Sexual practices and HPV infection in unvaccinated young adults.

The present study aimed to evaluate the association of genital and oral HPV infection among different sexual practices in both sexes. In total, 6388 unvaccinated men and women aged 16-25 years from all state capitals of Brazil were enrolled in through primary care services between September 2016 and November 2017. Genital and oral HPV genotyping was performed using the Roche Linear Array. Poisson regression analysis with robust variance was conducted to examine factors associated with overall HPV infection. A higher prevalence of genital HPV was found in women who practiced oral sex (57.85%) and in men who practiced all types of sex (65.87%). However, having more sexual partners and being younger were more important than the type of sex practiced. HPV 6 (7.1%) and 16 (10.5%) were significantly more prevalent in women who practiced oral sex, while HPV 6 (23.96%) and 11 (21.49%) were more prevalent in men who practiced anal sex. The type of sex was not associated with oral HPV prevalence. Genital and oral HPV infection were not associated by different sexual practices in the studied population.

Brasil y su política nacional de salud bucal / National oral health policy in Brazil

El programa Brasil Sonriente (BS) fue creado por el gobierno federal de Brasil, como parte de su Sistema Único de Salud, en el año 2004. Dicho programa provee decenas de miles de equipos de salud bucal en la atención primaria básica, establece atenciones de mediana complejidad y fomenta las políticas municipales de fluorización del suministro de agua y rehabilitación bucal protésica, por medio de los laboratorios regionales de prótesis dental, entre otras acciones. La Política Nacional de Salud Bucal (PNSB) y su programa BS son reconocidos como responsables del aumento en el acceso a los servicios de salud pública. Aproximadamente 15 años después de la implementación de la PNSB, pueden ser observados avances importantes: aumento exponencial en la cobertura de los equipos de salud bucal en la atención básica y un enfoque del cuidado integral de la salud. Sin embargo, los puntos positivos no pueden ocultar los obstáculos que aún existen. La municipalización del sistema de salud se llevó a cabo bajo el amparo de la redemocratización y la premisa del empoderamiento de los actores locales en la discusión de un modelo de salud más conveniente para ofrecer servicios a los usuarios. Sin embargo, la forma en que el Estado brasilero se organiza y financia distorsionó la estructura de las redes integrales de atención en salud.

The Smiling Brazil (BS) program was created by the federal government of Brazil, as part of its Unified Health System, in 2004. This program provides tens of thousands of oral health teams in basic primary care, establishes care for medium complexity and promotes municipal policies for fluoridation of the water supply and prosthetic oral rehabilitation, through regional dental prosthesis laboratories, among other actions. The National Oral Health Policy (PNSB) and its BS program are recognized as responsible for increasing access to public health services. Approximately 15 years after the implementation of the PNSB, important advances can be observed: exponential increase in the coverage of oral health teams in basic care and a comprehensive health care approach. However, the accomplishments cannot hide the obstacles that still exist. The municipalization of the health system was carried out under the protection of democratization and the premise of empowerment of local officers in the discussion of a more convenient health model to offer services to users. But the way in which the Brazilian State organized and financed itself distorted the structure of the health care networks.

Dental emergency: Scoping review.

Part of the oral health care in the care network encompasses users in emergency cases. This study proposed mapping the determinants of the use of dental care services within the health care network to address dental emergencies within the Brazilian Unified Health System (UHS) and to verify the main gaps in the research in this area. This is a scoping review that took place in 2018 using Andersen's behavioral model as a reference. A total of 16 studies, out of 3786 original articles identified, were included and reviewed. Two reviewers independently conducted the selection process and the decision was consensually made. The mapping of the determinants revealed a greater number of enabling factors and a larger gap in the results. Greater use of the emergency service was registered by people in pain, women, adults, those from an urban area, people with a lower income, and those with less education. In future studies, primary surveys are recommended, which include all ages, and analyze different groups of needs and users that take into account the country's northern region and the different subjects pointed out by this review.