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Vianna RF, Prado M, Prado MC, Athias L, Pereira GD. Do non-clinical subjective factors influence the treatment decisionmaking of Brazilian dentists? ACTA ODONTOLOGICA LATINOAMERICANA : AOL 2022; 35:58-66. [PMID: 35700543 DOI: 10.54589/aol.35/1/58] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/01/2021] [Accepted: 11/01/2021] [Indexed: 06/15/2023]
Abstract
The literature contains little information on several non-clinical factors such as the association between graduate residency programs and the application of minimally invasive dentistry, or on dentists' clinical decision-making processes for replacing restorations for esthetic reasons. This study evaluated whether non-clinical subjective factors influence the treatment decisions made by Brazilian dentists regarding technical and esthetic matters. Dentists were invited to participate in a cross-sectional survey by answering an electronic questionnaire containing clinical cases, regarding what treatment they would select for: T1 - a molar tooth with significant crown destruction and spontaneous pain, and T2 - premolar teeth with extensive amalgam restorations and no carious lesion or associated complaint. The survey also included questions about subjective variants (sociodemographic and professional). Chi Square test and Fischer's Exact test were used toanalyzetheanswers to T1, and one-factor analysis of variance and post-hoc Tamhane were applied to T2. The significance level was set at 5% for all analyses. A total 302 professionals participated in the study. For T1, it was found that clinical decision-making was influenced by the Brazilian region of clinical practice (p=0.005). For T2, a significant association was found between increased loss of patient tooth tissues and whether the professional had completed a residency program in Operative Dentistry (p=0.035), worked in a private practice (p=0.033), or if most of his/her patients belonged to a high estimated socioeconomic level (household income above $4350) (p=0.002). In conclusion, the clinical decision-making of Brazilian dentists varies according to professional profile, mainly with relation to the replacement of restorations due to esthetic concerns.
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Affiliation(s)
- Renato Fc Vianna
- Universidade Federal do Rio de Janeiro, Faculdade de Odontologia, Programa de Pós-Graduação em Clínica Odontológica, Rio de Janeiro, Brasil
| | - Maíra Prado
- Universidade Veiga de Almeira, Faculdade de Odontologia, Programa de Pós-Graduação em Clínica Odontológica, Rio de Janeiro, Brasil
| | - Marina C Prado
- Universidade Federal do Rio de Janeiro, Instituto Alberto Luiz Coimbra de Pós-Graduação e Pesquisa em Engenharia, Programa de Engenharia Metalúrgica e de Materiais. Rio de Janeiro, Brasil.
| | - Leonardo Athias
- Instituto Brasileiro de Geografia e Estatística. Rio de Janeiro, Brasil
| | - Gisele Ds Pereira
- Universidade Federal do Rio de Janeiro, Faculdade de Odontologia, Programa de Pós-Graduação em Clínica Odontológica, Rio de Janeiro, Brasil
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Family Cohesion Is Associated with the Self-Perceived Need for Dental Treatment among Adolescents. BIOMED RESEARCH INTERNATIONAL 2021; 2021:4504030. [PMID: 34631881 PMCID: PMC8494560 DOI: 10.1155/2021/4504030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/24/2021] [Accepted: 09/14/2021] [Indexed: 11/17/2022]
Abstract
This study explored the association between family cohesion and self-perceived need for dental treatment among adolescents. A school-based representative cross-sectional study was conducted with 746 students aged 15 to 19 randomly selected from schools in Campina Grande, Brazil. Parents/guardians provided information on sociodemographic data, and students completed questionnaires about the self-perceived need for dental treatment, dental pain, and family cohesion and adaptability (FACES III). Two dentists were trained (kappa >0.80) to diagnosis dental caries using the Nyvad criteria and assess adolescents' level of functional oral health literacy (BREALD-30). Descriptive analysis was performed, followed by nonadjusted and adjusted robust binary logistic regression for complex samples (α = 5%). The prevalence of self-perceived need for dental treatment was 88.6%. The presence of dental caries (OR = 2.10; IC 95%: 1.22-3.61), tooth loss (OR = 15.81; IC 95%: 2.14-116.56), dental pain in the last six months (OR = 1.87; IC 95%: 1.06-3.31), and enmeshed family cohesion type (OR = 10.23; IC 95%: 3.96-26.4) remained associated with the self-perceived need for dental treatment in the final model. In conclusion, dental caries, dental pain, tooth loss, and family cohesion influenced the self-perceived need for dental treatment in adolescents.
