期刊名称：Annals of Agricultural and Environmental Medicine
印刷版ISSN：1232-1966
电子版ISSN：1898-2263
出版年度：2018
卷号：25
期号：3
页码：1-5
DOI：10.26444/aaem/89917
出版社：Institute of Agricultural Medicine in Lublin
摘要：Introduction. The issue of inequalities in the use of health services and health inequalities between urban and rural dwellers
is a subject of numerous scientific reports, but similar publications on dental health are scarce.
Objective. The aim of this study is to assess the correlations between the use or non-use of dental services and the classical
socio-economic factors (SES) in urban and rural groups in a representative population of Poland.
Materials and method. The analysis consisted in desk research based on a questionnaire survey conducted by the Central
Statistical Office of Poland on 12,532 individuals (urban areas – 6411, rural areas – 6121) in 2013. The chi-squared test,
multivariate and univariate logistic regression models were applied.
Results. There were major differences in the use of dental services depending on income level, education and source of
income among rural and urban populations, as well as differences between these populations. Urban dwellers had 1.34
times greater odds of using dental services than rural ones (95% CI: 1.20–1.51). In the case of the highest income group, the
odds were 3.26 (95% CI 2.21–4.83) times greater in cities and 2.07 (95% CI 1.51–2.85) times greater in villages than the odds
in the lowest income group. In the highest education group, the odds were 1.58 (95% CI 1.17–2.13) times greater in urban
areas and 2.08 (95% CI 1.48–2.91) times greater in rural areas than the odds in the lowest education group.
Conclusions. There are considerable inequalities in the use of dental services, yet the differences in non-use, despite such
a need, are less evident. This could imply that health disparities arise not only from economic constraints and unavailability
of health care, but also from health attitudes and behaviours.
关键词：dental public health; rural;urban environment; health disparities; health inequalities; socio;economic factors
