학술논문
Non-performance of dental consultation among pregnant women in southern Brazil: a population-based study/Nao realizacao de consulta odontologica entre gestantes no extremo sul do Brasil: um estudo de base populacional
Document Type
Medical condition overview
Source
Ciência & Saúde Coletiva. October, 2019, Vol. 24 Issue 10, p3889, 8 p.
Subject
Language
Spanish; Castilian
ISSN
1413-8123
Abstract
Introducao O atendimento odontologico realizado durante a gravidez e essencial a promocao da saude e a prevencao de doencas. As patologias bucais podem levar a ocorrencia de desfechos desfavoraveis como, [...]
The scope of this study was to measure the prevalence and identify factors associated with the non-use of dental care among pregnant women living in the municipality of Rio Grande, RS. In 2013, previously trained interviewers applied a single, standardized questionnaire within 48 hours after childbirth to all puerperal women living in this city. The chi-square test was used to compare proportions and, for multivariate analysis, Poisson regression with robust variance adjustment was used to obtain the prevalence ratio. Among the 2.653 puerperal women included in this study, 60.1% (95% CI: 58.2%--61.9%) did not use any type of dental service during gestation. After adjustment, the probability of not using these services was significantly higher among pregnant women of lower age, income and schooling, who lived with more people at home, who performed a smaller number of prenatal consultations, who had prenatal care in the public service, and who were not attended under the Family Health Strategy (FHS). Encouraging pregnant women with this epidemiological profile to look for dental services during prenatal consultations and to expand the FHS on offer are measures with great potential to increase coverage for this type of service in the location studied. Key words Pregnant women, Dental care, Prenatal care, Oral health Este estudo teve por objetivo medir a prevalencia e identificar fatores associados a nao utilizacao de assistencia odontologica entre gestantes residentes no municipio de Rio Grande, RS. Em 2013, entrevistadores previamente treinados aplicaram questionario unico, padronizado em ate 48 horas apos o parto a todas puerperas residentes neste municipio. Utilizou-se teste do qui-quadrado para comparar proporcoes e, da analise multivariavel, regressao de Poisson com ajuste robusto da variancia para a obtencao da razao de prevalencias. Dentre 2.653 puerperas incluidas neste estudo, 60,1% (IC95%: 58,2% 61,9%) nao utilizaram qualquer tipo de servico odontologico durante a gestacao. Apos ajuste, a probabilidade de nao uso destes servicos foi significativamente maior entre gestantes de menor idade, renda e escolaridade, que viviam com maior numero de pessoas no domicilio, que realizaram um menor numero de consultas de pre-natal, que fizeram pre-natal no servico publico, e que nao foram atendidas pela Estrategia Saude da Familia (ESF). Incentivar gestantes com este perfil epidemiologico a procurar por servicos odontologicos durante as consultas de pre-natal e ampliar a oferta da ESF sao medidas com grande potencial de elevar a cobertura para este tipo de servico na localidade estudada. Palavras-chave Gestante, Assistencia odontologica, Cuidado pre-natal, Saude bucal
The scope of this study was to measure the prevalence and identify factors associated with the non-use of dental care among pregnant women living in the municipality of Rio Grande, RS. In 2013, previously trained interviewers applied a single, standardized questionnaire within 48 hours after childbirth to all puerperal women living in this city. The chi-square test was used to compare proportions and, for multivariate analysis, Poisson regression with robust variance adjustment was used to obtain the prevalence ratio. Among the 2.653 puerperal women included in this study, 60.1% (95% CI: 58.2%--61.9%) did not use any type of dental service during gestation. After adjustment, the probability of not using these services was significantly higher among pregnant women of lower age, income and schooling, who lived with more people at home, who performed a smaller number of prenatal consultations, who had prenatal care in the public service, and who were not attended under the Family Health Strategy (FHS). Encouraging pregnant women with this epidemiological profile to look for dental services during prenatal consultations and to expand the FHS on offer are measures with great potential to increase coverage for this type of service in the location studied. Key words Pregnant women, Dental care, Prenatal care, Oral health Este estudo teve por objetivo medir a prevalencia e identificar fatores associados a nao utilizacao de assistencia odontologica entre gestantes residentes no municipio de Rio Grande, RS. Em 2013, entrevistadores previamente treinados aplicaram questionario unico, padronizado em ate 48 horas apos o parto a todas puerperas residentes neste municipio. Utilizou-se teste do qui-quadrado para comparar proporcoes e, da analise multivariavel, regressao de Poisson com ajuste robusto da variancia para a obtencao da razao de prevalencias. Dentre 2.653 puerperas incluidas neste estudo, 60,1% (IC95%: 58,2% 61,9%) nao utilizaram qualquer tipo de servico odontologico durante a gestacao. Apos ajuste, a probabilidade de nao uso destes servicos foi significativamente maior entre gestantes de menor idade, renda e escolaridade, que viviam com maior numero de pessoas no domicilio, que realizaram um menor numero de consultas de pre-natal, que fizeram pre-natal no servico publico, e que nao foram atendidas pela Estrategia Saude da Familia (ESF). Incentivar gestantes com este perfil epidemiologico a procurar por servicos odontologicos durante as consultas de pre-natal e ampliar a oferta da ESF sao medidas com grande potencial de elevar a cobertura para este tipo de servico na localidade estudada. Palavras-chave Gestante, Assistencia odontologica, Cuidado pre-natal, Saude bucal