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Silva HCAD, Espinosa MM, Moi GP, Ferreira MG. Cárie dentária e fatores associados aos 12 anos na Região Centro-Oeste do Brasil em 2010: um estudo transversal. CIENCIA & SAUDE COLETIVA 2020; 25:3981-3988. [DOI: 10.1590/1413-812320202510.24732018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2017] [Accepted: 02/11/2019] [Indexed: 11/22/2022] Open
Abstract
Resumo O objetivo do estudo é analisar o índice de dentes cariados, perdidos e obturados (CPO-D) na idade de 12 anos da Região Centro-Oeste e identificar fatores associados, segundo a Pesquisa Nacional de Saúde Bucal, o SB Brasil 2010. É um estudo transversal de base populacional do banco de dados do SB Brasil 2010, realizado nas capitais de Mato Grosso, Mato Grosso do Sul, Goiás, Distrito Federal e uma amostra de municípios da região. Os dados foram analisados pelo teste de qui-quadrado e razões de prevalências com seus respectivos intervalos de confiança, a um nível de significância de 0,05. A regressão de Poisson foi empregada na análise múltipla para analisar a associação entre a variável desfecho e as variáveis explicativas. As variáveis independentes que se mostraram associadas ao CPO-D foram: o estado de moradia em Mato Grosso, Goiás e Mato Grosso do Sul; a renda per capita ≤ R$500,00; dificuldade para comer e dormir, e o motivo da consulta por Dor/Extração/Tratamento/Outros. A média do índice CPO-D foi de 2,14 e a prevalência da cárie dental foi de 41% dos adolescentes.
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Bastos TF, Medina LDPB, Sousa NFDS, Lima MG, Malta DC, Barros MBDA. Income inequalities in oral health and access to dental services in the Brazilian population: National Health Survey, 2013. REVISTA BRASILEIRA DE EPIDEMIOLOGIA 2019; 22Suppl 02:E190015.SUPL.2. [PMID: 31596386 DOI: 10.1590/1980-549720190015.supl.2] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2019] [Accepted: 08/19/2019] [Indexed: 12/20/2022] Open
Abstract
INTRODUCTION Despite the improvement in oral health conditions observed in the Brazilian population, there are still high social inequalities that must be monitored. OBJECTIVE To evaluate income inequality in oral hygiene practices, oral health status and the use of dental services in the adult and senior Brazilian population. METHODS Data from the National Health Survey conducted in 2013 (Pesquisa Nacional de Saúde - PNS 2013) were used for the population aged 18 years old or older. RESULTS Inequalities were found among the income strata in most of the oral health indicators evaluated. The greatest inequalities were observed in the use of dental floss, in hygiene practices (PR = 2.85 in adults and PR = 2.45 in seniors), and in total tooth loss (PR = 6.74 in adults and PR = 2.24 in seniors) and difficulty in chewing (PR = 4.49 in adults and PR = 2.67 in seniors) among oral condition indicators. The magnitude of inequalities was high in both groups in most oral condition indicators. Income was a factor that persisted in limiting access to dental services, and even the lower income segments had high percentages that paid for dental consultations. CONCLUSION Based on data from the first PNS, the findings of this study enabled the identification of oral health and dental care aspects more compromised by income differentials, thus, contributing to the planning of dental care in Brazil and to stimulate the monitoring of these disparities with data from future surveys.
