Esposti Carolina Dutra Degli, Santos-Neto Edson Theodoro Dos, Oliveira Adauto Emmerich, Travassos Claudia, Pinheiro Rejane Sobrino
Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal do Espírito Santo. Av. Marechal Campos 1.468. 29043-900 Vitória ES Brasil.
Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz. Rio de Janeiro RJ Brasil.
Cien Saude Colet. 2021 Sep;26(9):4129-4144. doi: 10.1590/1413-81232021269.10542020. Epub 2020 Jun 28.
This study set out to analyze social and geographical inequalities in the adequacy of prenatal dental care in the Unified Health System (SUS) of the Greater Vitória Metropolitan Region, Espírito Santo, Brazil. A cross-sectional study was carried out with 1209 postpartum women living in the region admitted to hospital at SUS facilities for childbirth between 2010 and 2011. Data were collected on prenatal medical-dental care, the impact of oral health on the quality of life of pregnant women (Oral Health Impact Profile-14), and predisposing characteristics. Prenatal care was adequate when care corresponded to the recommended treatment. The adequacy of dental care during prenatal care was analyzed using a multivariate logistic model. Oral health was found to have an impact on the quality of life of 102 (8.4%) pregnant women and the adequacy of dental care during prenatal care was only 15.4% (n=156). There was a greater chance of adequacy of prenatal dental care in Vitória (OR=2.44; IC=1.63-3.66), in regions covered by the family health strategy (OR=1.88; IC=1.22-2.89), and in areas with a higher proportion of pregnant women with access to quality prenatal care (OR=3.59; IC=1.64-7.84). Contextual inequalities were decisive for the inadequacy of dental care in prenatal care.
本研究旨在分析巴西圣埃斯皮里图州大维多利亚都会区统一卫生系统（SUS）中产前牙科护理充足性方面的社会和地理不平等情况。对2010年至2011年间在该地区SUS医疗机构住院分娩的1209名产后妇女进行了横断面研究。收集了有关产前医疗牙科护理、口腔健康对孕妇生活质量的影响（口腔健康影响量表-14）以及诱发特征的数据。当护理符合推荐治疗时，产前护理即为充足。使用多变量逻辑模型分析产前护理期间牙科护理的充足性。发现口腔健康对102名（8.4%）孕妇的生活质量有影响，产前护理期间牙科护理的充足率仅为15.4%（n = 156）。在维多利亚市（OR = 2.44；IC = 1.63 - 3.66）、家庭健康战略覆盖地区（OR = 1.88；IC = 1.22 - 2.89）以及有更高比例孕妇能够获得优质产前护理的地区（OR = 3.59；IC = 1.64 - 7.84），产前牙科护理充足的可能性更大。背景不平等对产前护理中牙科护理的不足起决定性作用。
