Factors associated with the use of dental care by elderly residents of the state of São Paulo, Brazil

Abstract

Objective: To investigate factors associated with the use of dental care services. Methods: A cross-sectional study with a representative sample of elderly individuals aged 65 years or older residing in the state of São Paulo in 2015 was performed. Hierarchical multivariate logistic regression analysis was used based on the theoretical model of access determination proposed by Andersen (1995) to predict dental care visits. Results: The prevalence of public service use by the elderly was 1.981 (37.8%), while 3.253 (62.2%) used the private service/ health plan/ other type of service. Hierarchical multiple analysis ( p≤0.05) identified that less schooling or never having studied, non-white, lower income and motivated by pain/extraction were associated with the use of public dental services. The study showed a reduced use of public dental care among elderly persons who required some type of upper dentures (except complete dentures), need for some type of lower dentures (including complete dentures) and demonstrated a positive self-perception of oral health condition. Conclusions: A higher prevalence of the use of private dental care/ health plan/other type of service was identified. Less schooling or never having studied, non-white skin color, lower income and seeking the dentist with pain or to extract teeth were factors associated with the use of public dental services by the elderly.

Prevalence of and factors associated with dental service utilization among early elderly in Lithuania

“…In the present study, more educated elderly had a higher prevalence of DSU, and this is in agreement with other studies [ 3 , 4 , 6 , 30 , 32 ]. This finding may be explained by that fact that more educated people are more aware on detrimental factors for oral health and have a higher level of motivation to seek dental care.…”

“…In the present study, experiencing pain and discomfort in teeth or mouth in the last year was the strongest significant factor associated with DSU. The similar results were reported in Korean adults aged 25–79 years [ 3 ] and Brazilian elderly aged 65 years or older [ 32 ]. One may assume that elderly use dental service to seek dental treatment, but not for regular preventive check-ups.…”

Fatores associados ao uso dos serviços de saúde bucal entre idosos no Brasil: scoping review

“…O delineamento transversal foi adotado em todos os estudos. A análise estatística múltipla se deu através da técnica de regressão de Poisson (50,0%) ( (Sória et al, 2019;Silva et al, 2018;Prado et al, 2018;(Sória et al, 2019;Silva et al, 2018;Silva et al, 2013;Prado et al, 2018; e os demais 50,0%, pela regressão logística (Fonseca et al, 2017;Oliveira et al, 2016;Souza et al, 2012;Martins et al, 2007;Matos & Lima-Costa, 2007) (Tabela 1).…”

“…Fatores Associados com a categoria de análise Análise Múltipla (p<0,05) Investigaram-se ainda fatores associados ao uso regular (Silva et al, 2018), ao uso por rotina e ao uso dos serviços públicos (Fonseca et al, 2017;Oliveira et al, 2016). Uso de serviço odontológico, de forma regular, foi associado à presença de pelo menos um dente, ou seja, idosos dentados (Silva et al, 2018).…”

“…O uso de serviço odontológico por teve associação com idosos residentes na zona urbana, ter acesso à informação em saúde bucal, não ter necessidade de prótese dentária e ter autopercepção que o relacionamento social não foi afetado pela condição de sua saúde bucal . Para uso do serviço público (Fonseca et al, 2017;Oliveira et al, 2016), o maior uso foi entre aqueles com menor escolaridade, menor renda, 'dor' como uma das motivações para uso do serviço e autopercepção ruim da condição de saúde bucal/aparência (Tabela 3).…”