Oral health policies in Brazil

Ga, Pucca Junior; Jf, Costa; D, Chagas Lde; Rm, Sivestre

doi:10.1590/s1806-83242009000500003

Cited by 74 publications

(58 citation statements)

References 2 publications

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“…Nowadays, 24,243 dental health teams operate in 5013 cities in Brazil, covering a total population of over 81 million people [4]. Oral health is a government priority [3, 5] and an integral part of the Brazilian public health system, which was defined by the principles of universality, integrality and equity [7]. …”

Section: Introductionmentioning

confidence: 99%

“…In 2007, only 16.5% of the lower education groups visited dental services, compared with 64.3% of the higher education groups [11]. Previously identified determinants of these inequalities include geographic and social inequalities in the supply of health care services and other determinants of health such as individual lifestyle factors, social and community networks and socioeconomic, cultural and environmental conditions [7, 12, 13]. …”

Section: Introductionmentioning

confidence: 99%

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Socioeconomic inequalities in dental health services in Sao Paulo, Brazil, 2003–2008

Monteiro

Beenackers

Goldbaum

et al. 2016

BMC Health Serv Res

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BackgroundAccess to, and use of, dental health services in Brazil have improved since 2003. The increase of private health care plans and the implementation of the “Smiling Brazil” Program, the largest public oral health care program in the world, could have influenced this increase in access. However, we do not yet know if inequalities in the use of dental health services persist after the improvement in access. The aims of this study are to analyze socioeconomic differences for dental health service use between 2003 and 2008 in São Paulo and to examine changes in these associations since the implementation of the Smiling Brazil program in 2003.MethodData was obtained via two household health surveys (ISA-Capital 2003 and ISA-Capital 2008) which investigated living conditions, lifestyle, health status and use of health care services. Logistic regression was used to analyze associations between socioeconomic factors and dental services use. Additionally, trends from 2003 to 2008 regarding socioeconomic characteristics and dental health service use were explored.ResultsOverall, dental health service use increased between 2003 and 2008 and was at both time points more common among those who had higher income, better education, better housing conditions, private health care plans and were Caucasian. Inequalities in use of dental health care did not decrease over time. Among the reasons for not seeking dental care, not having teeth and financial difficulty were more common in lower socioeconomic groups, while thinking it was unnecessary was more common in higher socioeconomic groups.ConclusionsThe Brazilian oral health policy is still in a period of expansion and seems to have contributed slightly to increased dental health service use, but has not influenced socioeconomic inequalities in the use of these services. Acquiring deeper knowledge about inequalities in dental health service use will contribute to better understanding of potential barriers to reducing them.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-016-1928-y) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Socioeconomic inequalities in dental health services in Sao Paulo, Brazil, 2003–2008

Monteiro

Beenackers

Goldbaum

et al. 2016

BMC Health Serv Res

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“…Total absolute inequality also decreased, except for municipal coverage rates according to the categories of human development. According to official data, in the period from 2005 to 2008, 711 new systems of fluoridation were installed in 503 municipalities, in 11 States, benefiting 7,600,000 Brazilians 1,23 . The results observed suggest that the efforts made by both the federal level and the State level were not enough to accelerate the expansion of the measure in municipalities with very low or low MHDI and implementation strategies need to be readjusted.…”

Section: Discussionmentioning

confidence: 99%

Water fluoridation in Brazilian cities at the first decade of the 21st century

Frazão

Narvai

2017

Rev. Saúde Pública

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OBJECTIVE To assess the coverage of the fluoridation of the public water supply in Brazilian municipalities at the first decade of the 21st century, according to population size and municipal human development index (MHDI).METHODS We have used data produced by national information agencies and the United Nations Development Programme. Population size was separated into < 10,000, 10,000–50,000, and > 50,000 inhabitants. The MHDI was classified into < 0.600, 0.600–0.699, 0.700–0.799, and > 0.799. Absolute and relative inequalities between categories were evaluated using indicators of effect and total impact.RESULTS We have obtained information for 5,558 municipalities. The coverage rate of water fluoridation increased from 67.7% to 76.3%. Approximately 884 (15.9%) municipalities and 29,600,000 inhabitants started being benefited by the measure. We have observed a significant expansion in municipalities with < 10,000 inhabitants (increase of 21.0 percentage points) and low or very low MHDI (17.7 percentage points).CONCLUSIONS Population coverage of the public policy has increased 8.6%, and we can also see significant reductions in absolute and relative inequality according to population size and MHDI. Regarding municipal coverage rate, there was also a reduction in inequality in all comparisons except for absolute inequality between the categories of MHDI. The public policy has operated as a factor of health protection in the context of the ongoing social protection policies in the country.

