Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 1.239
Filtrar
1.
Rev Saude Publica ; 54: 85, 2020.
Artigo em Português, Inglês | MEDLINE | ID: mdl-32844983

RESUMO

OBJECTIVE To verify the prevalence and factors associated with regular use of dental services in university students of the Universidade Federal de Pelotas (UFPel). METHODS This cross-sectional study interviewed 1,865 students aged 18 years or older, starting bachelor's degrees in 2017, enrolled in the second academic semester of 2017 and in the first of 2018 in classroom courses at UFPel. We considered regular users those who reported regularly going to the dentist with or without perceived dental problems. To test factors associated with regular use of dental services, demographic, socioeconomic and oral health variables were collected. Statistical analyses were based on Poisson regression models. RESULTS The prevalence of regular use of dental services was 45.0% (95%CI 42.7-47.3). University students of high economic class (PR = 1.47; 95%CI 0.91-2.36), with last private dental appointment (PR = 1.29; 95%CI 1.03-1.61), positive self-perception of oral health (PR = 2.33; 95%CI 1.79-3.03) and no report of toothache in the last six months (PR = 1.22; 95%CI 1.03-1.45) showed higher prevalence of regular use of dental services. CONCLUSION The results point to inequalities in the regular use of dental services related to socioeconomic factors and a lower use among university students with worse oral health conditions. These results suggest that public health prevention and promotion policies in higher education institutions must be carried out to ensure quality of life among these young adults.


Assuntos
Serviços de Saúde Bucal/estatística & dados numéricos , Acesso aos Serviços de Saúde/estatística & dados numéricos , Saúde Bucal/estatística & dados numéricos , Estudantes/psicologia , Adolescente , Brasil , Estudos Transversais , Humanos , Doenças da Boca/prevenção & controle , Qualidade de Vida , Fatores Socioeconômicos , Estudantes/estatística & dados numéricos , Universidades , Adulto Jovem
2.
BMC Oral Health ; 20(1): 186, 2020 07 03.
Artigo em Inglês | MEDLINE | ID: mdl-32620108

RESUMO

BACKGROUND: This article aims to provide a description of conceptual dimensions and psychometric properties of the tools of oral and dental health literacy. METHODS: Two authors in this study conducted electronic searches in the Medline (via PubMed), and Embase databases to find relevant articles from 1990 to present day. Evaluation of the tools was carried out in two parts; general evaluation of the tools using skills introduced by Sørensen et al., and qualitative assessment of psychometric properties using COSMIN checklist. RESULTS: After reviewing 1839 articles on oral and dental health literacy and evaluating 33 full text articles for eligibility, 21 articles entered the study. The sample size varied from 20 to 1405 subjects and the items of each tool ranged from 11 to 99 items. Of the 21 tools examined, 16 tools were evaluated for word recognition. For the studies examined, the evaluation of COSMIN scores was often fair or good. Of the 21 tools examined, 9 tools at least in one dimension were in the category of "poor", 19 tools were in the category of "fair", 20 tools were in the category of "good", and 4 tools were in the category of "excellent" in at least one dimension. CONCLUSION: The findings of this study showed that some aspects of oral and dental health literacy are being ignored in the existing tools. Therefore, the authors of present study emphasize on the necessity to design and develop a comprehensive tool and take into account two characteristics of simplicity and briefness for international use.


Assuntos
Serviços de Saúde Bucal/estatística & dados numéricos , Educação em Saúde Bucal , Letramento em Saúde/métodos , Saúde Bucal , Inquéritos e Questionários/normas , Comportamentos Relacionados com a Saúde , Humanos , Psicometria
3.
BMC Public Health ; 20(1): 953, 2020 Jun 17.
Artigo em Inglês | MEDLINE | ID: mdl-32552777

RESUMO

BACKGROUND: The utilisation of health services is determined by complex interactions. In this context, rural populations face greater barriers in accessing dental services than do urban populations, and they generally have poorer oral health status. The evaluation of the determinants of health services utilisation is important to support planning and management of dental services. The aim of this study was to evaluate the predictors of dental services utilisation of Brazilian adults living in rural and urban areas. METHODS: Data from 60,202 adults aged 18 years or older who took part in the Brazilian National Health Survey carried out in 2013 were analysed. Predisposing (age, sex, education, social networks), enabling financing (income, durable goods and household's crowding), enabling organisation (health insurance, registration in primary health care [PHC]) and need variables (eating difficulties, self-perceived tooth loss and self-perceived oral health) were selected based upon the Andersen behavioural model. Multi-group structural equation modeling assessed the direct and indirect associations of independent variables with non-utilisation of dental services and the interval since the last dental visit for individuals living in rural and urban areas. RESULTS: Adults living in urban areas were more likely to use dental services than those living in rural areas. Lower enabling financing, lower perceived dental needs and lack of PHC registration were directly associated with lower utilisation of dental services (non-utilisation, ß = - 0.36, ß = - 0.16, ß = - 0.03, respectively; and interval since last dental visit, ß = 1.25, ß = 0.82, ß = - 0.12, respectively). The enabling financing (non-utilisation, ßrural = - 0.02 [95%CI: - 0.03 to - 0.02], ßurban = 0.00 [95%CI: - 0.01 to 0.00]) and PHC registration (non-utilisation, ßrural = - 0.03 [95%CI: - 0.04 to - 0.02], ßurban = - 0.01 [95%CI, - 0.01 to - 0.01]) non-standardised total effects were stronger in rural areas. Enabling organisation (ß = 0.16) and social network (ß = - 2.59) latent variables showed a direct effect on the interval since last dental visit in urban areas. Education and social networks influenced utilisation of dental services through different pathways. Males showed less use of dental services in both urban and rural areas (non-utilisation, ßrural = - 0.07, ßurban = - 0.04; interval since last dental visit, ßrural = - 0.07, ßurban = - 0.07) and older adults have used dental services longer than younger ones, mainly in rural areas (ßrural = 0.26, ßurban = 0.17). CONCLUSION: Dental services utilisation was lower in rural areas in Brazil. The theoretical model was supported by empirical data and showed different relationships between the predictors in the two geographical contexts. In rural areas, financial aspects, education, primary care availability, sex and age were relevant factors for the utilisation of services.


