Silveira Antonio Dercy, Moysés Samuel Jorge, Kusma Solena Ziemer, Moysés Simone Tetu
Pontifícia Universidade Católica do Paraná - Curitiba (PR), Brasil.
Rev Bras Epidemiol. 2016 Oct-Dec;19(4):851-865. doi: 10.1590/1980-5497201600040014.
: To evaluate the potential effectiveness of strategies of Oral Health Promotion (OHP), which are carried out by teams in primary health care (PHC) in Brazilian capitals and regions.
: A sample of 1,848 dentists were interviewed (1,819 valid responses) working in the PHC of 26 capitals and the Federal District. The Effectiveness of the Assessment Tool for the Promotion of Oral Health Strategies was used. It is composed of 23 indicators grouped into three dimensions: oral health, health public policies, and human and social development. The answers were arranged in a Likert scale (1-5), and the final score obtained for each sample unit can range from 23 to 115. Higher score values indicate greater potential for the strategy to promote oral health.
: Statistically significant differences were identified among the analyzed geopopulation units considering the study object. The Southeast and South regions had better performance for the OHP strategies in comparison to the other regions of Brazil (p ≤ 0.01).
: The OHP strategies identified in the study were heterogeneous, with better results favoring the Southeast regions, with disadvantages for people living in capitals from the Central-North-Northeast of Brazil. Efforts should be undertaken aiming to qualify the PHC teams, especially for those in disadvantageous regions. Therefore, an alignment of PSB strategies to the principles and values of health promotion is required, addressed to the social health determinants (SHDs) and in order to fight the inequalities in oral health.
评估巴西各首府及地区初级卫生保健（PHC）团队实施的口腔健康促进（OHP）策略的潜在效果。
对在26个首府和联邦区的初级卫生保健机构工作的1848名牙医进行了访谈（获得1819份有效回复）。使用了口腔健康促进策略评估工具的有效性评估方法。该方法由23项指标组成，分为三个维度：口腔健康、卫生公共政策以及人类和社会发展。答案采用李克特量表（1 - 5）进行排列，每个样本单位获得的最终分数范围为23至115分。分数值越高表明该策略促进口腔健康的潜力越大。
考虑到研究对象，在所分析的地理人口单位之间发现了统计学上的显著差异。与巴西其他地区相比，东南部和南部地区的OHP策略表现更好（p≤0.01）。
本研究中确定的OHP策略存在异质性，东南部地区的结果更好，而巴西中北部 - 东北部首府的居民处于劣势。应努力提升初级卫生保健团队的素质，特别是针对那些处于不利地区的团队。因此，需要使初级卫生保健策略与健康促进的原则和价值观保持一致，关注社会健康决定因素（SHDs），以消除口腔健康方面的不平等现象。
