GS Córdoba Sur. Servicio Andaluz de Salud, Córdoba, Spain.
Área de Salud Pública. Escuela Andaluza de Salud Pública, Granada, Spain.
J Epidemiol Community Health. 2015 Sep;69(9):880-5. doi: 10.1136/jech-2014-204493. Epub 2015 Mar 20.
To analyse the impact that the economic crisis and the evolution of socioeconomic inequality before (2007) and during (2011) the current crisis have had on unmet dental care needs in Spain.
The Living Conditions Surveys from the years 2007 and 2011 were used, including 44 138 adults aged under 65 years. A descriptive and stratified analysis was carried out along with the calculation of the concentration index and a multivariate logistic regression jointly and separately by gender. The dependent variable was unmet dental care needs and the independent variables were income, employment status, gender, age, education and chronic disease. A dummy variable was created for the year of survey completion as a proxy measure for the economic crisis. The SPSS V.20 software was used.
During the period under analysis, the unmet needs for dental services increased (from 6.2% to 7.2%) along with the concentration index (from -0.1412 to -0.189). The main correlations with unmet needs were: unemployment (OR=1.46), lower income (OR=2.44 for the income quintile) and the year 2011 with respect to 2007 (OR 1.13). For women, the OR is greater according to income level (2.44 compared with 1.77 in men) and the year 2011 (1.21 compared with 1.06), while for men unemployment had a greater effect (OR=1.52 compared with 1.46).
There has been an increase in unmet dental care needs as well as in the social gradient for service access. The most vulnerable groups are those with less purchasing power and the unemployed. The economic crisis has also increased this unmet need.
分析经济危机以及危机前（2007 年）和危机期间（2011 年）社会经济不平等状况的演变对西班牙未满足的牙科护理需求的影响。
使用了 2007 年和 2011 年的生活条件调查，共纳入 44038 名年龄在 65 岁以下的成年人。进行了描述性和分层分析，并计算了集中指数，并分别按性别进行了多元逻辑回归分析。因变量为未满足的牙科护理需求，自变量为收入、就业状况、性别、年龄、教育程度和慢性病。将调查完成年份创建为一个虚拟变量，作为经济危机的代理指标。使用 SPSS V.20 软件。
在分析期间，牙科服务的未满足需求增加（从 6.2%增加到 7.2%），同时集中指数增加（从-0.1412 增加到-0.189）。与未满足需求的主要关联因素是失业（OR=1.46）、收入较低（收入五分位的 OR=2.44）以及与 2007 年相比的 2011 年（OR 1.13）。对于女性，根据收入水平（2.44 比男性的 1.77）和 2011 年（1.21 比男性的 1.06），OR 值更大，而对于男性，失业的影响更大（OR=1.52 比 1.46）。
未满足的牙科护理需求以及服务获取方面的社会梯度都有所增加。最脆弱的群体是那些购买力较低和失业的群体。经济危机也增加了这种未满足的需求。
