Access to dental services and oral health-related quality of life in the context of primary health care

Bastos, Lucelen Fontoura; Hugo, Fernando Neves; Hilgert, Juliana Balbinot; Cardozo, Débora Deus; Bulgarelli, Alexandre Fávero; Santos, Camila Mello dos

doi:10.1590/1807-3107bor-2019.vol33.0018

Cited by 18 publications

(24 citation statements)

References 27 publications

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“…The impact in the South region may be more significant due to its low oral health coverage (36.2%), being ahead only of the Southeast region (27.2%). This phenomenon may represent a reduction in users’ access to oral health services, with effects on health conditions and quality of life 15 , 16 . In addition, the reduction of access to health is related to greater inequality in oral health, which is in line with the movement to expand the supply of services in primary care and reduce unfair inequalities 17 , 18 .…”

Section: Discussionmentioning

confidence: 99%

“…O impacto na região Sul pode ser mais significativo pois essa região possui baixa cobertura de saúde bucal (36,2%), ficando à frente apenas da região Sudeste (27,2%). Esse fenômeno pode representar uma redução no acesso dos usuários aos serviços de saúde bucal, com consequentes impactos nas condições de saúde e qualidade de vida 15 , 16 . Além disso, a redução do acesso em saúde está relacionada à maior iniquidade em saúde bucal, o que vai de encontro ao movimento de ampliação da oferta de serviços na atenção primária e redução de desigualdades injustas 17 , 18 .…”

Section: Discussionunclassified

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Monitoramento das equipes de saúde bucal após a Política Nacional de Atenção Básica 2017

Lucena

Alemán

et al. 2020

Rev. saúde pública

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OBJETIVO: Realizar um monitoramento do quantitativo de equipes de saúde bucal implantadas na Estratégia Saúde da Família após a Política Nacional de Atenção Básica 2017. METODOLOGIA: Estudo de natureza quantitativa, descritiva e analítica que utilizou os dados dos relatórios públicos do histórico de cobertura de saúde bucal disponível na plataforma e-Gestor da Atenção Básica do Ministério da Saúde de todos os municípios brasileiros (5.570). A sobrevida dos municípios que não reduziram o quantitativo de equipes de saúde bucal foi analisada segundo a região do país, índice de desenvolvimento humano, índice de desigualdade de Gini e porte populacional. A regressão de Cox foi utilizada para analisar os fatores associados à diminuição do número de equipes implantadas após 1, 3, 6, 9, 12, 15, 18 e 21 meses da publicação da portaria da política nacional de 2017, considerando-se a hazard ratio (HR) e p < 0,05. RESULTADOS: Após 21 meses de publicação da política, 6,7% dos municípios brasileiros reduziram a quantidade de equipes de saúde bucal. Essa redução foi maior nas regiões Sul (6,7%) e Nordeste (4,8%), nos municípios com índice de desenvolvimento humano mais alto, ou seja, maior ou igual a 0,7 (5,6%), mais desiguais quanto à distribuição de renda (índice de Gini > 0,62) e de maior porte populacional (mais de 100.000 habitantes). Municípios das regiões Nordeste (HR = 1,220) e Sul (HR = 1,771) apresentaram maior chance de redução do número de equipes comparados aos da região Norte. Municípios mais desiguais (HR = 6,405) e com maior porte populacional (HR = 4,273) também apresentaram maior chance de reduzir a cobertura de equipes de saúde bucal. CONCLUSÃO: Os municípios que reduziram a quantidade de equipes de saúde bucal na Estratégia Saúde da Família são das regiões Sul e Nordeste, com maior desigualdade social e maior porte populacional. Esse cenário pode impactar significativamente o acesso da população aos serviços de saúde bucal do Sistema Único de Saúde, principalmente entre os que mais necessitam.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionunclassified

Monitoramento das equipes de saúde bucal após a Política Nacional de Atenção Básica 2017

Lucena

Alemán

et al. 2020

Rev. saúde pública

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“…The results of this investigation indicate that the expansion of the assistance network has not yet been affected by the pandemic. Although oral health coverage is still far from reaching the entire Brazilian population, it is known that the public health system serves the majority of the most vulnerable population [10,23]. Therefore, setbacks in the expansion of the Brazilian National Health System dental care could contribute to an increase in oral health inequities [11,19].…”

Section: Discussionmentioning

confidence: 99%

Offer and Use of Oral Health in Primary Care Before and After the Beginning of the COVID-19 Pandemic in Brazil

Lucena

Freire

et al. 2020

Pesqui. Bras. Odontopediatria Clín. Integr.