Assuntos
Serviços de Saúde Bucal/estatística & dados numéricos , Acesso aos Serviços de Saúde/estatística & dados numéricos , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , População Rural/estatística & dados numéricos , População Urbana/estatística & dados numéricos , Adulto , Idoso , Idoso de 80 Anos ou mais , Brasil , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
4.
Artigo em Inglês | MEDLINE | ID: mdl-32414126

RESUMO

The aim of this pilot study was to describe the advantages of telemedicine (TM) in dental practice during the current national emergency condition due to the Covid-19 dissemination. At Department of Oral Surgery and Pathology-Magna Graecia University of Catanzaro, regional reference center for Covid-19-two groups of patients were determined: patients with urgent conditions (group U) and patients in follow-up (group F). Both groups were instructed to implement remote consultations using a messaging service (WhatsApp Messenger, WhatsApp Inc., Mountain View, California, USA) to send photos. A total of 418 photos were collected by 57 patients. Thirty-four photos were obtained by five patients in the U group after surgical procedures. All patients sent photos on the established evening, except for two patients who sent two photos outside the set days. In the F group, 384 photos were collected by 52 patients. None of them sent more photos than the number that was established by the protocol. Telemedicine allowed a monitoring of all patients, reducing costs and limiting human contact, decreasing the risk of Covid-19 dissemination.


Assuntos
Odontologia Comunitária , Infecções por Coronavirus , Serviços de Saúde Bucal/estatística & dados numéricos , Doenças da Boca/diagnóstico , Pandemias , Pneumonia Viral , Consulta Remota , Telemedicina , Adulto , Betacoronavirus , Coronavirus , Assistência à Saúde , Clínicas Odontológicas , Serviços de Saúde Bucal/organização & administração , Odontologia , Feminino , Humanos , Itália/epidemiologia , Masculino , Pessoa de Meia-Idade , Aplicativos Móveis , Projetos Piloto , Odontologia em Saúde Pública , Encaminhamento e Consulta , Adulto Jovem
5.
Int J Public Health ; 65(5): 637-647, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32388573

RESUMO

OBJECTIVES: To assess the impact of classical socioeconomic factors on the use and non-use of dental services on a representative sample of Polish population. METHODS: The study was based on face-to-face surveys conducted by GUS (Statistics Poland) on 13,376 respondents in 2010 and 12,532 individuals in 2013. RESULTS: The percentage of people using dental services in the highest income group was approximately twice as high as that in the lowest one (Q1: 7.0% vs. Q5: 16.4%), with the same being true for education (the lowest education group: 8.3% vs. the highest education group: 18.0%), and place of residence (inhabitants of rural areas: 9.2% vs. inhabitants of largest cities: 15.9%) in 2013. The analysis has shown the disparities in not using dental services when in need to be less clear-cut. CONCLUSIONS: The conducted research, based on two independent periods, a representative population sample, univariate analysis and the multivariate regression model has revealed pronounced social inequalities in dental care use. It is a challenge to determine the factors which contribute most to health inequalities and the interventions which are most effective in reducing them.


Assuntos
Serviços de Saúde Bucal/economia , Serviços de Saúde Bucal/estatística & dados numéricos , Serviços de Saúde Bucal/tendências , Disparidades em Assistência à Saúde/economia , Disparidades em Assistência à Saúde/estatística & dados numéricos , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Fatores Socioeconômicos , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Previsões , Humanos , Masculino , Pessoa de Meia-Idade , Polônia , Inquéritos e Questionários
6.
BMC Oral Health ; 20(1): 121, 2020 04 21.
Artigo em Inglês | MEDLINE | ID: mdl-32316958

RESUMO

BACKGROUND: All adults over 17 years of age have access to the Public Dental Service after the Finnish Dental Care Reform in 2001-2002. This study aimed to survey the treatment needs and treatment measures provided for adult patients and changes in these during the period 2001-2013. METHODS: Sing each person's unique identifier, demographic data on dental visits during the period 2001-2013 were collected from municipal databases in five PDS-units covering 320,000 inhabitants. The numbers of visitors, those in need of basic periodontal or caries treatment (CPI > 2 and D + d > 0) were calculated for three age groups. Treatment provided was also calculated in 13 treatment categories. Trend analyses were performed to study changes during the study period. RESULTS: Restorative treatments (968,772; 23.6%), examinations (658,394; 16.1%), radiographs taken (529,875; 12.9%) anaesthesia used (521,169; 12.7%) and emergency treatments (348,229; 8.5%) made up 73.8% of all treatment measures during the entire study period. Periodontal treatment (7.8%) and caries prevention (3.9%) made up a small part of the care provided and prosthetics and treatment of TMJ disorders were extremely uncommon (fewer than 1%). Treatments related to caries (restorative treatment, examinations, endodontics, emergencies, anaesthesia and radiographs) made up 60.4% of the dental personnel's treatment time. During the study period, statistically significant increasing trends were found for radiographs (p < 0.001***), anaesthesia (p = 0.003**) and total number of treatments (p = 0.009**). There was a slight decreasing trend in treatment need among the youngest adults (18-39 years; p = 0.033*). CONCLUSION: Compared with the results of national epidemiological studies, insufficient periodontal treatment is provided and prosthetic treatment is almost totally neglected in the PDS. Rather, adults' dental treatment concentrates on treatment of caries. The unmet needs may be due to tradition, inadequate treatment processes or a lack of resources or failed salary incentives.


