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1.
Braz Oral Res ; 33: e122, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31939501

RESUMO

The distribution of harms to health varies spatially determined by the socioeconomic conditions of the environment. This research aimed to assess the spatial distribution of dental caries in 12-year-old children and their correlation with socioeconomic indicators in Brazilian states. The sample of this ecological study comprised all the 26 Brazilian states and the Federal District. Thematic and correlation maps were constructed in order to assess the spatial dependency, as well as the correlation between dental caries and socioeconomic factors. The results showed that the states with the worst DMFT indexes were located in the north and northeast, showing spatial autocorrelation. These regions also had the worst results for the following variables: poverty, illiteracy, education, and income. The bivariate analysis showed that household income and education level had negative spatial correlation with the DMFT index, while illiteracy and poverty rates showed positive correlation. Despite advances in the decline of DMFT index in recent years, there is still an inequity in the distribution of the caries disease.


Assuntos
Índice CPO , Cárie Dentária/epidemiologia , Disparidades nos Níveis de Saúde , Brasil/epidemiologia , Criança , Características da Família , Feminino , Geografia , Humanos , Masculino , Pobreza , Fatores Socioeconômicos
2.
Rev Saude Publica ; 52: 29, 2018 Apr 09.
Artigo em Inglês | MEDLINE | ID: mdl-29641654

RESUMO

OBJECTIVE: To analyze how individual characteristics and the social context, together, are associated with self-perception of the oral health. METHODS: A multilevel cross-sectional study with data from the Brazilian National Health Survey 2013, the United Nations Development Program, and the National Registry of Health Establishments. The explanatory variables for the "oral health perception" outcome were grouped, according to the study framework, into biological characteristics (sex, color, age), proximal social determinants (literacy, household crowding, and socioeconomic stratification), and distal (years of schooling expectancy at age 18, GINI, Human Development Index, and per capita income). The described analysis was performed, along with bivariate Poisson analysis and multilevel Poisson analysis for the construction of the explanatory model of oral health perception. All analyzes considered the sample weights. RESULTS: Both the biological characteristics and the proximal and distal social determinants were associated with the perception of oral health in the bivariate analysis. A higher prevalence of bad oral health was associated to lower years of schooling expectancy (PR = 1.31), lower per capita income (PR = 1.45), higher income concentration (PR = 1.41), and worse human development (PR = 1.45). Inversely, oral health services in both primary and secondary care were negatively associated with oral health perception. All the biological and individual social characteristics, except reading and writing, made up the final explanatory model along with the distal social determinants of the Human Development Index and coverage of basic care in the multilevel analysis. CONCLUSIONS: Biological factors, individual and contextual social determinants were associate synergistically with the population's perception of oral health. It is necessary to improve individual living conditions and the implementation of public social policies to improve the oral health of the population.


Assuntos
Diagnóstico Bucal , Autoavaliação Diagnóstica , Saúde Bucal/estatística & dados numéricos , Adolescente , Adulto , Brasil , Estudos Transversais , Inquéritos de Saúde Bucal , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Qualidade de Vida , Autoimagem , Fatores Socioeconômicos , Adulto Jovem
3.
Rev. Ciênc. Plur ; 4(3): 3-16, 2018. ilus, tab
Artigo em Português | LILACS, BBO - Odontologia | ID: biblio-988257

