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巴西的口腔健康政策及其对健康不平等的影响。

Dental health policies in Brazil and their impact on health inequalities.

机构信息

Escola de Artes, Ciências e Humanidades, Universidade de São Paulo, São Paulo, SP, Brasil.

出版信息

Rev Saude Publica. 2010 Apr;44(2):360-5. doi: 10.1590/s0034-89102010005000002.

Abstract

This text systematizes available knowledge about the main dental health policies in Brazil in regards to their current degree of implementation and their impact on health inequalities. Although the fluoridation of publicly distributed water is legally mandated in Brazil, its implementation has been subject to marked regional inequalities. Data are presented about the extent of implementation for the intervention, and studies are reviewed that evaluate the intervention's impact upon increasing inequality in the experience of dental caries. The provision of public dental services, which expanded considerably after the implementation of the National Unified Health Care System, is also discussed in relation to service provision and its impact on reducing inequality in access to dental treatment. The discussion of the differential effect of these interventions allowed for the proposal of targeted strategies (directing fluoridation to areas of greater need), aiming to reduce inequalities in the experience of dental caries in Brazil.

摘要

这段文本系统地梳理了关于巴西主要牙科卫生政策的现有知识,涉及这些政策在当前的实施程度及其对健康不平等的影响。尽管巴西的法律要求在公共供水系统中添加氟化物,但这一措施的实施存在明显的地区差异。本文提供了有关该干预措施实施程度的数据,并回顾了评估该干预措施对增加龋齿经历不平等影响的研究。本文还讨论了在国家统一医疗保健系统实施后大幅扩大的公共牙科服务的提供情况,以及服务提供对减少牙科治疗机会不平等的影响。对这些干预措施的差异效应的讨论提出了有针对性的策略(将氟化物供应到更有需要的地区),旨在减少巴西龋齿经历的不平等现象。

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