Regular use of dental services among adults and older adults in a vulnerable region in Southern Brazil

Detalhes bibliográficos
Autor(a) principal: Machado, Luciene Petcov
Data de Publicação: 2012
Outros Autores: Camargo, Maria Beatriz Junqueira, Jeronymo, José Carlos Milanez, Bastos, Gisele Alsina Nader
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista de Saúde Pública
Texto Completo: https://www.revistas.usp.br/rsp/article/view/33135
Resumo: OBJECTIVE: To estimate the prevalence of regular use of dental care services by adults and older adults residing in vulnerable community and to identify associated factors. METHODS: A population-based cross-sectional study was carried out with 3,391 adults and older adults residing in areas of social vulnerability in Porto Alegre, Southern Brazil, from July to December of 2009. A systematic sampling method was used the selection probability proportional to the population of each of the the 121 census sectors. The outcome for regular use of dental care services was defined as regular use of dental services, regardless of the presence of dental problems. A standardized questionnaire was administered, which included demographic, socioeconomic, type of dental care services, self-perception of dental health and self-perceived needs variables. A chi-square test for heterogeneity was used for bivariate analyses, and a Poisson regression with a robust variance and Wald tests were performed for the adjusted analysis. RESULTS: The prevalence of regular use of dental services was 25.7%. The prevalence was higher among people with >;12 years schooling (PR 2.48 [95%CI:1.96;3.15]), higher income (PR 1.95[95%CI: 1.03;1.53]), use of private health services (PR 1.43 [95%CI: 1.20;1.71]),excellent self-perceived oral health (PR 4.44 [95%CI: 3.07;6.42]) and a self-perceived need for consultation related to routine checkup (RP 2.13 [95%CI: 1.54;2.96]). CONCLUSIONS: Inequalities were found in the regular use of dental services. Integrated approaches that raise awareness of oral health, improve self-care and expand access to dental services, may contribute to increase the use of dental services on a regular basis.
id USP-23_651e476727dce0a181ec784025b703f0
oai_identifier_str oai:revistas.usp.br:article/33135
network_acronym_str USP-23
network_name_str Revista de Saúde Pública
repository_id_str
spelling Regular use of dental services among adults and older adults in a vulnerable region in Southern Brazil Uso regular de servicios odontológicos entre adultos y ancianos en región vulnerable en el sur de Brasil Uso regular de serviços odontológicos entre adultos e idosos em região vulnerável no sul do Brasil Populações VulneráveisAssistência OdontológicautilizaçãoSaúde BucalEstudos TransversaisPoblaciones VulnerablesAtención OdontológicautilizaciónSalud BucalEstudios TransversalesVulnerable PopulationsDental CareutilizationOral HealthCross-Sectional Studies OBJECTIVE: To estimate the prevalence of regular use of dental care services by adults and older adults residing in vulnerable community and to identify associated factors. METHODS: A population-based cross-sectional study was carried out with 3,391 adults and older adults residing in areas of social vulnerability in Porto Alegre, Southern Brazil, from July to December of 2009. A systematic sampling method was used the selection probability proportional to the population of each of the the 121 census sectors. The outcome for regular use of dental care services was defined as regular use of dental services, regardless of the presence of dental problems. A standardized questionnaire was administered, which included demographic, socioeconomic, type of dental care services, self-perception of dental health and self-perceived needs variables. A chi-square test for heterogeneity was used for bivariate analyses, and a Poisson regression with a robust variance and Wald tests were performed for the adjusted analysis. RESULTS: The prevalence of regular use of dental services was 25.7%. The prevalence was higher among people with >;12 years schooling (PR 2.48 [95%CI:1.96;3.15]), higher income (PR 1.95[95%CI: 1.03;1.53]), use of private health services (PR 1.43 [95%CI: 1.20;1.71]),excellent self-perceived oral health (PR 4.44 [95%CI: 3.07;6.42]) and a self-perceived need for consultation related to routine checkup (RP 2.13 [95%CI: 1.54;2.96]). CONCLUSIONS: Inequalities were found in the regular use of dental services. Integrated approaches that raise awareness of oral health, improve self-care and expand access to dental services, may contribute to increase the use of dental services on a regular basis. OBJETIVO: Estimar la prevalencia del uso regular de servicios odontológicos