0333/2018 - Utilização de serviço de saúde bucal no pré-natal na atenção primária à saúde: dados do PMAQ-AB. Prenatal oral health service utilization in primary healthcare: dataPMAQ-AB.
O objetivo foi avaliar a prevalência de utilização de serviço de saúde bucal no pré-natal e seus fatores associados, a partir dos dados dos ciclos I (2011-12) e II (2013-14) do PMAQ-AB. Trata-se de estudo transversal, com população de 4.340 mulheres (ciclo I) e de 6.209 mulheres (ciclo II), com o desfecho de utilização de serviço de saúde bucal no pré-natal. Regressão de Poisson Multinível foi utilizada para obtenção das razões de prevalência (RP). No ciclo I, a prevalência de utilização de serviço de saúde bucal no pré-natal foi de 45,9% e de 51,9%, no ciclo II. No ciclo I, municípios de grande porte (RP = 1,35; IC95% 1,05-1,81), renda entre 1 e 2 salários mínimos (RP = 1,13; IC95% 1,03-1,25), de 31 a 40 anos (RP = 1,33; IC95% 1,15-1,54) e possuir registro de consulta odontológica (RP=1,17; IC95%:1,06-1,29), estiveram associadas ao desfecho. No ciclo II, região Sudeste (RP = 1,18; IC95% 1,03-1,36), alta cobertura de saúde bucal (RP = 1,11; IC95% 1,01-1,22), ter de 31 a 40 anos (RP = 1,22; IC95% 1,09-1,36), equipe em ações de educação permanente (RP = 1,14; IC95% 1,01-1,30) e horário de funcionamento que atenda às necessidades (RP = 1,40; IC95% 1,25-1,57), estiveram associadas ao desfecho. Fatores individuais e fatores relacionados a organização do serviço estão associados à utilização de serviços de saúde bucal durante o pré-natal.
Palavras-chave:
Saúde bucal, Cuidado pré-natal
Abstract:
The aim was to evaluate the prevalence of utilization of prenatal oral health services and its associated factors, through dataCycle I (2011-12) and II (2013-14) of PMAQ-AB. This cross-sectional, multilevel study had data4,340 women (Cycle I) and 6,209 women (Cycle II). The outcome was access to oral health in prenatal care. Poisson Multilevel regression was used to obtain prevalence ratios (PR). Prevalence of the outcome was 45.9% in Cycle I and 51.9% in Cycle II. In both cycles, most were 21-30 years old. The adjusted model of Cycle I data showed association between the outcome and high population municipalities (PR=1.35; 95%CI 1.05-1.81), personal income ranging1 to 2 minimum wages (PR=1,13; 95%CI 1.03-1.25), age ranging31 to 40 years (PR = 1.33; 95%CI 1.15-1.54) and a registry of women’s dental appointments (PR = 1.17; 95%CI 1.06-1.29). In the cycle II, Southeast region (PR = 1.18; 95%CI 1.03-1.36), high coverage of oral healthcare (PR = 1.11; 95%CI 1.01-1.22), age ranging31 to 40 years (PR = 1.22; 95%CI 1.09-1.36), team in continuing education actions (PR=1.14; 95%CI 1.01-1.30) and suitable operation time (PR = 1.40; 95%CI 1.25-1.57), were associated with the outcome. Individual factors and factors related to the organization of health services are associated with pre-natal oral health service utilization.
Prenatal oral health service utilization in primary healthcare: dataPMAQ-AB.
Resumo (abstract):
The aim was to evaluate the prevalence of utilization of prenatal oral health services and its associated factors, through dataCycle I (2011-12) and II (2013-14) of PMAQ-AB. This cross-sectional, multilevel study had data4,340 women (Cycle I) and 6,209 women (Cycle II). The outcome was access to oral health in prenatal care. Poisson Multilevel regression was used to obtain prevalence ratios (PR). Prevalence of the outcome was 45.9% in Cycle I and 51.9% in Cycle II. In both cycles, most were 21-30 years old. The adjusted model of Cycle I data showed association between the outcome and high population municipalities (PR=1.35; 95%CI 1.05-1.81), personal income ranging1 to 2 minimum wages (PR=1,13; 95%CI 1.03-1.25), age ranging31 to 40 years (PR = 1.33; 95%CI 1.15-1.54) and a registry of women’s dental appointments (PR = 1.17; 95%CI 1.06-1.29). In the cycle II, Southeast region (PR = 1.18; 95%CI 1.03-1.36), high coverage of oral healthcare (PR = 1.11; 95%CI 1.01-1.22), age ranging31 to 40 years (PR = 1.22; 95%CI 1.09-1.36), team in continuing education actions (PR=1.14; 95%CI 1.01-1.30) and suitable operation time (PR = 1.40; 95%CI 1.25-1.57), were associated with the outcome. Individual factors and factors related to the organization of health services are associated with pre-natal oral health service utilization.
Gonçalves, K.F, Giordani, JMA, Bidinotto, A.B, Ferla, A. A, Martins, A.B., Hilgert, J.B.. Utilização de serviço de saúde bucal no pré-natal na atenção primária à saúde: dados do PMAQ-AB.. Cien Saude Colet [periódico na internet] (2018/jul). [Citado em 22/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/utilizacao-de-servico-de-saude-bucal-no-prenatal-na-atencao-primaria-a-saude-dados-do-pmaqab/16866?id=16866&id=16866
