0287/2015 - Impacto das equipes de saúde bucal da Estratégia da Saúde da Família na saúde bucal de adolescentes do Sul do Brasil Impact of Oral Health Teams of the Family Health Strategy in Oral Health of Adolescents in South Brazil.
• Helenita Ely - Ely, Helenita - Porto Alegre, RS - Pontifical Catholic University -PUCRS, Faculty of Dentistry - Department of Preventive Dentistry - <helenitaely@hotmail.com>
• Marcos Pascoal Pattussi - Pattussi, Marcos Pascoal - Porto Alegre, RS - Unisinos, Programa de Pós-graduação em Saúde Coletiva - <mppattussi@unisinos.br> +
Área Temática:
Saúde Bucal
Resumo:
A Estratégia da Saúde da Família (ESF) tem demostrado resultados efetivos em indicadores de saúde. Neste estudo transversal, foi avaliado o impacto das equipes de saúde bucal (ESB) da ESF na saúde bucal de 2581 adolescentes escolares, com idade de 12 e 15-19 anos de 36 municípios, 19 com e 17 sem ESB/ESF. Quatro dentistas realizaram exames bucais. Situação socioeconômica, uso e acesso aos serviços de saúde foram coletados em questionário estruturado. Presença das ESB na ESF foi a principal variável independente. Os desfechos foram CPOD e seus componentes, dor de dente, sangramento gengival e cálculo dentário. Os dados foram analisados pelas médias das regressões binomiais negativas e Poisson. O efeito da ESB/ESF e de variáveis individuais foi ajustado em modelo multinível. No modelo bruto não houve associação das ESB na ESF com nenhum dos desfechos analisados. Após o ajuste, jovens de áreas não cobertas pela ESB/ESF tiveram quase a metade da perda de dentes dos adolescentes das áreas cobertas (RM=0,64 IC95%; 0,43-0,94).
Palavras-chave:
Saúde Bucal
Estratégia de Saúde da Família
Adolescentes
Abstract:
The Family Health Strategy (FHS) has been shown effective results in health indicators. In this cross-sectional study, the impact of oral health teams (ESB) of the Family Health Strategy was evaluated. The impact of oral health teams (OHT) of the FHS on oral health of 2581 adolescents aged 12 and 15-19 years in 36 municipalities (19 with and 17 without OHT/ FHS) was evaluated. Four dentists performed oral examinations. Socioeconomic status, use and access to health services were collected through structured questionnaire. Presence of OHT in the FHS were the main independent variables. Outcomes were DMFT and its components, toothache, gingival bleeding, and dental calculus. Data analyses were done by means of negative binomial and Poisson regression. Multilevel analysis was done to adjust the outcomes to OHT/FHS and individual variables. Unadjusted analyses showed no association between OHT and the outcomes. After adjustment, young people of not covered areas by the ESB/ESF had almost half of tooth loss of adolescents of coverage areas (RM=0.64 CI 95%, 0.43 to 0.94).
Impact of Oral Health Teams of the Family Health Strategy in Oral Health of Adolescents in South Brazil.
Resumo (abstract):
The Family Health Strategy (FHS) has been shown effective results in health indicators. In this cross-sectional study, the impact of oral health teams (ESB) of the Family Health Strategy was evaluated. The impact of oral health teams (OHT) of the FHS on oral health of 2581 adolescents aged 12 and 15-19 years in 36 municipalities (19 with and 17 without OHT/ FHS) was evaluated. Four dentists performed oral examinations. Socioeconomic status, use and access to health services were collected through structured questionnaire. Presence of OHT in the FHS were the main independent variables. Outcomes were DMFT and its components, toothache, gingival bleeding, and dental calculus. Data analyses were done by means of negative binomial and Poisson regression. Multilevel analysis was done to adjust the outcomes to OHT/FHS and individual variables. Unadjusted analyses showed no association between OHT and the outcomes. After adjustment, young people of not covered areas by the ESB/ESF had almost half of tooth loss of adolescents of coverage areas (RM=0.64 CI 95%, 0.43 to 0.94).
Ely, Helenita, Abegg, C., Celeste, R.K., Pattussi, Marcos Pascoal. Impacto das equipes de saúde bucal da Estratégia da Saúde da Família na saúde bucal de adolescentes do Sul do Brasil. Cien Saude Colet [periódico na internet] (2015/nov). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/impacto-das-equipes-de-saude-bucal-da-estrategia-da-saude-da-familia-na-saude-bucal-de-adolescentes-do-sul-do-brasil/15360?id=15360
