Factors associated with the dental service utilization by enrollees on the Lagos State health insurance scheme, Nigeria
Abstract Background Despite assumptions that insurance coverage would boost oral healthcare utilization in Nigeria, there is insufficient evidence supporting this claim. This study investigates the associations between residential location, awareness of the oral health insurance scheme, history of d...
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2025-01-01
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| Series: | BMC Health Services Research |
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| Online Access: | https://doi.org/10.1186/s12913-024-12177-4 |
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| author | Olunike Rebecca Abodunrin Ezekiel Taiwo Adebayo Ifeoluwa E. Adewole Mobolaji Timothy Olagunju Chibueze Ekeh Ibitoye Oluwabunmi Samuel Emmanuella Zamba Titilola Gbaja-Biamila Folahanmi Tomiwa Akinsolu George Uchenna Eleje Maha El Tantawi Oliver Chukwujekwu Ezechi Morẹ́nikẹ́ Oluwátóyìn Foláyan |
| author_facet | Olunike Rebecca Abodunrin Ezekiel Taiwo Adebayo Ifeoluwa E. Adewole Mobolaji Timothy Olagunju Chibueze Ekeh Ibitoye Oluwabunmi Samuel Emmanuella Zamba Titilola Gbaja-Biamila Folahanmi Tomiwa Akinsolu George Uchenna Eleje Maha El Tantawi Oliver Chukwujekwu Ezechi Morẹ́nikẹ́ Oluwátóyìn Foláyan |
| author_sort | Olunike Rebecca Abodunrin |
| collection | DOAJ |
| description | Abstract Background Despite assumptions that insurance coverage would boost oral healthcare utilization in Nigeria, there is insufficient evidence supporting this claim. This study investigates the associations between residential location, awareness of the oral health insurance scheme, history of dental service utilization, and acceptance of oral health insurance among individuals benefiting from the Ilera Eko Scheme; a scheme that integrates preventive and curative oral health care into the state health insurance scheme. Methods A cross-sectional survey was conducted from July to November 2023 recruiting from a database of 1520 enrollees aged of 18 and 72-years-old who had been on the scheme for at least three months. An interviewer-administered questionnaire was used to collect the data from participants living in five regions of Lagos State. The dependent variable was dental service utilization. The independent variables were awareness about Ilera Eko health insurance scheme, history of oral health problem, residential location of the respondents (Lagos Island, Badagry, Epe, Ikorodu and Ikeja), and perception about the scheme. The confounding variables were the age at last birthday, sex at birth (male or female), educational level (no education, primary, secondary, and tertiary education), level of income (< 50,000, 50,000–10000, 150,000–200,000, > 200,000), employment status (employed, self-employed and unemployed), marital status (single, married, divorced. widow/widower) and duration on the scheme (< 6 months, 6–12 months, > 12 months). A binary logistic regression analysis was conducted to determine the associations between the dependent and independent variables, controlling for confounders. Results The study recruited 485 participants of which 31 (6.4%) had used the oral health care services. Respondents with oral health problems had higher odds of using the scheme (AOR:21.065; p < 0.001). Residents in Ikeja had significantly lower odds of using the scheme when compared with residents in Lagos Island (AOR: 0.174; p = 0.005). Conclusion Respondents with oral health problems had higher odds of using the oral health insurance scheme. Innovative approaches are needed to drive the utilization of free dental service packages on health insurance schemes in Lagos State, especially for preventive care. |
| format | Article |
| id | doaj-art-27d1ca4222134b57bc132295133dcd2a |
| institution | Kabale University |
| issn | 1472-6963 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
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| series | BMC Health Services Research |
