Fatores associados ao uso de serviços odontológicos públicos por adultos no estado de São Paulo, Brasil, 2016 / Factors associated with public dental service use by adults in the state of São Paulo, Brazil, 2016
Ciênc. Saúde Colet. (Impr.)
;
25(1): 365-374, jan. 2020. tab
Article
in Portuguese
| LILACS
| ID: biblio-1055776
RESUMO
Resumo O objetivo deste artigo é analisar os fatores associados ao uso dos serviços odontológicos públicos por adultos. Estudo transversal com amostra representativa de adultos de 35 a 44 anos, com dados do Levantamento Epidemiológico das Condições de Saúde Bucal da População do Estado de São Paulo (SBSP-2015). Utilizou-se análise de regressão logística multivariada, baseada em modelo proposto por Andersen para predizer o acesso aos serviços odontológicos públicos. Visitaram o serviço privado 3.421 (59,9%) adultos e 2.288 (40,1%), o público. Os serviços odontológicos públicos foram mais acessados por mulheres (41,8%) e menos escolarizados (50,2%). Indivíduos não brancos (OR = 1,32; IC95%1,16; 1,50), menor renda familiar (OR = 2,37; IC95%2,11; 2,65), histórico de dor de dente (OR = 1,60; IC95%1,39; 1,83) e necessidade de tratamento endodôntico (OR = 1,44; IC95%1,12; 1,85) foram associados ao uso dos serviços odontológicos públicos. Fatores contextuais, individuais e necessidade de tratamento foram associados à utilização dos serviços odontológicos públicos por adultos residentes no estado de São Paulo, em 2015.
ABSTRACT
Abstract The aim of this study was to investigate the factors associated with public dental care use by adults in the State of São Paulo, Brazil. A cross-sectional study was conducted with a representative sample of adults aged 35 to 44 years using data from the 2015 Epidemiological Survey of the Oral Health Status of the Population of the State of São Paulo (SBSP-2015). Multivariate logistic regression was performed using variables based on a model proposed by Andersen for predicting access to public dental services. Results:
3,421 (59.9%) adults visited private services and 2,288 (40.1%) visited public services. Prevalence of the use of public dental services was greatest among women (41.8%) and adults with a lower education level (50.2%). Being non-white (OR = 1.32, 95% CI 1.16, 1.50), lower household income (OR = 2.37, 95% CI 2.11, 2.65), having had toothache (OR = 1.60, 95% CI 1.39, 1.83), and need for endodontic treatment (OR = 1.44, 95% CI 1.12, 1.85) were associated with public dental service use. Predisposing, enabling, and need factors were associated with public dental care use.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Dental Health Services
/
Facilities and Services Utilization
Type of study:
Observational study
/
Prevalence study
/
Prognostic study
/
Risk factors
Limits:
Adult
/
Female
/
Humans
/
Male
Country/Region as subject:
South America
/
Brazil
Language:
Portuguese
Journal:
Ciênc. Saúde Colet. (Impr.)
Journal subject:
Public Health
Year:
2020
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Universidade Estadual de Campinas/BR
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