por adultos y ancianos en comunidad vulnerable e identificar factores asociados. MÉTODOS: Estudio transversal de base poblacional con 3.391 adultos y ancianos de áreas de vulnerabilidad social de Porto Alegre, Sur de Brasil, de julio a diciembre de 2009. Se utilizó muestreo sistemático con probabilidad proporcional al tamaño de cada uno de los 121 sectores censitarios. El resultado "utilización regular de servicios odontológicos" se definió como consulta con el dentista regularmente, teniendo o no problemas de salud bucal. Se aplicó cuestionario estandarizado que incluyó variables demográficas, socioeconómicas, tipo de lugar buscado, autopercepción de salud bucal y necesidades autopercibidas. Se utilizó la prueba de chi-cuadrado para heterogeneidad en el análisis bivariado y regresión de Poisson, en el análisis ajustado, con varianza robusta y prueba de heterogeneidad de Wald. RESULTADOS: La prevalencia del uso regular de servicios odontológicos fue de 25,7%. La prevalencia fue mayor entre los individuos con escolaridad >; 12 años (RP 2,48 [IC95% 1,96;3,15]), más ricos (RP 1,95 [IC95% 1,03;1,53]), que utilizaron servicios privados de salud (RP 1,43 [IC95% 1,20;1,71]), con óptima autopercepción de salud bucal (RP 4,44 [IC95% 3,07;6,42]) y autopercepción de necesidad de consultas de revisión (RP 2,13 [IC95% 1,54;2,96]). CONCLUSIONES: Se observa desigualdades en la utilización regular de servicios odontológicos. Acciones que contribuyan para aumentar el conocimiento sobre la salud bucal y mejoría del autocuidado, así como de acceso a servicios odontológicos que busquen la integralidad de la atención, pueden favorecer el aumento del uso regular de los servicios odontológicos. OBJETIVO: Estimar a prevalência do uso regular de serviços odontológicos por adultos e idosos em comunidade vulnerável e identificar fatores associados. MÉTODOS: Estudo transversal de base populacional com 3.391 adultos e idosos de áreas de vulnerabilidade social de Porto Alegre, RS, de julho a dezembro de 2009. Foi utilizada amostragem sistemática com probabilidade proporcional ao tamanho de cada um dos 121 setores censitários. O desfecho "utilização regular de serviços odontológicos" foi definido consultar com o dentista regularmente, tendo ou não problemas de saúde bucal. Foi aplicado questionário padronizado, que incluiu variáveis demográficas, socioeconômicas, tipo de local procurado, autopercepção de saúde bucal e necessidades autopercebidas. Utilizou-se teste qui-quadrado para heterogeneidade na análise bivariada e na análise ajustada regressão de Poisson, com variância robusta e teste de heterogeneidade de Wald. RESULTADOS: A prevalência do uso regular de serviços odontológicos foi de 25,7%. A prevalência foi maior entre os indivíduos com escolaridade >; 12 anos (RP 2,48 [IC95% 1,96;3,15]), mais ricos (RP: 1,95 [IC95% 1,03;1,53]), que utilizaram serviços privados de saúde (RP1,43 [IC95% 1,20;1,71]), com ótima autopercepção de saúde bucal (RP 4,44 [IC95% 3,07;6,42]) e autopercepção de necessidade de consultas para fins de revisão (RP 2,13 [IC95% 1,54;2,96]). CONCLUSÕES: Observam-se desigualdades na utilização regular de serviços odontológicos. Ações que contribuam para aumentar o conhecimento sobre a saúde bucal e melhoria do autocuidado, além de acesso a serviços odontológicos que visem à integralidade da atenção, podem contribuir para o aumento do uso regular dos serviços odontológicos. Universidade de São Paulo. Faculdade de Saúde Pública2012-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3313510.1590/S0034-89102012000300015Revista de Saúde Pública; Vol. 46 No. 3 (2012); 526-533 Revista de Saúde Pública; Vol. 46 Núm. 3 (2012); 526-533 Revista de Saúde Pública; v. 46 n. 3 (2012); 526-533 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/rsp/article/view/33135/35871https://www.revistas.usp.br/rsp/article/view/33135/35872Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessMachado, Luciene PetcovCamargo, Maria Beatriz JunqueiraJeronymo, José Carlos MilanezBastos, Gisele Alsina Nader2012-07-11T23:16:59Zoai:revistas.usp.br:article/33135Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-11T23:16:59Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Regular use of dental services among adults and older adults in a vulnerable region in Southern Brazil
Uso regular de servicios odontológicos entre adultos y ancianos en región vulnerable en el sur de Brasil
Uso regular de serviços odontológicos entre adultos e idosos em região vulnerável no sul do Brasil
title Regular use of dental services among adults and older adults in a vulnerable region in Southern Brazil
spellingShingle Regular use of dental services among adults and older adults in a vulnerable region in Southern Brazil
