International Journal of Health Economics and Policy

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Comparative Study of Access to Oral Health Care for Precarious and Non-precarious Populations in Abidjan, Côte d'Ivoire

Received: 06 March 2019    Accepted: 11 April 2019    Published: 10 May 2019
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Abstract

The situation of insecurity resulting from precariousness raises concerns about the oral health of the victims. The objective of this study was to compare the dental status and the modalities of the use of oral care of people in precarious situations to those of non-precarious. A cross-sectional survey was conducted among 256 users of the dental office of the University Hospital of Treichville, in precarious situation or not. Subjects in precarious situations were identified using a tracking tool to take into account the context of the intervention. The respondents were interviewed using a standardized questionnaire. The data collected made it possible to calculate percentages and comparisons of the modalities of oral health care use between "precarious" and "not precarious" using the Chi2 test. Subjects in precarious situations had more recourse to self-medication (84.6%) at first intention than subjects who were not precarious (p=0,011). Renunciation of oral health care was more common in the "precarious" group than in the "non- precarious" group (p=0,004). The number of missing teeth among people in precarious situations was twice as high as among "not precarious" subjects. On the other hand, the number of filled teeth (O) was 3 times higher in "not precarious" subjects than in "precarious" subjects. The results of this study show the need for awareness raising and the implementation of a social protection system guaranteeing greater accessibility to care for people in precarious situations and even for the population as a whole.

DOI 10.11648/j.hep.20190402.12
Published in International Journal of Health Economics and Policy (Volume 4, Issue 2, June 2019)
Page(s) 44-48
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Oral Health, Accessibility, Precariousness, Therapeutic Itinerary, Côte d'Ivoire

References
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[18] Borges Da Silva G, Minguet-Fabbri J, Orgebin JY, Herter G, Chanut C, Mabriez JC. Quality of dental care and social inequalities in health. Rev Med Ass Maladie 2002; 33 (3): 193-200.
[19] Somkotra T, Detsomboonrat P. Is there equity in oral healthcare utilization: experience after achieving Universal Coverage. Community Dent Oral Epidemiol 2009; 37: 85–96.
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Author Information
  • Department of Public Health, UFR Odonto-Stomatology, University FHB, Abidjan, C?te d’Ivoire

  • Department of Public Health, UFR Odonto-Stomatology, University FHB, Abidjan, C?te d’Ivoire

  • Department of Public Health, UFR Odonto-Stomatology, University FHB, Abidjan, C?te d’Ivoire

  • Department of Conservative Dentistry Endodontics, UFR Odonto-Stomatology, Unvisersity FHB, Abidjan, C?te d’Ivoire

  • Group of Military Fire Brigade (GSPM), Abidjan, C?te d'Ivoire

  • Department of Public Health, UFR Odonto-Stomatology, University FHB, Abidjan, C?te d’Ivoire

  • Department of Public Health, UFR Odonto-Stomatology, University FHB, Abidjan, C?te d’Ivoire

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    Sangare Abou Dramane, Samba Mamadou, Meless Guanga David, Adou Akpe Jonas, Traore Jules Fabrice, et al. (2019). Comparative Study of Access to Oral Health Care for Precarious and Non-precarious Populations in Abidjan, Côte d'Ivoire. International Journal of Health Economics and Policy, 4(2), 44-48. https://doi.org/10.11648/j.hep.20190402.12

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    ACS Style

    Sangare Abou Dramane; Samba Mamadou; Meless Guanga David; Adou Akpe Jonas; Traore Jules Fabrice, et al. Comparative Study of Access to Oral Health Care for Precarious and Non-precarious Populations in Abidjan, Côte d'Ivoire. Int. J. Health Econ. Policy 2019, 4(2), 44-48. doi: 10.11648/j.hep.20190402.12

