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残疾人口腔保健服务和口腔健康相关指标的地域差异:2014 至 2023 年巴西公立医疗体系的人口水平研究

Territorial Disparities in Dental Care for Disabled Persons and Oral Health-Related Indicators: A Population-Level Approach in Brazil's Public Healthcare System from 2014 to 2023.

机构信息

Graduate Program in Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto 14040-904, SP, Brazil.

Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto 14040-904, SP, Brazil.

出版信息

Int J Environ Res Public Health. 2024 May 16;21(5):632. doi: 10.3390/ijerph21050632.


DOI:10.3390/ijerph21050632
PMID:38791846
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11121442/
Abstract

This study evaluated territorial disparities in dental care for disabled persons in Brazil's public healthcare system from 2014 to 2023. The person-year incidence of outpatient dental procedures carried out by special care dentistry specialists and hospitalizations for dental procedures for disabled persons were compared across different regions and against the national estimate. In addition, productivity was correlated with oral health-related indicators. The significance level was set at 5%. The northern region exhibited the highest outpatient productivity, while the southern region showed lower productivity compared to the national estimate (both -value < 0.05). This pattern was reversed in inpatient productivity (both -value < 0.05), with the northeastern and central-western regions also below average (both -value < 0.05). There were no significant correlations between the indicators and inpatient productivity, but outpatient productivity was positively correlated with the proportions of inhabitants who self-rated their general and oral health as "poor" or "very poor", who have never visited a dentist, and who visited a dentist for tooth extraction (all -values < 0.05). Territorial disparities in dental care for disabled persons were observed within Brazil's public healthcare system, and they were correlated with unfavorable oral health-related indicators at the population level.

摘要

本研究评估了 2014 年至 2023 年期间巴西公共医疗体系中残疾人士牙科护理的地区差异。比较了特殊护理牙医专家进行的门诊牙科手术和残疾人士牙科手术住院治疗的人次发生率,同时与全国估计值进行了比较。此外,还将生产力与口腔健康相关指标进行了关联。显著性水平设为 5%。北部地区的门诊生产力最高,而南部地区的生产力则低于全国估计值(均 -value < 0.05)。这种模式在住院生产力中发生了逆转(均 -value < 0.05),东北地区和中-西部地区的生产力也低于平均水平(均 -value < 0.05)。指标与住院生产力之间没有显著相关性,但门诊生产力与居民中自评为“差”或“非常差”的一般和口腔健康比例、从未看过牙医以及因拔牙而看过牙医的比例呈正相关(均 -value < 0.05)。在巴西公共医疗体系中观察到残疾人士牙科护理的地区差异,并且这些差异与人群中不利的口腔健康相关指标相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d8a/11121442/aa09503bc131/ijerph-21-00632-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d8a/11121442/f4aa9bc9aaac/ijerph-21-00632-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d8a/11121442/aa09503bc131/ijerph-21-00632-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d8a/11121442/f4aa9bc9aaac/ijerph-21-00632-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d8a/11121442/aa09503bc131/ijerph-21-00632-g002.jpg

相似文献

[1]
Territorial Disparities in Dental Care for Disabled Persons and Oral Health-Related Indicators: A Population-Level Approach in Brazil's Public Healthcare System from 2014 to 2023.

Int J Environ Res Public Health. 2024-5-16

[2]
Outpatient and inpatient dental care for patients with disabilities in Brazil's public healthcare system: A population-based approach from 2014 to 2023.

Spec Care Dentist. 2024

[3]
Influence of disabilities on state-level disparity in dental care utilization and tooth loss: Findings from the 2020 Behavioral Risk Factor Surveillance System.

Spec Care Dentist. 2024

[4]
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Rural Remote Health. 2017

[5]
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Tex Dent J. 2008

[6]
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[7]
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Community Dent Oral Epidemiol. 2024-6

[8]
[Difficulties in dental health care for the disabled].

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[9]
Socioeconomic and psychosocial predictors of dental healthcare use among Brazilian preschool children.

BMC Oral Health. 2013-10-31

[10]
[Bucco-dental health in persons with special healthcare needs in Mexico].

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引用本文的文献

[1]
Oral health status, oral hygiene behaviors, and caries risk assessment of individuals with special needs: a comparative study of Pakistan and Saudi Arabia.

PeerJ. 2025-5-8

本文引用的文献

[1]
Caries-related hospital morbidity in the Brazilian Unified Health System from 2008 to 2022.

Braz Oral Res. 2023

[2]
Quality of life in patients in South Korea requiring special care after fixed implants: a retrospective analysis.

BMC Oral Health. 2023-12-14

[3]
Associations Among Self-rated Oral Health, Subjective Oral Conditions, Oral Health Behaviours, and Oral Healthrelated Quality of Life (OHRQoL).

Oral Health Prev Dent. 2023-2-2

[4]
A Bibliometric Mapping Study of the Literature on Oral Health-related Quality of Life.

J Evid Based Dent Pract. 2023-1

[5]
Impact of Covid-19 pandemic on children with special needs requiring general anaesthesia for the treatment of dental disease: the experience of the Brescia Children's Hospital, Lombardy, Italy.

Eur Arch Paediatr Dent. 2023-2

[6]
Advances and weaknesses of the work process of the oral cancer care network in Brazil: A latent class transition analysis.

Community Dent Oral Epidemiol. 2022-2

[7]
Oral health care for people with disabilities in Brazil: Transition from the specialized dental services between 2014 and 2018.

Community Dent Oral Epidemiol. 2022-2

[8]
The impact of COVID-19 on access to dental care for people with disabilities: a global survey during the COVID-19 first wave lockdown.

Med Oral Patol Oral Cir Bucal. 2021-11-1

[9]
Oral health-related quality of life is associated with the prevalence and development of depressive symptoms in older Japanese individuals: The Ohasama Study.

Gerodontology. 2022-6

[10]
Top 100 most-cited oral health-related quality of life papers: Bibliometric analysis.

Community Dent Oral Epidemiol. 2022-6

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