Peres Marco A, Iser Betine Pinto Moehlecke, Boing Antonio Fernando, Yokota Renata Tiene de Carvalho, Malta Deborah Carvalho, Peres Karen Glazer
Programa de Pós-graduação em Saúde Coletiva, Universidade Federal de Santa Catarina, Florianópolis, Brazil.
Cad Saude Publica. 2012;28 Suppl:s90-s100. doi: 10.1590/s0102-311x2012001300010.
This study aimed to evaluate access to and utilization of various types of dental services by individuals 18 years or older in Brazil's State capitals. We gathered data from the Telephone Survey Surveillance System for Risk and Protective Factors for Chronic Diseases (VIGITEL) in 2009 (n = 54,367). More than half of the target population reported the need for dental treatment in the previous year; of these, 15.2% lacked access to dental services when needed. The private sector provided 61.1% of all dental appointments. The share of services provided by the Unified National Health System (SUS) ranged from 6.2% in the Federal District to 35.2% in Boa Vista, in the North. Multivariate Poisson regression models showed higher prevalence of dental treatment needs among women, middle-aged adults, and individuals with more schooling. Lack of access to dental care was more frequent among women, young adults, less educated individuals, and among lightener-skinned blacks. Our findings highlight sharp inequalities in the use of and access to dental services in the Brazilian State capitals.
本研究旨在评估巴西各首府城市18岁及以上人群获得和利用各类牙科服务的情况。我们从2009年慢性病风险和保护因素电话调查监测系统（VIGITEL）收集了数据（n = 54,367）。超过一半的目标人群报告在前一年需要牙科治疗；其中，15.2%的人在需要时无法获得牙科服务。私营部门提供了所有牙科预约的61.1%。国家统一卫生系统（SUS）提供的服务份额从联邦区的6.2%到北部博阿维斯塔的35.2%不等。多变量泊松回归模型显示，女性、中年成年人以及受教育程度较高的人群中牙科治疗需求的患病率更高。女性、年轻人、受教育程度较低的人群以及肤色较浅的黑人中，无法获得牙科护理的情况更为常见。我们的研究结果凸显了巴西各首府城市在牙科服务利用和获取方面的严重不平等。
