Abstract Oral health personnel must acknowledge the health needs of sexual and gender minorities. They should consult scientific literature to deepen their knowledge about sexuality, gender identity, general and oral health status, and treatment disparities among LGBTQIA+ people. The aim of this scoping review was to portray the development and current stage of internationally indexed literature approaching the oral health of this population. In this study, the search strategy used consisted of combinations of subject descriptors (MeSH terms), in two concept blocks: LGBTQIAP+ people and oral health. Global literature was searched through Medline (PUBMED), Web of Science, Embase, Lilacs, and Scopus electronic databases, with no language or date restrictions. Records were selected and evaluated by two independent reviewers, under the supervision of three senior reviewers and the inclusion criteria resulted in 189 eligible papers. Since the first study was published in 1974, numbers increased over the decades, reaching 67 (35.4%) in 2010-2019. The most frequently studied populations were North American (42.9%) and European (19.0%) and the most frequent language of publication was English (99.0%). There were 38 open access papers (20.1%). Medical (57.7%) and dental journals (20.1%) predominated. Cross-sectional studies were found more frequently (65.1%), followed by the cohort type (11.1%). Oral manifestation of STI (58.7%) was the topic most frequently addressed. The search for literature approaching the oral health of LGBTQIAP+ people showed evidence of the need to encourage research reported in papers made easily available, with more robust scientific evidence, and on a broader scope of topics, including oral health needs and treatment, and planning of oral health services.

Abstract The objective of this study was to identify dental caries-protective factors among 5-year-old children using the salutogenic theory. A cross-sectional study was conducted in a small-sized municipality in the Southeast region of Brazil, with a representative sample of 247 children registered in preschool and their respective mothers. The data were collected through questionnaires administered to the mothers about the socioeconomic, behavioral, and biological aspects of the mother and children. Additionally, the collections included validated instruments concerning psychosocial aspects, such as a sense of coherence, resilience, family cohesion and religiosity, and intraoral examinations of the children through the decayed-missing-filled primary teeth (dmft) index. All examinations were performed by a trained and calibrated examiner. The non-adjusted and adjusted odds ratios (OR) and their respective confidence intervals (CI) were estimated using multiple logistic regression with a hierarchical model. Among the examined children, 41.7% were caries-free. In the final model, the chances of the absence of dental caries experience (dmft = 0) were greater in children with mothers who had higher education levels (> 8 years of study) (OR = 2.55 [95%CIi:1.42–4.59]) and those who lived in an environment of high family cohesion (OR = 3.66 [95%CI: 1.19–11.29]). The results indicated that mothers’ level of education and family relationships are protective factors against dental caries in 5-year-old children, which overlapped with behavioral and biological factors.

ABSTRACT Objective: To evaluate the satisfaction of adolescents undergoing dental treatment between 2016 and 2018 at the Dental School of the Federal University of Minas Gerais (FAO UFMG). Material and Methods: A descriptive cross-sectional study using the Oral Health Services Satisfaction Assessment Questionnaire (QASSaB). The structured questionnaire has eleven questions divided among the dimensions: dentist / patient relationship, relationship with other professionals, effectiveness, accessibility/availability, technical-scientific quality, cleanliness and physical environment, acceptability, effectiveness/resolution, each with five response options. Descriptive data analysis was performed using absolute and relative frequencies. Results: A total of 145 adolescents participated in this study, 60 males and 85 females; 74.85% of adolescents rated dental treatment received as excellent, 76.7% reported having no symptoms after treatment, 46.2% considered it easy/very easy to get treatment, 65.6% reported that waiting time was short/very short, 90% considered dental equipment modern/very modern, 98% regarded the cleanliness of the waiting room and bathrooms as being excellent, 83.4% reported that they always received an explanation about the treatment, and 51.57% were totally satisfied with the appearance of the treated teeth and their chewing capacity. Conclusion: It was possible to observe that the adolescents, users of FAO UFMG, were satisfied with the service in the studied dimensions: human relations, effectiveness, accessibility/availability, technical-scientific quality, physical environment/cleanliness, acceptability and resolvability/effectiveness.

