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[获得牙科服务及相关因素:一项基于家庭的人群研究]

[Access to dental services and related factors: a home-based population study].

作者信息

Carreiro Danilo Lima, Souza João Gabriel Silva, Coutinho Wagner Luiz Mineiro, Haikal Desirée Sant'ana, Martins Andréa Maria Eleutério de Barros Lima

机构信息

Departamento de Odontologia, Universidade Estadual de Montes Claros. Av. Rui Braga s/n, Vila Mauricéia. 39401-089 Montes Claros MG Brasil.

Faculdade de Odontologia de Piracicaba, Universidade Estadual de Campinas. Campinas SP Brasil.

出版信息

Cien Saude Colet. 2019 Mar;24(3):1021-1032. doi: 10.1590/1413-81232018243.04272017.

Abstract

The scope of this study was to identify factors associated with lack of access to dental services. It involved a cross-sectional study and a probabilistic complex sample by conglomerates in two stages with 857 participants over 18 years of age in a large city. Multiple analyses by means of logistic and multivariate regression in decision trees were made. The lack of access to dental services was considered a dependent variable. It was identified that 10.3% did not have access. In the multiple and multivariate analyses an association with age was verified and in the logistic regression a greater possibility of lack of access was found for each year of increased age, among those with the lowest per capita income and those who ranked appearance of teeth and gums as "fair/poor/very poor." The lack of access to dental services was greater among the most socially vulnerable. There is a pressing need to increase the allocation of public resources to promote health education and provide knowledge about how to access services when they are needed, focusing on dental care as a human right and ensuring that lack of access does not occur as users get older or among those with low income and also those dissatisfied with their oral appearance.

摘要

本研究的范围是确定与无法获得牙科服务相关的因素。它涉及一项横断面研究以及在一个大城市中对857名18岁以上参与者分两个阶段进行的集群概率复杂抽样。通过决策树中的逻辑回归和多变量回归进行了多项分析。无法获得牙科服务被视为因变量。经查明,10.3%的人无法获得服务。在多变量分析中证实了与年龄的关联,在逻辑回归中发现,在人均收入最低以及将牙齿和牙龈外观评为“一般/差/非常差”的人群中,年龄每增加一岁,无法获得服务的可能性就更大。在社会最弱势群体中,无法获得牙科服务的情况更为严重。迫切需要增加公共资源分配,以促进健康教育,并提供关于在需要时如何获得服务的知识,将牙科护理作为一项人权加以关注,并确保随着使用者年龄增长、在低收入人群以及对自己口腔外观不满意的人群中不会出现无法获得服务的情况。

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