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.
Published in | International Journal of Health Economics and Policy (Volume 4, Issue 2) |
DOI | 10.11648/j.hep.20190402.12 |
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), 2019. Published by Science Publishing Group |
Oral Health, Accessibility, Precariousness, Therapeutic Itinerary, Côte d'Ivoire
[1] | High Committee of Public Health France. News and Dossier in Public Health No 12, 1995/09. |
[2] | Hassoun D. Precariousness and oral health status. Health Economics Newsletter 1998; 16. |
[3] | Moradell M, Halley Des Fontaines V. The main risks of exclusion from care in the European Union countries. Public Health 2000; 12: 513-26. |
[4] | Schneider-Bunner C. Health and Social Justice: The Economics of Health Systems in the Face of Equity. In-depth collection of economic knowledge. Paris: Economica; 1997. |
[5] | Cohen LA. The role of non-dental health professionals in providing access to dental care for low-income and minority patients. Dent Clin N Am 2009; 53(3):451-58. |
[6] | Samba M., N’zoré K. S., Da-Danho V., Guinan J. C., Bakayoko-Ly. Evaluation of the financial accessibility of 350 users of public oral health services in the city of Abidjan. Rév. Iv. odonto-stomatol. 2004. 6(2): 52-54. |
[7] | Samba M., Sangaré A. D., N’zoré K. S., Guinan J. C., Bakayoko-Ly R. Oral health attitudes of a population in disadvantaged urban areas in Abidjan. Rev. Col Odonto-Stomatol. Afr. Chir. Maxillo-fac. 2007; 14(3): 5-9. |
[8] | Sangaré AD, Samba M, Bourgeois D. Illness-related behaviour and sociodemographic determinants of oral health care use in Dabou, Côte d’Ivoire. Community Dent Health. 2012; 29(1): 78-84. |
[9] | Sangaré AD, Samba M, Meless GD, Guinan JC, Bakayoko-Ly R, Bourgeois D. Crossing perspectives on the use of modern and traditional oral care in Côte d'Ivoire. Rev. Col Odonto-Stomatol. Afr. Chir. Maxillo-fac. 2013, 20(3): 5-11. |
[10] | Nugent ZJ, Longbottom C, Pitts NB. Quantifying dental inequality – developing the methodology. Community Dent Health 2002; 19: 43-5. |
[11] | Hassoun D. Precariousness and state of oral health. Thesis Chir dent. Univ Paris 7. CREDES, library n ° 1249, 60 p. |
[12] | Ministry of Planning and Development Côte d'Ivoire. Poverty Reduction Strategy Paper: Development Recovery and Poverty Reduction Strategy January 2009. |
[13] | Nouaman NM. Activity report of the CCTOS Department of Surgery and Odontostomatological and Maxillofacial Pathology January 1995-December 1997, Th Chir-Dent, UFR Odonto-Stomatol, Univ. Cocody, Abidjan 2005. |
[14] | Vincelet C, Azoguy-Lévy S, Grémy I. Inequality in oral health in the adult Francilian population, 2002-2003. Bull Epidemiol Hebdo 2009; 15: 137-41. |
[15] | Sangaré AD, Samba M, Guinan JC, et al. Socio demographic factors associated with renunciation to oral care in Côte d’Ivoire. MOJ Public Health. 2017; 6(1): 241‒248. |
[16] | Beynet A, Menahem G. Dental problems and precariousness. Health Economics Newsletter, 2002; 48. |
[17] | Samba M, Guinan J-C, Sangaré AD. Therapeutic itinerary in odonto-stomatology in Abidjan. Odontostomatol Trop. 2004; 27(107):37-40. |
[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. |
[20] | Samba M, Kouadio NGA, Guinan JC, et al. The renunciation of oral care in Abidjan. Rev. Col. Odonto-Stomatol Afr Chir Maxillo-fac. 2003; 10: 52-57. |
[21] | Lo CM, Cissé D, Faye D, et al. Factors associated with the abandonment of oral health care in Senegal. Oral Public Health Letter. 2010; 1:8‒11. |
[22] | Rath H, Shah S, Sharma G, Mishra E. Exploring determinants of care-seeking behaviour of oral cancer patients in India: A qualitative content analysis. Cancer Epidemiol. 2018; 53:141-148. |
[23] | Petersen PE. The World Oral Health Report 2003: continuous improvement of oral health in the 21st century – the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol 2003; 31(Suppl. 1): 3–23. |
[24] | Wagstaff A. Poverty and health sector inequalities. Bull World Health Organ. 2002; 80(2):97-105. |
APA Style
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
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
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
@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://article.sciencepublishinggroup.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} }
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 AU - Meless Guanga David AU - Adou Akpe Jonas AU - Traore Jules Fabrice AU - Guinan Jean-Claude AU - Bakayoko-Ly R. Y1 - 2019/05/10 PY - 2019 N1 - https://doi.org/10.11648/j.hep.20190402.12 DO - 10.11648/j.hep.20190402.12 T2 - International Journal of Health Economics and Policy JF - International Journal of Health Economics and Policy JO - International Journal of Health Economics and Policy SP - 44 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 ER -