Use of dental services in areas covered by the Family Health Strategy in Olinda, Brazil

Oliveira, Raquel Santos de; Magalhães, Bruno Gama; Góes, Paulo Sávio Angeiras de; Rocha, Renata de Andrade Cardoso Pinto; Gaspar, Gabriela da Silveira

doi:10.1590/1414-462X201400010007

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Artigos Originais • Cad. saúde colet. 22 (01) • Jan-Mar 2014 • https://doi.org/10.1590/1414-462X201400010007 copy

Use of dental services in areas covered by the Family Health Strategy in Olinda, Brazil

Utilização dos serviços odontológicos em áreas adstritas pela Estratégia Saúde da Família em Olinda, Pernambuco, Brasil

Authorship SCIMAGO INSTITUTIONS RANKINGS

OBJECTIVE:

The aim of the present study was to analyze factors associated with the use of dental services in areas covered by the Family Health Strategy in the city of Olinda, northeastern Brazil.

METHODS:

A quantitative, analytical, cross-sectional study was conducted involving individuals over 18 years of age (n=492) registered at Family Health Units. Data analysis was performed with SPSS program (version 11.0) and involved 2 test and logistic regression analysis.

RESULTS:

The number of individuals who sought dentists at public services (58.6%) was greater than that who sought dentists in the private sector (37.4%). Among those who used public services in the previous 12 months, only 18.9% had access to a dentist from a Family Health Unit. Multiple logistic regression analysis showed that the use of services was associated with toothaches in the previous six months and living in a rented home (p<0.05).

CONCLUSION:

The results show that access to dental services was highly limited, even in areas covered by an Oral Health Team. Moreover, access was potentiated by indicators of oral health needs and socioeconomic status.

quality of health care; health services accessibility; oral health

Variables/Categories	Use of dental services				Total		χ²
	Yes		No		Total		χ²
	n	%	n	%	n	%	p-value
Gender							0.811
Male Female	17 76	15.9 19.7	90 309	84.1 80.3	107 385	100 100	0.368
Age*							6.410
≤37 years old >37 years old	59 34	23.2 14.4	195 204	76.8 85.7	254 238	100 100	<0.011
Type of housing							15.32
Rented Loaned Yielded Stolen Bought/financed	12 6 7 14 54	17.9 50.0 33.3 28.0 15.8	55 6 14 36 288	82.1 50.0 66.7 72.0 84.2	67 12 21 50 342	100 100 100 100 100	0.004
Administration district							4.598
Administration district I Administration district II	37 56	15.1 22.7	208 191	84.9 77.3	245 247	100 100	0.032
Toothache in previous 6 months							13.86
Yes No	29 57	33.7 16.0	57 299	66.7 84.0	86 356	100 100	<0.001
Time since implantation of FHS							7.084
<5 years >5 years	49 44	16.0 23.8	258 141	84.0 76.2	307 185	100 100	0.008
Oral Health Team to Family Health Team proportion							5.376
1 OHT/1 FHT 1 OHT/2 FHT	56 37	23.0 14.9	187 212	77.0 85.1	243 249	100 100	0.020

Variables	Non-adjusted		Adjusted
Variables	OR (95%CI)	p-value	OR (95%CI)	p-value
Gender
Male	1.3 (0.73–2.3)	0.369	1.25 (0.67–2.23)	0.471
Female	1		1
Age
≤37 years old	2.2 (1.7–2.7)	0.001	0.68 (0.41–1.13)	0.140
>37 years old	1		1
Toothache in the previous 6 months
Yes	0.375 (0.22–0.63)	0.001	0.431 (0.24–0.75)	0.003
No	1		1
Type of housing		0.008		0.044
Rent	0.86 (0.43–1.71)	0.667	0.94 (0.44–1.97)	0.871
Loaned	0.18 (0.05–0.60)	0.005	0.21 (0.63–0.71)	0.012
Yielded	0.37 (0.14–0.97)	0.044	0.57 (0.18–1.78)	0.336
Stolen	0.48 (0.24–0.95)	0.036	0.48 (0.23–1.00)	0.050
Bought/financed	1		1

Instituto de Estudos em Saúde Coletiva da Universidade Federal do Rio de Janeiro Avenida Horácio Macedo, S/N, CEP: 21941-598, Tel.: (55 21) 3938 9494 - Rio de Janeiro - RJ - Brazil
E-mail: cadernos@iesc.ufrj.br

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[1] Correspondence: Bruno Gama Magalhães Universidade Federal de Pernambuco, Centro de Ciências da Saúde, Departamento de Clínica e Odontologia Preventiva Avenida Prof. Moraes Rego, 1.235 - Cidade Universitária CEP: 50670-901 - Recife (PE), Brazil E-mail: bruno.gama83@yahoo.com.br