Abstract This study aimed to assess the effect of caries increment on Oral Health-related Quality of Life (OHRQoL) of Brazilian adolescents and to evaluate the responsiveness of the Child Perceptions Questionnaire (CPQ11-14) in this group. A population-based sample of 515 Brazilian 12-year-olds from a large city located in the southeast of Brazil was evaluated according to a random multistage sampling design at baseline and 291 at three years follow-up, using the DMFT index and the CPQ11-14 instrument. To evaluate the responsiveness to change, the measures of effect size and longitudinal construct validity were used. It was verified that OHRQoL among adolescents with DMFT increment across the three years worsened significantly (p<0.05) in relation to their counterparts. The effect size varied from small to moderate. The longitudinal construct validity of CPQ11-14 was satisfactory. Caries increment impacted on OHRQoL of adolescents in Brazil. The CPQ11-14 instrument demonstrated acceptable responsiveness properties.

A avaliação do grau de satisfação dos usuários do sistema de saúde é um importante indicador a ser considerado no planejamento das ações. O objetivo deste estudo foi avaliar o grau de satisfação de usuários dos serviços de saúde pública municipal quanto aos serviços utilizados. Este estudo tipo inquérito foi conduzido em cinco municípios do Estado de São Paulo. A amostra foi selecionada de forma estratificada e aleatória, sendo entrevistados 471 chefes de família ou respectivos cônjuges. Os dados qualitativos foram analisados pelo método de Análise de Conteúdo, e os dados quantitativos foram processados utilizando-se o software estatístico Epi Info. Dentre os usuários dos cinco municípios, 93,0% utilizam o serviço municipal de saúde. Para 72,0%, os serviços de saúde prestados estão resolvendo os problemas e necessidades da população. Com base no acesso ao atendimento, 57,6% da população queixaram-se da presença de filas para o atendimento. Mais da metade (69,5%) afirmou ter confiança na equipe de saúde; no entanto, muitos relatos demonstraram a carência de um atendimento humanizado. Em relação aos serviços de saúde, 61,7% classificaram-os como ótimo ou bom. Conclui-se que a maior parte dos usuários mostrou-se satisfeita com os serviços de saúde municipais, apesar da grande quantidade de queixas quanto ao atendimento, falta de humanização e acolhimento, deficiência de recursos físicos e materiais. A percepção do usuário é de extrema importância ao se dimensionar o reflexo das ações que vem sendo desenvolvidas no setor saúde, e serve como vetor de direcionamento e planejamento do serviço.

The assessment of the degree of users' satisfaction with the health system is an important indicator to be considered in planning actions. The aim of this study was to evaluate the degree of satisfaction of users of health services and municipal services to be used. This survey was conducted in five municipalities of São Paulo. The sample was selected at random, stratified, and interviewed 471 heads of households or their spouses. Qualitative data were analyzed using content analysis and quantitative data were processed using the statistical software Epi Info. Among the users of the five municipalities, 93.0% attended the public health care. To 72.0%, health services are solving the problems and needs of the population. Based on access to care, 57.6% of the population complained about the presence of queues for care. More than half (69.5%) said they had confidence in the health team, however, many reports demonstrated the lack of a humanized care. In relation to health services, 61.7% rated them as excellent or good. We conclude that most users are satisfied with the municipal health services, despite the large amount of complaints regarding care, lack of humanization and welcoming, lack of facilities. The user's perception is of utmost importance when scaling the result of actions that have been developed in the health sector, and serves as a vector of direction and planning service.