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Affiliation(s)
- Tássia Fraga Bastos
- Faculdade de Medicina São Leopoldo Mandic - Campinas (SP), Brazil.,Universidade Estadual de Campinas - Campinas (SP), Brazil
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de Sousa Queiroz RC, Ribeiro AGA, Tonello AS, Pinheiro ACM, Júnior JA, Rocha TAH, da Silva NC, Costa EM, Vissoci JRN, Staton C, Facchini LA, Thomaz EBAF. Is there a fair distribution of the structure of dental services in the capitals of the Brazilian Federative Units? Int J Equity Health 2019; 18:5. [PMID: 30621709 PMCID: PMC6325759 DOI: 10.1186/s12939-018-0899-5] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2018] [Accepted: 11/28/2018] [Indexed: 11/10/2022] Open
Abstract
Background Brazilian Primary Care Facilities (PCF) provide primary care and must offer dental services for diagnosis, prevention, and treatment of diseases. According to a logic of promoting equity, PCF should be better structured in less developed places and with higher need for oral health services. Objective To analyze the structure of dental caries services in the capitals of the Brazilian Federative Units and identify whether socioeconomic factors and caries (need) are predictors of the oral health services structure. Methods This is an ecological study with variables retrieved from different secondary databases, clustered for the level of the federative capitals. Descriptive thematic maps were prepared, and structural equations were analyzed to identify oral health service structure’s predictors (Alpha = 5%). Four models with different outcomes related to dental caries treatment were tested: 1) % of PCF with a fully equipped office; 2) % of PCF with sufficient instruments, and 3) % of PCF with sufficient supplies; 4) % of PCF with total structure. Results 21.6% of the PCF of the Brazilian capitals had a fully equipped office; 46.9% had sufficient instruments, and 30.0% had sufficient supplies for caries prevention and treatment. The four models evidenced proper fit indexes. A correlation between socioeconomic factors and the structure of oral health services was only noted in model 3. The worse the socioeconomic conditions, the lower the availability of dental supplies (standard factor loading: 0.92, P = 0.012). Estimates of total, direct and indirect effects showed that dental caries experience observed in the Brazilian population by SB-Brasil in 2010 did not affect the outcomes investigated. Conclusion Material resources are not equitably distributed according to the socioeconomic conditions and oral health needs of the population of the Brazilian capitals, thus contributing to persistent oral health inequities in the country.
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Affiliation(s)
| | | | | | | | - José Aquino Júnior
- Department of Public Health, Postgraduate Program in Environmental Health, Federal University of Maranhão, São Luís, Maranhão, Brazil
| | - Thiago Augusto Hernandes Rocha
- Pan American Health Organization, Brasilia Federal District Brazil, Brasília, Brazil.,Duke Global Health Institute, Duke University, Durham, NC, USA
| | - Núbia Cristina da Silva
- Center for Graduate Studies and Research in Administration (CEPEAD), Faculty of Economic Sciences (FACE), Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.,Duke Global Health Institute, Duke University, Durham, NC, USA
| | - Elisa Miranda Costa
- Graduate Program in Public Health, Federal University of Maranhão, São Luís, Maranhão, Brazil
| | | | | | - Luiz Augusto Facchini
- Department of Social Medicine, Postgraduate Programs in Epidemiology and Nursing, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil
| | - Erika Bárbara Abreu Fonseca Thomaz
- Department of Public Health, Postgraduate Program in Public Health, Postgraduate Program in Dentistry, Federal University of Maranhão, São Luís, Maranhão, Brazil
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Arantes R, Welch JR, Tavares FG, Ferreira AA, Vettore MV, Coimbra CEA. Human ecological and social determinants of dental caries among the Xavante Indigenous people in Central Brazil. PLoS One 2018; 13:e0208312. [PMID: 30566453 PMCID: PMC6300322 DOI: 10.1371/journal.pone.0208312] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2018] [Accepted: 11/15/2018] [Indexed: 11/18/2022] Open
Abstract
