Author:

• Carolina Dutra Degli Esposti - Esposti, C.D.D. - XX - <carolinaesposti@gmail.com>
ORCID: https://orcid.org/0000-0001-8102-7771

Co-author(s):

• Edson Theodoro Esposti - Esposti, E.T - <edsontheodoro@uol.com.br>
ORCID: https://orcid.org/0000-0002-7351-7719
• Adauto Oliveira Emmerich - EMMERICH, A.O. - <adautoemmerich@terra.com.br>
ORCID: https://orcid.org/0000-0002-9679-8592
• Claudia Travassos - Travassos, C - <claudia.maria.travassos@gmail.com>
ORCID: http://orcid.org/0000-0002-4789-8511
• Rejane Sobrino Pinheiro - Pinheiro, R.S - <rejanesp07@gmail.com>
ORCID: http://orcid.org/0000-0002-3361-3626

Abstract:

The objective was to analyse social and geographical inequalities in the adequacy of prenatal dental care in the Unified Health System (SUS), of the Greater Vitória Metropolitan Region, Espírito Santo, Brazil. A cross-sectional study was carried out with 1209 puerperal women living in the region, hospitalized at SUS facilities for childbirth between 2010 and 2011. Data were collected about: prenatal medical-dental care; impact of oral health on the quality of life of pregnant women (Oral Health Impact Profile-14); and contextual, predisposing and social characteristics. Prenatal care was adequate when the care provided corresponded to the recommended treatment. The chance of adequacy dental care during prenatal care was analyzed using a multivariate logistic model. There was oral health impacted the quality of live of 102 (8.4%) pregnant women and the dental care during prenatal care was only 15.4%. There was a greater chance of adequacy of prentatal dental care in Vitória (OR=2.44; IC=1.63-3.66), in regions covered by the family health strategy (OR=1.88; IC=1.22-2.89) and in areas with a higher proportion of pregnant women with access to quality prenatal care ((OR=3.59; IC=1.64-7.84). Contextual inequalities were decisive for the inadequacy of dental care in prenatal care.

Keywords:

Equity in access; Quality of health care; Prenatal care; Pregnant women; Dental Care.

Content:

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