Barriers to oral health care amongst different social classes in India.
OBJECTIVE
To investigate and compare the influence of social and cultural factors as access barriers to oral health care amongst people from various social classes.


METHODS
A cross sectional survey in Pimpri, was conducted using a pilot tested 15 item-structured, close-ended and self-administered questionnaire. Two hundred and fifty people aged 35-45 years (50 participants each in five social classes as per British Registrar's General classification of occupation) were selected. The chi-square test was applied to check statistical differences between social classes at 5% level of significance.


RESULTS
Overall, it was observed that irrespective of the social class difference 88% participants wished to seek only expert/professional advice for the dental treatment. Unavailability of services on Sunday (63%), going to dentist only when in pain (57%), trying self care or home remedy (54%), inadequate government policies (50%), budgetary constraints (40%) were among the major access barriers. Statistically significant difference in the access barriers among the social classes were found related to: Inadequate government policies, budgetary constraints, appointment schedules, far-off located clinics, myths and fear about dental treatment.


CONCLUSIONS
Social and cultural factors act as access barriers to oral health care and social class differences have a significant influence on the access barriers.
Department of Public Health Dentistry, College of Dental Sciences and Research Centre, Manipur Ahemdabad, Gujarat, India. bravosquad@rediffmail.com
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D000328:Adult; D039602:After-Hours Care; D003430:Cross-Sectional Studies; D003469:Culture; D003729:Dental Care / Q000706:statistics & numerical data*; D005260:Female; D006291:Health Policy; D006295:Health Resources; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D054625:Healthcare Disparities / Q000706:statistics & numerical data*; D006801:Humans; D007194:India; D008297:Male; D008519:Medicine, Traditional; D008875:Middle Aged; D012923:Social Class; D011795:Surveys and Questionnaires