Use and resolubility of the oral health public services offered to children in a large municipality

Detalhes bibliográficos
Autor(a) principal: CARDOSO,Andreza Viana Lopes
Data de Publicação: 2018
Outros Autores: VARGAS,Andréa Maria Duarte, AMARAL,João Henrique Lara do, VASCONCELOS,Mara, MACHADO,Kecyanne Malheiros, SOARES,Anna Rachel dos Santos, FERREIRA,Raquel Conceição
Tipo de documento: Artigo
Idioma: eng
Título da fonte: RGO - Revista Gaúcha de Odontologia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1981-86372018000100060
Resumo: ABSTRACT Objective: To evaluate the effect of caries severity and socioeconomic conditions on use of oral health services and treatment situations (completed treatment, evasion, referral) among children with dental treatment needs, using the Unified Health System. Methods: Cross sectional study performed among children up to six years old, with dental treatment needs, coming from public schools in Belo Horizonte, Brazil, examined by the Oral Health Teams in the annual survey of oral health, in 2014. Variables were collected by consulting the medical records and information systems. Services were used by children who had attended the dental appointment at least once. The severity of caries considered the number of cavitated teeth. The socioeconomic variables were: age, sex, skin color and family socioeconomic classification. Resolubility was assessed by the ratio between completed treatment and first appointment. Evasion was defined by absence in more than two consecutive unjustified appointments. Association was tested by chi-square test and Poisson regression. Results: The frequency of services use was 44.3% and there was greater use by children with treatment needs in 4 to 8 teeth (PR=1.48, 1.23-1.78) and in more than 9 teeth (PR=1.80, 1.32-2.46) and lower in those with very high socioeconomic risk (PR = 0.79, 0.63-0.99). The resolubility was of 49.6% and 5.2% abandoned the treatment. Children with lower socioeconomic status presented lower resolubility and greater avoidance. Conclusion: The results suggested a persistent iniquity, with less use and resolubility of oral health services among children presenting worse socioeconomic status.
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spelling Use and resolubility of the oral health public services offered to children in a large municipalityChild, preschoolHealth services researchOral healthPatient DropoutsPrimary health care.ABSTRACT Objective: To evaluate the effect of caries severity and socioeconomic conditions on use of oral health services and treatment situations (completed treatment, evasion, referral) among children with dental treatment needs, using the Unified Health System. Methods: Cross sectional study performed among children up to six years old, with dental treatment needs, coming from public schools in Belo Horizonte, Brazil, examined by the Oral Health Teams in the annual survey of oral health, in 2014. Variables were collected by consulting the medical records and information systems. Services were used by children who had attended the dental appointment at least once. The severity of caries considered the number of cavitated teeth. The socioeconomic variables were: age, sex, skin color and family socioeconomic classification. Resolubility was assessed by the ratio between completed treatment and first appointment. Evasion was defined by absence in more than two consecutive unjustified appointments. Association was tested by chi-square test and Poisson regression. Results: The frequency of services use was 44.3% and there was greater use by children with treatment needs in 4 to 8 teeth (PR=1.48, 1.23-1.78) and in more than 9 teeth (PR=1.80, 1.32-2.46) and lower in those with very high socioeconomic risk (PR = 0.79, 0.63-0.99). The resolubility was of 49.6% and 5.2% abandoned the treatment. Children with lower socioeconomic status presented lower resolubility and greater avoidance. Conclusion: The results suggested a persistent iniquity, with less use and resolubility of oral health services among children presenting worse socioeconomic status.Faculdade São Leopoldo Mandic2018-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1981-86372018000100060RGO - Revista Gaúcha de Odontologia v.66 n.1 2018reponame:RGO - Revista Gaúcha de Odontologia (Online)instname:Faculdade São Leopoldo Mandic (FSLM)instacron:FSLM10.1590/1981-863720180001000083293info:eu-repo/semantics/openAccessCARDOSO,Andreza Viana LopesVARGAS,Andréa Maria DuarteAMARAL,João Henrique Lara doVASCONCELOS,MaraMACHADO,Kecyanne MalheirosSOARES,Anna Rachel dos SantosFERREIRA,Raquel Conceiçãoeng2019-08-06T00:00:00Zoai:scielo:S1981-86372018000100060Revistahttp://revodonto.bvsalud.org/scielo.php?script=sci_serial&pid=1981-8637&lng=pt&nrm=isohttps://old.scielo.br/oai/scielo-oai.php||contato@revistargo.com.br1981-86370103-6971opendoar:2019-08-06T00:00RGO - Revista Gaúcha de Odontologia (Online) - Faculdade São Leopoldo Mandic (FSLM)false
dc.title.none.fl_str_mv Use and resolubility of the oral health public services offered to children in a large municipality
title Use and resolubility of the oral health public services offered to children in a large municipality
spellingShingle Use and resolubility of the oral health public services offered to children in a large municipality
CARDOSO,Andreza Viana Lopes
Child, preschool
Health services research
Oral health
Patient Dropouts
Primary health care.
