Economic Impact of the COVID-19 Pandemic among Dentists in One of the Poorest Brazilian States: A Cross-Sectional Study

Hassan Lavalier de Oliveira Lima; Francenilde Silva de Sousa; Paulo Savio Angeiras de Goes; Edson Hilan Gomes de Lucena; Nilcema Figueiredo; Gabriela da Silveira Gaspar; Erika Barbara Abreu Fonseca Thomaz

Authors

Hassan Lavalier de Oliveira Lima
Francenilde Silva de Sousa
Paulo Savio Angeiras de Goes
Edson Hilan Gomes de Lucena
Nilcema Figueiredo
Gabriela da Silveira Gaspar
Erika Barbara Abreu Fonseca Thomaz

Keywords:

Economics, Dentists, Income, COVID-19

Abstract

Objective: To analyze the impact of the COVID-19 pandemic on dentists’ income and to identify associated factors in one of the poorest Brazilian states. Material and Methods: A cross-sectional study including dentists who volunteered to answer an electronic questionnaire in Maranhão. Hierarchical multinomial logistic regression analyses were performed, estimating crude and adjusted odds ratios (OR) and respective 95% confidence intervals (95%CI) (alpha=5%). Results: The COVID-19 pandemic impacted the professionals´ income negatively [55.44% (50.26-60.52%)] and also positively [6.9% (4.55-9.94%)]. The negative impact on income was greater among male dentists (OR=2.54; 95%CI: 1.16-5.53), over 30 years of age (OR=3.03; 95%CI: 1.34-6.87), with family income below two minimum wages (OR=4.63; 95%CI: 1.50-14.30), who worked in the continent instead of in the capital island (OR=2.21; 95%CI: 1.14-4.29) and in the private sector (OR=31.43; 95%CI: 11.59-85.22). Moreover, those who had been tested for COVID-19, with a negative result, had a 21.3-fold greater chance of having an increased household income when compared to those who had not been tested. Conclusion: The COVID-19 pandemic negatively impacted the dentists’ income in Maranhão, especially the older, males, with lower incomes, and who worked in the private sector, living far from the capital. The SUS played an important role in the social protection of dentists during the COVID-19 pandemic, mitigating the economic impacts on the public sector working class.

References

Chamorro-Petronacci C, Carreras-Presas CM, Sanz-Marchena A, Rodríguez-Fernández M, Suárez-Quintanilla JM, Rivas-Mundiña B, et al. Assessment of the economic and health-care impact of COVID-19 (SARS-CoV-2) on public and private dental surgeries in Spain: A pilot study. Int J Environ Res Public Health 2020; 17(14):5139. https://doi.org/10.3390/ijerph17145139

Santos MBF, Pires ALC, Saporiti JM, KInalski MA, Marchini L. Impact of COVID-19 pandemic on oral health procedures provided by the Brazilian public health system. Health Policy Technol 2021; 10(1):135-42. https://doi.org/10.1016/j.hlpt.2021.02.001

Mahdee AF, Gul SS, Abdulkareem AA, Qasim SSB. Anxiety, practice modification, and economic impact among Iraqi dentists during the COVID-19 outbreak. Front Med 2020; 7:595028. https://doi.org/10.3389/fmed.2020.595028

Wolf TG, Zeyer O, Campus G. COVID-19 in Switzerland and Liechtenstein: A cross-sectional survey among dentists’ awareness, protective measures and economic effects. Int J Environ Res Public Health 2020; 17(23):9051. https://doi.org/10.3390/ijerph17239051

Apouey B, Roulet A, Solal I, Stabile M. Gig workers during the COVID-19 crisis in France: Financial precarity and mental well-being. J Urban Health 2020; 97(6):776-95. https://doi.org/10.1007/s11524-020-00480-4

Oliveira MM, Fuller T, Gabaglia CR, Cambou MC, Brasil P, Vasconcelos ZFM, et al. Repercussions of the COVID-19 pandemic on preventive health services in Brazil. Prev Med 2022; 155:106914. https://doi.org/10.1016/j.ypmed.2021.106914

De Andrade CLT, Pereira CCA, Martins M, Lima SL, Portela MC. COVID-19 hospitalizations in Brazil’s Unified Health System (SUS). PLoS One 2020; 1-17. https://doi. org/10.1371/journal.pone.0243126

Aquino EM, Silveira IH, Pescarini JM, Rocha AS. Social distancing measures to control the COVID-19 pandemic: potential impacts and challenges in Brazil. Cien Saude Colet 2020; 25(suppl 1):2423-46. https://doi.org/10.1590/1413-81232020256.1.1050202

Gonzalez-Olmo MJ, Ortega-Martinez AR, Delgado-Ramos B, Romero-Maroto M, Carrillo-Diaz, M. Perceived vulnerability to coronavirus infection: impact on dental practice. Braz Oral Res 2020; 34:e044. https://doi.org/10.1590/1807-3107bor-2020.vol34.0044

Guo H, Zhou Y, Liu, X, Tan J. The impact of the COVID-19 epidemic on the utilization of emergency dental services. J Dent Sci 2020; 15(4):564-7. https://doi.org/10.1016/j.jds.2020.02.002

Long RH, Ward TD, Pruett ME, Coleman JF, Plaisance MC Jr. Modifications of emergency dental clinic protocols to combat COVID-19 transmission. Spec Care Dentist 2020; 40(3):219-26. https://doi.org/10.1111/scd.12472