Assuntos
Anestesia Dentária , Assistência Odontológica/estatística & dados numéricos , Cárie Dentária/terapia , Serviços de Saúde Bucal/estatística & dados numéricos , Adolescente , Adulto , Idoso , Cárie Dentária/epidemiologia , Finlândia/epidemiologia , Humanos , Pessoa de Meia-Idade , Saúde Bucal , Resultado do Tratamento
7.
BMC Oral Health ; 20(1): 120, 2020 04 20.
Artigo em Inglês | MEDLINE | ID: mdl-32312257

RESUMO

BACKGROUND: This study aims to explore the difference in the utilization pattern of dental services among pregnant, post-partum and six-month post-partum women. METHODS: This cross-sectional questionnaire survey was performed at two maternity and child care hospitals in India that primarily cater to middle and low income communities. Data were collected from 3 groups: 1) pregnant women in their first trimester; 2) post-partum women (< 48 h after delivery); and 3) six-month post-partum women. The primary outcome of interest was dental service utilization during pregnancy. Self-perceived oral health (SPOH) was calculated based on the four global dimensions- knowledge, function, quality of life and social. Multiple logistic regression analysis was carried out to assess the effect of each independent variable after adjustment for the effect of all other variables in the model. RESULTS: Responses of 450 (150 pregnant, 150 post-partum and 150 six-month post-partum) women were analyzed (response rate = 72%). Significant differences in the dental attendance pattern was observed between the study groups (p < 0.01). Dental attendance among pregnant and six-month post-partum women were 60 and 75%, respectively, however, only about 15% of the post-partum women reported to have sought dental care within the 6 months prior to the study. Post-partum women had the highest SPOH scores, indicating poor self-perceived oral health, followed by pregnant and then six-month post-partum women, which was statistically significant (p < 0.05). A significantly higher percentage of post-partum women reported to have poor oral and general health, as compared to both, pregnant and six-month post-partum women (p < 0.01). Higher percentage of women reporting 'good' oral and general health had sought dental care compared with others (p < 0.01). After adjusting for all the other variables in the model, women with lower levels of education (ORa = 1.42; 95% CI: 1.01-2.00), women with poor self-perceived oral health (ORa = 1.08; 95% CI: 1.02-1.14) and post-partum women (ORa = 0.15; 95% CI: 0.09-0.24) were found to be less likely to seek regular dental care. CONCLUSION: Pattern of dental service utilization among women in this population varied according to their pregnancy status, level of education and self-perceived oral health.


Assuntos
Assistência Odontológica/estatística & dados numéricos , Serviços de Saúde Bucal/estatística & dados numéricos , Saúde Bucal/estatística & dados numéricos , Qualidade de Vida , Criança , Estudos Transversais , Escolaridade , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Renda , Índia , Período Pós-Parto , Gravidez , Gestantes , Classe Social , Inquéritos e Questionários
8.
Epidemiol Health ; 42: e2020023, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32272006

RESUMO

OBJECTIVES: This study was conducted to investigate the associations between chronic conditions (CCs) and oral health services utilization (OHSU) within the previous 6 months in older Peruvian adults (defined as those 60 years of age or more according to Peruvian law). METHODS: An analytical cross-sectional study was performed based on the 2015-2017 Peruvian Demographic and Family Health Survey. Pooled data from 13,699 older adults were analyzed. A logistic regression model was used to analyze the associations between OHSU (dependent variable) and CCs (independent variables). Tobacco consumption, obesity, educational level, age, sex, welfare quintile, area of residence, having health insurance, and natural region of residence were included as covariates in the analysis. RESULTS: The frequency of OHSU in older adults was 18.5% (95% confidence interval [CI], 17.8 to 19.3). The highest percentage point (%p) differences with regards to OHSU were found between the extreme categories of educational level (higher education vs. none or elementary school: +24.8%p) and welfare quintile (richest vs. poorest: +24.0%p). In the crude model, OHSU was associated with diabetes (odds ratio [OR], 1.46; 95% CI, 1.26 to 1.69), but this association disappeared after adjustment for covariates. Meanwhile, depression decreased the likelihood of OHSU (OR, 0.82; 95% CI, 0.72 to 0.95) in the adjusted model. CONCLUSIONS: The frequency of OHSU was low in older Peruvian adults. Regarding CCs, we found that depression independently decreased the likelihood of OHSU in the adjusted model. Our results may be useful for the development of policies aimed at achieving greater OHSU in older adults with CCs, especially in those with depression.


