Dissertação
Tendência e fatores associados na utilização de serviços odontológicos em pré-escolares brasileiros
Fecha
2015-08-17Registro en:
AGOSTINI, Bernardo Antonio. TRENDS AND FACTORS INFLUENCING USE OF ORAL HEALTH SERVICES
AMONG BRAZILIAN PRE-SCHOOL CHILDREN. 2015. 91 f. Dissertação (Mestrado em Odontologia) - Universidade Federal de Santa Maria, Santa Maria, 2015.
Autor
Agostini, Bernardo Antonio
Institución
Resumen
The use of dental care services has been associated with contextual factors
and time-related variations. However, there is a lack of studies assessing the
association between contextual variables and the use of dental care services as well
as the trends of oral health care utilization in preeschoolers. This dissertation aimed
to assess the association between individual and contextual socioeconomic factors
with the use of dental health services in Brazilian preschool children. As well, assess
the trend in the use of dental health care, type of service and reasons for dental care
utilization considering time-related variations of age, period and cohort ( Age-Period-
Cohort effect ). A representative sample of 1,765 preschool children from Santa
Maria-RS, Brazil, was collected from 3 oral health surveys performed in 2008, 2010
and 2013. Data from these surveys were used to assess the trend in the use of
dental health services among preschool children considering the influence of Age-
Period-Cohort effect. A total of 639 participants from the second period of data
collection (2010) were used to assess the influence of contextual factors in the use of
dental care. Contextual social determinants included the presence of worker s
associations and the number of dentists in thethe neighborhood in which the child
was living. Data analysis used multilevel Poisson regression models to assess the
association between predictors and the outcomes in both studies. The chi-square for
trends was also used to assess the the prevalence of each outcome considering
time-related changes. Presence of wokers association in the neighborhood favors
preschool children to use dental health services. Children who lived in a
neighborhood with workers association visited the dentist 65% more than their
counterparts. There is a time-related vartion (Age-Period-Cohort effect) in the useof
dental health services along the years of study; age influenced straightly the dental
visits prevalence, and period and cohort effects influenced significantly the type of
service used and the reasons for dental seek. There is a significant association
between individual and contextual social determinants and the use of dental care
services in preschool children. The study also found a significant age-period-cohort
effect in the use of dental care service which may be considered when planning
public health strategies that facilitate dental acess for this population.