Barasuol Jéssica Copetti, Garcia Leila Posenato, Freitas Rafaella Coelho, Dalpian Debora Martini, Menezes José Vitor Nogara Borges, Santos Bianca Zimmermann
Centro de Ciências da Saúde, Universidade Federal de Santa Catarina. R. Eng. Agronômico Andrei Cristian Ferreira s/n, Trindade. 88040-900 Florianópolis SC Brasil.
Diretoria de Estudos Setoriais, Instituto de Pesquisa Econômica Aplicada. Brasília DF Brasil.
Cien Saude Colet. 2019 Feb;24(2):649-657. doi: 10.1590/1413-81232018242.03232017.
Wide availability of access to dental services can be considered a predictor of better oral health outcomes in a population. This article aims to compare data from the Brazilian National Household Sample Surveys (PNAD) on dental services utilization among children aged 4 to 12 years. This cross-sectional study was carried out using data from the 1998, 2003, and 2008 National Household Sample Surveys, involving a total of 61.438, 64.659 and 59.561 children, respectively. Ninety-nine percent confidence intervals were considered for the prevalence of each outcome of interest. In 1998, 60.8% (99%CI: 59.4;62.1) of children had been to a dentist; this prevalence was 65.5% (99%CI: 64.4;66.7) in 2003 and 73.8% (99%CI: 72.1;74.2) in 2008. In 1998, 41.2% (99%CI: 39.1;43.3) of children in the lowest household income quartile had been to a dentist; this value was 61.4% (99%CI: 59.5;63.2) in 2008. Among children from families whose head of household had 4 years of formal education or fewer, 49.5% and 63% had been to a dentist in 1998 and 2008, respectively. The lifetime prevalence of dentist attendance among Brazilian children increased between 1998 and 2008, especially among those from low-income families and those whose head of household had a low educational level.
牙科服务的广泛可及性可被视为一个群体口腔健康状况改善的预测指标。本文旨在比较巴西全国住户抽样调查（PNAD）中4至12岁儿童牙科服务利用情况的数据。这项横断面研究使用了1998年、2003年和2008年全国住户抽样调查的数据，分别涉及61438名、64659名和59561名儿童。对每个感兴趣的结果的患病率考虑了99%的置信区间。1998年，60.8%（99%CI：59.4；62.1）的儿童看过牙医；2003年这一患病率为65.5%（99%CI：64.4；66.7），2008年为73.8%（99%CI：72.1；74.2）。1998年，家庭收入最低四分位数的儿童中有41.2%（99%CI：39.1；43.3）看过牙医；2008年这一数值为61.4%（99%CI：59.5；63.2）。在户主接受过4年或更少正规教育的家庭的儿童中，1998年和2008年分别有49.5%和63%看过牙医。1998年至2008年期间，巴西儿童看牙医的终生患病率有所上升，尤其是在低收入家庭儿童和户主教育水平较低的儿童中。
