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巴西牙科服务使用情况的不平等状况。

Inequalities in the profile of using dental services in Brazil.

机构信息

Departamento de Odontologia, Universidade Federal do Rio Grande do Norte. Av. Sen. Salgado Filho 1787, Lagoa Nova. 59056-000 Natal RN Brasil.

出版信息

Cien Saude Colet. 2022 Jun;27(6):2437-2448. doi: 10.1590/1413-81232022276.17352021. Epub 2021 Oct 24.

Abstract

This study aimed to examine the influence of socioeconomic factors on inequality in the use of dental services within the Brazilian population. The methodology was based on a sectional study, using secondary data from the 2013 National Health Survey (PNS, in Portuguese). The database contains information on 60,202 individuals over 18 years of age. The dependent variables were "frequency of dental appointments" and "type of dental treatment performed in the last appointment". The independent variables were sex, age group, education, social class measured using the Brazil criterion, and geographic region. The odds-ratio of outcomes were evaluated in the multivariate analysis using a multinomial logistic regression model. It was noticed that the population subgroups comprising Blacks and those residing in the North/Northeast, with lower social class and education, had a greater chance of having irregular follow-up and never having been to the dentist. In addition, this population stratum also had a greater chance of undergoing surgical or emergency dental procedures in the last dental appointment. Data from the 2013 PNS reveal a picture of social inequality in access to dental services in Brazil.

摘要

本研究旨在探讨社会经济因素对巴西人口中牙科服务利用不平等的影响。该研究采用基于横断面研究的方法,利用 2013 年全国健康调查(PNS)的二次数据。该数据库包含了 60202 名 18 岁以上人群的信息。因变量为“牙科就诊频率”和“最近一次牙科就诊中进行的治疗类型”。自变量包括性别、年龄组、教育程度、使用巴西标准衡量的社会阶层以及地理位置。采用多项逻辑回归模型对多变量分析中的结果比值比进行评估。结果表明,黑人群体和居住在北部/东北部地区、社会阶层和教育程度较低的人群,在随访不规律和从未看过牙医的情况下,其就诊的可能性更大。此外,这一人群在最近一次牙科就诊中接受手术或紧急牙科治疗的可能性也更大。2013 年 PNS 的数据显示,巴西在牙科服务获取方面存在社会不平等的情况。

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