A avaliação do grau de satisfação dos usuários do sistema de saúde é um importante indicador a ser considerado no planejamento das ações. O objetivo deste estudo foi avaliar o grau de satisfação de usuários dos serviços de saúde pública municipal quanto aos serviços utilizados. Este estudo tipo inquérito foi conduzido em cinco municípios do Estado de São Paulo. A amostra foi selecionada de forma estratificada e aleatória, sendo entrevistados 471 chefes de família ou respectivos cônjuges. Os dados qualitativos foram analisados pelo método de Análise de Conteúdo, e os dados quantitativos foram processados utilizando-se o software estatístico Epi Info. Dentre os usuários dos cinco municípios, 93,0% utilizam o serviço municipal de saúde. Para 72,0%, os serviços de saúde prestados estão resolvendo os problemas e necessidades da população. Com base no acesso ao atendimento, 57,6% da população queixaram-se da presença de filas para o atendimento. Mais da metade (69,5%) afirmou ter confiança na equipe de saúde; no entanto, muitos relatos demonstraram a carência de um atendimento humanizado. Em relação aos serviços de saúde, 61,7% classificaram-os como ótimo ou bom. Conclui-se que a maior parte dos usuários mostrou-se satisfeita com os serviços de saúde municipais, apesar da grande quantidade de queixas quanto ao atendimento, falta de humanização e acolhimento, deficiência de recursos físicos e materiais. A percepção do usuário é de extrema importância ao se dimensionar o reflexo das ações que vem sendo desenvolvidas no setor saúde, e serve como vetor de direcionamento e planejamento do serviço.

The assessment of the degree of users' satisfaction with the health system is an important indicator to be considered in planning actions. The aim of this study was to evaluate the degree of satisfaction of users of health services and municipal services to be used. This survey was conducted in five municipalities of São Paulo. The sample was selected at random, stratified, and interviewed 471 heads of households or their spouses. Qualitative data were analyzed using content analysis and quantitative data were processed using the statistical software Epi Info. Among the users of the five municipalities, 93.0% attended the public health care. To 72.0%, health services are solving the problems and needs of the population. Based on access to care, 57.6% of the population complained about the presence of queues for care. More than half (69.5%) said they had confidence in the health team, however, many reports demonstrated the lack of a humanized care. In relation to health services, 61.7% rated them as excellent or good. We conclude that most users are satisfied with the municipal health services, despite the large amount of complaints regarding care, lack of humanization and welcoming, lack of facilities. The user's perception is of utmost importance when scaling the result of actions that have been developed in the health sector, and serves as a vector of direction and planning service.

OBJECTIVE: Sexual harassment is unlawful in all work and educational environments in most nations of the world. The goals of this study were to describe the sexual harassment prevalence and to evaluate the experiences and attitudes of undergraduate students in one dental school in Brazil. MATERIAL AND METHODS: An 18-item questionnaire was administered to 254 dental students with a completion rate of 82% (208). Students were requested to respond to questions about their background and academic level in dental school, their personal experiences with sexual harassment and their observation of someone else being sexually harassed. Bivariate statistical analyses were performed. RESULTS: Fifteen percent of the students reported being sexually harassed by a patient, by a relative of a patient or by a professor. Male students had 3 times higher probability of being sexually harassed than female student [OR=2.910 (1.113-7.611)]. Additionally, 25.4% of the students reported witnessing sexual harassment at the school environment. The majority of students did not feel professionally prepared to respond to unwanted sexual behaviors. CONCLUSION: These findings demonstrate that sexual harassment can occur in a dental school setting. There is a need for ongoing sexual harassment education programs for students and university staff. Increased knowledge of sexual harassment during graduation can better prepare dental professionals to respond to sexual harassment during their practice.

A assistência pré-natal é um dos pilares nos cuidados em saúde. Este estudo objetivou realizar uma avaliação critica do SIS Pré-natal em um município paulista, comparar suas informações com a assistência local e verificar o cadastro das gestantes atendidas nos Estabelecimentos de Assistência à Saúde. Foram analisados os registros de gestantes por meio de consulta junto à Regional de Saúde e serviço de saúde municipal. Observaram-se incongruências entre o sistema e registro local. As falhas estavam relacionadas ao preenchimento inadequado das fichas de atendimento, além do controle escasso dos prontuários e agendamento nos estabelecimentos. Os resultados evidenciam a necessidade de um melhor planejamento das ações para a melhoria da qualidade do serviço pré-natal.

