2325/2012 - Fatores associados ao uso dos serviços de saúde bucal: estudo de base populacional em municípios do Maranhão, Brasil Factors associated with use of oral health services: a population-based study in municipalities from Maranhão, Brazil
• RAIMUNDO ANTONIO DA SILVA - SILVA, R.A. - UNIVERSIDADE FEDERAL DO MARANHÃO - <dr.rantonio@bol.com.br>
Área Temática:
Saúde Bucal
Resumo:
A universalidade, equidade e integralidade em saúde bucal representam desafios ao SUS. Objetivou-se avaliar a utilização dos serviços de saúde bucal (SSB) e fatores associados nos municípios com mais de 100 mil habitantes do Maranhão. A amostra de base populacional incluiu 1214 crianças e 1059 adultos. Estimaram-se razões de prevalência (RP) por regressão de Poisson hierarquizada, segundo modelo teórico de Andersen. Mais de 91% das crianças e 71,9% dos adultos não utilizaram os SSB nos seis meses anteriores à entrevista. Dos que utilizaram 48,5% foram atendidos no SUS. Procedimentos preventivos foram mais frequentes que os curativos. Em crianças e adultos fatores predisponentes, facilitadores e de necessidade explicaram o uso de SSB. Em crianças, idade >2 anos (RP=5,29), maior escolaridade do chefe da família (RP=2,37) ≥6 consultas pré-natais (RP=1,69) e necessidade de tratamento dentário (RP=9,54) associaram-se ao maior uso dos SSB. Nos adultos, maior uso associou-se à maior escolaridade (RP=2,26), classe econômica A/B (RP=1,38), autopercepção da saúde boa/muito boa (RP=1,72) e necessidade de tratamento (RP=18,25). A utilização dos SSB não é universal, nem equânime e há deficiência na atenção integral, pois serviços de maior complexidade são utilizados por poucos. Menor número de consultas pré-natais parece ser preditor da não utilização dos SSB por crianças.
Palavras-chave:
Utilização
Saúde bucal
Criança
Adulto
Desigualdades em saúde
Abstract:
The universality, equity and integrality in oral health represent challenges to the Brazilian National Health Service (SUS). The objective of the present study was to evaluate the use of oral health services (OHS) and related factors in municipalities with more than 100,000 inhabitants in Maranhão, Brazil. A population-based sample included 1214 children and 1059 adults. We estimated prevalence ratios (PR) by hierarchical Poisson regression, according to Andersen‘s theoretical model. More than 91% of children and 71.9% of adults did not use the OHS in the six months preceding the interview. Of those who used 48.5% were attended in the SUS. Preventive procedures were more frequent than curative ones. In children and adults predisposing, facilitators and needing factors explained the use of OHS. In children, age >2 years (PR=5.29) greater schooling of the household head (PR=2.37), ≥6 antenatal visits (PR=1.69) and dental treatment needs (PR=9.54) were associated with greater use of SSB. In adults, greater use was associated with higher education (PR=2.26), economic class A/B (PR=1.38), self-perceived health as good/very good (PR=1.72) and need for treatment (PR=18.25). The use of OHS is not universal, equal and there is deficiency in the comprehensive care because few use more complex services. Fewer prenatal visits seem to be a predictor of non-use of OHS by children.
Keywords:
Utilization
Oral health
Child
Adult
Health inequalities
Factors associated with use of oral health services: a population-based study in municipalities from Maranhão, Brazil
Resumo (abstract):
The universality, equity and integrality in oral health represent challenges to the Brazilian National Health Service (SUS). The objective of the present study was to evaluate the use of oral health services (OHS) and related factors in municipalities with more than 100,000 inhabitants in Maranhão, Brazil. A population-based sample included 1214 children and 1059 adults. We estimated prevalence ratios (PR) by hierarchical Poisson regression, according to Andersen‘s theoretical model. More than 91% of children and 71.9% of adults did not use the OHS in the six months preceding the interview. Of those who used 48.5% were attended in the SUS. Preventive procedures were more frequent than curative ones. In children and adults predisposing, facilitators and needing factors explained the use of OHS. In children, age >2 years (PR=5.29) greater schooling of the household head (PR=2.37), ≥6 antenatal visits (PR=1.69) and dental treatment needs (PR=9.54) were associated with greater use of SSB. In adults, greater use was associated with higher education (PR=2.26), economic class A/B (PR=1.38), self-perceived health as good/very good (PR=1.72) and need for treatment (PR=18.25). The use of OHS is not universal, equal and there is deficiency in the comprehensive care because few use more complex services. Fewer prenatal visits seem to be a predictor of non-use of OHS by children.
Palavras-chave (keywords):
Utilization
Oral health
Child
Adult
Health inequalities
Gomes, A.M.M., Thomaz, E.B.A.F., Alves, M.T.S.S.B, Silva, A.A.M., SILVA, R.A.. Fatores associados ao uso dos serviços de saúde bucal: estudo de base populacional em municípios do Maranhão, Brasil. Cien Saude Colet [periódico na internet] (2012/nov). [Citado em 24/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/fatores-associados-ao-uso-dos-servicos-de-saude-bucal-estudo-de-base-populacional-em-municipios-do-maranhao-brasil/12013?id=12013&id=12013