Machado, Luciene Petcov
Populações Vulneráveis
Assistência Odontológica
utilização
Saúde Bucal
Estudos Transversais
Poblaciones Vulnerables
Atención Odontológica
utilización
Salud Bucal
Estudios Transversales
Vulnerable Populations
Dental Care
utilization
Oral Health
Cross-Sectional Studies
title_short Regular use of dental services among adults and older adults in a vulnerable region in Southern Brazil
title_full Regular use of dental services among adults and older adults in a vulnerable region in Southern Brazil
title_fullStr Regular use of dental services among adults and older adults in a vulnerable region in Southern Brazil
title_full_unstemmed Regular use of dental services among adults and older adults in a vulnerable region in Southern Brazil
title_sort Regular use of dental services among adults and older adults in a vulnerable region in Southern Brazil
author Machado, Luciene Petcov
author_facet Machado, Luciene Petcov
Camargo, Maria Beatriz Junqueira
Jeronymo, José Carlos Milanez
Bastos, Gisele Alsina Nader
author_role author
author2 Camargo, Maria Beatriz Junqueira
Jeronymo, José Carlos Milanez
Bastos, Gisele Alsina Nader
author2_role author
author
author
dc.contributor.author.fl_str_mv Machado, Luciene Petcov
Camargo, Maria Beatriz Junqueira
Jeronymo, José Carlos Milanez
Bastos, Gisele Alsina Nader
dc.subject.por.fl_str_mv Populações Vulneráveis
Assistência Odontológica
utilização
Saúde Bucal
Estudos Transversais
Poblaciones Vulnerables
Atención Odontológica
utilización
Salud Bucal
Estudios Transversales
Vulnerable Populations
Dental Care
utilization
Oral Health
Cross-Sectional Studies
topic Populações Vulneráveis
Assistência Odontológica
utilização
Saúde Bucal
Estudos Transversais
Poblaciones Vulnerables
Atención Odontológica
utilización
Salud Bucal
Estudios Transversales
Vulnerable Populations
Dental Care
utilization
Oral Health
Cross-Sectional Studies
description OBJECTIVE: To estimate the prevalence of regular use of dental care services by adults and older adults residing in vulnerable community and to identify associated factors. METHODS: A population-based cross-sectional study was carried out with 3,391 adults and older adults residing in areas of social vulnerability in Porto Alegre, Southern Brazil, from July to December of 2009. A systematic sampling method was used the selection probability proportional to the population of each of the the 121 census sectors. The outcome for regular use of dental care services was defined as regular use of dental services, regardless of the presence of dental problems. A standardized questionnaire was administered, which included demographic, socioeconomic, type of dental care services, self-perception of dental health and self-perceived needs variables. A chi-square test for heterogeneity was used for bivariate analyses, and a Poisson regression with a robust variance and Wald tests were performed for the adjusted analysis. RESULTS: The prevalence of regular use of dental services was 25.7%. The prevalence was higher among people with >;12 years schooling (PR 2.48 [95%CI:1.96;3.15]), higher income (PR 1.95[95%CI: 1.03;1.53]), use of private health services (PR 1.43 [95%CI: 1.20;1.71]),excellent self-perceived oral health (PR 4.44 [95%CI: 3.07;6.42]) and a self-perceived need for consultation related to routine checkup (RP 2.13 [95%CI: 1.54;2.96]). CONCLUSIONS: Inequalities were found in the regular use of dental services. Integrated approaches that raise awareness of oral health, improve self-care and expand access to dental services, may contribute to increase the use of dental services on a regular basis.
publishDate 2012
dc.date.none.fl_str_mv 2012-06-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rsp/article/view/33135
10.1590/S0034-89102012000300015
url https://www.revistas.usp.br/rsp/article/view/33135
identifier_str_mv 10.1590/S0034-89102012000300015
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rsp/article/view/33135/35871
https://www.revistas.usp.br/rsp/article/view/33135/35872
dc.rights.driver.fl_str_mv Copyright (c) 2017 Revista de Saúde Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2017 Revista de Saúde Pública
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
dc.source.none.fl_str_mv Revista de Saúde Pública; Vol. 46 No. 3 (2012); 526-533
Revista de Saúde Pública; Vol. 46 Núm. 3 (2012); 526-533
Revista de Saúde Pública; v. 46 n. 3 (2012); 526-533
1518-8787
0034-8910
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista de Saúde Pública
collection Revista de Saúde Pública
repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
repository.mail.fl_str_mv revsp@org.usp.br||revsp1@usp.br
_version_ 1800221793532772352