Manhães Antonio Luís Dias, Costa Antonio José Leal
Núcleo de Estudos de Saúde Coletiva, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brasil.
Cad Saude Publica. 2008 Jan;24(1):207-18. doi: 10.1590/s0102-311x2008000100021.
This study focused on access to and utilization of dental services in the State of Rio de Janeiro, Brazil, based on data from the 1998 National Household Sample Survey. The study population included 7,756 individuals, stratified by age (15 to 19, 35 to 44, and 65 to 74 years). Measurement of access to dental services was based on answers to the question regarding the last visit to a dentist. The answer "never visited a dentist" was interpreted as lack of access and was analyzed according to demographic, socioeconomic, and epidemiological variables. The proportions of individuals who had never visited a dentist were 7.6%, 1.8%, e 2.6%, respectively for young people, young adults, and the elderly. The results suggest that low socioeconomic status was associated with lack of access to dental services, characterized by low schooling (youth and young adults), low per capita income (youth and the elderly), and family wealth as measured by number of home appliances. Health insurance coverage was inversely associated with lack of access among youth and young adults.
本研究基于1998年全国家庭抽样调查的数据,聚焦于巴西里约热内卢州的牙科服务可及性与利用情况。研究人群包括7756人,按年龄分层(15至19岁、35至44岁以及65至74岁)。牙科服务可及性的衡量基于关于上次看牙医情况问题的回答。“从未看过牙医”这一回答被解释为缺乏可及性,并根据人口统计学、社会经济和流行病学变量进行分析。年轻人、青年人和老年人中从未看过牙医的比例分别为7.6%、1.8%和2.6%。结果表明,社会经济地位低下与缺乏牙科服务可及性相关,其特征为受教育程度低(年轻人和青年成年人)、人均收入低(年轻人和老年人)以及以家电数量衡量的家庭财富少。医疗保险覆盖情况与年轻人和青年成年人中缺乏可及性呈负相关。