| spelling | doaj-art-27d1ca4222134b57bc132295133dcd2a2025-01-05T12:12:26ZengBMCBMC Health Services Research1472-69632025-01-012511910.1186/s12913-024-12177-4Factors associated with the dental service utilization by enrollees on the Lagos State health insurance scheme, NigeriaOlunike Rebecca Abodunrin0Ezekiel Taiwo Adebayo1Ifeoluwa E. Adewole2Mobolaji Timothy Olagunju3Chibueze Ekeh4Ibitoye Oluwabunmi Samuel5Emmanuella Zamba6Titilola Gbaja-Biamila7Folahanmi Tomiwa Akinsolu8George Uchenna Eleje9Maha El Tantawi10Oliver Chukwujekwu Ezechi11Morẹ́nikẹ́ Oluwátóyìn Foláyan12Department of Planning and Research, Lagos State Health Management AgencyOral Health Initiative, Nigerian Institute of Medical ResearchOral Health Initiative, Nigerian Institute of Medical ResearchDepartment of Epidemiology and Biostatistics, Nanjing Medical UniversityDepartment of Planning and Research, Lagos State Health Management AgencyOral Health Initiative, Nigerian Institute of Medical ResearchDepartment of Planning and Research, Lagos State Health Management AgencyOral Health Initiative, Nigerian Institute of Medical ResearchOral Health Initiative, Nigerian Institute of Medical ResearchOral Health Initiative, Nigerian Institute of Medical ResearchOral Health Initiative, Nigerian Institute of Medical ResearchOral Health Initiative, Nigerian Institute of Medical ResearchOral Health Initiative, Nigerian Institute of Medical ResearchAbstract Background Despite assumptions that insurance coverage would boost oral healthcare utilization in Nigeria, there is insufficient evidence supporting this claim. This study investigates the associations between residential location, awareness of the oral health insurance scheme, history of dental service utilization, and acceptance of oral health insurance among individuals benefiting from the Ilera Eko Scheme; a scheme that integrates preventive and curative oral health care into the state health insurance scheme. Methods A cross-sectional survey was conducted from July to November 2023 recruiting from a database of 1520 enrollees aged of 18 and 72-years-old who had been on the scheme for at least three months. An interviewer-administered questionnaire was used to collect the data from participants living in five regions of Lagos State. The dependent variable was dental service utilization. The independent variables were awareness about Ilera Eko health insurance scheme, history of oral health problem, residential location of the respondents (Lagos Island, Badagry, Epe, Ikorodu and Ikeja), and perception about the scheme. The confounding variables were the age at last birthday, sex at birth (male or female), educational level (no education, primary, secondary, and tertiary education), level of income (< 50,000, 50,000–10000, 150,000–200,000, > 200,000), employment status (employed, self-employed and unemployed), marital status (single, married, divorced. widow/widower) and duration on the scheme (< 6 months, 6–12 months, > 12 months). A binary logistic regression analysis was conducted to determine the associations between the dependent and independent variables, controlling for confounders. Results The study recruited 485 participants of which 31 (6.4%) had used the oral health care services. Respondents with oral health problems had higher odds of using the scheme (AOR:21.065; p < 0.001). Residents in Ikeja had significantly lower odds of using the scheme when compared with residents in Lagos Island (AOR: 0.174; p = 0.005). Conclusion Respondents with oral health problems had higher odds of using the oral health insurance scheme. Innovative approaches are needed to drive the utilization of free dental service packages on health insurance schemes in Lagos State, especially for preventive care.https://doi.org/10.1186/s12913-024-12177-4Oral healthDental healthcareInsuranceUtilizationEnrolleesLagos State |
| spellingShingle | Olunike Rebecca Abodunrin Ezekiel Taiwo Adebayo Ifeoluwa E. Adewole Mobolaji Timothy Olagunju Chibueze Ekeh Ibitoye Oluwabunmi Samuel Emmanuella Zamba Titilola Gbaja-Biamila Folahanmi Tomiwa Akinsolu George Uchenna Eleje Maha El Tantawi Oliver Chukwujekwu Ezechi Morẹ́nikẹ́ Oluwátóyìn Foláyan Factors associated with the dental service utilization by enrollees on the Lagos State health insurance scheme, Nigeria BMC Health Services Research Oral health Dental healthcare Insurance Utilization Enrollees Lagos State |
| title | Factors associated with the dental service utilization by enrollees on the Lagos State health insurance scheme, Nigeria |
| title_full | Factors associated with the dental service utilization by enrollees on the Lagos State health insurance scheme, Nigeria |
| title_fullStr | Factors associated with the dental service utilization by enrollees on the Lagos State health insurance scheme, Nigeria |
| title_full_unstemmed | Factors associated with the dental service utilization by enrollees on the Lagos State health insurance scheme, Nigeria |
| title_short | Factors associated with the dental service utilization by enrollees on the Lagos State health insurance scheme, Nigeria |
| title_sort | factors associated with the dental service utilization by enrollees on the lagos state health insurance scheme nigeria |
| topic | Oral health Dental healthcare Insurance Utilization Enrollees Lagos State |
| url | https://doi.org/10.1186/s12913-024-12177-4 |
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