Sória Giordano Santana, Nunes Bruno Pereira, Bavaresco Caren Serra, Vieira Luna Strieder, Facchini Luiz Augusto
Universidade Federal de Pelotas, Pelotas, Brasil.
Universidade Luterana do Brasil, Canoas, Brasil.
Cad Saude Publica. 2019 May 2;35(4):e00191718. doi: 10.1590/0102-311X00191718.
This article sought to measure lack of access and use of oral health services by elderly residents of Pelotas, Rio Grande do Sul State, Brazil. This is a cross-sectional population study carried out in 2014, in the city's urban zone, including individuals aged 60 years or more. Sociodemographic and self-reported needs variables were associated with outcomes. We used Poisson regression for the crude and adjusted analyses. We interviewed 1,451 elderly individuals using a structured questionnaire. The prevalence of lack of access in the previous year was of 1.8% (95%CI: 0.7-3.0). Elderly individuals who never had a consultation were 3.1% (95%CI: 2.2-4.0) and the prevalence of use of oral health services in the previous years was 38.3%(95%CI 36.0-41.0). Use in the previous year was positively associated with the following variables: younger age (PR = 1.16), having a partner (PR = 1.28), high educational level (PR = 1.31), mouth or teeth problems (PR = 1.93), need for dental prosthesis (PR = 1.36) and being edentulous (PR = 3.11). Lack of access in the previous year was low. Oral health service use was higher than that observed in other states. Findings seem to reflect the expansion of oral health services in the city, especially in the public network, and are useful for health policy planning.
本文旨在衡量巴西南里奥格兰德州佩洛塔斯市老年居民获得和使用口腔健康服务方面的不足。这是一项于2014年在该市城区开展的横断面人群研究，纳入了60岁及以上的个体。社会人口统计学变量和自我报告的需求变量与研究结果相关。我们使用泊松回归进行粗分析和校正分析。我们采用结构化问卷对1451名老年人进行了访谈。上一年未获得口腔健康服务的患病率为1.8%（95%置信区间：0.7 - 3.0）。从未接受过口腔检查的老年人比例为3.1%（95%置信区间：2.2 - 4.0），前几年口腔健康服务的使用率为38.3%（95%置信区间：36.0 - 41.0）。上一年的使用情况与以下变量呈正相关：年龄较小（患病率比=1.16）、有伴侣（患病率比=1.28）、教育程度高（患病率比=1.31）、口腔或牙齿问题（患病率比=1.93）、需要假牙（患病率比=1.36）以及无牙（患病率比=3.11）。上一年未获得口腔健康服务的比例较低。口腔健康服务的使用率高于其他州的情况。研究结果似乎反映了该市口腔健康服务的扩展，尤其是在公共卫生网络方面，并且对卫生政策规划具有参考价值。
