RESUMO
OBJECTIVE: To investigate the perception of parents or caregivers regarding the need for dental appointments for adolescents aged 12-13 years and associated factors. METHODS: Data from the Pelotas 2004 Birth Cohort were used. The outcome variable was the need for dental appointments for young adolescents perceived by parents or caregivers. Demographic and economic exposure variables were obtained from the first (2004) and sixth general follow-up (2015), respectively. The exposure variables 'previous history of dental pain', 'self-rated oral health', clinical variables and the outcome variable were obtained from the second oral health follow-up (2017). Unadjusted and adjusted multivariate Poisson regression analyses provided prevalence ratios (PR) and respective 95% confidence intervals (CI). RESULTS: At the first oral health follow-up (2009), 1303 five-year-old children were recruited, 996 of whom were reassessed and underwent oral health examinations at 12 and 13 years of age (response rate: 76.4%). The findings showed that 72.4% of parents/caregivers perceived that the adolescents needed dental appointments. No associations were found between the outcome and sociodemographic or economic variables. After adjustments, the outcome remained positively associated with previous history of toothache (PR 1.22; 95% CI 1.14-1.32), self-rated oral health as fair or poor (PR 1.26; 95% CI 1.15-1.39), the presence of dental caries (PR 1.27; 95% CI 1.20-1.38) and severe or disabling malocclusion (PR 1.14; 95% CI 1.05-1.25). CONCLUSIONS: The perception of parents/caregivers regarding the need for dental appointments on the part of their adolescent sons and daughters was associated with oral health problems, and these findings can serve as the basis for creating and improving oral health programmes that seek a better understanding on the part of parents and caregivers regarding the importance of integral care for their adolescent children.
Assuntos
Cárie Dentária , Criança , Humanos , Adolescente , Cárie Dentária/epidemiologia , Brasil/epidemiologia , Cuidadores , Coorte de Nascimento , Inquéritos e Questionários , Pais , Saúde Bucal , Qualidade de Vida , PercepçãoRESUMO
OBJECTIVE: To analyze factors associated with the reduction of dental care in Primary Health Care, during the COVID-19 pandemic in Brazil. METHODS: This was a cross-sectional study conducted with dentists in primary healthcare centers (PHCCs). The reduction of dental care was the outcome, and the exposure variables were sociodemographic data, availability of personal protective equipment (PPE) and measures adopted by PHCCs during the pandemic. Poisson regression was performed to determine the prevalence ratio and 95% confidence interval (95%CI). RESULTS: Of the total of 958 participants, 62.6% reported a reduction of over 50% in dental visits after the beginning of the pandemic. Adoption of biosafety protocols (PR = 1.04; 95%CI 1.01;1.07), availability of PPE recommended by new protocols (PR = 0.94; 95%CI 0.89;0.99) and adoption of tele-screening (PR = 0.90; 95%CI 0.85;0.96) were associated with the reduction. CONCLUSION: The availability of new types of PPE and implementation of tele-screening in PHCCs seem to have minimized the reduction of dental care after the beginning of the pandemic.
Assuntos
COVID-19 , Brasil/epidemiologia , Estudos Transversais , Assistência Odontológica , Odontólogos , Humanos , Pandemias/prevenção & controle , Atenção Primária à Saúde , SARS-CoV-2 , Inquéritos e QuestionáriosRESUMO
Objective: To analyze the associated factors of reductions for dental visits performed in Primary Health Care (PHC) in Brazil during COVID-19 pandemic. Methods: Crosssectional study with PHC dentists. The outcome was a reduction in dental care appointments and that the exposure variables included sociodemographic factors, aspects about personal protective clothing and equipment (PPE) and measures adopted by the Basic Health Unit (UBS) in Brazil after the appearance of COVID. Poisson regression was performed, used to determine the prevalence ratio and 95% confidence interval. Results: Reduction in visits above 50% after the onset of the pandemic was reported by 62.6% of 958 participating. Biosafety protocols (PR=1.04 95%CI 1.01;1.07), PPE suggested by the protocols (PR=0.94 95%CI 0.89;0.99), and telescreening (PR=0.90 95%CI 0.85;0.96) were factors associated with this reduction. Conclusion: The availability of the new PPE and the implementation of telescreening at UBS seem to have minimized the reduction in dental care after the onset of the pandemic
Objetivo: Analizar factores asociados a la reducción de consultas odontológicas en Atención Primaria de Salud (APS) en Brasil durante COVID-19. Métodos: Estudio transversal con dentistas de APS. El hecho investigado fue reducción de consultas odontológicas y las variables de exposición incluyeron factores sociodemográficos, aspectos de los equipos de protección personal (EPI) y las medidas adoptadas por la Unidad Básica de Salud (UBS) tras la aparición del COVID. Regresión de Poisson utilizada para determinar la razón de prevalencia y el intervalo de confianza del 95%. Resultados: El 62,6% de los 958 participantes informó una reducción en la asistencia superior al 50% después del inicio de la pandemia. La adopción de protocolos (RP=1,04 IC95% 1,01;1,07), disponibilidad de EPI recomendado por los nuevos protocolos (RP=0,94 IC95% 0,89;0,99) y la adopción de televaluación (RP=0,90 IC95% 0,85;0,96) fueron factores que se asoció con esta reducción. Conclusión: La disponibilidad del nuevo EPP y la implementación de la teleprotección en UBS parecen haber minimizado la reducción en la atención dental después del inicio de la pandemia.
