Fatores associados ao uso de serviços odontológicos públicos por adultos no estado de São Paulo, Brasil, 2016

Fonseca, Suelen Garcia Oliveira da; Fonseca, E.; Meneghim, Marcelo de Castro

doi:10.1590/1413-81232020251.04562018

Cited by 9 publications

(24 citation statements)

References 23 publications

(72 reference statements)

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“…Data came from Europe (n = 4 studies; Germany, n = 2; Sweden, n = 1; Finland, n = 1), South America (n = 6 studies, all studies were from Brazil), North America (n = 13 studies; United States, n = 12; Canada, n = 1), Asia (n = 6 studies; China, n = 2; South Korea, n = 1; Thailand, n = 1; Israel, n = 1; Sri Lanka, n = 1), Africa (n = 2 studies; Burkina Faso, n = 1; Sudan, n = 1). Three [32,39,48] out of the 31 studies had a longitudinal design, whereas the other 28 studies had a cross-sectional design [33][34][35][36][37][38][40][41][42][43][44][45][46][47][49][50][51][52][53][54][55][56][57][58][59][60][61][62].…”

Section: Overview Of Included Studies: Adultsmentioning

confidence: 99%

“…The period of dental service use ranged from one year [33][34][35][36][37][40][41][42]44,48,50,55,[57][58][59][60][61]] to ever visiting a dentist in one's lifetime (in Brazil [53]). All studies investigated predisposing characteristics, 30 out of the 31 studies examined enabling resources (except for [38]), and 29 studies examined need factors (except for [35,47]).…”

Section: Overview Of Included Studies: Adultsmentioning

confidence: 99%

“…Moreover, 14 studies did not identify a significant association between these factors [33,34,36,37,40,44,46,49,54,55,57,58,60,62]. With regard to gender, while eleven studies found an association between being female and increased dental service use [32,33,35,38,41,43,47,51,54,58,61], four studies found the reverse association [42,[48][49][50] and seven studies did not find a significant association [34,36,37,40,44,46,55]. With regard to education, eight studies found a positive association between education and dental service use [33,34,39,44,47,49,53,56], whereas four studies found the reverse association [36,37,...…”

Section: Predisposing Characteristicsmentioning

confidence: 99%

“…With regard to gender, while eleven studies found an association between being female and increased dental service use [32,33,35,38,41,43,47,51,54,58,61], four studies found the reverse association [42,[48][49][50] and seven studies did not find a significant association [34,36,37,40,44,46,55]. With regard to education, eight studies found a positive association between education and dental service use [33,34,39,44,47,49,53,56], whereas four studies found the reverse association [36,37,41,42] and three studies did not find a significant link [46,54,55]. Other predisposing characteristics were only examined in a few studies.…”

Section: Predisposing Characteristicsmentioning

confidence: 99%

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Factors Associated with Dental Service Use Based on the Andersen Model: A Systematic Review

Hajek

Kretzler

König

2021

IJERPH

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Background: A systematic review synthesizing studies examining the determinants of dental service use drawing on the (extended) Andersen model is lacking. Hence, our purpose was to fill this knowledge gap; Methods: Three established electronic databases (PubMed, PsycInfo, as well as CINAHL) were searched. Observational studies focusing on the determinants of dental service use drawing on the Andersen model were included; Results: In sum, 41 studies have been included (ten studies investigating children/adolescents and 31 studies investigating adults). Among children, particularly higher age (predisposing characteristic), higher income (enabling resource) and more oral health problems (need factor) were associated with increased dental service use. Among adults, findings are, in general, less consistent. However, it should be noted that one half of the studies found an association between increased education (predisposing characteristic) and increased dental service. In general, study quality was rather high. However, it should be noted that most studies did not report how they dealt with missing data; Conclusions: Our systematic review revealed that all components (i.e., predisposing characteristics, enabling resources and need factors) of the Andersen model tend to be associated with dental service use among children, whereas the findings are more mixed among adults. In conclusion, beyond need factors, dental service use also tend to be driven by other factors. This may indicate over—or, more likely—underuse of dental services and could enrich the inequality discussion in dental services research.