Ahmed MA, Jouhar R, Ahmed N, Adnan S, Aftab M, Zafar MS, et al. Fear and practice modifications among dentists to combat novel coronavirus disease (COVID-19) outbreak. Int J Environ Res Public Health 2020; 17(8):2821. https://doi.org/10.3390/ijerph17082821

Jayaweera M, Perera H. Gunawardana, B, Manatunge J. Transmission of COVID-19 virus by droplets and aerosols: A critical review on the unresolved dichotomy. Environ Res 2020; 188:109819. https://doi.org/10.1016/j.envres.2020.109819

Moraes RR, Correa MB, Queiroz AB, Daneris Â, Lopes JP, Pereir-Cenci T, et al. COVID-19 challenges to dentistry in the new pandemic epicenter: Brazil. PLoS One 2020; 15(11):e0242251. https://doi.org/10.1371/journal.pone.0242251

Villarim NLS, Muniz IAF, Perez DEDC, Martelli Junior H, Machado RA, Cavalcanti YN, et al. Evaluation of the economic impact of COVID-19 on Brazilian private dental clinics: A cross-sectional study. Work 2022; 71(1):79-86. https://doi.org/doi:10.3233/WOR-210989

Novaes TF, Jordão MC, Bonacina CF, Veronezi AO, de Araujo CAR, Olegário IC, et al. COVID-19 pandemic impact on dentists in Latin America’s epicenter: São-Paulo, Brazil. PLoS One 2021; 16(8):e0256092. https://doi.org/10.1371/journal.pone.0256092

Gomes P, Vieira W, Daruge R, Recchioni C, Pugliese C, Cirilo, et al. The impact of coronavirus (COVID-19) on dental activities: economic and mental challenges. Res Soc Dev 2021; 10(1):e22310111207. https://doi.org/10.33448/rsd-v10i1.11207

Silva AAM, Lima-Neto LG, Azevedo CMPS, Costa LMM, Martins MLB, Barros Filho AKD, et al. Population-based seroprevalence of SARS-CoV-2 and the herd immunity threshold in Maranhão. Rev Saude Pub 2020; 54:1-14. https://doi.org/10.11606/s1518-8787.2020054003278

Victora C, Huttly S, Fuchs S, Olinto M. The role of conceptual frameworks in epidemiological analysis: A hierarchical approach. Int J Epidemiol 1997; 26(1):224-7. https://doi.org/10.1093/ije/26.1.224

Maas LWD, Assis LML, Tómas MC, Paulo FBC, Vilaça TO. A pobreza no Maranhão: uma análise com base na perspectiva multidimensional. Rev Soc e Estado 2022; 37(2):407-34. https://doi.org/10.1590/s0102-6992-202237020002 [In Portuguese].

Bizzoca ME, Campisi G, Muzio LL. Covid-19 pandemic: What changes for dentists and oral medicine experts? A narrative review and novel approaches to infection containment. Int J Environ Res Public Health 2020; 17(11):3793. https://doi.org/10.3390/ijerph17113793

Moraes RR, Cuevas-suárez CE, Otárola WG, Fernández MR, Dávila-Sánchez A, Grau-Grullon P, et al. A multi-country survey on the impact of COVID-19 on dental practice and dentists' feelings in Latin America. BMC Health Serv Res 2022; 22(1):393. https://doi.org/10.1186/s12913-022-07792-y

Ahmadi H, Ebrahimi A, Ghorbani F. The impact of COVID‑19 pandemic on dental practice in Iran: A questionnaire‑based report. BMC Oral Health 2020; 20:1-9. https://doi.org/10.1186/s12913-022-07792-y

Bellini P, Checchi V, Iani C, Bencivenni D, Consolo U. Psychological reactions to COVID-19 and epidemiological aspects of dental practitioners during lockdown in Italy. Minerva Dent Oral Sci 2021; 70(1):32-43. https://doi.org/10.23736/S2724-6329.20.04430-1

Pallavi SK, Rajkumar GC. Professional practice among woman dentist. J Int Soc Prev Community Dent 2011; 1(1):14-9. https://doi.org/10.4103/2231-0762.86376

Ghani F. Covid-19 Outbreak – Immediate and long-term impacts on the dental profession. Pak J Med Sci 2020; 36:126-9. https://doi.org/10.12669/pjms.36.COVID19-S4.2698

Huang IC, Du PL, Lin LS, Lin TF, Kuo SC. Factors beyond workplace matter: The effect of family support and religious attendance on sustaining well-being of high-technology employees. Healthcare 2021; 9(5):602. https://doi.org/10.3390/healthcare9050602

Klop HT, Nasori M, Klinge TW, Hoopman R, Vos MA, du Perron C, et al. Family support on intensive care units during the COVID-19 pandemic: A qualitative evaluation study into experiences of relatives. BMC Health Serv Res 2021; 21(1):1060. https://doi.org/10.1186/s12913-021-07095-8

Moraes RR, Correa MB, Martins-filho PR, Lima GS, Demarco FF. COVID-19 incidence, severity, medication use, and vaccination among dentists: survey during the second wave in Brazil. J Appl Oral Sci 2022; 30:1-11. https://doi.org/10.1590/1678-7757-2022-0016

Santos IC, Oliveira LMF, Salas MMS, Soares MRPS, Dias AM. Dental education, teledentistry and the COVID-19 pandemic: A narrative review. Res Soc Dev 2022; 11(12):e436111234619. https://doi.org/10.33448/rsd-v1i12.34619