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巴西青少年的牙科就诊情况:2019年全国学校健康调查的描述性分析

Dental visits among adolescents in Brazil: descriptive analysis of the National School Health Survey, 2019.

作者信息

Motta Hellen Monique da, Silva-Garcia Nathalia Ribeiro Jorge da, Sartori Letícia Regina Morello, Camargo Maria Beatriz Junqueira de, Karam Sarah Arangurem

机构信息

Universidade Federal de Pelotas, Faculdade de Odontologia, Curso de Odontologia, Pelotas, RS, Brazil.

Universidade Federal de Pelotas, Programa de Pós-Graduação em Odontologia, Pelotas, RS, Brazil.

出版信息

Epidemiol Serv Saude. 2025 Jun 13;34:e20240344. doi: 10.1590/S2237-96222025v34e20240344.en. eCollection 2025.

Abstract

OBJECTIVE

To describe the prevalence of dental visits among adolescents participating in the 2019 National School Health Survey (PeNSE).

METHODS

A descriptive cross-sectional study analyzing dental visits in the last year considering sex, race/skin color, maternal education and dental pain. Only PeNSE 2019 participants between ages 13 and 15 years were included. Absolute and relative frequencies were verified using Pearson's Chi-square test, with a 5% confidence level (p-value<0.05) and the respective 95% confidence intervals (95%CI). As a secondary analysis, data on dental coverage in primary health care were collected and reported according to Brazilian regions.

RESULTS

The prevalence of visits to the dentist in the last year was 66.7%; a higher prevalence was noted for adolescents who declared themselves white compared to black adolescents (71.8% versus 61.9%), for females (68.4%; 95%CI 67.27; 69.49), among students with toothache (69.4%; 95%CI 67.61; 71.10) and with mothers with higher education (77.9%; 95%CI 76.56; 79.18). Federative units with high dental coverage reported lower use of services, while those with lower coverage reported a higher proportion of visits to the dentist.

CONCLUSION

Among adolescents aged 13 to 15 years, a 66.7% prevalence of visits to the dentist in the last year was observed; higher prevalences of visits to the dentist were found among female adolescents, self-declared white, with mothers with higher education and with self-reported toothache. Furthermore, there was a lower prevalence of visits to the dentist in places with greater dental coverage.

摘要

目的

描述参与2019年全国学校健康调查(PeNSE)的青少年的牙科就诊率。

方法

一项描述性横断面研究,分析过去一年中考虑性别、种族/肤色、母亲教育程度和牙痛情况的牙科就诊情况。仅纳入年龄在13至15岁之间的2019年PeNSE参与者。使用Pearson卡方检验验证绝对和相对频率,置信水平为5%(p值<0.05)以及相应的95%置信区间(95%CI)。作为次要分析,收集并按巴西地区报告初级卫生保健中的牙科覆盖率数据。

结果

去年看牙医的患病率为66.7%;与黑人青少年相比,自称白人的青少年看牙医的患病率更高(71.8%对61.9%),女性(68.4%;95%CI 67.27;69.49),有牙痛的学生(69.4%;95%CI 67.61;71.10)以及母亲受过高等教育的学生(77.9%;95%CI 76.56;79.18)。牙科覆盖率高的联邦单位报告的服务使用率较低,而覆盖率低的单位报告看牙医的比例较高。

结论

在13至15岁的青少年中,观察到去年看牙医的患病率为66.7%;在女性青少年、自称白人、母亲受过高等教育以及自我报告有牙痛的青少年中,看牙医的患病率更高。此外,在牙科覆盖率较高的地方,看牙医的患病率较低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c76c/12176439/9ef6bcaf18a9/2237-9622-ress-34-e20240344-f1-en.jpg

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