Desigualdade na utilização de serviços de saúde bucal na atenção básica e fatores associados em dois municípios brasileiros.
Objective. To investigate the factors associated with inequality in the use of oral health services in the Brazilian Family Health Program (Estratégia Saúde da Família, ESF) as measured by dental extractions. Methods. A population-based household survey was carried out in two municipalities with ful...
| Publicado en: | Pan American Journal of Public Health Vol. 34; no. 6; pp. 401 - 407 |
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| Autores principales: | , , |
| Formato: | Artículo |
| Publicado: |
World Health Organization
Dec2013
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=94334651&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 94334651 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10204989 55OA jtl: Pan American Journal of Public Health issn: 10204989 maglogo: N pubinfo: dt: Dec2013 vid: 34 iid: 6 pid: 437 pub: World Health Organization artinfo: ui: 94334651 ppf: 401 ppct: 6 formats: tig: atl: Desigualdade na utilização de serviços de saúde bucal na atenção básica e fatores associados em dois municípios brasileiros. aug: au: Fagundes Soares, Felipe Lima Chaves, Sônia Cristina Teixeira Cangussu, Maria Cristina affil: Universidade Federal da Bahia, Instituto de Saúde Coletiva ISC/UFBA, Salvador (BA), Brasil. Correspondência: Felipe Fagundes Soares Universidade Federal da Bahia, Faculdade de Odontologia, Departamento de Odontologia Social e Pediátrica, Salvador (BA), Brasil su: Brazil Health equity Age distribution Dental care Epidemiology Interviewing Primary health care Public welfare Educational attainment Health & social status History Surveys Community health workers Confidence intervals Questionnaires Dental extraction Data analysis Multiple regression analysis Predictive validity Disease prevalence Descriptive statistics sug: subj: Health equity Age distribution Dental care Epidemiology Interviewing Primary health care Public welfare Educational attainment Health & social status History Brazil Offices of Dentists Dental Laboratories Dental Equipment and Supplies Manufacturing Administration of Human Resource Programs (except Education, Public Health, and Veterans' Affairs Programs) Health and Welfare Funds Other Individual and Family Services Emergency and Other Relief Services Surveys Community health workers Confidence intervals Questionnaires Dental extraction Data analysis Multiple regression analysis Predictive validity Disease prevalence Descriptive statistics keyword: dental care health inequalities health services accessibility oral health primary health care Tooth extraction acesso aos serviços de saúde assistência odontológica atenção primária à saúde Brasil desigualdades em saúde Extração dentária saúde bucal dental care health inequalities health services accessibility oral health primary health care Tooth extraction acesso aos serviços de saúde assistência odontológica atenção primária à saúde Brasil desigualdades em saúde Extração dentária saúde bucal ab: Objective. To investigate the factors associated with inequality in the use of oral health services in the Brazilian Family Health Program (Estratégia Saúde da Família, ESF) as measured by dental extractions. Methods. A population-based household survey was carried out in two municipalities with full coverage by the ESF in the state of Bahia, Brazil. Ten census tracts were randomly selected. Households were selected by systematic sampling. To assess the use of public services by the population, a prevalence of 50%, sampling error of 4%, and confidence interval of 95% were considered. Trained community health workers conducted key informant interviews on use of oral health services and collected demographic data for all household members aged 15 years or older. Dental extraction was the main outcome. The association between dental extraction and predictive variables was assessed using prevalence ratio, and multivariate logistic regression analysis was performed using odds ratio (OR). Results. Data from 2 539 people was collected. Of these, 682 (26.86%) had used primary oral health care services in the previous 12 months. Dental extraction was performed in 218 (31.96%) out of 682 primary care patients. Being assisted by social programs (OR = 1.43; IC95%: 1.02-2.01), being older than 35 years (OR = 1.59; IC95%: 1.12-2.27), and having lower education levels (OR = 1.81; IC95%: 1.27-2.56) were independently associated with the outcome. Conclusions. The present results suggest that historical inequalities of access to oral health services persist. Intersectoral actions may play an important role in improving oral health conditions. pubtype: Academic Journal doctype: Article src: R language: Portuguese refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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