Danigno Júlia Freire, Echeverria Mariana Silveira, Tillmann Thais Freitas Formozo, Liskoski Bruna Vettorazzi, Silveira Manuela Gonçalves de Souza E Silva, Fernandez Matheus Dos Santos, Silva Nathalia Ribeiro Jorge da, Laroque Mariane Baltassare, Silva Alexandre Emidio Ribeiro
Universidade Federal de Pelotas, Faculdade de Medicina, Pelotas, RS, Brasil.
Universidade Federal de Pelotas, Faculdade de Odontologia, Pelotas, RS, Brasil.
Epidemiol Serv Saude. 2022;31(1):e2021663. doi: 10.1590/S1679-49742022000100015.
To analyze factors associated with the reduction of dental care in Primary Health Care, during the COVID-19 pandemic in Brazil.
This was a cross-sectional study conducted with dentists in primary healthcare centers (PHCCs). The reduction of dental care was the outcome, and the exposure variables were sociodemographic data, availability of personal protective equipment (PPE) and measures adopted by PHCCs during the pandemic. Poisson regression was performed to determine the prevalence ratio and 95% confidence interval (95%CI).
Of the total of 958 participants, 62.6% reported a reduction of over 50% in dental visits after the beginning of the pandemic. Adoption of biosafety protocols (PR = 1.04; 95%CI 1.01;1.07), availability of PPE recommended by new protocols (PR = 0.94; 95%CI 0.89;0.99) and adoption of tele-screening (PR = 0.90; 95%CI 0.85;0.96) were associated with the reduction.
The availability of new types of PPE and implementation of tele-screening in PHCCs seem to have minimized the reduction of dental care after the beginning of the pandemic.
分析巴西新冠疫情期间初级卫生保健中牙科护理减少的相关因素。
这是一项针对初级卫生保健中心（PHCCs）牙医开展的横断面研究。牙科护理减少情况为研究结果，暴露变量为社会人口统计学数据、个人防护装备（PPE）的可获得性以及疫情期间PHCCs采取的措施。采用泊松回归分析来确定患病率比及95%置信区间（95%CI）。
在总共958名参与者中，62.6%报告称疫情开始后牙科就诊次数减少了50%以上。采取生物安全协议（PR = 1.04；95%CI 1.01；1.07）、新协议推荐的PPE的可获得性（PR = 0.94；95%CI 0.89；0.99）以及采用远程筛查（PR = 0.90；95%CI 0.85；0.96）与牙科护理减少有关。
新型PPE的可获得性以及在PHCCs中实施远程筛查似乎在疫情开始后将牙科护理的减少程度降至最低。
