Assessing the role of appropriate primary health care on the use of dental services by Brazilian low-income preschool children
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , |
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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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 |
_version_ |
1754115738031882240 |