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Maldonado-Maldonado LA, Misnaza-Castrillón SP, Castañeda-Orjuela CA. [Desigualdades en el control odontológico prenatal en Colombia, un análisis a partir del IV Estudio Nacional de Salud Bucal 2013-2014]. Inequalities in dental prenatal control in Colombia: An analysis based on the IV National Oral Health Study, 2013-2014. Biomedica. 2021;41(2):271-281doi: 10.7705/biomedica.5705.
Maldonado-Maldonado, L. A., Misnaza-Castrillón, S. P., & Castañeda-Orjuela, C. A. (2021). [Desigualdades en el control odontológico prenatal en Colombia, un análisis a partir del IV Estudio Nacional de Salud Bucal 2013-2014]. Inequalities in dental prenatal control in Colombia: An analysis based on the IV National Oral Health Study, 2013-2014. Biomedica : revista del Instituto Nacional de Salud, 41(2), 271-281. https://doi.org/10.7705/biomedica.5705
Maldonado-Maldonado, Lorena Alexandra, et al. "[Desigualdades en el control odontológico prenatal en Colombia, un análisis a partir del IV Estudio Nacional de Salud Bucal 2013-2014]." Inequalities in dental prenatal control in Colombia: An analysis based on the IV National Oral Health Study, 2013-2014. Biomedica : revista del Instituto Nacional de Salud vol. 41,2 (2021): 271-281. doi: https://doi.org/10.7705/biomedica.5705
Maldonado-Maldonado LA, Misnaza-Castrillón SP, Castañeda-Orjuela CA. [Desigualdades en el control odontológico prenatal en Colombia, un análisis a partir del IV Estudio Nacional de Salud Bucal 2013-2014]. Inequalities in dental prenatal control in Colombia: An analysis based on the IV National Oral Health Study, 2013-2014. Biomedica. 2021 Jun 29;41(2):271-281. doi: 10.7705/biomedica.5705. Spanish. PMID: 34214268; PMCID: PMC8386945.
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Biomedica. 2021 Jun 29;41(2):271-281. doi: 10.7705/biomedica.5705.

Inequalities in dental prenatal control in Colombia: An analysis based on the IV National Oral Health Study, 2013-2014.

Biomedica : revista del Instituto Nacional de Salud

[Article in Spanish]
Lorena Alexandra Maldonado-Maldonado, Sandra Patricia Misnaza-Castrillón, Carlos Andrés Castañeda-Orjuela

Affiliations

  1. Observatorio Nacional de Salud, Instituto Nacional de Salud, Bogotá, D.C., Colombia. [email protected].
  2. Observatorio Nacional de Salud, Instituto Nacional de Salud, Bogotá, D.C., Colombia. [email protected].

PMID: 34214268 PMCID: PMC8386945 DOI: 10.7705/biomedica.5705

Abstract

Introduction: Dental care is essential in guaranteeing the right to healthy motherhood. In Colombia, prenatal care policies incorporate the promotion, prevention, and care in oral health as part of the comprehensive care that pregnant women must receive within the health system. However, there is no systematic monitoring of compliance with these guidelines. Objective: To explore effective care and social inequalities in the provision and use of prenatal dental control in Colombia. Materials and methods: This was a descriptive study with data on pregnant women reported in the Fourth National Oral Health Study, 2013-2014. Absolute and relative social inequalities were estimated according to the area of residence, ethnicity, education level, health affiliation regime, and socioeconomic stratum. Results: We analyzed the data from 1,050 pregnant women. In total, 88.37% received prenatal control and 57.19%, dental control. We observed a general pattern of social gaps in the effective use of the latter, mainly due to the health insurance regime. The pregnant women with the greatest possibility of having some prenatal dental control, were those with some health insurance (prevalence ratio [RP]=2.62; CI 95%: 2.12-3.12), residents in urban areas (RP= 1,37; CI95%: 1.18-1.56), with higher and/or technical education level (RP=1.20; CI95%: 1.02-1.38) or from mid-high social strata (RP=1.15; CI95%: 1.01-1.29). Conclusions: In Colombia, the effective provision of dental control to pregnant women as part of comprehensive prenatal care continues to be a challenge. Significant efforts are required to comply with regulations and reduce social inequalities in access to this service.

Keywords: Oral health; prenatal care; health services; healthcare disparities; primary prevention; right to health

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