Oral health access in Brazil: analysis of inequities and non-access from the user's perspective, according to National Primary Care Access and Quality Improvement Program, 2014 and 2018

Detalhes bibliográficos
Autor(a) principal: Freire, Deborah Ellen Wanderley Gomes
Data de Publicação: 2021
Outros Autores: Freire, Aldelany Ramalho, Lucena, Edson Hilan Gomes de, Cavalcanti, Yuri Wanderley
Tipo de documento: preprint
Idioma: por
Título da fonte: SciELO Preprints
Texto Completo: https://preprints.scielo.org/index.php/scielo/preprint/view/2427
Resumo: Objective: To investigate factors associated with non-access to oral health in Brazil. Methods: Cross-sectional study that analyzed data from the external evaluation of the National Program to Improve Access and Quality (2014 and 2018), using hierarchical multivariate logistic regression. Non-access category was defined as the situation in which user was unable to make an appointment with a dentist. Results: We analyzed data from 37.262 individuals (2014 sample) and 117.570 people (2018 sample). A greater chance of non-access was found for those who: live in more unequal municipalities and with less oral health coverage, whose travel time to the unit is more than 11 minutes; female, aged between 25 and 39 years and whose income was up to 1 minimum wage. Conclusion: Non-access was associated with municipal factors such as grater inequality; organizational factors such as less coverage and travel time to the unit; and individual factors such as sex, age and income.
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spelling Oral health access in Brazil: analysis of inequities and non-access from the user's perspective, according to National Primary Care Access and Quality Improvement Program, 2014 and 2018Acceso a la salud oral en Brasil: análisis de desigualdades y falta de acceso desde la perspectiva del usuario, según Programa para Mejorar el Acceso y la Calidad de la Atención Primaria, 2014 y 2018Acesso em saúde bucal no Brasil: análise das iniquidades e não acesso na perspectiva do usuário, segundo o Programa de Melhoria do Acesso e da Qualidade da Atenção Básica, 2014 e 2018Estudos TransversaisAcesso aos Serviços de SaúdeServiços de Saúde BucalAtenção Primária à SaúdeAtenção Primária à SaúdeHealth Services AccessibilityDental Health ServicesPrimary Health CareObjective: To investigate factors associated with non-access to oral health in Brazil. Methods: Cross-sectional study that analyzed data from the external evaluation of the National Program to Improve Access and Quality (2014 and 2018), using hierarchical multivariate logistic regression. Non-access category was defined as the situation in which user was unable to make an appointment with a dentist. Results: We analyzed data from 37.262 individuals (2014 sample) and 117.570 people (2018 sample). A greater chance of non-access was found for those who: live in more unequal municipalities and with less oral health coverage, whose travel time to the unit is more than 11 minutes; female, aged between 25 and 39 years and whose income was up to 1 minimum wage. Conclusion: Non-access was associated with municipal factors such as grater inequality; organizational factors such as less coverage and travel time to the unit; and individual factors such as sex, age and income.Objetivo: Investigar os fatores associados ao não acesso em saúde bucal no Brasil. Métodos: Estudo transversal, sobre dados da avaliação externa do Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica, em 2014 e 2018, mediante regressão logística multivariada hierarquizada. Definiu-se como ‘não acesso’ quando o usuário não consegue marcar consulta com cirurgião-dentista. Resultados: Analisou-se dados de 37.262 indivíduos do segundo ciclo (2014) e 117.570 do terceiro ciclo (2018). Maior chance de não acesso ocorreu para residentes em municípios mais desiguais e com menor cobertura de saúde bucal, deslocamento para a unidade de saúde superior a 11 minutos, sexo feminino, idade entre 25 e 39 anos e renda de até 1 salário mínimo. Conclusão: O não acesso associou-se a fatores municipais, como maior desigualdade; fatores organizacionais, como menor cobertura e tempo de deslocamento até a unidade; e fatores individuais, como sexo, idade e rendaSciELO PreprintsSciELO PreprintsSciELO Preprints2021-06-08info:eu-repo/semantics/preprintinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://preprints.scielo.org/index.php/scielo/preprint/view/242710.1590/s1679-4974202100016porhttps://preprints.scielo.org/index.php/scielo/article/view/2427/4131Copyright (c) 2021 Deborah Ellen Wanderley Gomes Freire, Aldelany Ramalho Freire, Edson Hilan Gomes de Lucena, Yuri Wanderley Cavalcantihttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessFreire, Deborah Ellen Wanderley Gomes Freire, Aldelany Ramalho Lucena, Edson Hilan Gomes de Cavalcanti, Yuri Wanderley reponame:SciELO Preprintsinstname:SciELOinstacron:SCI2021-06-08T17:07:18Zoai:ops.preprints.scielo.org:preprint/2427Servidor de preprintshttps://preprints.scielo.org/index.php/scieloONGhttps://preprints.scielo.org/index.php/scielo/oaiscielo.submission@scielo.orgopendoar:2021-06-08T17:07:18SciELO Preprints - SciELOfalse
