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Socioeconomic inequalities and use of dental services in Brazil: an analysis of the 2019 National Health Survey / Desigualdades socioeconômicas no uso de serviços odontológicos no Brasil: uma análise da Pesquisa Nacional de Saúde de 2019
SciELO Preprints; set. 2021.
Preprint
in Pt
| PREPRINT-SCIELO
| ID: pps-2921
Responsible library:
BR1.1
ABSTRACT
Objective:
To describe the prevalence of use of dental services in Brazil according to the states and its association with socioeconomic variables and types of services in the Brazilian Health Survey of 2019.Methods:
A population-based, cross-sectional study using data from the Brazilian Health Survey of 2019, including 88,531 individuals with 18 years of age or more.Results:
Dental services utilization in the year prior to the study was more frequent among adults (53.2%, 95% CI52.5-53.9) than in older adults (34.3%, 95% CI 33.2-34.4). The multivariate analysis revealed that the use of dental services was more in people with more schooling (PR=2.02, 95% CI 1.87-2.18) and higher income (PR=1.54, 95% CI 1.45-1.64). The prevalence of dental services utilization in the year prior to the survey was higher among participants of the southeast, south and Midwest regions, ranging between 49.0% and 57.6%.Conclusion:
Inequalities in dental services utilization were common in adults and older adults, with important regional differences; women, younger participants, those with more schooling and higher income, people with better oral health-related behaviors, better self-perceived oral health and those who paid for their lasts dental consultation were more likely to have used dental services in the year prior to the study.RESUMO
Objetivo:
Descrever a prevalência do uso de serviços odontológicos no Brasil segundo as Unidades Federadas, sua relação com variáveis socioeconômicas e tipos de serviços, com base na Pesquisa Nacional de Saúde (PNS) de 2019.Métodos:
Trata-se de um estudo transversal de base populacional com dados da PNS 2019, incluindo 88.531 participantes de 18 anos ou mais. Foram analisadas variáveis referentes ao uso de serviços de saúde bucal, segundo características sociodemográficas e comportamentais, por meio de análise multivariada, utilizando modelo regressão de Poisson com variância robusta.Resultados:
A utilização de serviços odontológicos no ano anterior à entrevista foi maior entre os adultos (53,2%, IC95% 52,5-53,9) do que entre os idosos (34,3%, IC95% 33,2-34,4). Na análise multivariada, o uso de serviços odontológicos foi maior em pessoas com maior nível educacional (RP2,02, IC95% 1,87-2,18) e de maior renda (RP1,54, IC95% 1,45-1,64). Os estados das regiões Sudeste, Centro-Oeste e Sul apresentaram as maiores porcentagens de indivíduos que consultaram com dentista no último ano, entre 49,0 a 57,6% da população.Conclusão:
Desigualdades no uso dos serviços de saúde bucal foram observadas na população adulta e idosa, com diferenças entre as regiões do país; foi identificado maior uso entre as mulheres, indivíduos mais jovens, escolarizados e de maior renda, e entre a população com melhores comportamentos relacionados à sua saúde, melhor percepção do seu estado de saúde, e aqueles que pagaram pelo último atendimento odontológico.
Full text:
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Collection:
09-preprints
Database:
PREPRINT-SCIELO
Type of study:
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Aspects:
Determinantes_sociais_saude
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Equity_inequality
/
Patient_preference
Country/Region as subject:
America do sul
/
Brasil
Language:
Pt
Year:
2021
Document type:
Preprint