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Cadernos Saúde Coletiva

versión impresa ISSN 1414-462Xversión On-line ISSN 2358-291X

Resumen

OLIVEIRA, Renata Francine Rodrigues de et al. Multilevel approach to the use of dental services in SUS among Brazilian adults. Cad. saúde colet. [online]. 2019, vol.27, n.4, pp.455-467.  Epub 28-Nov-2019. ISSN 2358-291X.  http://dx.doi.org/10.1590/1414-462x201900040098.

Background

Adults who demand for public or private dental services.

Objective

Factors associated with the use of dental services from SUS were identified among Brazilian adults, considering context and individual factors.

Method

It was used contextual data from 177 municipalities of DATA/SUS, IBGE, Atlas Brazil and SB Brazil / 2010 Project; and individual data from SB Brazil/2010. SPSS 19.0® was used in descriptive and bivariate analyzes and STATA 14.0® in multilevel analysis.

Results

The prevalence of use of services in SUS was 37.9%. The use of services in SUS was higher in municipalities with poor access to waste collection and lower in those with lower coverage of oral health teams. The use was lower among older men. Among those with lower schooling, lower family income, among blacks/brown/yellows and Indigenous, those with decayed teeth, and those who evaluated the dental appointment as regular/bad or bad. The greater use among the most vulnerable suggests equity.

Conclusion

Contextual and individual effects on the behavior of adults regarding the type of dental service used, which should be considered in oral health policies were verified in this study.

Palabras clave : adult; Single Health System; oral health; oral health services.

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