doctoralThesis
Utilização de serviços odontológicos no Brasil
Fecha
2022-05-27Registro en:
GALVÃO, Maria Helena Rodrigues. Utilização de serviços odontológicos no Brasil. 2022. 154f. Tese (Doutorado em Saúde Coletiva) - Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Natal, 2022.
Autor
Galvão, Maria Helena Rodrigues
Resumen
The present study aimed to analyze dental services utilization in Brazil. This is a
quantitative, observational, cross-sectional, analytical study. Individual data from the National
Health Surveys developed in 2013 and 2019. Data were analyzed by adjusting the sample
weights resulting from complex samples. For each study, multivariate analysis techniques
addressed the study's objectives. The results will be discussed in three scientific papers accepted
for publication in journals and one article in the process of being finalized. It was noticed that
the population subgroups comprising Blacks and those residing in the North or Northeast, with
lower social class and education, had a greater chance of having a last dental appointment more
than two years and never having been to the dentist. In addition, this population stratum also
had a greater chance of undergoing surgical or emergency dental procedures in the last dental
appointment. The outcome never had a dental appointment was significantly associated with
illiterate, males, without private dental insurance, self-rated oral health as bad or very bad,
household not enrolled in primary care teams, household in a rural area, high household
crowding, and low household income per capita. The highest prevalence of public dental service
utilization on an individual level was observed among unable to read or write people,
indigenous, black or brown, with lower per capita household income, living in the rural area,
and who self-rated oral health as regular or very bad/bad. On the contextual level, highest public
dental service utilization was observed among those living in federal units with increased oral
health coverage in primary health care. In general, we observe inequalities in dental services
utilization in Brazil. This scenario occurs when social characteristics and facilitating aspects
determine who uses the services, to the detriment of the need to use them. Despite this, we
observed an important effect resulting from the provision of dental services in primary care as
a mitigating factor for such inequalities, demonstrating a positive effect of the strategies adopted
in the National Oral Health Policy.