0119/2017 - Acesso à saúde bucal na primeira infância no município de porto alegre, Brasil. Access to oral health in early childhood in the city of porto alegre, Brazil.
• Katherine de Andrade Kindlein - Kindlein, Katherine de Andrade - Faculdade de Odontologia da UFRGS - <katherine.kindlein@gmail.com>
• Juliana Balbinot Hilgert - Hilgert, Juliana Balbinot - Universidade Federal do Rio Grande do Sul, Programa de Pós-Graduação em Epidemiologia - <jhilgert@gmail.com>
• Márcia Cançado Figueiredo - FIGUEIREDO, M.C - Faculdade de Odontologia da UFRGS - <mcf1958@gmail.com>
• Daniel Demétrio Faustino-Silva - Faustino-Silva, Daniel Demétrio - Universidade Federal do Rio Grande do Sul, Programa de Pós-graduação em Odontologia - <ddemetrio@gmail.com>
Área Temática:
Saúde Bucal
Resumo:
O objetivo foi avaliar o acesso e fatores associados à consulta odontológica em crianças de até 5 anos no município de Porto Alegre, Brasil. Estudo transversal realizado em 10 Unidades Básicas de Saúde, através de questionário e exame clínico em 560 crianças. Foram avaliadas variáveis clínicas (placa visível, sangramento gengival e ceo-s), sociodemográficas, e de acesso à consulta. Regressão de Poisson foi utilizada para cálculo de Razões de Prevalência (RP), com intervalo de confiança de 95%. Os resultados mostraram que 68,2% das crianças nunca haviam ido ao dentista. O principal motivo relatado para a não realização de consulta odontológica foi não ter sentido necessidade (48,7%) e dificuldade de acesso ao posto de saúde (15,8%). A procura pelo dentista teve como propósito a prevenção/revisão (55,8%) e os locais mais procurados para consultas foi o consultório particular (43,9%) e o posto de saúde (39,5%). O modelo multivariado final mostrou que a idade da criança (IC95%, RP=1,03 (1,02-1,05)), a renda familiar (RP=1,05; (1,01-1,08)) e a mãe ter concluído o ensino médio (RP=1,69 (1,15-2,56)) estiveram associados com a procura por consulta odontológica. Assim, torna-se fundamental reconhecer a importância do contexto familiar durante os primeiros anos de vida.
Palavras-chave:
Serviços de Saúde BucalAssistência Odontológica para CriançasAcesso aos Serviços de Saúde
Abstract:
The goal was to evaluate access and factors associated to dental consultations among children aged up to 5 years old in the city of Porto Alegre, Brazil. A cross-sectional study was conducted at 10 Basic Health Units using a questionnaire and clinical examination in 560 children. Assessments were made of clinical variables (visible plaque, gingival bleeding and dmfs), social demographics and access to consultations. Poisson Regression was used to calculate the Prevalence Ratios (PR), with a confidence interval of 95%. Results show that 68.2% of children had never visited a dentist. The main reason stated for not attending dental consultations was a sense of being unnecessary (48.7%) and difficulty in access to public health centers (15.8%). The reason for attending consultations was for prevention/check-ups (55.8%) and the locations most often cited were private dental practices (43.9%) and basic health units (39.5%). In the final multivariate model, the age of the child (CI95%, PR=1.03 (1.02-1.05)), family income (PR=1.05; (1.01-1.08)) and the mother’s completion of secondary education (RP=1.69 (1.15-2.56)) were associated with seeking consultations. Thus, it is fundamental to recognize the importance of the family context during the early stage of life.
Keywords:
Dental Health ServicesDental Care for Children.Health Services Accessibility
Access to oral health in early childhood in the city of porto alegre, Brazil.
Resumo (abstract):
The goal was to evaluate access and factors associated to dental consultations among children aged up to 5 years old in the city of Porto Alegre, Brazil. A cross-sectional study was conducted at 10 Basic Health Units using a questionnaire and clinical examination in 560 children. Assessments were made of clinical variables (visible plaque, gingival bleeding and dmfs), social demographics and access to consultations. Poisson Regression was used to calculate the Prevalence Ratios (PR), with a confidence interval of 95%. Results show that 68.2% of children had never visited a dentist. The main reason stated for not attending dental consultations was a sense of being unnecessary (48.7%) and difficulty in access to public health centers (15.8%). The reason for attending consultations was for prevention/check-ups (55.8%) and the locations most often cited were private dental practices (43.9%) and basic health units (39.5%). In the final multivariate model, the age of the child (CI95%, PR=1.03 (1.02-1.05)), family income (PR=1.05; (1.01-1.08)) and the mother’s completion of secondary education (RP=1.69 (1.15-2.56)) were associated with seeking consultations. Thus, it is fundamental to recognize the importance of the family context during the early stage of life.
Palavras-chave (keywords):
Dental Health ServicesDental Care for Children.Health Services Accessibility
Comassetto, Marcela Obst, Baumgarten, A., Kindlein, Katherine de Andrade, Hilgert, Juliana Balbinot, FIGUEIREDO, M.C, Faustino-Silva, Daniel Demétrio. Acesso à saúde bucal na primeira infância no município de porto alegre, Brasil.. Cien Saude Colet [periódico na internet] (2017/mar). [Citado em 23/02/2025].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/acesso-a-saude-bucal-na-primeira-infancia-no-municipio-de-porto-alegre-brasil/16165?id=16165
