Use of public oral health services by the adult population: a multilevel analysis
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFRN |
Texto Completo: | https://repositorio.ufrn.br/jspui/handle/123456789/20914 |
Resumo: | Background It is important to assess context to explain inequalities in oral health, particularly with regard to the type of service used; thus, this study aimed to identify the social determinants of public dental service use by adults and to assess whether, beyond the level individual, existing inequalities are also expressed in the context in which individuals are embedded. Methods A multilevel analysis with three levels of aggregation of variables was performed. The individual variables were derived from the database of the SB Minas Gerais project—a survey of oral health status of the population of Minas Gerais, a state of the Brazilian Southeast region. The variable at the neighborhood level came from the Census of 2010. The variables at the municipal level were obtained from available public databases relating to oral health services. At the municipal level, the Human Development Index (HDI) variable was chosen to represent quality of life in the municipalities. Results In the final model, the following individual variables were associated with greater use of public dental services: lower income (PR = 1.98, 95% CI = 1.53; 2.58), higher number of residents at home (PR = 1.37, 95% CI = 1.11; 1.68) and higher number of teeth requiring treatment (PR = 1.49, 95% CI = 1.20; 1.84). With regard to context variables, a poorer infrastructure (PR = 0.62, 95% CI = 0.40; 0.96) leads to a lower use of public services. Conclusion The use of public services is associated with family income, how this income is divided in households, the need for treatment presented by the individual and the organization of the existing oral health service infrastructure in the municipality. |
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Pinto, Rafaela da SilveiraRoncalli, Angelo GiuseppeAbreu, Mauro Henrique Nogueira GuimarãesVargas, Andréa Maria Duarte2016-07-12T15:01:40Z2016-07-12T15:01:40Z2016PINTO, Rafaela da Silveira et al. Use of Public Oral Health Services by the Adult Population: A Multilevel Analysis. Plos One , v. 11, n. 1, p. e0145149, 2016.https://repositorio.ufrn.br/jspui/handle/123456789/20914engCollective oral healthOral healthOral health adult populationUse of public oral health services by the adult population: a multilevel analysisinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleBackground It is important to assess context to explain inequalities in oral health, particularly with regard to the type of service used; thus, this study aimed to identify the social determinants of public dental service use by adults and to assess whether, beyond the level individual, existing inequalities are also expressed in the context in which individuals are embedded. Methods A multilevel analysis with three levels of aggregation of variables was performed. The individual variables were derived from the database of the SB Minas Gerais project—a survey of oral health status of the population of Minas Gerais, a state of the Brazilian Southeast region. The variable at the neighborhood level came from the Census of 2010. The variables at the municipal level were obtained from available public databases relating to oral health services. At the municipal level, the Human Development Index (HDI) variable was chosen to represent quality of life in the municipalities. Results In the final model, the following individual variables were associated with greater use of public dental services: lower income (PR = 1.98, 95% CI = 1.53; 2.58), higher number of residents at home (PR = 1.37, 95% CI = 1.11; 1.68) and higher number of teeth requiring treatment (PR = 1.49, 95% CI = 1.20; 1.84). With regard to context variables, a poorer infrastructure (PR = 0.62, 95% CI = 0.40; 0.96) leads to a lower use of public services. Conclusion The use of public services is associated with family income, how this income is divided in households, the need for treatment presented by the individual and the organization of the existing oral health service infrastructure in the municipality.info:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFRNinstname:Universidade Federal do Rio Grande do Norte (UFRN)instacron:UFRNORIGINALUsePublicOral_Pinto_2016.pdfUsePublicOral_Pinto_2016.pdfapplication/pdf246780https://repositorio.ufrn.br/bitstream/123456789/20914/1/UsePublicOral_Pinto_2016.pdf232a146e1c120c226ca4fd8b1e04bbafMD51LICENSElicense.txtlicense.txttext/plain; charset=utf-81563https://repositorio.ufrn.br/bitstream/123456789/20914/2/license.txt2fca3d993fd069474a9dfb5156c39499MD52TEXTUse of Public Oral Health Services by the adult population_2016.PDF.txtUse of Public Oral Health Services by the adult population_2016.PDF.txtExtracted