dc.title.none.fl_str_mv Oral health access in Brazil: analysis of inequities and non-access from the user's perspective, according to National Primary Care Access and Quality Improvement Program, 2014 and 2018
Acceso a la salud oral en Brasil: análisis de desigualdades y falta de acceso desde la perspectiva del usuario, según Programa para Mejorar el Acceso y la Calidad de la Atención Primaria, 2014 y 2018
Acesso em saúde bucal no Brasil: análise das iniquidades e não acesso na perspectiva do usuário, segundo o Programa de Melhoria do Acesso e da Qualidade da Atenção Básica, 2014 e 2018
title Oral health access in Brazil: analysis of inequities and non-access from the user's perspective, according to National Primary Care Access and Quality Improvement Program, 2014 and 2018
spellingShingle Oral health access in Brazil: analysis of inequities and non-access from the user's perspective, according to National Primary Care Access and Quality Improvement Program, 2014 and 2018
Freire, Deborah Ellen Wanderley Gomes
Estudos Transversais
Acesso aos Serviços de Saúde
Serviços de Saúde Bucal
Atenção Primária à Saúde
Atenção Primária à Saúde
Health Services Accessibility
Dental Health Services
Primary Health Care
title_short Oral health access in Brazil: analysis of inequities and non-access from the user's perspective, according to National Primary Care Access and Quality Improvement Program, 2014 and 2018
title_full Oral health access in Brazil: analysis of inequities and non-access from the user's perspective, according to National Primary Care Access and Quality Improvement Program, 2014 and 2018
title_fullStr Oral health access in Brazil: analysis of inequities and non-access from the user's perspective, according to National Primary Care Access and Quality Improvement Program, 2014 and 2018
title_full_unstemmed Oral health access in Brazil: analysis of inequities and non-access from the user's perspective, according to National Primary Care Access and Quality Improvement Program, 2014 and 2018
title_sort Oral health access in Brazil: analysis of inequities and non-access from the user's perspective, according to National Primary Care Access and Quality Improvement Program, 2014 and 2018
author Freire, Deborah Ellen Wanderley Gomes
author_facet Freire, Deborah Ellen Wanderley Gomes
Freire, Aldelany Ramalho
Lucena, Edson Hilan Gomes de
Cavalcanti, Yuri Wanderley
author_role author
author2 Freire, Aldelany Ramalho
Lucena, Edson Hilan Gomes de
Cavalcanti, Yuri Wanderley
author2_role author
author
author
dc.contributor.author.fl_str_mv Freire, Deborah Ellen Wanderley Gomes
Freire, Aldelany Ramalho
Lucena, Edson Hilan Gomes de
Cavalcanti, Yuri Wanderley
dc.subject.por.fl_str_mv Estudos Transversais
Acesso aos Serviços de Saúde
Serviços de Saúde Bucal
Atenção Primária à Saúde
Atenção Primária à Saúde
Health Services Accessibility
Dental Health Services
Primary Health Care
topic Estudos Transversais
Acesso aos Serviços de Saúde
Serviços de Saúde Bucal
Atenção Primária à Saúde
Atenção Primária à Saúde
Health Services Accessibility
Dental Health Services
Primary Health Care
description Objective: To investigate factors associated with non-access to oral health in Brazil. Methods: Cross-sectional study that analyzed data from the external evaluation of the National Program to Improve Access and Quality (2014 and 2018), using hierarchical multivariate logistic regression. Non-access category was defined as the situation in which user was unable to make an appointment with a dentist. Results: We analyzed data from 37.262 individuals (2014 sample) and 117.570 people (2018 sample). A greater chance of non-access was found for those who: live in more unequal municipalities and with less oral health coverage, whose travel time to the unit is more than 11 minutes; female, aged between 25 and 39 years and whose income was up to 1 minimum wage. Conclusion: Non-access was associated with municipal factors such as grater inequality; organizational factors such as less coverage and travel time to the unit; and individual factors such as sex, age and income.
publishDate 2021
dc.date.none.fl_str_mv 2021-06-08
dc.type.driver.fl_str_mv info:eu-repo/semantics/preprint
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dc.identifier.uri.fl_str_mv https://preprints.scielo.org/index.php/scielo/preprint/view/2427
10.1590/s1679-4974202100016
url https://preprints.scielo.org/index.php/scielo/preprint/view/2427
identifier_str_mv 10.1590/s1679-4974202100016
dc.language.iso.fl_str_mv por
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dc.relation.none.fl_str_mv https://preprints.scielo.org/index.php/scielo/article/view/2427/4131
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rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
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dc.publisher.none.fl_str_mv SciELO Preprints
SciELO Preprints
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SciELO Preprints
SciELO Preprints
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