Regular use of dental services among adults and older adults in a vulnerable region in Southern Brazil
Autor(a) principal: | |
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Data de Publicação: | 2012 |
Outros Autores: | , , |
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. |
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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 |