Use and resolubility of the oral health public services offered to children in a large municipality
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFMG |
Texto Completo: | https://doi.org/10.1590/1981-863720180001000083293 http://hdl.handle.net/1843/64315 https://orcid.org/0000-0002-1023-288X https://orcid.org/0000-0002-4371-9862 https://orcid.org/0000-0001-6900-7559 https://orcid.org/0000-0002-0316-4591 https://orcid.org/0000-0001-6409-2766 https://orcid.org/0000-0002-1232-1712 https://orcid.org/0000-0001-8897-9345 |
Resumo: | 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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2024-02-20T16:18:37Z2024-02-20T16:18:37Z20186616069https://doi.org/10.1590/1981-8637201800010000832930103-6971http://hdl.handle.net/1843/64315https://orcid.org/0000-0002-1023-288Xhttps://orcid.org/0000-0002-4371-9862https://orcid.org/0000-0001-6900-7559https://orcid.org/0000-0002-0316-4591https://orcid.org/0000-0001-6409-2766https://orcid.org/0000-0002-1232-1712https://orcid.org/0000-0001-8897-9345Objective: 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.Objetivo Avaliar o efeito da gravidade da cárie e das condições socioeconômicas no uso dos serviços de saúde bucal e nas situações de atendimento (tratamento concluído, evasão, encaminhamento) entre crianças com necessidade de tratamento odontológico usuárias do Sistema Único de Saúde. Métodos Estudo transversal entre crianças de até 6 anos de escolas públicas infantis, de Belo Horizonte, examinadas pelas Equipes de Saúde Bucal no levantamento anual de necessidades em saúde bucal de 2014. Foram incluídas as crianças com necessidade de tratamento odontológico. Variáveis foram coletadas por consulta ao prontuário e sistemas de informação. Usaram os serviços as crianças que compareceram pelo menos uma vez, em 2014, à consulta odontológica. A gravidade da cárie considerou o número de dentes cavitados e as variáveis socioeconômicas foram: idade, sexo, cor da pele e classificação socioeconômica da família. Resolutividade foi avaliada pela razão entre tratamento concluído e primeira consulta. Evasão foi definida pela ausência por > 2 consultas consecutivas sem justificativa. Associação foi testada por teste chiquadrado e Regressão de Poisson. Resultados A frequência de uso de serviços foi 44,3% e houve maior uso nas crianças com necessidade de tratamento em 4 a 8 dentes (RP=1,48; 1,23- 1,78) e em > 9 dentes (RP=1,80; 1,32-2,46) e menor naquelas com muito elevado risco socioeconômico (RP=0,79; 0,63-0,99). A resolutividade foi de 49,6% e 5,2% evadiram. Crianças com pior nível socioeconômico apresentaram menor resolutividade e maior evasão. Conclusão Sugere-se uma iniquidade persistente, com menor uso e resolutividade dos serviços de saúde bucal entre crianças com pior condição socioeconômica.engUniversidade Federal de Minas GeraisUFMGBrasilFAO - DEPARTAMENTO DE ODONTOLOGIA SOCIAL E PREVENTIVARGO - Revista Gaúcha de OdontologiaPolíticas públicasSaúde bucalEducação pré-escolarCuidados primários de saúdePré-escolarPesquisa sobre serviços de saúdeSaúde BucalPacientes desistentes do tratamentoAtenção primária à saúdeUse and resolubility of the oral health public services offered to children in a large municipalityUso e resolutividade de serviços públicos de saúde bucal ofertados a crianças em município de grande porteinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://www.scielo.br/j/rgo/a/TN8nQhQyGdWWLrJwb7MySyb/?lang=enAndreza Viana Lopes CardosoAndréa Maria Duarte VargasJoão Henrique Lara do AmaralMara VasconcelosKecyanne Malheiros MachadoAnna Rachel dos Santos SoaresRaquel Conceição Ferreiraapplication/pdfinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGLICENSELicense.txtLicense.txttext/plain; charset=utf-82042https://repositorio.ufmg.br/bitstream/1843/64315/1/License.txtfa505098d172de0bc8864fc1287ffe22MD51ORIGINALUse and resolubility of the oral health public services offered to children in a large municipality.pdfUse and resolubility of the oral health public services offered to children in a large municipality.pdfapplication/pdf155659https://repositorio.ufmg.br/bitstream/1843/64315/2/Use%20and%20resolubility%20of%20the%20oral%20health%20public%20services%20offered%20to%20children%20in%20a%20large%20municipality.pdf4f97a4800b5fbd9f249dffaedf9f232cMD521843/643152024-02-20 13:18:37.664oai:repositorio.ufmg.br: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Repositório de PublicaçõesPUBhttps://repositorio.ufmg.br/oaiopendoar:2024-02-20T16:18:37Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false |
