Barriers to Access to Dental Treatment for People with Physical Disabilities in a Brazilian Metropolis
Pesqui. bras. odontopediatria clín. integr
; 18(1): 3946, 15/01/2018. tab
Artigo
em Inglês
| LILACS, BBO - Odontologia
| ID: biblio-967066
Biblioteca responsável:
BR1822.9
ABSTRACT
Objective:
To evaluate the barriers for accessing dental care for people with physical disabilities. Material andMethods:
A cross-sectional study with 191 caregivers of individuals with physical disabilities attending a rehabilitation center in São Paulo, who responded to a questionnaire about information related to barriers (user, caregiver, government and professional) found in dental treatment, visit to the dentist and age of the first dental appointment. Data were collected from medical records regarding age, sex, family income and medical diagnosis of patients. Statistical analysis was performed using the MedCalc for Windows software version 12.3.0. The Chi-square test was applied for heterogeneity, with significance level of 5%.Results:
The main barriers identified by caregivers (p<0.0001) were patient fear/anxiety (66.8%), patient requiring accompaniment to access treatment (87.4%), treatment costs (82.7%), lack of treatment at primary health care units (73.3%) and professionals not specialized in dental care for people with physical disabilities (67.0%). It was observed that caregivers of individuals with cerebral palsy reported greater physical barriers for accessing dental treatment compared to caregivers of other diagnoses (p=0.0307).Conclusion:
Individuals with physical disabilities face financial constraints, fear of dental treatment, lack of treatment options in public services and, perhaps most importantly, lack of qualified professionals interested in treating such individuals.
Texto completo:
Disponível
Coleções:
Bases de dados internacionais
Contexto em Saúde:
ODS3 - Saúde e Bem-Estar
Problema de saúde:
Meta 3.8 Atingir a cobertura universal de saúde
Base de dados:
BBO - Odontologia
/
LILACS
Assunto principal:
Brasil
/
Saúde Bucal
/
Cuidadores
/
Assistência Odontológica para Pessoas com Deficiências
/
Acesso aos Serviços de Saúde
Tipo de estudo:
Estudo de avaliação
/
Estudo observacional
/
Estudo de prevalência
/
Estudo prognóstico
/
Fatores de risco
Aspecto:
Determinantes sociais da saúde
Limite:
Feminino
/
Humanos
/
Masculino
País/Região como assunto:
América do Sul
/
Brasil
Idioma:
Inglês
Revista:
Pesqui. bras. odontopediatria clín. integr
Assunto da revista:
Odontologia
Ano de publicação:
2018
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
Cruzeiro do Sul University/BR