Utilization of a public subsidy scheme for dental care services among socially vulnerable citizens out of labor in Copenhagen, Denmark

Abstract

Objective

Addressing social inequality in oral health and access to dental care is a global concern. This study aims to describe the utilization of a public subsidy scheme targeting vulnerable individuals out of labor in Copenhagen municipality (2013–2018) and to identify key characteristics of individuals eligible to apply.

Material and Methods

Data from Copenhagen municipality were combined with data from population and health registers. Employing logistic regression analyses, we examined the association between demographic, socioeconomic, and health-related characteristics and (1) having applied, (2) being granted, and (3) using the subsidy.

Results

The study included 65,174 individuals aged 18–65. Of these 10,369 (15.9%) applied for subsidies, submitting a total of 18,529 applications. Overall, 83% of the applications were granted and 85% were used. Significantly increased odds of applying for subsidies were observed among individuals receiving social benefits non-stop over the past year versus none (odds ratio [OR] = 15.45, 95% confidence interval [CI] = 14.24–16.76), aged 50–65 versus 18–29 years (OR = 4.41, CI = 4.15–4.69), and having combined indicators of social vulnerability versus none (OR = 2.90, CI = 2.73–3.07).

Conclusions

While the utilization of the public subsidy scheme is low, individuals who apply are likely to be granted a subsidy and use it. Vulnerability was associated with greater utilization of the scheme, yet a substantial portion of those at risk of poor oral health did not take advantage of it.

Keywords:

• Dental care delivery
• low-income population
• out of labor
• social inequalities
• social vulnerability

Acknowledgement

We would like to acknowledge Helle Kløft Schademan, Senior data analyst from Copenhagen municipality for her contribution to extracting municipal data.

Author contributions

All authors contributed to the conception or design of the study and the acquisition, analysis, or interpretation of the data. MSK drafted the manuscript. AKE, IA, and EBØ critically revised the manuscript and gave final approval

Disclosure statement

No potential conflict of interest was reported by the authors.

Data availability statement

Due to data privacy regulations by Statistics Denmark, the data generated during this study are not publicly accessible.

Additional information

Funding

The work was supported by The Danish Dental Association under a grant (number 065). The funding agency did not influence the submitted work.