Inequalities in access and utilization of dental services: a cross-sectional study in an area covered by the Family Health Strategy

Detalhes bibliográficos
Autor(a) principal: Baldani, Márcia Helena
Data de Publicação: 2011
Outros Autores: Antunes, José Leopoldo Ferreira
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Cadernos de Saúde Pública
Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4544
Resumo: This cross-sectional study aimed to investigate the presence of inequalities in the access and use of dental services for people living in the coverage area of the Family Health Strategy (FHS) in Ponta Grossa, Paraná State, Brazil, and to assess individual determinants related to them. The sample consisted of 747 individuals who answered a pre-tested questionnaire. Data analysis was performed by chi-square test and Poisson regression analysis, obtaining explanatory models for recent use and, by limiting the analysis to those who sought dental care, for effective access. Results showed that 41% of the sample had recent dental visits. The lowest visit rates were observed among preschoolers and elderly people. The subjects who most identified the FHS as a regular source of dental care were children. Besides age, better socioeconomic conditions and the presence of a regular source of dental care were positively associated to recent dental visits. We identified inequalities in use and access to dental care, reinforcing the need to promote incentives to improve access for underserved populations.
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spelling Inequalities in access and utilization of dental services: a cross-sectional study in an area covered by the Family Health StrategyHealth Services AccessibilityOral HealthHealth InequalitiesThis cross-sectional study aimed to investigate the presence of inequalities in the access and use of dental services for people living in the coverage area of the Family Health Strategy (FHS) in Ponta Grossa, Paraná State, Brazil, and to assess individual determinants related to them. The sample consisted of 747 individuals who answered a pre-tested questionnaire. Data analysis was performed by chi-square test and Poisson regression analysis, obtaining explanatory models for recent use and, by limiting the analysis to those who sought dental care, for effective access. Results showed that 41% of the sample had recent dental visits. The lowest visit rates were observed among preschoolers and elderly people. The subjects who most identified the FHS as a regular source of dental care were children. Besides age, better socioeconomic conditions and the presence of a regular source of dental care were positively associated to recent dental visits. We identified inequalities in use and access to dental care, reinforcing the need to promote incentives to improve access for underserved populations.O objetivo deste estudo transversal foi investigar a presença de desigualdades no acesso e uso de serviços odontológicos por pessoas residentes na área de abrangência da Estratégia Saúde da Família (ESF) em Ponta Grossa, Paraná, Brasil, e identificar os determinantes individuais relacionados. A amostra constou de 747 pessoas que responderam a um questionário pré-testado. Os dados foram analisados pelo teste qui-quadrado e regressão de Poisson, obtendo-se modelos explicativos para a utilização recente e limitando a análise àqueles que procuraram por tratamento odontológico para o acesso efetivo. Os resultados mostraram que 41% da amostra foi ao dentista recentemente. Menores proporções foram encontradas entre pré-escolares e idosos. Maior indicação da ESF como fonte regular de cuidados odontológicos ocorreu entre as crianças. Além da idade, melhor condição social e possuir um dentista regular associaram-se positivamente às consultas recentes. Foram identificadas desigualdades no acesso e uso de serviços odontológicos, o que reforça a necessidade de se promoverem ações que ampliem o acesso para a população de baixa renda.Reports in Public HealthCadernos de Saúde Pública2011-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4544Reports in Public Health; Vol. 27 No. 14 (2011): Supplement 2Cadernos de Saúde Pública; v. 27 n. 14 (2011): Suplemento 21678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZenghttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4544/9265https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4544/9266Baldani, Márcia HelenaAntunes, José Leopoldo Ferreirainfo:eu-repo/semantics/openAccess2024-03-06T15:28:14Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/4544Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:05:14.441087Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Inequalities in access and utilization of dental services: a cross-sectional study in an area covered by the Family Health Strategy
title Inequalities in access and utilization of dental services: a cross-sectional study in an area covered by the Family Health Strategy
spellingShingle Inequalities in access and utilization of dental services: a cross-sectional study in an area covered by the Family Health Strategy
Baldani, Márcia Helena
Health Services Accessibility
Oral Health
Health Inequalities
title_short Inequalities in access and utilization of dental services: a cross-sectional study in an area covered by the Family Health Strategy
title_full Inequalities in access and utilization of dental services: a cross-sectional study in an area covered by the Family Health Strategy
title_fullStr Inequalities in access and utilization of dental services: a cross-sectional study in an area covered by the Family Health Strategy
title_full_unstemmed Inequalities in access and utilization of dental services: a cross-sectional study in an area covered by the Family Health Strategy
title_sort Inequalities in access and utilization of dental services: a cross-sectional study in an area covered by the Family Health Strategy
author Baldani, Márcia Helena
author_facet Baldani, Márcia Helena
Antunes, José Leopoldo Ferreira
author_role author
author2 Antunes, José Leopoldo Ferreira
author2_role author
dc.contributor.author.fl_str_mv Baldani, Márcia Helena
Antunes, José Leopoldo Ferreira
dc.subject.por.fl_str_mv Health Services Accessibility
Oral Health
Health Inequalities
topic Health Services Accessibility
Oral Health
Health Inequalities
description This cross-sectional study aimed to investigate the presence of inequalities in the access and use of dental services for people living in the coverage area of the Family Health Strategy (FHS) in Ponta Grossa, Paraná State, Brazil, and to assess individual determinants related to them. The sample consisted of 747 individuals who answered a pre-tested questionnaire. Data analysis was performed by chi-square test and Poisson regression analysis, obtaining explanatory models for recent use and, by limiting the analysis to those who sought dental care, for effective access. Results showed that 41% of the sample had recent dental visits. The lowest visit rates were observed among preschoolers and elderly people. The subjects who most identified the FHS as a regular source of dental care were children. Besides age, better socioeconomic conditions and the presence of a regular source of dental care were positively associated to recent dental visits. We identified inequalities in use and access to dental care, reinforcing the need to promote incentives to improve access for underserved populations.
publishDate 2011
dc.date.none.fl_str_mv 2011-01-01
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url https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4544
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4544/9265
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4544/9266
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dc.publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
dc.source.none.fl_str_mv Reports in Public Health; Vol. 27 No. 14 (2011): Supplement 2
Cadernos de Saúde Pública; v. 27 n. 14 (2011): Suplemento 2
1678-4464
0102-311X
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
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collection Cadernos de Saúde Pública
repository.name.fl_str_mv Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)
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