Oral Health Care of Children and Adolescents with Different Impairments of Cerebral Palsy: Barriers and Challenges
Pesqui. bras. odontopediatria clín. integr
;
22: e210107, 2022. tab
Article
in English
| LILACS, BBO
| ID: biblio-1386799
ABSTRACT
Abstract Objective:
To evaluate the barriers to access and oral health care faced by children and adolescents with Cerebral Palsy (CP) according to their motor impairment through the perception of caregivers. Material andMethods:
A case series study was carried out at three health institutions in Pernambuco, Brazil. The study sample consisted of 94 caregivers of 5-to-18-year-old patients with CP, according to GMFCS (The Gross Motor Function Classification System). Data were collected using a semi-structured form to evaluate the barriers to access and analyzed statistically by the chi-square and Fisher exact tests, adopting a 5% level of significance. In addition, binary logistic regression was performed to determine the weight of the variables in explaining the outcome variable.Results:
There were major difficulties involving transportation (p=0.04) and structural accessibility to dental services (p<0.01) among children and adolescents with severe CP. In addition, the more severe the CP, the greater the difficulty of accessibility (OR=4.09,) and the lower the income (OR=8.80), the greater the motor impairment.Conclusion:
Despite the availability of access to dental services, low-income families have more severe CP patients, contributing to the daily difficulties already faced by them in oral health care.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Social Perception
/
Cerebral Palsy
/
Oral Health
/
Caregivers
/
Dental Care for Disabled
Type of study:
Evaluation studies
/
Observational study
/
Prognostic study
/
Qualitative research
/
Risk factors
Limits:
Adolescent
/
Child
/
Child, preschool
/
Female
/
Humans
/
Male
Language:
English
Journal:
Pesqui. bras. odontopediatria clín. integr
Journal subject:
Dentistry
Year:
2022
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Federal University of Pernambuco/BR
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