This community study evaluates complex interactions between macro and micro determinants of oral health in a local Indigenous population based on a theoretical framework of demographic, economic, and healthcare transformation over the last half century. The study population included all residents of eight Xavante villages in Central Brazil. Our hypothetical model posited multiple direct and indirect associations between dental caries and village groups with differentiated territorial and oral care histories, as well as household socioeconomic indicators and food acquisition patterns, individual sociodemographic characteristics, use of dental health services, and oral hygiene practices. Structural equation modelling methods were used to evaluate direct and indirect associations linking exogenous factors and dental caries. Results include 18 direct and 14 indirect statistically significant pathways between determinant variables and dental caries. Significant links with dental caries were shown for socioeconomic indicators, oral healthcare variables, household food acquisition patterns, sex, and age. These findings suggest that the oral health of Xavante residents in the villages studied is associated with determinant factors of different epidemiological and historical scales. The specific historical frame of territorial circumscription and demographic crisis followed by rapid population increase since the 1970s should be considered a cause-of-cause determinant of the economic, healthcare, and sociodemographic profile contributing to oral health among the Xavante. Considering the limitations of cross-sectional studies, our findings underline the importance for oral health determination of historical currents affecting minority ethnic groups within national societies.
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Affiliation(s)
- Rui Arantes
- Fundação Oswaldo Cruz Mato Grosso do Sul, Campo Grande, MS, Brazil
| | - James R. Welch
- Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brazil
| | - Felipe Guimarães Tavares
- Escola de Enfermagem Aurora de Afonso Costa, Universidade Federal Fluminense, Niterói, RJ, Brazil
| | - Aline Alves Ferreira
- Instituto de Nutrição Josué de Castro, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Mario Vianna Vettore
- School of Clinical Dentistry, The University of Sheffield, Sheffield, United Kingdom
| | - Carlos E. A. Coimbra
- Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brazil
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Campos LFXA, Cavalcante JP, Machado DP, Marçal E, Silva PGDB, Rolim JPML. Development and Evaluation of a Mobile Oral Health Application for Preschoolers. Telemed J E Health 2018; 25:492-498. [PMID: 30036174 DOI: 10.1089/tmj.2018.0034] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Background: Dental caries comprises the most prevalent chronic disease in children worldwide and is considered a public health problem. Introduction: Few educational oral health applications, directed to the preschool public, are available. The present study aimed at developing an educational game in application format for mobile devices and tested its usability. Materials and Methods: Forty-three children were randomly selected to participate in the study. The methodology used in the development of the application was based on an interactive children's book flux design. The application was elaborated for the Android™ and iOS™ platforms. To evaluate usability, a test method composed of observation and interview surveying was used, and the measuring mechanism consisted of the User's Success Rate. The sample (N = 43) was randomly composed of preschool students (3-5 years of age) from a public school in Brazil. Results: In the effectiveness tests, the success rates of the Story and Game Menus were 97.6% and 85.3%, respectively. In the efficiency tests, the respective rates were 80.2% and 82.1%. The satisfaction evaluation rate was 99.7%. Discussion: The game "Put the healthy food into the mouth" showed to be difficult in utilization due to the children's lack of knowledge concerning healthy foods (p < 0.001 and 95% confidence interval). Three year olds demonstrated a greater requirement for assistance during navigation. Conclusions: The application was successful regarding the following three assessed attributes: (1) effectiveness, (2) efficiency, and (3) satisfaction. However, dietary education was observed to be necessary for the children and their guardians.