dc.title.pt_BR.fl_str_mv |
Use and resolubility of the oral health public services offered to children in a large municipality |
dc.title.alternative.pt_BR.fl_str_mv |
Uso e resolutividade de serviços públicos de saúde bucal ofertados a crianças em município de grande porte |
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 Andreza Viana Lopes Cardoso Pré-escolar Pesquisa sobre serviços de saúde Saúde Bucal Pacientes desistentes do tratamento Atenção primária à saúde Políticas públicas Saúde bucal Educação pré-escolar Cuidados primários de saúde |
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 |
Andreza Viana Lopes Cardoso |
author_facet |
Andreza Viana Lopes Cardoso Andréa Maria Duarte Vargas João Henrique Lara do Amaral Mara Vasconcelos Kecyanne Malheiros Machado Anna Rachel dos Santos Soares Raquel Conceição Ferreira |
author_role |
author |
author2 |
Andréa Maria Duarte Vargas João Henrique Lara do Amaral Mara Vasconcelos Kecyanne Malheiros Machado Anna Rachel dos Santos Soares Raquel Conceição Ferreira |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Andreza Viana Lopes Cardoso Andréa Maria Duarte Vargas João Henrique Lara do Amaral Mara Vasconcelos Kecyanne Malheiros Machado Anna Rachel dos Santos Soares Raquel Conceição Ferreira |
dc.subject.por.fl_str_mv |
Pré-escolar Pesquisa sobre serviços de saúde Saúde Bucal Pacientes desistentes do tratamento Atenção primária à saúde |
topic |
Pré-escolar Pesquisa sobre serviços de saúde Saúde Bucal Pacientes desistentes do tratamento Atenção primária à saúde Políticas públicas Saúde bucal Educação pré-escolar Cuidados primários de saúde |
dc.subject.other.pt_BR.fl_str_mv |
Políticas públicas Saúde bucal Educação pré-escolar Cuidados primários de saúde |
description |
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.issued.fl_str_mv |
2018 |
dc.date.accessioned.fl_str_mv |
2024-02-20T16:18:37Z |
dc.date.available.fl_str_mv |
2024-02-20T16:18:37Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/1843/64315 |
dc.identifier.doi.pt_BR.fl_str_mv |
https://doi.org/10.1590/1981-863720180001000083293 |
dc.identifier.issn.pt_BR.fl_str_mv |
0103-6971 |
dc.identifier.orcid.pt_BR.fl_str_mv |
https://orcid.org/0000-0002-1023-288X https://orcid.org/0000-0002-4371-9862 https://orcid.org/0000-0001-6900-7559 https://orcid.org/0000-0002-0316-4591 https://orcid.org/0000-0001-6409-2766 https://orcid.org/0000-0002-1232-1712 https://orcid.org/0000-0001-8897-9345 |
url |
https://doi.org/10.1590/1981-863720180001000083293 http://hdl.handle.net/1843/64315 https://orcid.org/0000-0002-1023-288X https://orcid.org/0000-0002-4371-9862 https://orcid.org/0000-0001-6900-7559 https://orcid.org/0000-0002-0316-4591 https://orcid.org/0000-0001-6409-2766 https://orcid.org/0000-0002-1232-1712 https://orcid.org/0000-0001-8897-9345 |
identifier_str_mv |
0103-6971 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.ispartof.pt_BR.fl_str_mv |
RGO - Revista Gaúcha de Odontologia |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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Universidade Federal de Minas Gerais |
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UFMG |
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Brasil |
dc.publisher.department.fl_str_mv |
FAO - DEPARTAMENTO DE ODONTOLOGIA SOCIAL E PREVENTIVA |
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Universidade Federal de Minas Gerais |
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