Comparing adult users of public and private dental services in the state of Minas Gerais, Brazil

BMC Oral Health

Andrea Maria Duarte Vargas¹  Mauro Henrique Nogueira Guimarães de Abreu¹  Rafaela da Silveira Pinto² 

[1] Universidade Federal de Minas Gerais, Avenida Antônio Carlos, CEP: 31270-901, 6627 Belo Horizonte, Brazil;Secretaria de Estado de Saúde de Minas Gerais, Rodovia Pref., Américo Gianetti, CEP: 31630-900, 4143 Belo Horizonte, Brazil

关键词: Brazil;    Adult;    Oral health;    Use of dental services;   

Others  :  1109581
DOI  :  10.1186/1472-6831-14-100

 received in 2014-02-12, accepted in 2014-07-30,  发布年份 2014

【 摘 要 】

Background

Studying the factors associated with the use of dental services can provide the necessary knowledge to understand the reasons why individuals seek out public healthcare services and the formulation of more appropriate public policies for the present-day reality.

Methods

This work was a cross-sectional epidemiological study consisting of a sample of adults found in a research databank concerning the conditions of the oral health of the population of the state of Minas Gerais, Brazil. This study examined both main oral health disorders and relevant socioeconomic aspects. The dependent variable was defined as the type of service used, categorized under public and private use. The independent variables were selected and grouped to be inserted in the analysis model according to an adaptation of the behavioral model described by Andersen and Davidson. A hierarchical model was used to analyze the data. The description of variables and bivariate analyses were performed in an attempt to verify possible associations. For each group of variables at each hierarchical level, the gross and adjusted odds ratios (OR) and the respective 95% confidence intervals (CI) were estimated by means of logistic regression. The Complex Samples model from the SPSS statistics program, version 19.0, was used to analyze the sample framework.

Results

In the final model, the factors associated with the use of public healthcare services by adults were directly related to the socioeconomic and demographic conditions of the individuals, including: being of a dark-skinned black race/color, belonging to families with more than four household residents and with a lower income level, residing in small towns, having more teeth that need treatment.

Conclusions

According to the findings from this study, socioeconomic and demographic factors, as well as normative treatment needs, are associated with the use of public dental services.

【 授权许可】

   
2014 Pinto et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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