Assessing the role of appropriate primary health care on the use of dental services by Brazilian low-income preschool children

Detalhes bibliográficos
Autor(a) principal: Baldani,Márcia Helena
Data de Publicação: 2017
Outros Autores: Rocha,Juliana Schaia, Fadel,Cristina Berger, Nascimento,Antonio Carlos, Antunes,José Leopoldo Ferreira, Moysés,Samuel Jorge
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Cadernos de Saúde Pública
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2017001105004
Resumo: Abstract: This cross-sectional study aimed to assess the association between the quality of primary health care (PHC) and the use of dental services by preschoolers served by the Family Health Strategy (FHS), controlling for socio-demographic determinants and perceived need. The sample encompassed 438 children aged 3-5 years, enrolled in 19 FHS facilities in Ponta Grossa, Paraná State, Brazil. Individual level variables were collected by interviewing parents or caregivers at home. They answered a questionnaire on socioeconomic conditions, oral hygiene habits and use of dental services. Parental perception of child’s oral health related quality of life, as perceived need, was assessed by the Brazilian version of Early Childhood Oral Health Impact Scale (ECOHIS). Normative need was assessed by oral examinations, according to guidelines standardized by the World Health Organization. The contextual level factor was defined as the extent of implementation of PHC in the facilities. Managers responded to PCATool-Brazil, a validated questionnaire which measures the extent of PHC. Dentists answered to a version of PCATool, which was adapted and pretested for dental services. Multilevel analysis, based on Andersen’s behavioral model, fitted the adjustment of “having ever consulted a dentist” to contextual and individual covariates. We observed high prevalence of dental caries. Almost half of the sample had had dental appointments in life. Social gradients were observed for the use of dental services. Although it was not able to eliminate the impact of adverse social conditions, higher levels of PHC attributes in dental services favored the effective use of such services by low-income children.
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spelling Assessing the role of appropriate primary health care on the use of dental services by Brazilian low-income preschool childrenDental Health ServicesPrimary Health CareHealth Care Quality, Access, and EvaluationPreschool ChildAbstract: This cross-sectional study aimed to assess the association between the quality of primary health care (PHC) and the use of dental services by preschoolers served by the Family Health Strategy (FHS), controlling for socio-demographic determinants and perceived need. The sample encompassed 438 children aged 3-5 years, enrolled in 19 FHS facilities in Ponta Grossa, Paraná State, Brazil. Individual level variables were collected by interviewing parents or caregivers at home. They answered a questionnaire on socioeconomic conditions, oral hygiene habits and use of dental services. Parental perception of child’s oral health related quality of life, as perceived need, was assessed by the Brazilian version of Early Childhood Oral Health Impact Scale (ECOHIS). Normative need was assessed by oral examinations, according to guidelines standardized by the World Health Organization. The contextual level factor was defined as the extent of implementation of PHC in the facilities. Managers responded to PCATool-Brazil, a validated questionnaire which measures the extent of PHC. Dentists answered to a version of PCATool, which was adapted and pretested for dental services. Multilevel analysis, based on Andersen’s behavioral model, fitted the adjustment of “having ever consulted a dentist” to contextual and individual covariates. We observed high prevalence of dental caries. Almost half of the sample had had dental appointments in life. Social gradients were observed for the use of dental services. Although it was not able to eliminate the impact of adverse social conditions, higher levels of PHC attributes in dental services favored the effective use of such services by low-income children.Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz2017-11-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2017001105004Cadernos de Saúde Pública v.33 n.11 2017reponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZ10.1590/0102-311x00158116info:eu-repo/semantics/openAccessBaldani,Márcia HelenaRocha,Juliana SchaiaFadel,Cristina BergerNascimento,Antonio CarlosAntunes,José Leopoldo FerreiraMoysés,Samuel Jorgeeng2017-11-16T00:00:00Zoai:scielo:S0102-311X2017001105004Revistahttp://cadernos.ensp.fiocruz.br/csp/https://old.scielo.br/oai/scielo-oai.phpcadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2017-11-16T00:00Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.none.fl_str_mv Assessing the role of appropriate primary health care on the use of dental services by Brazilian low-income preschool children
title Assessing the role of appropriate primary health care on the use of dental services by Brazilian low-income preschool children
spellingShingle Assessing the role of appropriate primary health care on the use of dental services by Brazilian low-income preschool children
Baldani,Márcia Helena
Dental Health Services
Primary Health Care
Health Care Quality, Access, and Evaluation
Preschool Child
title_short Assessing the role of appropriate primary health care on the use of dental services by Brazilian low-income preschool children
title_full Assessing the role of appropriate primary health care on the use of dental services by Brazilian low-income preschool children
title_fullStr Assessing the role of appropriate primary health care on the use of dental services by Brazilian low-income preschool children
title_full_unstemmed Assessing the role of appropriate primary health care on the use of dental services by Brazilian low-income preschool children
title_sort Assessing the role of appropriate primary health care on the use of dental services by Brazilian low-income preschool children
author Baldani,Márcia Helena
author_facet Baldani,Márcia Helena
Rocha,Juliana Schaia
Fadel,Cristina Berger
Nascimento,Antonio Carlos
Antunes,José Leopoldo Ferreira
Moysés,Samuel Jorge
author_role author
author2 Rocha,Juliana Schaia
Fadel,Cristina Berger
Nascimento,Antonio Carlos
Antunes,José Leopoldo Ferreira
Moysés,Samuel Jorge
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Baldani,Márcia Helena
Rocha,Juliana Schaia
Fadel,Cristina Berger
Nascimento,Antonio Carlos
Antunes,José Leopoldo Ferreira
Moysés,Samuel Jorge
dc.subject.por.fl_str_mv Dental Health Services
Primary Health Care
Health Care Quality, Access, and Evaluation
Preschool Child
topic Dental Health Services
Primary Health Care
Health Care Quality, Access, and Evaluation
Preschool Child
description Abstract: This cross-sectional study aimed to assess the association between the quality of primary health care (PHC) and the use of dental services by preschoolers served by the Family Health Strategy (FHS), controlling for socio-demographic determinants and perceived need. The sample encompassed 438 children aged 3-5 years, enrolled in 19 FHS facilities in Ponta Grossa, Paraná State, Brazil. Individual level variables were collected by interviewing parents or caregivers at home. They answered a questionnaire on socioeconomic conditions, oral hygiene habits and use of dental services. Parental perception of child’s oral health related quality of life, as perceived need, was assessed by the Brazilian version of Early Childhood Oral Health Impact Scale (ECOHIS). Normative need was assessed by oral examinations, according to guidelines standardized by the World Health Organization. The contextual level factor was defined as the extent of implementation of PHC in the facilities. Managers responded to PCATool-Brazil, a validated questionnaire which measures the extent of PHC. Dentists answered to a version of PCATool, which was adapted and pretested for dental services. Multilevel analysis, based on Andersen’s behavioral model, fitted the adjustment of “having ever consulted a dentist” to contextual and individual covariates. We observed high prevalence of dental caries. Almost half of the sample had had dental appointments in life. Social gradients were observed for the use of dental services. Although it was not able to eliminate the impact of adverse social conditions, higher levels of PHC attributes in dental services favored the effective use of such services by low-income children.
publishDate 2017
dc.date.none.fl_str_mv 2017-11-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2017001105004
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2017001105004
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/0102-311x00158116
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
publisher.none.fl_str_mv Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
dc.source.none.fl_str_mv Cadernos de Saúde Pública v.33 n.11 2017
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Cadernos de Saúde Pública
collection Cadernos de Saúde Pública
repository.name.fl_str_mv Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br
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