Utilization of Dental Services in the Adolescent Population of Chiapas, Mexico
DOI:
https://doi.org/10.15517/nc5q1627Keywords:
Community health indicators; Health services utilization; Dental health services; Adolescents; Mexico.Abstract
Health systems face the challenge of guaranteeing access to dental health services, which are often selective. Disparities in access and use of these services in Latin America are linked to socioeconomic factors. This study seeks to analyze the use of dental services among adolescents in Ocozocoautla de Espinosa, Chiapas, considering the social and economic context. A cross-sectional study was conducted with a sample of 353 high school students in Ocozocoautla, Chiapas. Online surveys were used to analyze the use of oral health services and sociodemographic variables. Data were analyzed using SPSS 25.0, with a chi-square test to determine associations. The study complied with relevant ethical protocols. The sample had an equal gender distribution, and most students were between 16 and 17 years old, lived in urban areas, and were not affiliated with a health service. The majority of students came from middle-income families, with parents who worked in the productive sector and had a basic education. Regarding the use of dental services, 61.8% of the students used them in the previous year, primarily at private clinics and due to pain. A total of 58.4% did not perceive their oral health as good. Students with health insurance, a higher socioeconomic level, more educated parents, and a better perception of their oral health showed a higher use of these services. Addressing socioeconomic inequalities and strengthening health education and infrastructure is vital to improving access and a preventive culture in this population group.
Downloads
References
Puertas E.B., Sotelo J.M., Ramos G. Liderazgo y gestión estratégica en sistemas de salud basados en atención primaria de salud. Rev Panam Salud Publica. 2020; 44: e124: 1-9 https://doi.org/10.26633/RPSP.2020.124 DOI: https://doi.org/10.26633/RPSP.2020.124
Franco-Giraldo Á. La salud bucal, entre la salud sistémica y la salud pública. Univ Salud. 2021; 23 (3): 291-300 https://doi.org/10.22267/rus.212303.243 DOI: https://doi.org/10.22267/rus.212303.243
Ladera-Castañeda M.I., Medina-Stelo C.G. La salud bucal en América Latina: Una revisión desde las políticas públicas. Salud Cienc. Tecnol. 2023; 3: 340: 1-10 https://doi.org/10.56294/saludcyt2023340 DOI: https://doi.org/10.56294/saludcyt2023340
Lara-Flores N., López-Cámara V. Factores que influyen en la utilización de los servicios odontológicos. Revisión de la literatura. Rev ADM. 2002; 59 (3): 100-109. Available at: https://www.medigraphic.com/pdfs/adm/od-2002/od023e.pdf
Dho M.S. Factores asociados a la utilización de servicios de salud odontológicos. Ciênc. saúde colet. 2018; 23 (2): 509-518. https://doi.org/10.1590/1413-81232018232.18672015 DOI: https://doi.org/10.1590/1413-81232018232.18672015
Caballero-García C.R., Espínola-Verdún P.A., Domínguez-González D.D., Martínez-Benítez G.G., Figueredo-Palacios S., Fernández-Cáceres A.M., et al. Salud bucodental y utilización de servicios odontológicos. Mem. Inst. Investig. Cienc. Salud. 2017; 15 (3): 57-63 Available at: https://revistascientificas.una.py/index.php/RIIC/article/view/1932/1852 DOI: https://doi.org/10.18004/mem.iics/1812-9528/2017.015(03)57-063
Jiménez-Gayosso S.I., Medina-Solís C.E., Lara-Carrillo E., Scougal-Vilchis R.J., De La Rosa-Santillana R., Márquez-Rodríguez S., et al. Desigualdades socioeconómicas en la utilización de servicios de salud bucal (USSB) alguna vez en la vida por escolares mexicanos de 6-12 años de edad. Gac Med Mex. 2015; 151 (1): 27-33. Available at: https://www.anmm.org.mx/GMM/2015/n1/GMM_151_2015_1_027-033.pdf
Azadeño D., Vargas-Fernández R., Rojas-Roque C. Factores asociados al uso de servicios de salud oral en adultos mayores peruanos: análisis secundario de encuesta poblacional, 2018. Rev Peru Med Exp Salud Publica. 2019; 36 (4): 553-61 https://doi.org/10.17843/rpmesp.2019.364.4724 DOI: https://doi.org/10.17843/rpmesp.2019.364.4724