Assuntos
Doença Crônica/epidemiologia , Serviços de Saúde Bucal/estatística & dados numéricos , Utilização de Instalações e Serviços/estatística & dados numéricos , Idoso , Estudos Transversais , Demografia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Peru/epidemiologia
9.
Cien Saude Colet ; 25(3): 827-835, 2020 Mar.
Artigo em Português, Inglês | MEDLINE | ID: mdl-32159653

RESUMO

The objective of this article is to identify the scientific productions on the access and use of dental services by pregnant women. A search was carried out on the BVS and MEDLINE/PubMed online databases to produce this integrative literature review. In the BVS database, the Portuguese descriptors were: "acesso aos serviços de saúde", "saúde bucal" and "gestantes", and in PubMed: "Health services accessibility", "oral health" and "pregnant women", all associated with each other by the Boolean operator "AND". We identified five studies that met the inclusion and exclusion criteria and were systematized into two empirical and co-related categories: the significant number of pregnant women who do not perform prenatal dental care and the importance of educational measures that signal the need to receive dental care during prenatal visits. Further studies on the subject are required to support public health policies that consider this theme. Existing research shows low adherence to prenatal dental care and that the main factors hindering the access to and use of dental services were related to socioeconomic, cultural and educational aspects.


Assuntos
Serviços de Saúde Bucal/estatística & dados numéricos , Utilização de Instalações e Serviços/estatística & dados numéricos , Acesso aos Serviços de Saúde/estatística & dados numéricos , Cuidado Pré-Natal/estatística & dados numéricos , Feminino , Humanos , Gravidez
10.
Ciênc. Saúde Colet ; 25(3): 827-835, mar. 2020. tab, graf
Artigo em Português | LILACS | ID: biblio-1089497

RESUMO

Resumo O objetivo deste artigo é identificar as produções científicas sobre o acesso e utilização de serviços odontológicos por gestantes. Foi realizada uma revisão integrativa de literatura com busca nas bases de dados BVS e MEDLINE/PubMed. Na base BVS os descritores foram: "acesso aos serviços de saúde", "saúde bucal" e "gestantes", e na PubMed: "Health services accessibility", "oral health" e "pregnant women", associados entre si pelo operador booleano AND. Foram encontrados cinco estudos que preencheram os critérios de inclusão e exclusão, sendo sistematizados em duas categorias empiricas e co-relacionadas: número expressivo de gestantes que não realizam o pré-natal odontológico e importância de medidas educativas que sinalizem a necessidade de receberem acompanhamento odontológico durante as consultas de pré-natal. Existe a necessidade de mais estudos, para embasar políticas de saúde pública que contemplem esta temática. As pesquisas existentes demonstram baixa adesão ao pré-natal odontológico e que os principais fatores observados como complicadores do acesso e utilização dos serviços odontológicos foram os relacionados aos aspectos socioeconômicos, culturais e educacionais.


Abstract The objective of this article is to identify the scientific productions on the access and use of dental services by pregnant women. A search was carried out on the BVS and MEDLINE/PubMed online databases to produce this integrative literature review. In the BVS database, the Portuguese descriptors were: "acesso aos serviços de saúde", "saúde bucal" and "gestantes", and in PubMed: "Health services accessibility", "oral health" and "pregnant women", all associated with each other by the Boolean operator "AND". We identified five studies that met the inclusion and exclusion criteria and were systematized into two empirical and co-related categories: the significant number of pregnant women who do not perform prenatal dental care and the importance of educational measures that signal the need to receive dental care during prenatal visits. Further studies on the subject are required to support public health policies that consider this theme. Existing research shows low adherence to prenatal dental care and that the main factors hindering the access to and use of dental services were related to socioeconomic, cultural and educational aspects.


Assuntos
Humanos , Feminino , Gravidez , Cuidado Pré-Natal/estatística & dados numéricos , Serviços de Saúde Bucal/estatística & dados numéricos , Utilização de Instalações e Serviços/estatística & dados numéricos , Acesso aos Serviços de Saúde/estatística & dados numéricos
11.
BMC Oral Health ; 20(1): 35, 2020 02 03.
Artigo em Inglês | MEDLINE | ID: mdl-32013981

RESUMO

BACKGROUND: Many factors influence how a person experiences oral health and how such experiences may facilitate supportive oral health behaviours. Women in particular face different challenges due to their environment, responsibilities and physiological differences to men. Within Australia, Aboriginal and Torres Strait Islander women are reported to have poorer oral health and are faced with additional barriers to supporting their oral health compared with non-Indigenous women. The objective of this paper is to report the experiences and perceptions of oral health from the perspective of urban, Aboriginal and Torres Strait Islander women. METHODS: The present data derive from a descriptive study that used yarning circles and face-to-face interviews with women who were mothers/carers of urban, Aboriginal and/or Torres Strait Islander children. This was a qualitative study to investigate the impact of child oral health on families. Participants used the opportunity to share their own personal experiences of oral health as women, thus providing data for the present analyses. Information collected was transcribed and analysed thematically. RESULTS: Twenty women shared their personal narratives on the topic of oral health which were reflective of different time points in their life: growing up, as an adult and as a mother/carer. Although women are trying to support their oral health across their life-course, they face a number of barriers, including a lack of information and the costs of accessing dental care. The teenage years and pregnancy were reported as important time periods for oral health support. CONCLUSIONS: To improve the oral health of Indigenous Australian women, policymakers must consider the barriers reported by women and critically review current oral health information and services. Current oral health services are financially out of reach for Indigenous Australian women and there is not sufficient or appropriate, oral information across the life-course.


