0270/2018 - Fatores associados ao uso de serviços odontológicos públicos por adultos no estado de São Paulo, Brasil, 2016. Factors associated with the use of dental public services for adults in the state of São Paulo, Brazil, 2016.
Objetivo: Analisar os fatores associados ao uso dos serviços odontológicos públicos por adultos. Metodologia: Estudo transversal com amostra representativa de adultos de 35 a 44 anos, com dados do Levantamento Epidemiológico das Condições de Saúde Bucal da População do Estado de São Paulo (SBSP-2015). Utilizou-se análise de regressão logística multivariada, baseada em modelo proposto por Andersen para predizer o acesso aos serviços odontológicos públicos. Resultados: 3.421 (59,9%) adultos visitaram o serviço privado e 2.288 (40,1%) o público. Os serviços odontológicos públicos foram mais acessados por mulheres (41,8%) e menos escolarizados (50,2%). Indivíduos não brancos (OR=1,32; IC95%:1,16;1,50), menor renda familiar (OR=2,37; IC95%:2,11;2,65), histórico de dor de dente (OR=1,60; IC95%:1,39;1,83) e necessidade de tratamento endodôntico (OR=1,44; IC95%:1,12;1,85) foram associados ao uso dos serviços odontológicos públicos. Conclusão: Fatores contextuais, individuais e necessidade de tratamento foram associados à utilização dos serviços odontológicos públicos por adultos residentes no estado de São Paulo em 2015.
Palavras-chave:
Adulto; Acesso aos serviços de saúde; Saúde bucal; Estudos transversais
Abstract:
Aim: To analyze the factors associated with the use of public dental care by adults. Methodology: Cross-sectional study with a representative sample of adults aged 35 to 44 years, with datathe Oral Health Conditions Epidemiological Survey of the Population of the State of São Paulo (SBSP-2015). We used multivariate logistic regression analysis, based on a model proposed by Andersen to predict access to public dental services. Results: 3.421 (59.9%) adults visited the fee for service and 2.288 (40.1%) the public health insurance. Public dental services were more accessed by women (41.8%) and less educated (50.2%). Non-white individuals (OR = 1.32, 95% CI: 1.16, 1.50), lower family income (OR = 2.37, 95% CI: 2.11, 2.65), toothache OR = 1.60, IC95%: 1.39, 1.83) and need for endodontic treatment (OR = 1.44, 95% CI: 1.12, 1.85) were associated with the use of public dental services. Conclusion: Contextual, individual and need for treatment factors were associated with the use of public dental care by adults living in São Paulo state in 2015.
Keywords:
Adult; Access to health services; Oral health; Cross-sectional studies.
Factors associated with the use of dental public services for adults in the state of São Paulo, Brazil, 2016.
Resumo (abstract):
Aim: To analyze the factors associated with the use of public dental care by adults. Methodology: Cross-sectional study with a representative sample of adults aged 35 to 44 years, with datathe Oral Health Conditions Epidemiological Survey of the Population of the State of São Paulo (SBSP-2015). We used multivariate logistic regression analysis, based on a model proposed by Andersen to predict access to public dental services. Results: 3.421 (59.9%) adults visited the fee for service and 2.288 (40.1%) the public health insurance. Public dental services were more accessed by women (41.8%) and less educated (50.2%). Non-white individuals (OR = 1.32, 95% CI: 1.16, 1.50), lower family income (OR = 2.37, 95% CI: 2.11, 2.65), toothache OR = 1.60, IC95%: 1.39, 1.83) and need for endodontic treatment (OR = 1.44, 95% CI: 1.12, 1.85) were associated with the use of public dental services. Conclusion: Contextual, individual and need for treatment factors were associated with the use of public dental care by adults living in São Paulo state in 2015.
Palavras-chave (keywords):
Adult; Access to health services; Oral health; Cross-sectional studies.
Fonseca, SGO, fonseca EP, Meneghim, M.C.. Fatores associados ao uso de serviços odontológicos públicos por adultos no estado de São Paulo, Brasil, 2016.. Cien Saude Colet [periódico na internet] (2018/jun). [Citado em 03/01/2025].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/fatores-associados-ao-uso-de-servicos-odontologicos-publicos-por-adultos-no-estado-de-sao-paulo-brasil-2016/16803?id=16803&id=16803
