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dc.contributor.authorAyo-Yusuf, Imade J.
dc.contributor.authorNaidoo, Sudeshni
dc.date.accessioned2018-07-06T06:56:37Z
dc.date.available2018-07-06T06:56:37Z
dc.date.issued2016
dc.identifier.citationAyo-Yusuf, I.J. & Naidoo, S. (2016). Social gradient in the cost of oral pain and related dental service utilisation among South African adults. BMC Oral Health, 16: 117.en_US
dc.identifier.issn1472-6831
dc.identifier.urihttp://dx.doi.org/10.1186/s12903-016-0313-x
dc.identifier.urihttp://hdl.handle.net/10566/3850
dc.description.abstractBACKGROUND: Oral pain affects people’s daily activities and quality of life. The burden of oral pain may vary across socio-economic positions. Currently, little is known about the social gradient in the cost of oral pain among South Africans. This study therefore assessed the social gradient in the cost of oral pain and the related dental service utilisation pattern among South African adults. METHODS: Data were obtained from a nationally representative cross-sectional survey of South African adults ≥16 year-old (n = 2651) as part of the South African Social Attitudes Survey conducted by the South African Human Sciences Research Council. The survey included demographic data, individual-level socio-economic position (SEP), self-reported oral health status, past six months’ oral pain experience and cost. The area-level SEP was obtained from the 2010 General Household Survey (n = 25,653 households) and the 2010/2011Quarterly Labour Force Survey conducted in South Africa. The composite indices used for individual-level SEP (α = 0.76) and area-level SEP (α = 0. 88) were divided into tertiles. Data analysis was done using t-tests and ANOVA. Significance was set at p < 0.05. RESULTS: The prevalence of oral pain among the adult South Africans was 19.4 % (95 % CI = 17.2–21.9). The most commonly reported form of oral pain was ‘toothache’ (78.9 %). The majority of the wealthiest participants sought care from private dental clinics (64.7 %), or from public dental clinics (19.7 %), while the poorest tended to visit a public dental clinic (45 %) or nurse/general medical practitioner (17.4 %). In the poorest areas, 21 % responded to pain by ‘doing nothing’. The individual expenditure for oral pain showed a social gradient from an average of ZAR61.44 spent by those of lowest SEP to ZAR433.83 by the wealthiest (national average ZAR170.92). Average time lost from school/work was two days over the six-month period, but days lost was highest for those living in middle class neighbourhoods (3.41), while those from the richest neighbourhood had lost significantly fewer days from oral pain (0.64). CONCLUSIONS: There is a significant social gradient in the burden of oral pain. Improved access to dental care, possibly through carefully planned universal National Health Insurance (NHI), may reduce oral health disparities in South Africa.en_US
dc.language.isoenen_US
dc.publisherBioMed Centralen_US
dc.rights© The Author(s). 2016 Open Access This article is 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, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
dc.subjectOral painen_US
dc.subjectCost of oral painen_US
dc.subjectSocial gradienten_US
dc.subjectSocio-economic positionen_US
dc.subjectSouth Africaen_US
dc.subjectAccess to careen_US
dc.titleSocial gradient in the cost of oral pain and related dental service utilisation among South African adultsen_US
dc.typeArticleen_US
dc.privacy.showsubmitterFALSE
dc.status.ispeerreviewedTRUE
dc.description.accreditationISI


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