Assuntos
Serviços de Saúde Bucal/estatística & dados numéricos , Grupo com Ancestrais Oceânicos/psicologia , Saúde Bucal/etnologia , População Urbana , Adolescente , Adulto , Austrália , Criança , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Entrevistas como Assunto , Masculino , Gravidez , Pesquisa Qualitativa
12.
BMC Oral Health ; 20(1): 46, 2020 02 10.
Artigo em Inglês | MEDLINE | ID: mdl-32041596

RESUMO

BACKGROUND: Preschool years are a critical period in the development of a healthy child. The consequences of poor oral health in preschool children reach beyond dental problems, with oral health-related quality of life (OHRQoL) being associated with overall systematic health as well as one's quality of life. The purpose of this study was to assess the prevalence of dental caries and its impacts on the OHRQoL in a sample of preschool children in Kisarawe. METHODS: A cross-sectional based study was conducted in 2017. A total of 1106 preschool children completed a face-to-face interview, using a translated Kiswahili version of the Michigan Oral Health-related Quality of Life Scale (MOHRQoL) -Child Version (2003), and underwent clinical oral examination using WHO (1997) criteria. RESULTS: The decayed component was the most prevalent (dft = 2.08) and the Significant Caries Index (SiC) was 5.54 double of the (dft), showing polarization of dental caries in the studied population. After adjusting for appropriate covariates, preschool children of age 5 and 6 years old were more likely to have decayed tooth [Adjusted OR = 3.02, (95% CI =2.01-4.54)] and [Adjusted OR = 2.23, (95% CI = 1.55-3.20)] respectively. Preschool children without visible plaque on the buccal surface of upper anterior teeth were less likely to have decayed teeth [Adjusted OR = 0.21, (95% CI = 0.09-0.45)]. Regarding measurements of oral health-related quality of life using the MOHRQoL, only preschool children who reported on 'do your teeth hurt you now?' and 'do kids make fun of your teeth?' were more likely to have a decayed tooth [Adjusted OR = 1.74, (95% CI = 1.12-2.71)] and [Adjusted OR = 1.87, (95% CI = 1.11-3.15)], respectively. CONCLUSION: Findings from this study suggest that dental caries affects a significant portion of preschool children and, was associated with poor oral hygiene. The overall impacts of dental caries prevalence to OHRQoL were low in this sample of preschool children. Children having caries (independent variable) were shown to report more frequently that 'do your teeth hurt you now?' and 'do kids make fun of your teeth?' were more likely to have a decayed tooth among preschool children in Kisarawe, Tanzania.


Assuntos
Cárie Dentária/epidemiologia , Serviços de Saúde Bucal/estatística & dados numéricos , Saúde Bucal/estatística & dados numéricos , Qualidade de Vida , Dente Decíduo/patologia , Criança , Pré-Escolar , Estudos Transversais , Feminino , Humanos , Masculino , Prevalência , Tanzânia/epidemiologia
13.
Cien Saude Colet ; 25(2): 519-532, 2020 Feb.
Artigo em Português | MEDLINE | ID: mdl-32022192

RESUMO

The aim was to evaluate the prevalence of utilization of prenatal oral health services and its associated factors, through data from Cycle I (2011-12) and II (2013-14) of PMAQ-AB. This was cross-sectional study with 4,340 women (Cycle I) and 6,209 women (Cycle II), with outcome of utilization oral health service in prenatal care. Multilevel Poisson regression was used for obtain prevalence ratios (PR). In Cycle I, the prevalence of prenatal oral health service utilization was 45.9% and 51.9% in cycle II. In cycle I, large municipalities (PR = 1.35; 95%CI 1.05-1.81), income ranging from 1 to 2 minimum wages (PR = 1.13; 95%CI 1.03-1.25), age ranging from 31 to 40 years old (PR = 1.33, 95%CI 1.15-1.54) and registry of dental appointments (PR = 1.17; 95%CI 1.06-1.29) they were associated with the outcome. In cycle II, southeast region (PR = 1.18; 95%CI 1.03-1.36), high oral healthcare coverage (PR = 1.11; 95%CI 1.01-1.22), age ranging from 31 to 40 years old (PR = 1.22; 95%CI 1.09-1.36), the health workers enrollment in permanent education actions (PR = 1.14; 95%CI 1.01-1.30) and opening times that match the user's needs (PR = 1.40; 95%CI 1.25-1.57) they were associated with the outcome. The individual factors and factors related to the organization of the healthcare service are associated with oral healthcare utilization during prenatal care.


Assuntos
Serviços de Saúde Bucal/estatística & dados numéricos , Cuidado Pré-Natal/estatística & dados numéricos , Atenção Primária à Saúde/estatística & dados numéricos , Adulto , Brasil , Estudos Transversais , Feminino , Humanos , Renda , Saúde Bucal , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Gravidez , Prevalência , Fatores Socioeconômicos , Adulto Jovem
14.
Cien Saude Colet ; 25(2): 533-540, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-32022193

RESUMO

The present study aimed to analyze factors associated with access of dental care services by Brazilian hemodialysis patients. A cross-sectional study was carried out with 467 hemodialysis patients aging from 19 to 90 years in two renal therapy centers located in the cities of Contagem and Belo Horizonte, Southeastern Brazil. Data were collected through an oral clinical examination of the patients and the application of a structured questionnaire. The dependent variable was the access to dental care, measured by the question "Have you consulted with a dentist in last six months?". The mean age of participants was 49.9 years. The average number of teeth present in the mouth was 19.3. An average of 1.5 teeth with dental caries cavities lesion was diagnosed among hemodialysis patients. One-third of the sample had gone to the dentist in the last six months (27.8%). The access to dental care was associated with formal education (OR = 1.5 [1.1-2.4]), professional advising to consult with a dentist (OR = 2.1 [1.2-3.8]) and prevalence of dental caries (OR = 2.1 [1.3-3.2]). Hemodialysis patients with eight or more years of formal education, who received professional advising to consult with a dentist and without dental caries cavities had higher chances obtaining access to dental care.


