Universidade Federal de Pelotas. Faculdade de Medicina. Programa de Pós-graduação em Epidemiologia. Pelotas, RS, Brasil.
Universidade Federal de Pelotas. Faculdade de Odontologia. Programa de Pós-graduação em Odontologia. Pelotas, RS, Brasil.
Rev Saude Publica. 2023 Aug 11;57:47. doi: 10.11606/s1518-8787.2023057004604. eCollection 2023.
Measure the prevalence of use of dental services in the previous year and associated factors among 31-year-old adults from a birth cohort of 1982.
This is a cross-sectional study that analyzed a birth cohort of 1982 from the city of Pelotas. In 1997, a systematic sample of 27% of the city's census sectors was defined and all households in these sectors were visited, where 1,076 15-year-old adolescents were interviewed. For the oral health studies, 900 of these individuals were randomly selected and followed up at 24 and 31 years of age. The study used data collected from 523 individuals in 2013 (at 31 years old). The outcome was visit to the dentist (use of dental services) in the previous year. Demographic factors (sex), socioeconomic factors (income, education), and oral health factors (reason and type of service, self-perception of oral health, dental pain and caries experience - DMFT) were used as independent variables. Prevalence ratios were estimated using Poisson regression.
The prevalence of use of dental services in the previous year was 55.3% (95%CI: 51.0-59.5%). In the adjusted analysis, the reason and type of service, self-perception of oral health, and DMFT were associated with the outcome. A stronger association was found with use of dental services in individuals who visited for prevention and used the private service, who were satisfied with their oral health, and who had more caries experiences.
55.3% of the cohort sample used dental services in the previous year. Individuals who visited the dentist of private service for preventive reasons, who were very satisfied with their oral health, used these services in a higher proportion. In addition, a higher DMFT index also led to higher use of services.
测量 1982 年出生队列中 31 岁成年人过去一年使用牙科服务的流行率及其相关因素。
这是一项横断面研究，分析了来自佩洛塔斯市的 1982 年出生队列。1997 年，定义了该市普查区的 27%的系统抽样，并对这些区域的所有家庭进行了访问，其中对 1076 名 15 岁的青少年进行了访谈。为了进行口腔健康研究，从这些人中随机选择了 900 人，并在 24 岁和 31 岁时进行了随访。该研究使用了 2013 年（31 岁时）收集的 523 名个体的数据。结果是过去一年看牙医（使用牙科服务）的情况。将人口统计学因素（性别）、社会经济因素（收入、教育）和口腔健康因素（就诊原因和类型、对口腔健康的自我感知、牙痛和龋齿经历-DMFT）作为自变量。使用泊松回归估计患病率比。
过去一年使用牙科服务的流行率为 55.3%（95%CI：51.0-59.5%）。在调整分析中，就诊原因和类型、对口腔健康的自我感知以及 DMFT 与结果相关。在因预防目的而就诊、使用私人服务、对口腔健康非常满意且有更多龋齿经历的个体中，使用牙科服务的相关性更强。
该队列样本中有 55.3%的人在过去一年中使用了牙科服务。因预防目的而就诊于私人服务的个体、对口腔健康非常满意且使用这些服务比例较高的个体，使用牙科服务的比例更高。此外，DMFT 指数较高也会导致更高的服务利用率。