Salcedo E.D., Vidal-Alaball J. Accesibilidad y Brecha Digital, la Ley de cuidados inversos 2.0. Aten Primaria. 2022; 54 (10). https://doi.org/10.1016/j.aprim.2022.102485 DOI: https://doi.org/10.1016/j.aprim.2022.102485
World Health Organization. Adolescents: health risks and solutions. World Health Organization [Internet]. [cited 1 August 2025]. Available at: https://www.who.int/es/news-room/fact-sheets/detail/adolescents-health-risks-and-solutions
Barrio-Cortés M., Martínez-Pérez J. Atención de la salud en el adolescente. Medicine (Barc., Internet) 2018; 12 (61): 3553-3561. https://doi.org/10.1016/j.med.2018.08.001 DOI: https://doi.org/10.1016/j.med.2018.08.001
Freeman R., Doughty J., Macdonald M.E., Muirhead V. Inclusion oral health: Advancing a theoretical framework for policy, research and practice. Community Dent Oral Epidemiol 2020; 48 (1): 1-6. https://doi.org/10.1111/cdoe.12500 DOI: https://doi.org/10.1111/cdoe.12500
Bessonne G.G., Affur M.C., Trangoni K.E. Promocionando salud en adolescentes. Rev Fac Odontol Univ Nac (Cordoba). 2020; 13 (1). http://dx.doi.org/10.30972/rfo.1314335 DOI: https://doi.org/10.30972/rfo.1314335
Alcaina-Lorente A., Saura-López V., Pérez-Pardo A., Guzmán-Pina S., Cortés-Lillo O., Alcaina-Lorente A., et al. Salud oral: influencia de los estilos de vida en adolescentes. Rev Pediatr Aten Primaria. 2020; 22 (87): 251-61. Available at: https://scielo.isciii.es/pdf/pap/v22n87/1139-7632-pap-87-22-251.pdf
Vargas-Ruiz M.M. Sistema de salud mexicano: de la descentralización hacia la recentralización. Rev. Latinoam. Der. Soc. 2023; 36: 193-221. https://doi.org/10.22201/iij.24487899e.2023.36.17880 DOI: https://doi.org/10.22201/iij.24487899e.2023.36.17880
Secretaría de Bienestar, Consejo Nacional de Evaluación de la Política de Desarrollo Social. Informe anual sobre la situación de pobreza y rezago social 2025: Ocozocoautla de Espinosa [Internet]. México: Gobierno de México; 2025 [accessed August 1, 2025]. Available at: https://www.gob.mx/cms/uploads/attachment/file/972996/07061_Ocozocoautla_de_Espinosa_2025.pdf
Asociación Mexicana de Agencias de Investigación de Mercado y Opinión Pública (AMAI). NSE [Internet]. México: AMAI; 2024 [accessed August 1, 2025] Available at: https://www.amai.org/NSE/index.php?queVeo=NSE2024
Moral de la Rubia J., Rodríguez-Franco N.I. Distribución y validez convergente de la Escala de Hábitos de Higiene Bucal. Rev Nac Odontol. 2017; 13 (25): 21-33. doi: http://dx.doi.org/10.16925/od.v13i25.1709 DOI: https://doi.org/10.16925/od.v13i25.1709
Dal-Ré R., Delgado M., Bolumar F. El registro de los estudios observacionales: es el momento de cumplir el requerimiento de la Declaración de Helsinki. Gac Sanit. 2015; 29 (3): 228-231. https://dx.doi.org/10.1016/j.gaceta.2014.10.006 DOI: https://doi.org/10.1016/j.gaceta.2014.10.006
Reyes-Morales H., Dreser-Mansilla A., Arredondo-López A., Bautista-Arredondo S., Ávila-Burgos L. Análisis y reflexiones sobre la iniciativa de reforma a la Ley General de Salud de México 2019. Salud Publica Mex. 2019; 61 (5): 685-691 https://doi.org/10.21149/10894 DOI: https://doi.org/10.21149/10894
Secretaría de Bienestar, Consejo Nacional de Evaluación de la Política de Desarrollo Social. Informe Anual sobre la Situación de Pobreza y Rezago Social 2024: Ocozocoautla de Espinosa [Internet]. México: Gobierno de México; 2024 [accessed August 1, 2025]. Available at: https://www.gob.mx/cms/uploads/attachment/file/887314/07061OcozocoautlaDeEspinosa2024.pdf
Pontigo-Loyola A.P., Medina-Solís C.E., Márquez-Corona M. de L., Vallejos-Sánchez A.A., Minaya-Sánchez M., Escoffié-Ramírez M., et al. Influencia de variables predisponentes, facilitadoras y de necesidades sobre la utilización de servicios de salud bucal en adolescentes mexicanos en un medio semirrural. Gac Med Mex. 2012; 148 (3): 218-223. Available at: https://www.imbiomed.com.mx/articulo.php?id=92477
Vallejos-Sánchez A.A., Medina-Solís C.E., Minaya-Sánchez M., Villalobos-Rodelo J.J., Márquez-Corona M.L., Islas-Granillo H., et al. Maternal characteristics and treatment needs as predictors of dental health services utilisation among Mexican school children. Eur J Paediatr Dent. 2012; 13 (4): 307-310. Available at: https://pubmed.ncbi.nlm.nih.gov/23270289/