Assuntos
Cárie Dentária/epidemiologia , Serviços de Saúde Bucal/estatística & dados numéricos , Acesso aos Serviços de Saúde , Diálise Renal , Adulto , Idoso , Idoso de 80 Anos ou mais , Brasil/epidemiologia , Estudos Transversais , Assistência Odontológica/estatística & dados numéricos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Inquéritos e Questionários , Adulto Jovem
15.
Ciênc. Saúde Colet ; 25(2): 533-540, Feb. 2020. tab
Artigo em Inglês | LILACS | ID: biblio-1055816

RESUMO

Abstract The present study aimed to analyze factors associated with access of dental care services by Brazilian hemodialysis patients. A cross-sectional study was carried out with 467 hemodialysis patients aging from 19 to 90 years in two renal therapy centers located in the cities of Contagem and Belo Horizonte, Southeastern Brazil. Data were collected through an oral clinical examination of the patients and the application of a structured questionnaire. The dependent variable was the access to dental care, measured by the question "Have you consulted with a dentist in last six months?". The mean age of participants was 49.9 years. The average number of teeth present in the mouth was 19.3. An average of 1.5 teeth with dental caries cavities lesion was diagnosed among hemodialysis patients. One-third of the sample had gone to the dentist in the last six months (27.8%). The access to dental care was associated with formal education (OR = 1.5 [1.1-2.4]), professional advising to consult with a dentist (OR = 2.1 [1.2-3.8]) and prevalence of dental caries (OR = 2.1 [1.3-3.2]). Hemodialysis patients with eight or more years of formal education, who received professional advising to consult with a dentist and without dental caries cavities had higher chances obtaining access to dental care.


Resumo Este estudo objetivou analisar os fatores associados ao uso de serviços odontológicos por pacientes em hemodiálise. Foi realizado um estudo transversal com 467 pacientes em hemodiálise, na faixa etária de 19 a 90 anos, de Contagem e Belo Horizonte, região Sudeste do Brasil. Os dados foram coletados por meio de exame clínico bucal dos participantes e da aplicação de um questionário estruturado. A variável dependente foi o acesso odontológico, mensurado pela pergunta "Você foi ao dentista nos últimos seis meses?". A média de idade dos participantes foi de 49,9 anos. A média de dentes presentes na boca foi de 19,3. Uma média de 1,5 dentes com lesão de cárie cavitada foi diagnosticada entre os pacientes em hemodiálise. Um terço da amostra afirmou ter ido ao dentista nos últimos seis meses (27,8%). O acesso odontológico dos pacientes em hemodiálise foi associado à escolaridade (OR = 1,5 [1,1-2,4]), orientação profissional para ir ao dentista (OR = 2,1 [1,2-3,8]) e prevalência de cárie dentária (OR = 2,1 [1,3-3,2]). Os pacientes em hemodiálise com oito anos ou mais de escolaridade, que receberam orientação profissional para ir ao dentista e sem cárie dentária apresentaram maior chance de terem acesso odontológico.


Assuntos
Humanos , Masculino , Feminino , Adulto , Idoso , Idoso de 80 Anos ou mais , Adulto Jovem , Diálise Renal , Cárie Dentária/epidemiologia , Serviços de Saúde Bucal/estatística & dados numéricos , Acesso aos Serviços de Saúde , Brasil/epidemiologia , Prevalência , Estudos Transversais , Inquéritos e Questionários , Assistência Odontológica/estatística & dados numéricos , Pessoa de Meia-Idade
16.
Ciênc. Saúde Colet ; 25(2): 519-532, Feb. 2020. tab, graf
Artigo em Português | LILACS | ID: biblio-1055808

RESUMO

Resumo O objetivo foi avaliar a prevalência de utilização de serviço de saúde bucal no pré-natal e seus fatores associados, a partir dos dados dos ciclos I (2011-12) e II (2013-14) do PMAQ-AB. Estudo transversal, com população de 4.340 mulheres (ciclo I) e de 6.209 mulheres (ciclo II), com o desfecho de utilização de serviço de saúde bucal no pré-natal. Regressão de Poisson Multinível foi utilizada para obtenção das razões de prevalência (RP). No ciclo I, a prevalência de utilização de serviço de saúde bucal no pré-natal foi de 45,9% e de 51,9%, no ciclo II. No ciclo I, municípios de grande porte (RP = 1,35; IC95% 1,05-1,81), renda entre 1 e 2 salários mínimos (RP = 1,13; IC95% 1,03-1,25), de 31 a 40 anos (RP = 1,33; IC95% 1,15-1,54) e possuir registro de consulta odontológica (RP=1,17; IC95%:1,06-1,29), estiveram associadas ao desfecho. No ciclo II, região Sudeste (RP = 1,18; IC95% 1,03-1,36), alta cobertura de saúde bucal (RP = 1,11; IC95% 1,01-1,22), ter de 31 a 40 anos (RP = 1,22; IC95% 1,09-1,36), equipe em ações de educação permanente (RP = 1,14; IC95% 1,01-1,30) e horário de funcionamento que atenda às necessidades (RP = 1,40; IC95% 1,25-1,57), estiveram associadas ao desfecho. Fatores individuais e fatores relacionados à organização do serviço estão associados à utilização de serviços de saúde bucal durante o pré-natal.