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“…Hong Kong e Singapura possuem 100% de acesso à fluoretação, enquanto a Austrália apresenta uma cobertura da fluoretação em torno de 80% da população 11 . No Brasil, a fluoretação teve início em 1954 na cidade de Baixo Guandu, no Espírito Santo 12 , tornando-se medida obrigatória onde exista estação de tratamento de água pela Lei Federal nº 6.050/1974 13 . A fluoretação da água de abastecimento público constitui um dos elementos norteadores da Política Nacional de Saúde Bucal 14 .…”

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Heterocontrole da fluoretação nos municípios da Região Metropolitana de Curitiba nos anos de 2014 e 2015

2017

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Cad. Saúde Colet., 2017, Rio de Janeiro, 25 (4) ResumoIntrodução: O heterocontrole, que é o monitoramento da concentração de fluoreto na água de abastecimento, deve ser feito por instituições do Estado e tem sido motivado para garantir a eficácia e a segurança da fluoretação. Este estudo teve como objetivo analisar o heterocontrole de municípios com população acima de 50 mil habitantes da Região Metropolitana de Curitiba nos anos de 2014 e 2015. Metodologia: Dados sobre o heterocontrole foram fornecidos pelos serviços de Vigilância em Saúde dos municípios do estudo e analisados de acordo com o critério técnico do CECOL para a concentração de fluoreto. Resultados: Em alguns municípios e meses, houve falha na realização das coletas de amostras de água em relação ao número adequado para o parâmetro fluoreto. Do total de amostras analisadas, somente 51,5% estavam na faixa de melhor benefício-risco para a concentração de fluoreto, com 8% de benefício e risco insignificantes e 0,1% das amostras com concentração de fluoreto de alto risco, sem nenhum benefício. Conclusão: Os municípios analisados realizaram o heterocontrole, com períodos em que o número de coletas não foi adequado. As concentrações de fluoreto na água de abastecimento dos municípios do estudo apresentaram resultado pouco satisfatório. O heterocontrole é fundamental para manter os teores de fluoreto em níveis adequados. Palavras-chave: fluoretação da água; controle da qualidade da água; abastecimento de água; saúde bucal; cárie dentária. AbstractIntroduction: External control is the monitoring of fluoride concentration in the water supply that must be done by state institutions, and has been motivated to ensure the efficacy and safety of fluoridation. This study aimed to analyze the external control of municipalities with more than 50.000 inhabitants in the metropolitan region of Curitiba in the years 2014 and 2015. Methodology: Health surveillance services of the studied municipalities provided external control data, which were analyzed according to the technical criterion of the CECOL for fluoride content. Results: Collection of water samples failed in some municipalities and months for an adequate number for the fluoride parameter. From the total samples analyzed, only 51.5% were in the best benefit-risk range for the fluoride concentration. Eight percent of the samples presented insignificant benefit and risk and 0.1% showed a high-risk fluoride concentration, without any benefit. Conclusion: the analyzed municipalities performed the external control, with periods of inadequate sample collections. Fluoride concentrations in the supply water of the study municipalities presented an unsatisfactory result. The main goal of external control is to maintain fluoride levels at adequate levels.

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Oral health policies in Brazil

Cited by 74 publications

References 2 publications

Socioeconomic inequalities in dental health services in Sao Paulo, Brazil, 2003–2008

Socioeconomic inequalities in dental health services in Sao Paulo, Brazil, 2003–2008

Water fluoridation in Brazilian cities at the first decade of the 21st century

Heterocontrole da fluoretação nos municípios da Região Metropolitana de Curitiba nos anos de 2014 e 2015

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