędziński B, Szpak A. Finansowanie świadczeń stomato-logicznych ze źródeł publicznych i niepublicznych w Polsce. Public and non-public financing of dental care services in Poland. Hygeia Public Health. 2016, 51(1): 12–17.
Piotrowska DE, Pędziński B, Jankowska D, Milewski R, Szpak A. Przy-czyny niekorzystania z opieki stomatologicznej w Polsce. Med Og Nauk Zdr. 2018; 24(3): 191–194. https://doi: 10.26444/monz/94353.
Nishide A, Fujita M, Sato Y, Nagashima K, Takahashi S, Hata A. Income--Related Inequalities in Access to Dental Care Services in Japan. Int J Environ Res Public Health. 2017; 14(5): 524. https://doi: 10.3390/ijerph14050524.
Singh A, Peres MA, Watt RG. The Relationship Between Income and Oral Health: A Critical Review. J Dent Res. 2019; 98(8): 853–860. doi: 10.1177/0022034519849557.
Paula JS, Leite IC, Almeida AB, Ambrosano GMB, Pereira AC, Mial-he FL. The influence of oral health conditions, socioeconomic status and home environment factors on schoolchildren’s self-perception of quality of life. Health Qual Life Outcomes. 2012; 10,6. https://doi: 10.1186/1477–7525–10 – 6.
Molarius A, Engström S, Flink H, Simonsson B, Tegelberg A. Socioe-conomic differences in self-rated oral health and dental care utilisation after the dental care reform in 2008 in Sweden. BMC Oral Health. 2014;14: 134. ht t ps://doi: 10.1186/1472– 6831–14 –134.
Tchicaya A, Lorentz N. Socioeconomic inequalities in the non-use of dental care in Europe. Int J Equity Health. 2014, 13(1): 7–10.–9....
Raittio E, Kiiskinen U, Helminen S, Aromaa A, Suominen AL. Income-related inequality and inequity in the use of dental services in Finland after a major subsidization reform. Community Dent Oral Epidemiol. 2015; 43: 240–254. https://doi: 10.1111/cdoe.12148.
Świderska J, Świderski W, Gracz L, Kaczmarek-Wysocka J. Use of dental services reimbursed by the National Health Fund and health of the oral cavity of examined patient. Health and Wellness. 2014(2); 171–181.
El Osta N, El Osta L, Rabbaa Khabbaz L Saad R, Abi Ghosn C, Hen-nequin M. Social inequalities in oral health in a group of older people in a Middle Eastern country: a cross-sectional survey. Aging Clin Exp Res.
Mejia GC. Elani HW, Harper S, Thomson WM, Ju X, Kawachi I, Kau-fman JS, Jamieson LM. Socioeconomic status, oral health and dental disease in Australia, Canada, New Zealand and the United States. BMC Oral Health. 2018. https://doi:10.1186/s12903– 018– 0630–3.
Gomes APM, Galera da Silva E, Ferreira Gonçalves SH, et al. Relation-ship between patient’s education level and knowledge on oral health preventive measures. Int Dent Med J Adv Res.2015; 1, 1–7. https://doi:10.15713/ins.idmja....
Martin A, Bellinger J, Hatala J, et al. State policy levers for addressing preventive dental care disparities for rural children: medicaid reimbur-sement to non-dental clinicians for fluoride varnish and dental hygiene supervision in primary care safety net settings. South Carolina Rural Health Research Center, 2012.
Bhagavatula P, Xiang Q, Szabo A, Eichmiller F, Kuthy RA, Okunseri CE. Rural–urban differences in dental service use among children enrolled in a private dental insurance plan in Wisconsin: analysis of administrative data. BMC Oral Health. 2012; 12: 58. https://doi: 10.1186/1472–6831–12–58.
Manski R, Moeller J. Barriers to Oral Health Across Selected European Countries and the United States Int Dent J. 2017; 67(3): 133–138. https://doi:10.1111/idj.12283.
Manski RJ, Moeller JF, St. Clair PA, Schimmel J, Pepper JV. Wealth effect and dental care utilization in the U.S. Public Health Dent. 2012; 72(3): 179–189. ht t ps://doi:10.1111/j.1752–7325.2012 .0 0312 .x.
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