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Section: Overview Of Included Studies: Adultsmentioning

confidence: 99%

Section: Overview Of Included Studies: Adultsmentioning

confidence: 99%

Section: Predisposing Characteristicsmentioning

confidence: 99%

Section: Predisposing Characteristicsmentioning

confidence: 99%

See 2 more Smart Citations

Factors Associated with Dental Service Use Based on the Andersen Model: A Systematic Review

Hajek

Kretzler

König

2021

IJERPH

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“…Destaca-se no contexto brasileiro, ainda, elevada prevalência do edentulismo 6 , que permanece como problema de saúde pública apesar das evidências de que o controle ou a prevenção de doenças bucais possibilita a manutenção das arcadas dentárias 7 . Entre outros fatores, o uso regular dos serviços odontológicos contribui para a manutenção da saúde bucal mediante tratamentos menos complexos e preventivos, detecção precoce de doenças e melhoria da qualidade de vida dos idosos 8 .…”

Section: Introductionunclassified

Utilização dos serviços odontológicos por idosos brasileiros: análise de classes latentes

Moreira

Maurício

Monteiro³

et al. 2021

Rev. bras. epidemiol.

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RESUMO: Objetivo: Analisar os diferentes perfis de utilização de serviços odontológicos por idosos brasileiros e sua possível associação com fatores sociodemográficos, de comorbidades, de funcionalidade e autopercepção em saúde bucal. Métodos: Estudo transversal de base populacional, utilizando dados secundários da Pesquisa Nacional de Saúde de 2013. A amostra foi composta de 2.969 idosos. A Análise de Classes Latentes foi utilizada para a construção da variável dependente “perfil de utilização dos serviços odontológicos”. As variáveis independentes formaram três blocos: sociodemográfico; comorbidades; e funcionalidades e autopercepção em saúde bucal. O Teste de Rao-Scott e a Análise de Resíduos Padronizados testaram a associação. Para mensurar o efeito das covariáveis, foram estimadas as odds ratios por meio de modelo múltiplo hierarquizado de regressão logística multinomial. O nível de significância foi de 5%. Resultados: Três classes latentes foram identificadas: perfil de desembolso direto, perfil de plano de saúde e perfil do Sistema Único de Saúde (SUS). Idosos da cor branca apresentaram associação aos perfis desembolso direto e planos de saúde. O perfil plano de saúde esteve mais associado ao estado civil casado ou que moram com cônjuge. No modelo múltiplo, a baixa escolaridade apresentou associação ao perfil de usuários do SUS, e idosos com diagnóstico de câncer, ao perfil plano de saúde. Autoperceber a saúde bucal como ruim ou muito ruim aumentou a chance de pertencer ao perfil SUS. Conclusão: A Análise de Classes Latentes mostrou-se potente estratégia para compreensão sutil e detalhada do perfil da utilização de serviços odontológicos e sua relação com fatores associados.

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Income‐ and education‐based inequalities of edentulism and dental services utilization in Brazil

Ferreira

Souza

Soares

et al. 2022

Comm Dent Oral Epid

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ObjectiveTooth loss is a worldwide public health problem affecting mainly socioeconomically disadvantaged groups. Dental services utilization may increase access to preventive actions and conservative treatment, reducing the prevalence of tooth loss. This study evaluated the income‐ and education‐based inequalities in edentulism according to the utilization of dental services among adults and older adults in Brazil.MethodsData from the National Oral Health Survey (SB Brazil, 2010) of adults (ages 35–44 years, n = 9779) and older adults (ages 65–74 years, n = 7619) were analysed. Socioeconomic indicators (SES) included education and income. The magnitude of inequality in edentulism by education and income levels was estimated by the Relative Index of Inequality (RII) and the Slope Index of Inequality (SII). The changes in the RII and SII according to the utilization of dental services were estimated. Regression models estimated the association between SES and edentulism and whether dental services utilization modified this association.ResultsHigher edentulism prevalence was observed among those with lower education and income levels. The utilization of dental services changed the education‐based inequality index in edentulism for adults, with percentage changes of 17.4% (RII) and 56.8% (SII). For adults with low education (0–4 years of study), the odds of edentulism were 80% (OR 0.2; 95% CI 0.1–0.6) and 90% (OR 0.1; 95% CI 0.01–0.2) lower for those who had used dental services within the preceding year and within 1–2 years compared with those who had used such services within the preceding 3 or more years, respectively.ConclusionThere was a social gradient in the prevalence of edentulism in adults and older adults, and the education‐based inequalities in edentulism were lower among adults reporting utilization of dental services in the preceding year.

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Fatores associados ao uso de serviços odontológicos públicos por adultos no estado de São Paulo, Brasil, 2016

Cited by 9 publications

References 23 publications

Factors Associated with Dental Service Use Based on the Andersen Model: A Systematic Review

Factors Associated with Dental Service Use Based on the Andersen Model: A Systematic Review

Utilização dos serviços odontológicos por idosos brasileiros: análise de classes latentes

Income‐ and education‐based inequalities of edentulism and dental services utilization in Brazil

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