The prenatal assistance is one of the health care pillars. This study aimed to conduct a critical evaluation of the SIS Prenatal in a city of São Paulo State, to compare its data with the local assistance and to verify the registry of pregnant women attended at Health Care Centers. It was analyzed the pregnant women records through consultation at Health Regional Unit and municipal health service. There were inconsistencies between the system and local registry. The failures were related to the inadequate filling of attendance files, besides scarce control of pregnant women files and scheduling on health centers. The results suggest the need for better planning of actions for the improvement of prenatal service quality.

El cuidado prenatal es uno de los pilares del atención en salud. Este estudio tuvo como objetivo realizar una evaluación crítica del SIS prenatal en una ciudad paulista, comparar su información con asistencia local y comprobar la inscripción de mujeres embarazadas en los Establecimientos de Salud. Los registros del pacientes fueram analisados por consulta a Dirección Regional de Salud y servicios de salud locales. Se pudo notar inconsistencias entre sistema y registro local. Los fallos se referían a falta de llenado de las fichas de atención, además de la escasez de control del archivos de las pacientes y programación en los Establecimientos. Los resultados destacan la necesidad de una mejor planificación del acciones para mejorar la calidad delo servicio prenatal.

The prenatal assistance is one of the health care pillars. This study aimed to conduct a critical evaluation of the SIS Prenatal in a city of São Paulo State, to compare its data with the local assistance and to verify the registry of pregnant women attended at Health Care Centers. It was analyzed the pregnant women records through consultation at Health Regional Unit and municipal health service. There were inconsistencies between the system and local registry. The failures were related to the inadequate filling of attendance files, besides scarce control of pregnant women files and scheduling on health centers. The results suggest the need for better planning of actions for the improvement of prenatal service quality.

El cuidado prenatal es uno de los pilares del atención en salud. Este estudio tuvo como objetivo realizar una evaluación crítica del SIS prenatal en una ciudad paulista, comparar su información con asistencia local y comprobar la inscripción de mujeres embarazadas en los Establecimientos de Salud. Los registros del pacientes fueram analisados por consulta a Dirección Regional de Salud y servicios de salud locales. Se pudo notar inconsistencias entre sistema y registro local. Los fallos se referían a falta de llenado de las fichas de atención, además de la escasez de control del archivos de las pacientes y programación en los Establecimientos. Los resultados destacan la necesidad de una mejor planificación del acciones para mejorar la calidad delo servicio prenatal.

A assistência pré-natal é um dos pilares nos cuidados em saúde. Este estudo objetivou realizar uma avaliação critica do SIS Pré-natal em um município paulista, comparar suas informações com a assistência local e verificar o cadastro das gestantes atendidas nos Estabelecimentos de Assistência à Saúde. Foram analisados os registros de gestantes por meio de consulta junto à Regional de Saúde e serviço de saúde municipal. Observaram-se incongruências entre o sistema e registro local. As falhas estavam relacionadas ao preenchimento inadequado das fichas de atendimento, além do controle escasso dos prontuários e agendamento nos estabelecimentos. Os resultados evidenciam a necessidade de um melhor planejamento das ações para a melhoria da qualidade do serviço pré-natal.

O processo ensino-pesquisa-extensão realizado com a imersão dos sujeitos em cenários reais possibilita a integração universidade-comunidade, ampliando a inserção social. O objetivo deste trabalho foi apresentar a experiência de um projeto conduzido em cinco municípios brasileiros, com a participação de docentes, pós-graduandos e acadêmicos, em parceria com prefeituras municipais e trabalhadores de saúde como cenário de ensino-pesquisa no SUS. Foram realizadas oficinas e cursos de capacitação com as equipes de saúde, gestores e conselheiros de saúde, visitas técnicas aos municípios para avaliação situacional e supervisão das atividades, avaliação da satisfação dos usuários e formação de lideranças populares. Observou-se a melhoria na organização dos serviços e estímulo ao fortalecimento do vínculo entre os usuários e prestadores de serviços. Essa experiência serviu como laboratório de aprendizagem e pesquisa, fazendo-se ciência a partir da vivência in loco da realidade do SUS e contribuindo para uma formação professional mais humanitária baseada em cenários reais.