Davoglio R.S., Abegg C., Aerts D.R.G. de C. Factors related to the use of dental services among adolescents from Gravataí, RS, Brazil, in 2005. Rev Bras Epidemiol 546 2013; 16 (2): 546-54 https://doi.org/10.1590/S1415-790X2013000200028 DOI: https://doi.org/10.1590/S1415-790X2013000200028
Arhens A., Colmán R., Martínez N., Morel M., Osorio M., Paciello M. Actitud y práctica sobre salud bucal en adolescentes de colegios públicos de Asunción. Rev Salud Pública Parag. 2015; 5 (2): 40-47. Disponile en: https://revistas.ins.gov.py/index.php/rspp/article/view/130/103
Canseco Prado G., Jarillo Soto E.C. Acceso y práctica odontológica en ámbito de atención privada. Representaciones sociales y salud bucal. Rev. Odont. Mex. 2019; 22 (3):128-136. Available at: http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S1870-199X2018000300128&lng=es DOI: https://doi.org/10.22201/fo.1870199xp.2018.22.3.68230
Zelocuatecatl-Aguilar A., Ávila-Rosas H., Caballero-Peña Í.N. Actitudes y prácticas ante la búsqueda de atención odontológica en personas de la ciudad de México. Estudio cualitativo. Univ Odontol. 2019; 38 (80). https://doi.org/10.11144/Javeriana.uo38-80.apba DOI: https://doi.org/10.11144/Javeriana.uo38-80.apba
Dodd V.J., Logan H., Brown C.D., Calderon A., Catalanotto F. Perceptions of Oral Health, Preventive Care, and Care-Seeking Behaviors Among Rural Adolescents. J Sch Health. 2014; 84 (12): 802-809. https://doi.org/10.1111/josh.12215 DOI: https://doi.org/10.1111/josh.12215
Echeverria M.S., Silva A.E.R., Agostini B.A., Schuch H.S., Demarco F.F. Regular use of dental services among university students in southern Brazil. Rev Saude Publica. 2020; 54: 85: 1-11. https://doi.org/10.11606/s1518-8787.2020054001935 DOI: https://doi.org/10.11606/s1518-8787.2020054001935
Pilotto L.M., Celeste R.K. The relationship between private health plans and use of medical and dental health services in the Brazilian health system. Ciênc. saúde colet 2019; 24 (7): 2727-2736. https://doi.org/10.1590/1413-81232018247.24112017 DOI: https://doi.org/10.1590/1413-81232018247.24112017
Devaux M. Income-related inequalities and inequities in health care services utilisation in 18 selected OECD countries. Eur J of Health Econ. 2015; 16 (1): 21-33. https://doi.org/10.1007/s10198-013-0546-4 DOI: https://doi.org/10.1007/s10198-013-0546-4
Righolt A.J., Jevdjevic M., Marcenes W., Listl S. Global-, Regional-, and Country-Level Economic Impacts of Dental Diseases in 2015. J Dent Res. 2018; 97 (5). https://doi.org/10.1177/0022034517750572 DOI: https://doi.org/10.1177/0022034517750572
Cascaes A.M., Menegaz A.M., Spohr A.R., Bomfim R.A., Barros A.J.D. Desigualdades no comprometimento da renda domiciliar dos brasileiros com gastos privados em assistência odontológica. Cad Saude Publica. 2018; 34 (7): 1-12 https://doi.org/10.1590/0102-311X00104017 DOI: https://doi.org/10.1590/0102-311x00104017
Mills A., Berlin-Broner Y., Levin L. Improving Patient Well-Being as a Broader Perspective in Dentistry. Vol. 73, Int Dent J. 2023; 73 (6): 785-792. https://doi.org/10.1016/j.identj.2023.05.005 DOI: https://doi.org/10.1016/j.identj.2023.05.005
Cohen-Carneiro F., Souza-Santos R., Rebelo M.A.B. Quality of life related to oral health: contribution from social factors. Cien Saude Colet. 2011; 16 Suppl 1:1007-15. https://doi.org/10.1590/S1413-81232011000700033 DOI: https://doi.org/10.1590/S1413-81232011000700033
Published
Issue
Section
License
Copyright (c) 2026 Guadalupe Cartas-Fuentevilla, Juan Carlos Nájera-Ortiz, Néstor Rodolfo García-Chong.

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
ODOVTOS - Int. J. Dent. Sc. endorses CC BY-NC-SA
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator. If you remix, adapt, or build upon the material, you must license the modified material under identical terms. CC BY-NC-SA includes the following elements:
BY: credit must be given to the creator.
NC: Only noncommercial uses of the work are permitted.
SA: Adaptations must be shared under the same terms.



