Fatores associados à utilização dos serviços de saúde bucal pela população pediátrica: uma revisão integrativa

Abstract

This integrative literature review aimed to analyze studies about factors associated with the utilization of dental health services by the pediatric population between zero and 15 years old, published between 2006 and 2016 and available in Portuguese, English or Spanish. A survey of articles in the Lilacs and Medline databases was carried out, using the search strategy: ("dental care/utilization" OR "dental health services/utilization") AND ("child" OR "child, preschool") AND NOT adult. To analyze the methodological quality, the adapted Critical Appraisal Skill Programme (CASP) and the Agency for Healthcare and Research and Quality (AHRQ) were used. The following predictors of use of dental health services stood out: factors associated with children or adolescents (age, frequency of tooth brushing, chronic conditions), caregivers (schooling, perception of child's dental health, perceived oral health needs), dentists (availability at night and on the weekends) and follow up of oral health by the family health team. These are inherent factors for the planning of oral health policies or programs for the pediatric population. However, these factors vary according to the context, and therefore, a contextual analysis should be conducted.

Cuidados em saúde bucal a crianças e adolescentes com paralisia cerebral: percepção de pais e cuidadores

“…These problems can exert a negative impact on the quality of care offered to disabled individuals, affecting the general and oral health of both the care recipient and provider 6,28 . There are also problems related to institutional support, which should be primarily directed at family caregivers in situations of social vulnerability 19,26 , who require basic health educational interventions as well as psychosocial counseling and social assistance 17,26,27 . Based on the perceptions of the participants, most children/adolescents with severe CP have oral health problems that may be related to the occurrence and severity of caries, although the majority of caregivers reported being the person responsible for the oral hygiene of these subjects, performing it three times a day and being concerned regarding the oral hygiene of this population.…”

“…Despite the growing production of studies addressing the need for oral health care on the part of patients with special needs 6,19 , such production remains insufficient 6,20,21 . There is a gap in knowledge regarding the perceptions of parents and caregivers regarding the oral health care that should be offered to children and adolescents with CP 5,6,20 on the different levels of health care that provide services for this population.…”

Utilization of oral health services network among children and adolescents with leukemia

“…In addition, given the limited knowledge about the access of the pediatric leukemic population to the network of OHS, this research becomes relevant for generating information that can be used to plan policies or programs that stimulate the use of this network more comprehensively and resolutely. Also, this research serves as an alert to leaders and health professionals to reflect on the noneffectiveness of continuity and longitudinality of care, essential attributes of a health care network.…”

“…In Brazil, studies that evaluate the determinants of the utilization of the OHS network by the pediatric leukemic population were not found. Research with this approach is fundamental to generate information for the planning of policies or programs that stimulate the use of OHS in a comprehensive way and reduce the inequalities of use . In the light of this, this exploratory study aims to evaluate the use of the OHS network in children and adolescents with leukemia, according to the phase of cancer treatment, type of dental treatment received, and access barriers.…”

Use of Dental Services Among Brazilian Children Aged Zero to Three Years: Analysis of National Household Surveys

“…Inequality is a general term that refers to the heterogeneous distribution of health in a population, especially with regard to demographic and social characteristics, such as age, gender, region of residence, degree of urbanization and social class [13][14][15]. Inequality in health and the use of healthcare services (including dental services) is a nearly universal problem [2,6,14,16,17].…”