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Individual and contextual factors influencing dental health care utilization by preschool children: a multilevel analysis
PIOVESAN, Chaiana; ARDENGHI, Thiago Machado; MENDES, Fausto Medeiros; AGOSTINI, Bernardo Antonio; MICHEL-CROSATO, Edgard.
  • PIOVESAN, Chaiana; Faculdade São Lucas. Porto Velho. BR
  • ARDENGHI, Thiago Machado; Faculdade São Lucas. Porto Velho. BR
  • MENDES, Fausto Medeiros; Faculdade São Lucas. Porto Velho. BR
  • AGOSTINI, Bernardo Antonio; Faculdade São Lucas. Porto Velho. BR
  • MICHEL-CROSATO, Edgard; Faculdade São Lucas. Porto Velho. BR
Braz. oral res. (Online) ; 31: e27, 2017. tab
Article in English | LILACS | ID: biblio-839540
ABSTRACT
Abstract The effect of contextual factors on dental care utilization was evaluated after adjustment for individual characteristics of Brazilian preschool children. This cross-sectional study assessed 639 preschool children aged 1 to 5 years from Santa Maria, a town in Rio Grande do Sul State, located in southern Brazil. Participants were randomly selected from children attending the National Children’s Vaccination Day and 15 health centers were selected for this research. Visual examinations followed the ICDAS criteria. Parents answered a questionnaire about demographic and socioeconomic characteristics. Contextual influences on children’s dental care utilization were obtained from two community-related variables presence of dentists and presence of workersassociations in the neighborhood. Unadjusted and adjusted multilevel logistic regression models were used to describe the association between outcome and predictor variables. A prevalence of 21.6% was found for regular use of dental services. The unadjusted assessment of the associations of dental health care utilization with individual and contextual factors included children’s ages, family income, parents’ schooling, mothers’ participation in their children’s school activities, dental caries, and presence of workersassociations in the neighborhood as the main outcome covariates. Individual variables remained associated with the outcome after adding contextual variables in the model. In conclusion, individual and contextual variables were associated with dental health care utilization by preschool children.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Dental Care for Children Type of study: Observational study / Prevalence study / Prognostic study / Risk factors Limits: Child, preschool / Female / Humans / Infant / Male Country/Region as subject: South America / Brazil Language: English Journal: Braz. oral res. (Online) Journal subject: Dentistry Year: 2017 Type: Article Affiliation country: Brazil Institution/Affiliation country: Faculdade São Lucas/BR

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Full text: Available Index: LILACS (Americas) Main subject: Dental Care for Children Type of study: Observational study / Prevalence study / Prognostic study / Risk factors Limits: Child, preschool / Female / Humans / Infant / Male Country/Region as subject: South America / Brazil Language: English Journal: Braz. oral res. (Online) Journal subject: Dentistry Year: 2017 Type: Article Affiliation country: Brazil Institution/Affiliation country: Faculdade São Lucas/BR