Uso de serviços de saúde segundo posição socioeconômica em trabalhadores de uma universidade pública

Pavão, Ana Luiza Braz; Coeli, Cláudia Medina; Lopes, Cláudia de Souza; Faerstein, Eduardo; Werneck, Guilherme Loureiro; Chor, Dóra

doi:10.1590/s0034-89102012005000002

Cited by 16 publications

(16 citation statements)

References 14 publications

(19 reference statements)

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“…With regard to socioeconomic factors, it is worth highlighting that, despite statistical adjustments, low socioeconomic status has a direct impact on use of public health services 18 . The identification that elementary education was associated with use of public services by men corroborates the findings of study conducted in Pelotas, RS, which found an inverse association between education and use of the public system 12 .…”

Section: Discussionmentioning

confidence: 99%

Prevalência e fatores associados à utilização de serviços públicos de saúde por homens adultos

Arruda

Mathias

Marcon

2017

Ciênc. saúde coletiva

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Section: Discussionmentioning

confidence: 99%

Prevalência e fatores associados à utilização de serviços públicos de saúde por homens adultos

Arruda

Mathias

Marcon

2017

Ciênc. saúde coletiva

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“…Several studies have addressed the use of oral health services for populations in various locations in the world [ 2 – 11 ]. In the Brazilian context, the following areas have been investigated: the use of health services in general [ 12 – 14 ], the use of dental care for the elderly [ 15 – 17 ], the regular use of dental services [ 15 , 18 – 20 ], the use of dental services motivated by pain [ 21 ], the use of secondary care in oral health [ 22 , 23 ] and the characterization of the use of dental services [ 24 – 26 ]. Only three Brazilian studies were identified that investigated the type of service as an outcome of interest in the adult population [ 27 – 29 ].…”

Section: Introductionmentioning

confidence: 99%

Use of Public Oral Health Services by the Adult Population: A Multilevel Analysis

et al. 2016

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BackgroundIt is important to assess context to explain inequalities in oral health, particularly with regard to the type of service used; thus, this study aimed to identify the social determinants of public dental service use by adults and to assess whether, beyond the level individual, existing inequalities are also expressed in the context in which individuals are embedded.MethodsA multilevel analysis with three levels of aggregation of variables was performed. The individual variables were derived from the database of the SB Minas Gerais project—a survey of oral health status of the population of Minas Gerais, a state of the Brazilian Southeast region. The variable at the neighborhood level came from the Census of 2010. The variables at the municipal level were obtained from available public databases relating to oral health services. At the municipal level, the Human Development Index (HDI) variable was chosen to represent quality of life in the municipalities.ResultsIn the final model, the following individual variables were associated with greater use of public dental services: lower income (PR = 1.98, 95% CI = 1.53; 2.58), higher number of residents at home (PR = 1.37, 95% CI = 1.11; 1.68) and higher number of teeth requiring treatment (PR = 1.49, 95% CI = 1.20; 1.84). With regard to context variables, a poorer infrastructure (PR = 0.62, 95% CI = 0.40; 0.96) leads to a lower use of public services.ConclusionThe use of public services is associated with family income, how this income is divided in households, the need for treatment presented by the individual and the organization of the existing oral health service infrastructure in the municipality.

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“…As regards Brazilian studies, the research has focused on the use of healthcare services in general [22-24] and in the elderly population [25-27], the regular use of dental services [25,28-30], the use of dental services due to pain [31], and the characterization of the use of dental services [32-34], without highlighting the type of service. Only two studies were found in the literature with outcomes similar to the dental services (public or private) used by the adult population, illustrating that there are still unanswered questions in this theme [16,35].…”

Section: Introductionmentioning

confidence: 99%

Comparing adult users of public and private dental services in the state of Minas Gerais, Brazil

2014

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BackgroundStudying the factors associated with the use of dental services can provide the necessary knowledge to understand the reasons why individuals seek out public healthcare services and the formulation of more appropriate public policies for the present-day reality.MethodsThis work was a cross-sectional epidemiological study consisting of a sample of adults found in a research databank concerning the conditions of the oral health of the population of the state of Minas Gerais, Brazil. This study examined both main oral health disorders and relevant socioeconomic aspects. The dependent variable was defined as the type of service used, categorized under public and private use. The independent variables were selected and grouped to be inserted in the analysis model according to an adaptation of the behavioral model described by Andersen and Davidson. A hierarchical model was used to analyze the data. The description of variables and bivariate analyses were performed in an attempt to verify possible associations. For each group of variables at each hierarchical level, the gross and adjusted odds ratios (OR) and the respective 95% confidence intervals (CI) were estimated by means of logistic regression. The Complex Samples model from the SPSS statistics program, version 19.0, was used to analyze the sample framework.ResultsIn the final model, the factors associated with the use of public healthcare services by adults were directly related to the socioeconomic and demographic conditions of the individuals, including: being of a dark-skinned black race/color, belonging to families with more than four household residents and with a lower income level, residing in small towns, having more teeth that need treatment.ConclusionsAccording to the findings from this study, socioeconomic and demographic factors, as well as normative treatment needs, are associated with the use of public dental services.

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Uso de serviços de saúde segundo posição socioeconômica em trabalhadores de uma universidade pública

Cited by 16 publications

References 14 publications

Prevalência e fatores associados à utilização de serviços públicos de saúde por homens adultos

Prevalência e fatores associados à utilização de serviços públicos de saúde por homens adultos

Use of Public Oral Health Services by the Adult Population: A Multilevel Analysis

Comparing adult users of public and private dental services in the state of Minas Gerais, Brazil

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