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    AMA Style

    Sangare Abou Dramane, Samba Mamadou, Meless Guanga David, Adou Akpe Jonas, Traore Jules Fabrice, et al. Comparative Study of Access to Oral Health Care for Precarious and Non-precarious Populations in Abidjan, Côte d'Ivoire. Int J Health Econ Policy. 2019;4(2):44-48. doi: 10.11648/j.hep.20190402.12

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  • @article{10.11648/j.hep.20190402.12,
      author = {Sangare Abou Dramane and Samba Mamadou and Meless Guanga David and Adou Akpe Jonas and Traore Jules Fabrice and Guinan Jean-Claude and Bakayoko-Ly R.},
      title = {Comparative Study of Access to Oral Health Care for Precarious and Non-precarious Populations in Abidjan, Côte d'Ivoire},
      journal = {International Journal of Health Economics and Policy},
      volume = {4},
      number = {2},
      pages = {44-48},
      doi = {10.11648/j.hep.20190402.12},
      url = {https://doi.org/10.11648/j.hep.20190402.12},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.hep.20190402.12},
      abstract = {The situation of insecurity resulting from precariousness raises concerns about the oral health of the victims. The objective of this study was to compare the dental status and the modalities of the use of oral care of people in precarious situations to those of non-precarious. A cross-sectional survey was conducted among 256 users of the dental office of the University Hospital of Treichville, in precarious situation or not. Subjects in precarious situations were identified using a tracking tool to take into account the context of the intervention. The respondents were interviewed using a standardized questionnaire. The data collected made it possible to calculate percentages and comparisons of the modalities of oral health care use between "precarious" and "not precarious" using the Chi2 test. Subjects in precarious situations had more recourse to self-medication (84.6%) at first intention than subjects who were not precarious (p=0,011). Renunciation of oral health care was more common in the "precarious" group than in the "non- precarious" group (p=0,004). The number of missing teeth among people in precarious situations was twice as high as among "not precarious" subjects. On the other hand, the number of filled teeth (O) was 3 times higher in "not precarious" subjects than in "precarious" subjects. The results of this study show the need for awareness raising and the implementation of a social protection system guaranteeing greater accessibility to care for people in precarious situations and even for the population as a whole.},
     year = {2019}
    }
    

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  • TY  - JOUR
    T1  - Comparative Study of Access to Oral Health Care for Precarious and Non-precarious Populations in Abidjan, Côte d'Ivoire
    AU  - Sangare Abou Dramane
    AU  - Samba Mamadou
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    AU  - Guinan Jean-Claude
    AU  - Bakayoko-Ly R.
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    JF  - International Journal of Health Economics and Policy
    JO  - International Journal of Health Economics and Policy
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    EP  - 48
    PB  - Science Publishing Group
    SN  - 2578-9309
    UR  - https://doi.org/10.11648/j.hep.20190402.12
    AB  - The situation of insecurity resulting from precariousness raises concerns about the oral health of the victims. The objective of this study was to compare the dental status and the modalities of the use of oral care of people in precarious situations to those of non-precarious. A cross-sectional survey was conducted among 256 users of the dental office of the University Hospital of Treichville, in precarious situation or not. Subjects in precarious situations were identified using a tracking tool to take into account the context of the intervention. The respondents were interviewed using a standardized questionnaire. The data collected made it possible to calculate percentages and comparisons of the modalities of oral health care use between "precarious" and "not precarious" using the Chi2 test. Subjects in precarious situations had more recourse to self-medication (84.6%) at first intention than subjects who were not precarious (p=0,011). Renunciation of oral health care was more common in the "precarious" group than in the "non- precarious" group (p=0,004). The number of missing teeth among people in precarious situations was twice as high as among "not precarious" subjects. On the other hand, the number of filled teeth (O) was 3 times higher in "not precarious" subjects than in "precarious" subjects. The results of this study show the need for awareness raising and the implementation of a social protection system guaranteeing greater accessibility to care for people in precarious situations and even for the population as a whole.
    VL  - 4
    IS  - 2
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