texttext/plain46833https://repositorio.ufrn.br/bitstream/123456789/20914/7/Use%20of%20Public%20Oral%20Health%20Services%20by%20the%20adult%20population_2016.PDF.txta1cec484534d4c8d841693ab3238a9cfMD57THUMBNAILUse of Public Oral Health Services by the adult population_2016.PDF.jpgUse of Public Oral Health Services by the adult population_2016.PDF.jpgIM Thumbnailimage/jpeg11789https://repositorio.ufrn.br/bitstream/123456789/20914/8/Use%20of%20Public%20Oral%20Health%20Services%20by%20the%20adult%20population_2016.PDF.jpg1586e2ebd7f2d0743fec2986a5e24e16MD58123456789/209142021-12-22 14:05:00.584oai:https://repositorio.ufrn.br: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ório de PublicaçõesPUBhttp://repositorio.ufrn.br/oai/opendoar:2021-12-22T17:05Repositório Institucional da UFRN - Universidade Federal do Rio Grande do Norte (UFRN)false |
dc.title.pt_BR.fl_str_mv |
Use of public oral health services by the adult population: a multilevel analysis |
title |
Use of public oral health services by the adult population: a multilevel analysis |
spellingShingle |
Use of public oral health services by the adult population: a multilevel analysis Pinto, Rafaela da Silveira Collective oral health Oral health Oral health adult population |
title_short |
Use of public oral health services by the adult population: a multilevel analysis |
title_full |
Use of public oral health services by the adult population: a multilevel analysis |
title_fullStr |
Use of public oral health services by the adult population: a multilevel analysis |
title_full_unstemmed |
Use of public oral health services by the adult population: a multilevel analysis |
title_sort |
Use of public oral health services by the adult population: a multilevel analysis |
author |
Pinto, Rafaela da Silveira |
author_facet |
Pinto, Rafaela da Silveira Roncalli, Angelo Giuseppe Abreu, Mauro Henrique Nogueira Guimarães Vargas, Andréa Maria Duarte |
author_role |
author |
author2 |
Roncalli, Angelo Giuseppe Abreu, Mauro Henrique Nogueira Guimarães Vargas, Andréa Maria Duarte |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Pinto, Rafaela da Silveira Roncalli, Angelo Giuseppe Abreu, Mauro Henrique Nogueira Guimarães Vargas, Andréa Maria Duarte |
dc.subject.por.fl_str_mv |
Collective oral health Oral health Oral health adult population |
topic |
Collective oral health Oral health Oral health adult population |
description |
Background It is important to assess context to explain inequalities in oral health, particularly with regard to the type of service used; thus, this study aimed to identify the social determinants of public dental service use by adults and to assess whether, beyond the level individual, existing inequalities are also expressed in the context in which individuals are embedded. Methods A multilevel analysis with three levels of aggregation of variables was performed. The individual variables were derived from the database of the SB Minas Gerais project—a survey of oral health status of the population of Minas Gerais, a state of the Brazilian Southeast region. The variable at the neighborhood level came from the Census of 2010. The variables at the municipal level were obtained from available public databases relating to oral health services. At the municipal level, the Human Development Index (HDI) variable was chosen to represent quality of life in the municipalities. Results In the final model, the following individual variables were associated with greater use of public dental services: lower income (PR = 1.98, 95% CI = 1.53; 2.58), higher number of residents at home (PR = 1.37, 95% CI = 1.11; 1.68) and higher number of teeth requiring treatment (PR = 1.49, 95% CI = 1.20; 1.84). With regard to context variables, a poorer infrastructure (PR = 0.62, 95% CI = 0.40; 0.96) leads to a lower use of public services. Conclusion The use of public services is associated with family income, how this income is divided in households, the need for treatment presented by the individual and the organization of the existing oral health service infrastructure in the municipality. |
publishDate |
2016 |
dc.date.accessioned.fl_str_mv |
2016-07-12T15:01:40Z |
dc.date.available.fl_str_mv |
2016-07-12T15:01:40Z |
dc.date.issued.fl_str_mv |
2016 |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
format |
article |
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publishedVersion |
dc.identifier.citation.fl_str_mv |
PINTO, Rafaela da Silveira et al. Use of Public Oral Health Services by the Adult Population: A Multilevel Analysis. Plos One , v. 11, n. 1, p. e0145149, 2016. |
dc.identifier.uri.fl_str_mv |
https://repositorio.ufrn.br/jspui/handle/123456789/20914 |
identifier_str_mv |
PINTO, Rafaela da Silveira et al. Use of Public Oral Health Services by the Adult Population: A Multilevel Analysis. Plos One , v. 11, n. 1, p. e0145149, 2016. |
url |
https://repositorio.ufrn.br/jspui/handle/123456789/20914 |
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eng |
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