RESUMO

Introdução:Os valores de uma organização permitem predizer o seu funcionamento e o comportamento organizacional dos seus membros. As organizações se mantêm pelos seus produtos elaborados. No caso das organizações de saúde, o produto seria a atenção dispensada ao usuário. Assim, o tipo e qualidade da atenção ofertada estariam relacionados aos valores que orientam à instituição.Objetivo:Avaliar os valores organizacionais que orientam os processos de trabalho nos serviços de saúde dos diversos campi do IFRN no ano de 2014 a partir da percepção dos servidores da assistência estudantil, verificando se os valores organizacionais estão relacionados à perspectiva de trabalho em equipe, atenção pautada no cuidado e gestão participativa.Metodologia:Estudo seccional do tipo avaliação para gestão onde o Inventário de Valores Organizacionais (IVO), questionário constituído por 36 valores distribuídos em três dimensões bipolares: autonomia x conservadorismo, hierarquia x igualitarismo e domínio x harmonia, foi respondido por 41 servidores da assistência à saúde do IFRN, selecionados por conveniência, de um universo de 104 servidores.Foram realizadas as frequências absolutas e relativas e as medidas de tendência central das variáveis, bem como teste de diferença de média (t student pareado) entre as dimensões bipolares. Resultados:Dentre os valores organizacionais, o conservadorismo e a hierarquia são os mais relevantes vivenciados na vida organizacional do IFRN. O perfil axiológico do IFRN revela uma instituição mais centrada em si mesma do que na valorização dos seus membros.Conclusão:Ainda são necessários mecanismos para disseminar valores que promovam o alcance dos objetivos e metas pretendidos pela instituição e que esses sejam reconhecidos por todos que compõem a instituição (AU).


Introduction: The values of an organization allows topredict the functioning of the organization and the organizational behavior of its members. The organizations keep their elaborate products. In the case of healthcare organizations, the product would be the attention paid to the user. Thus, the type and quality of care offered wouldbe related to the values that guide the institution.Objective: To evaluate the organizational values that guide the work processes in the health services of the various IFRN campuses in the year 2014, based on the perception ofthe servants of the student assistance, verifying if the organizational values are relatedto the perspective of teamwork, attention based on participatory care and management.Methodology: An evaluation for the management of health services Sectional Study which The Organizational Values Inventory (IVO), questionnaire consisting of 36 values distributed in three bipolar dimensions: autonomy x conservatism, hierarchy x egalitarianism and domain x harmony, was answered by 41 IFRN health care providers, selected by a non-probabilistic sample, from a universe of 104 health care providers. The absolute and relative frequencies and the measures of central tendency of the variables were performed, as well as the mean difference test (t student paired) between the bipolar dimensions.Results: Among these organizational values, conservatism and hierarchy are the most relevant values lived in the organizational life of the IFRN. The axiological profile of the IFRN reveals a more self-centered institution than the value of its members.Conclusion: It was observed that mechanisms are still needed to disseminate values that promote the achievement of the objectives and goals sought by the institution and that their importance is recognized by all that make up the institution (AU).


Assuntos
Humanos , Masculino , Instituições Acadêmicas , Brasil , Organização Institucional , Assistência à Saúde , Estudos Transversais/métodos , Inquéritos e Questionários , Interpretação Estatística de Dados , Estudos Observacionais como Assunto
4.
Rev. saúde pública (Online) ; 52: 29, 2018. tab, graf
Artigo em Inglês | LILACS-Express | ID: biblio-903446

RESUMO

ABSTRACT OBJECTIVE To analyze how individual characteristics and the social context, together, are associated with self-perception of the oral health. METHODS A multilevel cross-sectional study with data from the Brazilian National Health Survey 2013, the United Nations Development Program, and the National Registry of Health Establishments. The explanatory variables for the "oral health perception" outcome were grouped, according to the study framework, into biological characteristics (sex, color, age), proximal social determinants (literacy, household crowding, and socioeconomic stratification), and distal (years of schooling expectancy at age 18, GINI, Human Development Index, and per capita income). The described analysis was performed, along with bivariate Poisson analysis and multilevel Poisson analysis for the construction of the explanatory model of oral health perception. All analyzes considered the sample weights. RESULTS Both the biological characteristics and the proximal and distal social determinants were associated with the perception of oral health in the bivariate analysis. A higher prevalence of bad oral health was associated to lower years of schooling expectancy (PR = 1.31), lower per capita income (PR = 1.45), higher income concentration (PR = 1.41), and worse human development (PR = 1.45). Inversely, oral health services in both primary and secondary care were negatively associated with oral health perception. All the biological and individual social characteristics, except reading and writing, made up the final explanatory model along with the distal social determinants of the Human Development Index and coverage of basic care in the multilevel analysis. CONCLUSIONS Biological factors, individual and contextual social determinants were associate synergistically with the population's perception of oral health. It is necessary to improve individual living conditions and the implementation of public social policies to improve the oral health of the population.