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Affiliation(s)
- Luciana F X A Campos
- 1 Department of Dentistry, Christus University Center (Unichristus), Fortaleza, Brazil
| | - Jéssica P Cavalcante
- 1 Department of Dentistry, Christus University Center (Unichristus), Fortaleza, Brazil
| | - Damile P Machado
- 1 Department of Dentistry, Christus University Center (Unichristus), Fortaleza, Brazil
| | - Edgar Marçal
- 2 Department of Virtual University Institute, Federal University of Ceará, Fortaleza, Brazil
| | - Paulo G de B Silva
- 1 Department of Dentistry, Christus University Center (Unichristus), Fortaleza, Brazil
| | - Juliana P M L Rolim
- 1 Department of Dentistry, Christus University Center (Unichristus), Fortaleza, Brazil
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Macarevich A, Pilotto LM, Hilgert JB, Celeste RK. User satisfaction with public and private dental services for different age groups in Brazil. CAD SAUDE PUBLICA 2018; 34:e00110716. [DOI: 10.1590/0102-311x00110716] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2016] [Accepted: 06/27/2017] [Indexed: 11/21/2022] Open
Abstract
Abstract: This article aimed to describe the levels of user satisfaction in different age groups and to study the association between user satisfaction and different types of dental services in a representative sample of Brazilians. This study is based on the Brazilian Oral Health Survey, which evaluated the dental health of adolescents, adults and older adults in 177 Brazilian cities. The outcome variable was user satisfaction, related to the last dental visit, evaluated in a five-level Likert-type scale. The main exposure variable was the type of dental service (public service, private service, health plan or insurance). The independent variables were DMFT (decay, missing and filled teeth); pain intensity in the past six months; reason for the last dental visit; perceived need for treatment; frequency of use of dental services; sex; equivalent income; and educational level. An ordered logistic regression analysis was performed separately for each age group. Few participants evaluated the services as bad or very bad (4.3% of adolescents, 6.1% of adults and 4.1% of older adults). In the crude model, the use of public services was associated with lower satisfaction than the use of private services and health plans between all groups. However, after adjusting by covariates, this association remained only in adolescents, who showed lower satisfaction with the public service compared to the private service and health plans. In general, Brazilians are satisfied with dental services, but, among adolescents, the use of public services was associated with lower satisfaction. Public services may be focused on issues related to children, adults and older adults, and not to the adolescent audience, which has specific demands.
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Martins MT, Sardenberg F, Bendo CB, Abreu MH, Vale MP, Paiva SM, Pordeus IA. Dental caries remains as the main oral condition with the greatest impact on children's quality of life. PLoS One 2017; 12:e0185365. [PMID: 28981545 PMCID: PMC5628830 DOI: 10.1371/journal.pone.0185365] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2017] [Accepted: 09/10/2017] [Indexed: 11/18/2022] Open
Abstract
PURPOSE The objective of this study was to assess the negative impact of dental caries on the OHRQoL of 8- to 10-year-old Brazilian children. METHODS This population-based case-control study involved 546 children (8-10 years old), 182 cases with a high negative impact on OHRQoL and 364 controls with a low negative impact on OHRQoL. Children's OHRQOL was measured using the Child Perceptions Questionnaire (CPQ8-10). Cases and controls (1x2 ratio) were individually matched by school and gender. Dental caries experience, malocclusion, and traumatic dental injuries were used as independent variables. Dental examinations were carried out at school during daytime hours by two calibrated examiners (Kappa = 0.93-interexaminer and 0.95- intraexaminer). The data were analyzed by descriptive statistics, conditional bivariate and multiple logistic regression, with the significance level set at 5%. RESULTS There was no significant difference in traumatic dental injuries and malocclusion between the case and control groups (p>0.05). Children with DMFT/dmft ≥3 had a 2.06-fold (95%CI = 1.28-3.31, p = 0.003) greater chance of experiencing a high negative impact on OHRQoL than those with DMFT/dmft = 0. CONCLUSION Children with high dental caries experience are more likely to present a high negative impact on OHRQoL than those with no dental caries experience.
