ObjectiveTo evaluate knowledge on oral health and associated sociodemographic factors in pregnant women.MethodsA cross-sectional study with a sample of 195 pregnant women seen at the Primary Care Unit Paraisópolis I, in São Paulo (SP), Brazil. For statistical analysis, χ2 or Fisher's exact test and multiple logistic regression were used. A significance level of 5% was used in all analyses.ResultsSchooling level equal to or greater than 8 years and having one or two children were associated with an adequate knowledge about oral health.ConclusionOral health promotion strategies during prenatal care should take into account sociodemographic aspects.
Background Access to oral health services remains a challenge in the Brazilian healthcare system, especially in the primary health care setting, where the use of a risk stratification tool that could identify individuals with higher dental vulnerability would be extremely valuable. However, there literature on this theme is scarce, and there is no validated instrument in Brazil that is capable of measuring dental vulnerability. Hence, this psychometric study aimed at the development and evaluation of content and internal structure validity of the Dental Vulnerability Scale for Primary Health Care (PHC). Methods The items were developed based on a qualitative exploratory analysis. A total of 172 items were prepared and submitted to a panel of specialists, with content validity analyzed with the Content Validity Ratio (CVR), resulting in an the initial version of the instrument composed by 41 items. Internal structure validity was analyzed by Exploratory Factor Analysis (EFA), Confirmatory Factor Analysis (CFA), and by applying 3 reliability indicators (Cronbach’s Alpha, McDonald's Omega and Greatest Lower Bound – GBL), with a sample of 1227 individuals. Results The final configuration indicated a scale of 15 items divided into 4 dimensions (overall health, oral health, infrastructure, and healthcare services) with explained variance of 72.11%. The factor loads varied from 0.37 to 0.96. The model adjustment indices were set at × 2/df(51) = 3.23, NNFI = 0.95, CFI = 0.98, GFI = 0.96, AGFI = 0.97, RMSEA = 0.04 and RMSR = 0.03. Conclusion DVS presented satisfactory evidence of validity, indicating its suitability to be used by healthcare professionals, students and managers to plan oral health actions and services at PHC.
Objective: To analyze the factors associated with the SARS-CoV-2 infection among oral health professionals. Material and Methods: This was a cross-sectional study in the city of São Paulo, São Paulo State, Brazil. Professionals from three different categories were included: dental surgeons (DS), dental assistants (DA), and dental hygienists (DH). A questionnaire was created on a digital platform and sent via institutional email to each subject. The questionnaire contained 32 questions about sociodemographic, work, and behavior factors. The data about SARS-CoV-2 infection was confirmed through RT-PCR exams. Descriptive (absolute and relative frequencies) and inferential analyses (chi-squared or Fisher's exact test) (p<0.05) were performed. Results: There was a SARS-CoV-2 infection prevalence of 3.8% for DS, 30.0% for DH, and 33.3% for DA. SARS-CoV-2 was associated with a lower income (p=0.027), a lower education level (p=0.011), the category of technical professionals (DA and DH) (p=0.025), and using public transportation to commute to work (p=0.009). Conclusion: Sociodemographic factors like lower income and education levels and work factors like job category and public transportation were associated with COVID-19 among professionals on the oral health teams.
Objective: To present a concept of dental vulnerability based on the opinion of oral health professionals in Brazil. Methods: A cross-sectional study performed in two stages: preparation of a questionnaire by literature search and its application with oral health specialists. The data were analyzed by means of Bardin technique and descriptive analysis. Results: A total of 188 professionals from all regions of Brazil responded to the questionnaire. The answers were classified into seven dimensions, conceptualizing dental vulnerability as a set of social, structural, overall health, mental, and oral health factors, in addition to factors involving the health services and public management that influence the health-disease process dynamic. Conclusion: The concept of dental vulnerability produced from the opinions of the professionals from different regions of Brazil allows advancement to new studies on the theme and the development of instruments aiming to measure the phenomenon.
Objetivo: Avaliar a validade e a utilidade da autopercepção em saúde bucal, como indicador de necessidade normativa em adultos e idosos do Estado de São Paulo/ SP, Brasil. Métodos: estudo transversal de base populacional, em que a autopercepção da necessidade de tratamento odontológico foi coletada por meio das seguintes perguntas: (1) “O(A) Sr.(a) necessita de tratamento dentário?”; (2) “O(A) Sr.(a) necessita ou precisa trocar a prótese total?”. A necessidade normativa de tratamento dentário foi representada pela presença de, pelo menos, uma das seguintes condições: cárie dentária de coroa, alteração periodontal (cálculo ou bolsa periodontal) e necessidade de prótese total. A validade das medidas de autopercepção foi determinada por meio da sensibilidade e especificidade, enquanto a utilidade foi avaliada por meio dos valores preditivos. As análises foram realizadas com o programa Python. Resultados: a amostra foi de 6051 adultos e 5951 idosos. A maioria dos participantes era do sexo feminino e branca. Entre os adultos, a maioria tinha 10-12 anos de estudo e, entre os idosos, a maioria tinha 0-5 anos de estudo. A sensibilidade para tratamento dentário em adultos foi de 85,9% com valor preditivo positivo de 81,95% e prevalência de 75,2%. Conclusão: a necessidade percebida de tratamento dentário em adultos é útil como indicador epidemiológico válido e útil para planejamento de ações em saúde bucal.
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