5.
Rev. saúde pública (Online) ; 52: 29, 2018. tab, graf
Artigo em Inglês | LILACS-Express | ID: biblio-903507

RESUMO

ABSTRACT OBJECTIVE To analyze how individual characteristics and the social context, together, are associated with self-perception of the oral health. METHODS A multilevel cross-sectional study with data from the Brazilian National Health Survey 2013, the United Nations Development Program, and the National Registry of Health Establishments. The explanatory variables for the "oral health perception" outcome were grouped, according to the study framework, into biological characteristics (sex, color, age), proximal social determinants (literacy, household crowding, and socioeconomic stratification), and distal (years of schooling expectancy at age 18, GINI, Human Development Index, and per capita income). The described analysis was performed, along with bivariate Poisson analysis and multilevel Poisson analysis for the construction of the explanatory model of oral health perception. All analyzes considered the sample weights. RESULTS Both the biological characteristics and the proximal and distal social determinants were associated with the perception of oral health in the bivariate analysis. A higher prevalence of bad oral health was associated to lower years of schooling expectancy (PR = 1.31), lower per capita income (PR = 1.45), higher income concentration (PR = 1.41), and worse human development (PR = 1.45). Inversely, oral health services in both primary and secondary care were negatively associated with oral health perception. All the biological and individual social characteristics, except reading and writing, made up the final explanatory model along with the distal social determinants of the Human Development Index and coverage of basic care in the multilevel analysis. CONCLUSIONS Biological factors, individual and contextual social determinants were associate synergistically with the population's perception of oral health. It is necessary to improve individual living conditions and the implementation of public social policies to improve the oral health of the population.

6.
Ciênc. saúde coletiva ; 20(8): 2539-2548, 08/2015. tab
Artigo em Português | LILACS | ID: lil-753232

RESUMO

Resumo Apesar da melhoria das condições de vida dos brasileiros, ainda persiste um panorama de iniquidades em saúde bucal. Este estudo ecológico avaliou a relação das condições socioeconômicas e de política de saúde pública com as de saúde bucal nas capitais brasileiras. Foi realizada análise fatorial com os indicadores de condições socioeconômicas, revelando dois fatores comuns: deprivação econômica e condição sociossanitária. Em seguida, executou-se análise de regressão linear múltipla para os indicadores de saúde bucal (média CPO-D 12 anos, média de dentes perdidos e taxa de população livre de cárie) com os dois fatores em comum e a fluoretação da água de abastecimento. A análise de regressão linear múltipla para o CPO-D das capitais foi estimado pelas condições sociossanitárias e fluoretação, ajustado pela deprivação econômica; enquanto que o modelo para a média de dentes perdidos foi estimado apenas pela fluoretação e deprivação econômica, e, por fim, o modelo para a taxa da população livre de cárie nas capitais brasileiras foi estimado pela condição econômica e sociossanitária ajustadas pelo abastecimento de água fluoretada. Portanto, os resultados apontam a necessidade de ações sociais que impactem nas condições de vida da população para redução da cárie dentária.


Abstract Despite the improvement of the lives of Brazilians, still persists a panorama of iniquities in health in Brazil. This ecological study evaluated the relationship of socioeconomic conditions and public health policy with oral health conditions in Brazilian capitals. Factor analysis was performed with the socioeconomic indicators, revealing two common factors: economic deprivation and socio-sanitary condition. Then, was executed multiple linear regression analysis for the oral health indicators (average DMFT 12 years, mean missing teeth and rate of decay of free population) with two factors in common and fluoridation of water supply. Multiple linear regression analysis to the DMFT of the capitals was estimated by the socio-sanitary conditions and fluoridation, adjusted by economic deprivation; whereas the model for the average missing teeth was estimated only for flu-oridation and economic deprivation, and finally, the model for the rate of caries-free population in the Brazilian capitals was estimated by economic and sociosanitary condition set by fluoridated water supplies. Therefore, the results indicate the need for social actions that impact on people's living conditions to reduce tooth decay.


Assuntos
Humanos , Cárie Dentária/epidemiologia , Disparidades nos Níveis de Saúde , Saúde Bucal , Fatores Socioeconômicos , Brasil/epidemiologia , Índice CPO , Fluoretação
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