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[牙科服务的使用及相关因素:巴西南部一项基于人群的研究]

[Use of dental services and associated factors: a population-based study in southern Brazil].

作者信息

Araújo Camila Silveira de, Lima Rosângela da Costa, Peres Marco Aurélio, Barros Aluísio J D

机构信息

Programa de Pós-graduação em Epidemiologia, Universidade Federal de Pelotas, Pelotas, Brasil.

出版信息

Cad Saude Publica. 2009 May;25(5):1063-72. doi: 10.1590/s0102-311x2009000500013.

Abstract

The aim of this study was to estimate patterns of dental services use in a medium-sized city in southern Brazil. A population-based cross-sectional study was conducted in a sample of 4,226 individuals aged 10 years and older. Poisson regression analysis was used to identify associated factors; 50.9% (95%CI: 49.3-52.4) of the sample had consulted a dentist in the previous year. Dental care attendance rates among adolescents, adults, and elders were 52.2%, 53.6%, and 37.2%, respectively. After adjusting for various confounders, the most important determinants of dental services use were: schooling >or= 9 years, high socioeconomic status, and self-reported oral health problems. In addition, adolescents and adults that rated their oral health as good showed 10% and 40% higher prevalence dental services use, respectively, when compared with those who rated their oral health as bad. Determining the prevalence of dental services use and users' characteristics can help policymakers plan future measures to make dental care available to population groups with low rates of dental services use.

摘要

本研究的目的是评估巴西南部一个中等城市的牙科服务使用模式。对4226名10岁及以上个体的样本进行了一项基于人群的横断面研究。采用泊松回归分析来确定相关因素;样本中有50.9%(95%置信区间:49.3 - 52.4)的人在前一年咨询过牙医。青少年、成年人和老年人的牙科护理就诊率分别为52.2%、53.6%和37.2%。在对各种混杂因素进行调整后,牙科服务使用的最重要决定因素是:受教育年限≥9年、高社会经济地位以及自我报告的口腔健康问题。此外,与那些认为自己口腔健康状况差的青少年和成年人相比,认为自己口腔健康状况良好的青少年和成年人的牙科服务使用率分别高出10%和40%。确定牙科服务使用的患病率和使用者特征有助于政策制定者规划未来措施,以便为牙科服务使用率低的人群提供牙科护理。

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