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[巴西有牙和无牙老年人对牙科服务的不满:一项多层次分析]

[Dissatisfaction with dental services among dentate and edentulous elderly Brazilians: a multilevel analysis].

作者信息

Souza João Gabriel Silva, Oliveira Bárbara Emanoele Costa, Lima Carolina Veloso, Sampaio Aline Araujo, Noronha Mayara Dos Santos, Oliveira Renata Francine, Ferreira Efigênia Ferreira E, Martins Andrea Maria Eleutério de Barros Lima

机构信息

Faculdade de Odontologia de Piracicaba, Universidade Estadual de Campinas. Av. Limeira 901, Areião. 13414-903 Piracicaba SP Brasil.

Faculdade de Odontologia, Universidade Federal de Minas Gerais. Belo Horizonte MG Brasil.

出版信息

Cien Saude Colet. 2019 Jan;24(1):147-158. doi: 10.1590/1413-81232018241.12202017.

DOI:10.1590/1413-81232018241.12202017
PMID:30698249
Abstract

The scope of this study was to evaluate dissatisfaction with dental services among dentate and edentulous elderly Brazilians and its association with contextual and individual variables. The data from the National Oral Health Survey conducted in 2010 and contextual variables related to cities were used. Descriptive, bivariate and multilevel analysis was conducted among 1,989 elderly individuals. Of these, 11.2% of dentate and 22.1% of edentulous elderly people were dissatisfied. Among the dentate individuals, dissatisfaction was associated with contextual variables (location of municipality, human development index, GINI Index, the presence of Dental Specialty Centers and the coverage of oral health in public service) and persons related to health care and oral health conditions. For the edentulous individuals, no associated contextual variables were identified. Only the motive for the use of the service and satisfaction with teeth and mouth were associated with dissatisfaction with dental services. A considerable prevalence of dissatisfaction with the services was identified, being higher among edentulous elderly Brazilians. Among dentate elderly Brazilians, an association with contextual variables was detected.

摘要

本研究的范围是评估有牙和无牙的巴西老年人对牙科服务的不满情况及其与背景和个体变量的关联。使用了2010年全国口腔健康调查的数据以及与城市相关的背景变量。对1989名老年人进行了描述性、双变量和多水平分析。其中,11.2%的有牙老年人和22.1%的无牙老年人表示不满。在有牙个体中,不满与背景变量(城市位置、人类发展指数、基尼系数、牙科专科中心的存在以及公共服务中的口腔健康覆盖范围)以及与医疗保健和口腔健康状况相关的人员有关。对于无牙个体,未发现相关的背景变量。只有服务使用动机以及对牙齿和口腔的满意度与对牙科服务的不满有关。确定了对服务不满的相当高的患病率,在无牙的巴西老年人中更高。在有牙的巴西老年人中,检测到与背景变量有关联。

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