The teaching-research-extension process carried out with immersion of subjects in real scenarios enables university-community integration, thereby increasing social insertion. The aim of this study was to present the experience from a project conducted in five Brazilian municipalities, with participation of teachers and postgraduate and undergraduate students, in partnership with municipal authorities and healthcare workers as a scenario for teaching-research within the Brazilian health system. Workshops and training courses were conducted among healthcare teams, managers and health counselors, and technical visits were made to the municipalities for situational assessments, activity supervision, user satisfaction evaluations and formation of popular leaderships. Improvements in service organization and stimulation of strengthened links between users and service providers were observed. This experience served as a learning and research laboratory: science was conducted from in situ experience of health system realities, thereby contributing towards better humanitarian professional training based on real scenarios.

El proceso enseñanza-investigación-extensión realizado con la inmersión de los sujetos en escenarios reales posibilita la integración universidad-comunidad ampliando la inserción social. El objetivo de este trabajo ha sido de presentar la experiencia de un proyecto conducido en cinco municipios brasileños con la participación de docentes, pos-graduandos y académicos con la cooperación de alcaldías y trabajadores de salud como escenario de enseñanza-investigación del Sistema Único de Salud. Se han realizado talleres y cursos de capacitación con los equipos de salud, gestores y consejeros de salud, visitas técnicas a los municipios para evaluación de situación y supervisión de actividades, evaluación de la satisfacción de los usuarios y formación de jefaturas populares. Se observa mejoría en la organización de los servicios y estímulo al fortalecimiento del vínculo entre los usuarios y los prestadores de servicios. Esta experiencia ha servido como laboratorio para aprendizaje y investigación, haciéndose ciencia a partir de la vivencia in loco de la realidad del Sistema Único de Salud y contribuyendo para una formación profesional más humanitaria basada en escenarios reales.

O processo ensino-pesquisa-extensão realizado com a imersão dos sujeitos em cenários reais possibilita a integração universidade-comunidade, ampliando a inserção social. O objetivo deste trabalho foi apresentar a experiência de um projeto conduzido em cinco municípios brasileiros, com a participação de docentes, pós-graduandos e acadêmicos, em parceria com prefeituras municipais e trabalhadores de saúde como cenário de ensino-pesquisa no SUS. Foram realizadas oficinas e cursos de capacitação com as equipes de saúde, gestores e conselheiros de saúde, visitas técnicas aos municípios para avaliação situacional e supervisão das atividades, avaliação da satisfação dos usuários e formação de lideranças populares. Observou-se a melhoria na organização dos serviços e estímulo ao fortalecimento do vínculo entre os usuários e prestadores de serviços. Essa experiência serviu como laboratório de aprendizagem e pesquisa, fazendo-se ciência a partir da vivência in loco da realidade do SUS e contribuindo para uma formação professional mais humanitária baseada em cenários reais.

The teaching-research-extension process carried out with immersion of subjects in real scenarios enables university-community integration, thereby increasing social insertion. The aim of this study was to present the experience from a project conducted in five Brazilian municipalities, with participation of teachers and postgraduate and undergraduate students, in partnership with municipal authorities and healthcare workers as a scenario for teaching-research within the Brazilian health system. Workshops and training courses were conducted among healthcare teams, managers and health counselors, and technical visits were made to the municipalities for situational assessments, activity supervision, user satisfaction evaluations and formation of popular leaderships. Improvements in service organization and stimulation of strengthened links between users and service providers were observed. This experience served as a learning and research laboratory: science was conducted from in situ experience of health system realities, thereby contributing towards better humanitarian professional training based on real scenarios.

