Uso regular de serviços odontológicos entre adultos e idosos em região vulnerável no sul do Brasil

Abstract

OBJECTIVE:To estimate the prevalence of regular use of dental care services by adults and older adults residing in vulnerable community and to identify associated factors. METHODS:A population-based cross-sectional study was carried out with 3,391 adults and older adults residing in areas of social vulnerability in Porto Alegre, Southern Brazil, from July to December of 2009. A systematic sampling method was used the selection probability proportional to the population of each of the the 121 census sectors. The outcome for regular use of dental care services was defi ned as regular use of dental services, regardless of the presence of dental problems. A standardized questionnaire was administered, which included demographic, socioeconomic, type of dental care services, selfperception of dental health and self-perceived needs variables. A chi-square test for heterogeneity was used for bivariate analyses, and a Poisson regression with a robust variance and Wald tests were performed for the adjusted analysis. RESULTS:The prevalence of regular use of dental services was 25.7%. The prevalence was higher among people with ≥12 years schooling (PR 2.48 [95%CI:1.96;3.15]), higher income (PR 1.95[95%CI: 1.03;1.53]), use of private health services (PR 1.43 [95%CI: 1.20;1.71]),excellent self-perceived oral health (PR 4.44 [95%CI: 3.07;6.42]) and a self-perceived need for consultation related to routine checkup (RP 2.13 [95%CI: 1,54;2,96]). CONCLUSIONS:Inequalities were found in the regular use of dental services. Integrated approaches that raise awareness of oral health, improve self-care and expand access to dental services, may contribute to increase the use of dental services on a regular basis.

Uso de serviços odontológicos de forma regular na população de Montes Claros, MG, Brasil

“…A variável dependente deste estudo é intermediária, uma vez que as características pessoais da população influenciam o uso dos serviços odontológicos e estes resultam em desfechos de saúde que são a autopercepção da saúde e a satisfação do paciente com os serviços prestados 5 . Ressalta-se que a associação das questões socioeconômicas e subjetivas de saúde está relacionada ao uso, em estudos prévios 6,13,14 , de serviços odontológicos de forma regular. No entanto, numa ampla caracterização dos serviços odontológicos utilizados, considerando seus diferentes domínios e a avaliação da associação destes com o uso regular, não tem sido relatada na literatura, fato constatado no presente estudo.…”

“…O uso regular dos serviços pode ser um importante preditor da saúde bucal, podendo levar à execução de tratamentos de caráter preventivo 11 , evitando, assim, a ocorrência de problemas bucais e, consequentemente, reduzindo a propensão a perdas de horas de trabalho, decorrentes desses problemas 12 . Diferentes contingentes populacionais têm sido avaliados quanto ao uso regular de serviços odontológicos, tais como: pré-escolares 13 , adultos 14 e idosos 6 , sendo esse uso associado, principalmente, a melhores condições socioeconômicas, características do serviço e condições subjetivas de saúde 6,13,14 . O modelo teórico mais utilizado, que tem como objetivo avaliar os fatores associados ao uso de serviços odontológicos, foi proposto por Andersen e Davidson 10 .…”

Fatores Associados ao Acesso à Saúde Bucal no Brasil: Revisão Sistemática

“…Moreover, in Brazil, the different regional realities produce different forms of organization and health systems management that jeopardize the access quality and oral health public care 3,11,41 . The existence of technical and geographical barriers factors such as limiting access to oral health provides an imbalance in the relationship between supply/demand and impact on the schedule, waiting time and waiting line 45,46 . So, the dependence of technology materials and organization of the services network for oral health can impose obstacles to the oral health access 46 .…”

“…The existence of technical and geographical barriers factors such as limiting access to oral health provides an imbalance in the relationship between supply/demand and impact on the schedule, waiting time and waiting line 45,46 . So, the dependence of technology materials and organization of the services network for oral health can impose obstacles to the oral health access 46 . Studies indicate those inequalities in access to oral health, especially for children and the elderly 47,48 .…”

Access to information on how to avoid oral health problems among elderly persons registered with the Family Health Strategy

“…32 Access to information on how to avoid oral problems was higher among those elderly individuals who described routine care as their reason for using the dental service. Such a service is an important predictor of oral health, 33 presenting a beneficial association with oral health status, 34,35 as it focuses less on the treatment of a condition and more on the preventative approach through the provision of information on oral health care. Unfortunately, the prevalence of such usage is low among elderly Brazilians.…”