Objetivo: Analisar fatores associados à redução de atendimentos odontológicos na Atenção Primária à Saúde, durante pandemia de COVID-19 no Brasil. Métodos: Estudo transversal, com cirurgiões-dentistas das unidades básicas de saúde (UBS). O desfecho foi a redução dos atendimentos odontológicos, e as variáveis de exposição, dados sociodemográficos, disponibilidade de equipamentos de proteção individual (EPIs) e medidas adotadas pela UBS na pandemia. Realizou-se regressão de Poisson para determinar razão de prevalências e intervalo de confiança de 95%. Resultados: A redução de atendimentos acima de 50% após o início da pandemia foi relatada por 62,6% dos 958 participantes. Adoção de protocolos de biossegurança (RP=1,04 IC95% 1,01;1,07), disponibilidade de EPI preconizados por novos protocolos (RP=0,94 IC95% 0,89;0,99) e adoção da teletriagem (RP=0,90 IC95% 0,85;0,96) estiveram associados à redução. Conclusão: A disponibilização dos novos EPIs e a implementação da teletriagem nas UBS parecem ter minimizado a redução dos atendimentos odontológicos após o início da pandemia.
RESUMO
Objetivo: Analisar fatores associados à redução de atendimentos odontológicos na Atenção Primária à Saúde, durante pandemia de COVID-19 no Brasil. Métodos: Estudo transversal, com cirurgiões-dentistas das unidades básicas de saúde (UBS). O desfecho foi a redução dos atendimentos odontológicos, e as variáveis de exposição, dados sociodemográficos, disponibilidade de equipamentos de proteção individual (EPIs) e medidas adotadas pela UBS na pandemia. Realizou-se regressão de Poisson para determinar razão de prevalências e intervalo de confiança de 95% (IC95%). Resultados: A redução de atendimentos acima de 50% após o início da pandemia foi relatada por 62,6% dos 958 participantes. Adoção de protocolos de biossegurança (RP = 1,04; IC95% 1,01;1,07), disponibilidade de EPIs preconizados por novos protocolos (RP = 0,94; IC95% 0,89;0,99) e adoção da teletriagem (RP = 0,90; IC95% 0,85;0,96) estiveram associados à redução. Conclusão: A disponibilização dos novos EPIs e a implementação da teletriagem nas UBS parecem ter minimizado a redução dos atendimentos odontológicos após o início da pandemia.
Objetivo: Analizar factores asociados a la reducción de consultas odontológicas en Atención Primaria de Salud en Brasil durante el COVID-19. Métodos: Estudio transversal con cirujanos dentistas de las Unidades Básicas de Salud (UBS). El hecho investigado fue la reducción de consultas odontológicas y las variables de exposición incluyeron factores sociodemográficos, aspectos de los equipos de protección personal (EPPs) y las medidas adoptadas por la UBS tras la aparición del COVID. La regresión de Poisson se utilizó para determinar la razón de prevalencia y el intervalo de confianza del 95% (IC95%). Resultados: El 62,6% de los 958 participantes informó una reducción en la asistencia superior al 50% después del inicio de la pandemia. La adopción de protocolos (RP = 1,04; IC95% 1,01;1,07), disponibilidad de EPPs recomendados por los nuevos protocolos (RP = 0,94; IC95% 0,89;0,99) y la adopción de teletriaje (RP = 0,90; IC95% 0,85;0,96) fueron factores que se asociaron con esta reducción. Conclusión: La disponibilidad del nuevo EPP y la implementación de la teleprotección en las UBS parecen haber minimizado la reducción en la atención bucal después del inicio de la pandemia.
Objective: To analyze factors associated with the reduction of dental care in Primary Health Care, during the COVID-19 pandemic in Brazil. Methods: This was a cross-sectional study conducted with dentists in primary healthcare centers (PHCCs). The reduction of dental care was the outcome, and the exposure variables were sociodemographic data, availability of personal protective equipment (PPE) and measures adopted by PHCCs during the pandemic. Poisson regression was performed to determine the prevalence ratio and 95% confidence interval (95%CI). Results: Of the total of 958 participants, 62.6% reported a reduction of over 50% in dental visits after the beginning of the pandemic. Adoption of biosafety protocols (PR = 1.04; 95%CI 1.01;1.07), availability of PPE recommended by new protocols (PR = 0.94; 95%CI 0.89;0.99) and adoption of tele-screening (PR = 0.90; 95%CI 0.85;0.96) were associated with the reduction. Conclusion: The availability of new types of PPE and implementation of tele-screening in PHCCs seem to have minimized the reduction of dental care after the beginning of the pandemic.