El proceso enseñanza-investigación-extensión realizado con la inmersión de los sujetos en escenarios reales posibilita la integración universidad-comunidad ampliando la inserción social. El objetivo de este trabajo ha sido de presentar la experiencia de un proyecto conducido en cinco municipios brasileños con la participación de docentes, pos-graduandos y académicos con la cooperación de alcaldías y trabajadores de salud como escenario de enseñanza-investigación del Sistema Único de Salud. Se han realizado talleres y cursos de capacitación con los equipos de salud, gestores y consejeros de salud, visitas técnicas a los municipios para evaluación de situación y supervisión de actividades, evaluación de la satisfacción de los usuarios y formación de jefaturas populares. Se observa mejoría en la organización de los servicios y estímulo al fortalecimiento del vínculo entre los usuarios y los prestadores de servicios. Esta experiencia ha servido como laboratorio para aprendizaje y investigación, haciéndose ciencia a partir de la vivencia in loco de la realidad del Sistema Único de Salud y contribuyendo para una formación profesional más humanitaria basada en escenarios reales.

OBJETIVOS: avaliar a prevalência do aleitamento materno em crianças assistidas em Araçatuba, São Paulo, Brasil; verificar a associação com variáveis materno-infantis e o conhecimento das mães sobre a relação da amamentação com saúde bucal. MÉTODOS: estudo transversal. Os dados foram coletados durante a Campanha Nacional de Vacinação, em 2005. Foram entrevistadas 100 mães de crianças com até 12 meses de idade. A freqüência do aleitamento foi estimada por meio da análise de sobrevivência, e foram realizadas análises estatísticas para verificação da associação entre aleitamento e variáveis independentes. RESULTADOS: a prevalência do aleitamento aos 6 e 12 meses foi de 22,2% (exclusivo) e 65% (total). A duração mediana da amamentação exclusiva foi de 3,65 meses. As variáveis associadas ao desmame foram uso de mamadeira (χ2=9,537; p=0,002) e chupeta (χ2= 14,667; p=0,001). Poucas mães (33) demonstraram saber a influência do aleitamento sobre a saúde bucal de seus filhos, sendo o cirurgião-dentista o profissional mais citado como responsável por essa informação. CONCLUSÕES: a prevalência da amamentação foi satisfatória, porém foram baixas as taxas de aleitamento exclusivo, e como fatores determinantes destacaram-se o uso de mamadeiras e chupetas associado ao desmame. É dever de órgãos governamentais, meios de comunicação e profissionais de saúde compactuarem ações efetivas em prol do aleitamento.

OBJECTIVES: to evaluate the prevalence of breastfeeding among infants receiving care in Araçatuba, in the State of São Paulo, Brazil; to assess associated variables relating to mother and child and the mother's knowledge regarding the relationship between breastfeeding and oral health. METHODS: cross-sectional study. Data was collected during the National Immunization Campaign, in 2005. One hundred mothers of children up to 12 months of age were interviewed. The frequency of breastfeeding was estimated using a survival analysis and statistical analyses were carried out to assess the association between breastfeeding and independent variables. RESULTS: the prevalence of breastfeeding, at 6 and 12 months was 22.2% (exclusive) and 65% (total). The mean duration of exclusive breastfeeding was 3.65 months. The variables associated with weaning were use of a bottle (χ2=9.537; p=0.002) and of a pacifier (χ2=14.667; p=0.001). Few mothers (33) demonstrated knowledge of the influence of breastfeeding on their children's oral health, the dentist being more often mentioned as responsible for providing this information. CONCLUSIONS: the prevalence of breastfeeding was satisfactory, although rates for exclusive breastfeeding were low. The use of a bottle and a pacifier were positively associated as determining factors with weaning. The government, media and health professionals must improve effective actions to promote breastfeeding.