Abstract The aim was to evaluate the prevalence of utilization of prenatal oral health services and its associated factors, through data from Cycle I (2011-12) and II (2013-14) of PMAQ-AB. This was cross-sectional study with 4,340 women (Cycle I) and 6,209 women (Cycle II), with outcome of utilization oral health service in prenatal care. Multilevel Poisson regression was used for obtain prevalence ratios (PR). In Cycle I, the prevalence of prenatal oral health service utilization was 45.9% and 51.9% in cycle II. In cycle I, large municipalities (PR = 1.35; 95%CI 1.05-1.81), income ranging from 1 to 2 minimum wages (PR = 1.13; 95%CI 1.03-1.25), age ranging from 31 to 40 years old (PR = 1.33, 95%CI 1.15-1.54) and registry of dental appointments (PR = 1.17; 95%CI 1.06-1.29) they were associated with the outcome. In cycle II, southeast region (PR = 1.18; 95%CI 1.03-1.36), high oral healthcare coverage (PR = 1.11; 95%CI 1.01-1.22), age ranging from 31 to 40 years old (PR = 1.22; 95%CI 1.09-1.36), the health workers enrollment in permanent education actions (PR = 1.14; 95%CI 1.01-1.30) and opening times that match the user's needs (PR = 1.40; 95%CI 1.25-1.57) they were associated with the outcome. The individual factors and factors related to the organization of the healthcare service are associated with oral healthcare utilization during prenatal care.


Assuntos
Humanos , Feminino , Gravidez , Adulto , Adulto Jovem , Cuidado Pré-Natal/estatística & dados numéricos , Atenção Primária à Saúde , Serviços de Saúde Bucal/estatística & dados numéricos , Fatores Socioeconômicos , Brasil , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Saúde Bucal , Prevalência , Estudos Transversais , Renda
17.
Artigo em Inglês | MEDLINE | ID: mdl-31979248

RESUMO

Spanish and immigrant children and adolescents vary widely in their frequency of dental visits and occurrence of dental problems. The aims of this study were to discover the prevalence of dental problems and utilization of dental services in the Spanish and immigrant child population, identify the type of treatment received, and analyze the socioeconomic and demographic variables which are associated with dental problems and non-regular utilization of dental services, based on data from the 2017 National Health Survey in Spain. The sample consisted of 4568 children aged between 3 and 14 years old. Utilization of dental services and dental problems were assessed against socioeconomic and demographic characteristics using logistic regression models. The prevalence of caries in Spanish children was 9.29% compared with 18.58% (p < 0.001) in their immigrant counterparts. The most common reason for dental visits was a check-up (Spanish: 65.05%; immigrants: 54.94%). In both groups, from the age of 7, there was a lower probability of non-regular utilization of dental services, although this increased when the social class was lower. The probability of presenting dental problems was lower in Spanish children living in towns with over 10,000 inhabitants and was higher, in both groups, over the age of 7 and in lower social classes.


Assuntos
Serviços de Saúde Bucal/estatística & dados numéricos , Emigrantes e Imigrantes , Saúde Bucal/etnologia , Aceitação pelo Paciente de Cuidados de Saúde/etnologia , Adolescente , Criança , Pré-Escolar , Feminino , Inquéritos Epidemiológicos , Humanos , Modelos Logísticos , Masculino , Classe Social , Espanha
18.
Braz Oral Res ; 33: e124, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31994597

RESUMO

This study aimed to assess the association of demographic conditions, socioeconomic status, clinical variables, and psychosocial factors with the number of filled teeth in adolescents from public schools. This cohort study comprised 1,134 12-year-old adolescents enrolled in public schools in Santa Maria, Brazil, in 2012. They were followed-up in 2014, where 743 individuals were reassessed (follow-up rate of 65.52%) for the number of filled teeth. Data were collected via dental examinations and structured interviews. Demographic and socioeconomic characteristics were collected from parents or legal guardians. The psychosocial factor comprised students' subjective measurement of happiness (Brazilian version of the Subjective Happiness Scale - SHS). Dental examinations were performed to assess the number of filled teeth through decay, missing, and filled teeth index (DMF-T). Unadjusted and adjusted Poisson regression analyses were performed to assess the association between baseline variables and filled teeth at follow-up. The number of filled teeth in 2012 and 2014 were 193 (17.02%) and 235 (31.63%), respectively. The incidence of filled teeth in 2014 was 42 (5.65%). Adolescents with untreated dental caries, those who visited the dentist in the last 6 months, those that exhibited being happier, and those who had filled teeth at baseline were associated with a higher number of filled teeth at follow-up. We conclude that the number of filled teeth in adolescents was influenced by clinical and psychosocial factors, emphasizing the need to focus on oral health policies in individuals with higher disease burden and those who feel psychologically inferior.


