Gonçalves Katiéli Fagundes, Giordani Jessye Melgarejo do Amaral, Bidinotto Augusto Bacelo, Ferla Alcindo Antônio, Martins Aline Blaya, Hilgert Juliana Balbinot
Programa de Pós-Graduação em Odontologia, Universidade Federal do Rio Grande do Sul. R. Ramiro Barcelos 2492, Rio Branco. 90035-003, Porto Alegre, RS, Brasil.
Programa de Pós-Graduação em Ciências Odontológicas, Universidade Federal de Santa Maria. Santa Maria, RS, Brasil.
Cien Saude Colet. 2020 Feb;25(2):519-532. doi: 10.1590/1413-81232020252.05342018. Epub 2018 Jun 24.
The aim was to evaluate the prevalence of utilization of prenatal oral health services and its associated factors, through data from Cycle I (2011-12) and II (2013-14) of PMAQ-AB. This was cross-sectional study with 4,340 women (Cycle I) and 6,209 women (Cycle II), with outcome of utilization oral health service in prenatal care. Multilevel Poisson regression was used for obtain prevalence ratios (PR). In Cycle I, the prevalence of prenatal oral health service utilization was 45.9% and 51.9% in cycle II. In cycle I, large municipalities (PR = 1.35; 95%CI 1.05-1.81), income ranging from 1 to 2 minimum wages (PR = 1.13; 95%CI 1.03-1.25), age ranging from 31 to 40 years old (PR = 1.33, 95%CI 1.15-1.54) and registry of dental appointments (PR = 1.17; 95%CI 1.06-1.29) they were associated with the outcome. In cycle II, southeast region (PR = 1.18; 95%CI 1.03-1.36), high oral healthcare coverage (PR = 1.11; 95%CI 1.01-1.22), age ranging from 31 to 40 years old (PR = 1.22; 95%CI 1.09-1.36), the health workers enrollment in permanent education actions (PR = 1.14; 95%CI 1.01-1.30) and opening times that match the user's needs (PR = 1.40; 95%CI 1.25-1.57) they were associated with the outcome. The individual factors and factors related to the organization of the healthcare service are associated with oral healthcare utilization during prenatal care.
目的是通过初级医疗保健评估与质量改进计划-巴西（PMAQ-AB）第一周期（2011 - 12年）和第二周期（2013 - 14年）的数据，评估产前口腔健康服务的利用率及其相关因素。这是一项横断面研究，第一周期有4340名女性，第二周期有6209名女性，结果是产前护理中口腔健康服务的利用率。采用多水平泊松回归来获得患病率比（PR）。在第一周期，产前口腔健康服务利用率为45.9%，在第二周期为51.9%。在第一周期，大城市（PR = 1.35；95%置信区间1.05 - 1.81）、收入在1至2个最低工资之间（PR = 1.13；95%置信区间1.03 - 1.25）、年龄在31至40岁之间（PR = 1.33，95%置信区间1.15 - 1.54）以及牙科预约登记（PR = 1.17；95%置信区间1.06 - 1.29）与该结果相关。在第二周期，东南部地区（PR = 1.18；95%置信区间1.03 - 1.36）、高口腔医疗覆盖率（PR = 1.11；95%置信区间1.01 - 1.22）、年龄在31至40岁之间（PR = 1.22；95%置信区间1.09 - 1.36）、卫生工作者参与继续教育行动（PR = 1.14；95%置信区间1.01 - 1.30）以及与用户需求相匹配的开放时间（PR = 1.40；95%置信区间1.25 - 1.57）与该结果相关。个体因素和与医疗服务组织相关的因素与产前护理期间的口腔医疗服务利用相关。