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Affiliation(s)
- Milene T. Martins
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Brazil
- Department of Pediatric Dentistry, School of Dentistry, Estadual University of Montes Claros, Montes Claros, Brazil
- * E-mail:
| | - Fernanda Sardenberg
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Cristiane B. Bendo
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Mauro Henrique Abreu
- Department of Social and Preventive Dentistry, Faculty of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Míriam P. Vale
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Saul M. Paiva
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Isabela A. Pordeus
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Brazil
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Boccolini CS, de Souza Junior PRB. Inequities in Healthcare utilization: results of the Brazilian National Health Survey, 2013. Int J Equity Health 2016; 15:150. [PMID: 27852269 PMCID: PMC5112677 DOI: 10.1186/s12939-016-0444-3] [Citation(s) in RCA: 69] [Impact Index Per Article: 8.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2016] [Accepted: 09/12/2016] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The Brazilian Unified Health System is a public healthcare system that has universal and equitable access among its main principles, but the continental size of the country and the complexity of the public health system complicate the task of providing equal access to all. We aim to investigate the factors associated with inequities in healthcare utilization in Brazil. METHODS We employed data from a nationally representative cross-sectional study (2013 National Health Survey; n = 60,202). The outcome was underutilization of healthcare by adults, defined as lack of utilization of one or more of these services: physician or dentist consultation, and blood glucose or blood pressure screening. A logistic regression model, considering the complex sample, was employed (alpha = 5 %). RESULTS 0.7 % of the sample never visited a physician, 3.3 % never visited a dentist, 3 % never underwent blood pressure screening, 11.5 % never underwent blood glucose screening, and 15 % never utilized at least one of these services. Multivariate models showed a higher likelihood of underutilization of healthcare among individuals of the lowest social class "E" (AOR = 6.31, 95 % CI = 3.76-10.61), younger adults (Adjusted Odds Ratio, or AOR = 4.40, 95 % CI = 3.78-5.12), those with no formal education or incomplete primary education (AOR = 2.93, 95 % CI = 2.30-3.74), males (AOR = 2.16, 95 % CI = 1.99-2.35), and those without private health insurance (AOR = 2.11, 95 % CI = 1.83-2.44). Individuals self-classified as "white" were less likely to report underutilization (AOR = 0.82, 95 % CI = 0.75-0.90). CONCLUSIONS Despite recent expansion of primary healthcare and oral health programs in Brazil, we observed gaps in healthcare utilization among the most vulnerable segments of the population.
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Affiliation(s)
- Cristiano Siqueira Boccolini
- Institute of Scientific and Technological Communication and Information in Health, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil.
| | - Paulo Roberto Borges de Souza Junior
- Institute of Scientific and Technological Communication and Information in Health, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil.,Av. Brasil, 4.365 - Pavilhão Haity Moussatché - Manguinhos, Rio de Janeiro, CEP: 21040-900, Brazil
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Silveira MF, Freire RS, Nepomuceno MO, Martins AMEDBL, Marcopito LF. [Tooth decay and associated factors among adolescents in the north of the State of Minas Gerais, Brazil: a hierarchical analysis]. CIENCIA & SAUDE COLETIVA 2015; 20:3351-64. [PMID: 26602713 DOI: 10.1590/1413-812320152011.12262014] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2014] [Accepted: 12/15/2014] [Indexed: 01/22/2023] Open
Abstract
This is a cross-sectional population-based study (n = 763) conducted in the north of the State of Minas Gerais, which aimed to investigate the prevalence of tooth decay among adolescents and to identify the potential determinants of same. Probability sampling by conglomerates in multiple stages was used. Trained and calibrated professionals performed the data collection by means of intraoral examination and interviews in the previously selected households. In the analysis of the determinant factor for the presence of tooth decay, hierarchical binary logistic regression models were used. The prevalence of tooth decay, decayed, missing and filled teeth were 71.3%, 36.5%, 55.6% and 16%, respectively. The following averages were observed: DMFT (3.4 teeth), number of decayed (0.8 teeth), restored (2.4 teeth) and missing (0.2 teeth). The incidence of tooth decay was higher among adolescents who stated they were black/indigenous/brown (OR = 1.76), lived in crowded households (OR = 2.4), did not regularly visit or had never been to a dentist (OR = 1.9), used public or philanthropic services (OR = 1,8), had smoking habits (OR = 4.1), consumed alcohol (OR = 1.8), perceived their oral health negatively (OR = 5.9 and OR = 1.9) and had toothac in the last six months (OR = 2.0).