Assuntos
Inquéritos de Saúde Bucal/estatística & dados numéricos , Restauração Dentária Permanente/estatística & dados numéricos , Setor Público/estatística & dados numéricos , Instituições Acadêmicas/estatística & dados numéricos , Estudantes/estatística & dados numéricos , Adolescente , Brasil/epidemiologia , Criança , Estudos de Coortes , Cárie Dentária/epidemiologia , Cárie Dentária/terapia , Serviços de Saúde Bucal/estatística & dados numéricos , Restauração Dentária Permanente/psicologia , Feminino , Acesso aos Serviços de Saúde/estatística & dados numéricos , Humanos , Masculino , Análise de Regressão , Fatores Socioeconômicos , Estudantes/psicologia
19.
BMC Oral Health ; 20(1): 9, 2020 01 08.
Artigo em Inglês | MEDLINE | ID: mdl-31914978

RESUMO

BACKGROUND: This study sought to evaluate dental utilization among 3-,4-, and 5-year-old children in China and to use Andersen's behavioural model to explore influencing factors, thereby providing a reference for future policy making. METHODS: This study is a cross-sectional study. Data of 40,305 children aged 3-5 years were extracted from the Fourth National Oral Health Survey, which was performed from August 2015 to December 2016. Patient data were collected using a questionnaire, which was answered by the child's parents, and clinical data were collected during a clinical examination. Stratification and survey weighting were incorporated into the complex survey design. Descriptive statistics, bivariate correlations and hierarchical logistic regression results were then analysed to find the factors associated with oral health service utilization. RESULTS: The oral health service utilization prevalence during the prior 12 months were 9.5% (95%CI: 8.1-11.1%) among 3-year-old children, 12.1% (95%CI: 10.8-13.5%) among 4-year-old children, and 17.5% (95%CI: 15.6-19.4%) among 5-year-old children. "No dental diseases" (71.3%) and "dental disease was not severe" (12.4%) were the principal reasons why children had not attended a dental visit in the past 12 months. The children whose parents had a bachelor's degree or higher (OR: 2.29, 95%CI: 1.97-2.67, p < 0.001), a better oral health attitude ranging from 5 to 8(OR: 1.64, 95%CI: 1.43-1.89, p < 0.001), annual per capital income more than 25,000 CNY (OR: 1.40, 95%CI: 1.18-1.65, p < 0.001),think their child have worse or bad oral health (OR: 3.54, 95%CI: 2.84-4.40, p < 0.001), and children who often have toothaches (OR: 9.72, 95%CI: 7.81-12.09, p < 0.001) were more likely to go to the dentist in the past year. CONCLUSION: The prevalence of dental service utilization was relatively low among preschool children. It is necessary to strengthen oral health education for parents and children, thereby improving oral health knowledge as well as attitude, and promoting dental utilization.


Assuntos
Assistência Odontológica/estatística & dados numéricos , Cárie Dentária , Serviços de Saúde Bucal/estatística & dados numéricos , Saúde Bucal , Pré-Escolar , China , Estudos Transversais , Cárie Dentária/prevenção & controle , Cárie Dentária/terapia , Inquéritos de Saúde Bucal , Feminino , Educação em Saúde Bucal , Conhecimentos, Atitudes e Prática em Saúde , Acesso aos Serviços de Saúde , Humanos , Renda , Masculino , Fatores Socioeconômicos , Inquéritos e Questionários
20.
Ciênc. Saúde Colet ; 25(1): 365-374, jan. 2020. tab
Artigo em Português | LILACS | ID: biblio-1055776

RESUMO

Resumo O objetivo deste artigo é analisar os fatores associados ao uso dos serviços odontológicos públicos por adultos. Estudo transversal com amostra representativa de adultos de 35 a 44 anos, com dados do Levantamento Epidemiológico das Condições de Saúde Bucal da População do Estado de São Paulo (SBSP-2015). Utilizou-se análise de regressão logística multivariada, baseada em modelo proposto por Andersen para predizer o acesso aos serviços odontológicos públicos. Visitaram o serviço privado 3.421 (59,9%) adultos e 2.288 (40,1%), o público. Os serviços odontológicos públicos foram mais acessados por mulheres (41,8%) e menos escolarizados (50,2%). Indivíduos não brancos (OR = 1,32; IC95%:1,16; 1,50), menor renda familiar (OR = 2,37; IC95%:2,11; 2,65), histórico de dor de dente (OR = 1,60; IC95%:1,39; 1,83) e necessidade de tratamento endodôntico (OR = 1,44; IC95%:1,12; 1,85) foram associados ao uso dos serviços odontológicos públicos. Fatores contextuais, individuais e necessidade de tratamento foram associados à utilização dos serviços odontológicos públicos por adultos residentes no estado de São Paulo, em 2015.


Abstract The aim of this study was to investigate the factors associated with public dental care use by adults in the State of São Paulo, Brazil. A cross-sectional study was conducted with a representative sample of adults aged 35 to 44 years using data from the 2015 Epidemiological Survey of the Oral Health Status of the Population of the State of São Paulo (SBSP-2015). Multivariate logistic regression was performed using variables based on a model proposed by Andersen for predicting access to public dental services. Results: 3,421 (59.9%) adults visited private services and 2,288 (40.1%) visited public services. Prevalence of the use of public dental services was greatest among women (41.8%) and adults with a lower education level (50.2%). Being non-white (OR = 1.32, 95% CI: 1.16, 1.50), lower household income (OR = 2.37, 95% CI: 2.11, 2.65), having had toothache (OR = 1.60, 95% CI: 1.39, 1.83), and need for endodontic treatment (OR = 1.44, 95% CI: 1.12, 1.85) were associated with public dental service use. Predisposing, enabling, and need factors were associated with public dental care use.


Assuntos
Humanos , Masculino , Feminino , Adulto , Serviços de Saúde Bucal/estatística & dados numéricos , Utilização de Instalações e Serviços/estatística & dados numéricos , Brasil , Estudos Transversais , Pessoa de Meia-Idade
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...