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To compare the offer and use of oral health services in primary care, before and after the beginning of the COVID-19 pandemic in Brazil. Material and Methods: An observational study with a cross-sectional ecological design, using data from the Health Information System for Primary Care. Data regarding the number of Oral Health Teams (OHT), Oral Health Coverage in Primary Care (OHC), number of First Programmatic Dental Consultations (FPDC), and number of visits due to dental abscess and toothache were collected. Data regarding the 26 Brazilian states and Federal District were collected, as consolidated of the first quarter (January to April) of 2019 and of 2020. The median of the difference (MD) and the percentage of variation (%V) were obtained for each variable and were compared by Wilcoxon test (α<0.05). Results: An increase in the number of OHT was observed in 25 states (MD=45; %V=6.13; p<0.001), whilst the OHC increased in 17 states (MD=1.01; %V=1.62; p=0.035) between the 2019 and 2020. We also verified a significant reduction in the number of FPDC (MD=-42.806; %V=-38.70; p<0.001), as well as in the number of visits due to dental abscess (MD=-1.032; %V=-29.04; p=0.002) and due to toothache (MD=-14.445; %V=-32.68; p<0.001). Conclusion: Although an expansion of OHT and OHC between 2019 and 2020 was verified, the offer and use of oral health services in primary care has decreased due to the COVID-19 pandemic.

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“…The impact of age on OHRQoL in our study showed that increasing age will adversely affect OHRQoL which were in accordance with the study. [ 27 28 ] There are many variables such as age, gender, education, and income which can have an impact on OHRQoL. The study[ 29 ] proved that area can also have an impact on OHRQoL; the study showed that rural areas have more adverse impacts on OHRQoL than the urban areas.…”

Section: Discussionmentioning

confidence: 99%

Assessment of oral health-related quality of life among expatriate working population, Saudi Arabia: A cross-sectional study

Shaikh

Shilpa

Fatima

et al. 2020

J Int Soc Prevent Communit Dent

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A BSTRACT Background: The expatriate workers (foreign workers) come from various countries having different languages, cultures, and tradition to work in Kingdom of Saudi Arabia (KSA); here they adopt to local customs, traditions, and work ethics in this new environment. How they perceive their oral health-related quality of life (OHRQoL) is important for health-care provider for understanding and planning in patient management. The data of expat workers and their OHRQoL in KSA are meager; hence, assessment of OHRQoL among expatriate working population in Al Zulfi, Saudi Arabia was planned. Materials and Methods: A cross-sectional study was conducted on adult expat working population of various nationalities who were working in Al Zulfi, KSA. The study sample comprised 600 adult expats. OHRQoL was analyzed by using 14-Item Oral Health Impact Profile (OHIP-14) questionnaire as instrument. Clinical examination for oral health status was carried out using decayed, missing, and filled teeth (DMFT) index and Oral Hygiene Index simplified (OHI-S). Student’s t test and analysis of variance (ANOVA) were used to compare data using Statistical Package for the Social Sciences (SPSS) software program, version 20.0 with significance at P ≤ 0.05. Results: The age of the sample population ranged from 19 to 60 years. No significant difference was observed in oral health status among expats of different nationalities. Age and education were significantly related to OHRQoL as well as oral health status. The mean cumulative scores of OHIP-14 showed that expats from different nationalities had statistically significant differences. Conclusion: Overall the impact of OHRQoL was less among working expat population in Al Zulfi. Physical pain was the common dimension seen among all nationalities. Psychological discomfort and handicap dimensions of OHIP-14 were significant among the study sample.

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Access to dental services and oral health-related quality of life in the context of primary health care

Abstract: Access to dental services and oral health-related quality of life in the context of primary health care

Cited by 18 publications

References 27 publications

Monitoramento das equipes de saúde bucal após a Política Nacional de Atenção Básica 2017

Monitoramento das equipes de saúde bucal após a Política Nacional de Atenção Básica 2017

Offer and Use of Oral Health in Primary Care Before and After the Beginning of the COVID-19 Pandemic in Brazil

Assessment of oral health-related quality of life among expatriate working population, Saudi Arabia: A cross-sectional study

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