title_short Use and resolubility of the oral health public services offered to children in a large municipality
title_full Use and resolubility of the oral health public services offered to children in a large municipality
title_fullStr Use and resolubility of the oral health public services offered to children in a large municipality
title_full_unstemmed Use and resolubility of the oral health public services offered to children in a large municipality
title_sort Use and resolubility of the oral health public services offered to children in a large municipality
author CARDOSO,Andreza Viana Lopes
author_facet CARDOSO,Andreza Viana Lopes
VARGAS,Andréa Maria Duarte
AMARAL,João Henrique Lara do
VASCONCELOS,Mara
MACHADO,Kecyanne Malheiros
SOARES,Anna Rachel dos Santos
FERREIRA,Raquel Conceição
author_role author
author2 VARGAS,Andréa Maria Duarte
AMARAL,João Henrique Lara do
VASCONCELOS,Mara
MACHADO,Kecyanne Malheiros
SOARES,Anna Rachel dos Santos
FERREIRA,Raquel Conceição
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv CARDOSO,Andreza Viana Lopes
VARGAS,Andréa Maria Duarte
AMARAL,João Henrique Lara do
VASCONCELOS,Mara
MACHADO,Kecyanne Malheiros
SOARES,Anna Rachel dos Santos
FERREIRA,Raquel Conceição
dc.subject.por.fl_str_mv Child, preschool
Health services research
Oral health
Patient Dropouts
Primary health care.
topic Child, preschool
Health services research
Oral health
Patient Dropouts
Primary health care.
description ABSTRACT Objective: To evaluate the effect of caries severity and socioeconomic conditions on use of oral health services and treatment situations (completed treatment, evasion, referral) among children with dental treatment needs, using the Unified Health System. Methods: Cross sectional study performed among children up to six years old, with dental treatment needs, coming from public schools in Belo Horizonte, Brazil, examined by the Oral Health Teams in the annual survey of oral health, in 2014. Variables were collected by consulting the medical records and information systems. Services were used by children who had attended the dental appointment at least once. The severity of caries considered the number of cavitated teeth. The socioeconomic variables were: age, sex, skin color and family socioeconomic classification. Resolubility was assessed by the ratio between completed treatment and first appointment. Evasion was defined by absence in more than two consecutive unjustified appointments. Association was tested by chi-square test and Poisson regression. Results: The frequency of services use was 44.3% and there was greater use by children with treatment needs in 4 to 8 teeth (PR=1.48, 1.23-1.78) and in more than 9 teeth (PR=1.80, 1.32-2.46) and lower in those with very high socioeconomic risk (PR = 0.79, 0.63-0.99). The resolubility was of 49.6% and 5.2% abandoned the treatment. Children with lower socioeconomic status presented lower resolubility and greater avoidance. Conclusion: The results suggested a persistent iniquity, with less use and resolubility of oral health services among children presenting worse socioeconomic status.
publishDate 2018
dc.date.none.fl_str_mv 2018-01-01
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dc.publisher.none.fl_str_mv Faculdade São Leopoldo Mandic
publisher.none.fl_str_mv Faculdade São Leopoldo Mandic
dc.source.none.fl_str_mv RGO - Revista Gaúcha de Odontologia v.66 n.1 2018
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