Departamento de Odontologia, Universidade Estadual de Ponta Grossa, Ponta Grossa, Brasil.
Cad Saude Publica. 2011;27 Suppl 2:S272-83. doi: 10.1590/s0102-311x2011001400014.
This cross-sectional study aimed to investigate the presence of inequalities in the access and use of dental services for people living in the coverage area of the Family Health Strategy (FHS) in Ponta Grossa, Paraná State, Brazil, and to assess individual determinants related to them. The sample consisted of 747 individuals who answered a pre-tested questionnaire. Data analysis was performed by chi-square test and Poisson regression analysis, obtaining explanatory models for recent use and, by limiting the analysis to those who sought dental care, for effective access. Results showed that 41% of the sample had recent dental visits. The lowest visit rates were observed among preschoolers and elderly people. The subjects who most identified the FHS as a regular source of dental care were children. Besides age, better socioeconomic conditions and the presence of a regular source of dental care were positively associated to recent dental visits. We identified inequalities in use and access to dental care, reinforcing the need to promote incentives to improve access for underserved populations.
本横断面研究旨在调查巴西巴拉那州庞塔格罗萨市家庭健康战略覆盖范围内人群在获得和使用牙科服务方面存在的不平等现象，并评估与之相关的个体决定因素。该样本由 747 名回答了预先测试问卷的个体组成。数据分析采用卡方检验和泊松回归分析，为近期使用建立了解释模型，并通过将分析仅限于寻求牙科护理的个体，建立了有效获得的解释模型。结果显示，该样本中有 41%的个体最近接受过牙科治疗。学龄前儿童和老年人的就诊率最低。将家庭健康战略视为常规牙科护理来源的主要是儿童。除了年龄外，更好的社会经济条件和常规牙科护理来源与近期的牙科就诊呈正相关。我们发现了牙科服务利用和获得方面的不平等现象，这加强了促进激励措施以改善服务不足人群获得服务的必要性。