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FADEL CB, VALENTIM LM, FILLUS TM, LANGOSKI JÉ, BORDIN D. Oral health, the perspective of the inmate and the context of vulnerability. REVISTA DE ODONTOLOGIA DA UNESP 2015. [DOI: 10.1590/1807-2577.05615] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
AbstractIntroductionThe increase in prison populations is a phenomenon which is systematically rising throughout the world, leading to overcrowding of prisons, which has direct consequences on the health conditions of the individuals.ObjectiveTo explore the relationship among oral health, the life path and the perception of subjects in a vulnerability context.Material and methodThis is a qualitative study, developed with inmates in a State Penitentiary. To obtain and process the data, individual interviews and the Thematic Content Analysis technique were used.ResultThe interviewees showed limited perception of the process of oral health and disease fostered by the experiences of relatives and by knowledge acquired in the street or from the media. The life path in prison seemed to have little influence on this understanding. However, the prison experience influenced the oral condition of the inmates by facilitating access to dental service, oral hygiene materials and the improvement in their health knowledge and habits. The oral health results presented were, generally, in agreement with so-called common sense and with studies developed in socially similar populations.ConclusionThus, considering the limitations imposed by the way data were collected, in prison and in a vulnerability context; a non-harmful influence on the condition studied regarding the oral health of inmates is suggested.
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da Silveira ER, Dos Santos Costa F, Azevedo MS, Romano AR, Cenci MS. Maternal attitudes towards tooth decay in children aged 12-18 months in Pelotas, Brazil. Eur Arch Paediatr Dent 2015; 16:383-9. [PMID: 25851964 DOI: 10.1007/s40368-015-0182-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2014] [Accepted: 03/06/2015] [Indexed: 11/29/2022]
Abstract
AIM This was to assess mothers' attitudes towards dental caries in children aged 12-18 months. METHODS This study targeted mothers of children aged 12-18 months. Data about demographic and socioeconomic status were collected by interviews with each mother. In addition, the mother was asked about her attitudes regarding caries in her child's primary teeth. A dental examination of each child was also conducted. Chi-square, bivariate, and multiple logistic regression analyses were performed. RESULTS A total of 262 mother-child pairs were included, and 18.7 % of the children had dental caries. If a child presented with dental caries in their primary teeth, 93.5 % of the mothers reported that they would take the child to a dentist. Mothers who had only one child and those who had children with dental caries were more likely to report that they did not expect primary dental caries treatment by the dentist. CONCLUSION Most mothers reported that they would take their children to a dentist when they presented with dental caries. Despite this positive result, educational measures should continue to be emphasised, especially among mothers of children at a higher risk of caries and among first-time mothers.
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Affiliation(s)
- E R da Silveira
- Graduate Program in Dentistry, School of Dentistry, Federal University of Pelotas, Pelotas, RS, Brazil.
| | - F Dos Santos Costa
- Graduate Program in Dentistry, School of Dentistry, Federal University of Pelotas, Pelotas, RS, Brazil.
| | - M S Azevedo
- Graduate Program in Dentistry, Infant Clinic, Department of Social and Preventive Dentistry, School of Dentistry, Federal University of Pelotas, R. Gonçalves Chaves, 457, 5th Floor, Pelotas, RS, CEP 96015-560, Brazil.
| | - A R Romano
- Graduate Program in Dentistry, School of Dentistry, Federal University of Pelotas, Pelotas, RS, Brazil.
| | - M S Cenci
- Graduate Program in Dentistry, Department of Operative Dentistry, School of Dentistry, Federal University of Pelotas, Pelotas, RS, Brazil.
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