TY - JOUR
T1 - Access to dental services and oral health-related quality of life in the context of primary health care
AU - Bastos, Lucelen Fontoura
AU - Hugo, Fernando Neves
AU - Hilgert, Juliana Balbinot
AU - Cardozo, Débora Deus
AU - Bulgarelli, Alexandre Fávero
AU - dos Santos, Camila Mello
N1 - Publisher Copyright:
© Sociedade Brasileira de Hematologia e Hemoterapia.
PY - 2019
Y1 - 2019
N2 - The aim of the present study was to evaluate the association between access to oral health care in the Primary Health Care (PHC) and Oral Health-Related Quality of Life (OHRQoL). The present study was a cross-sectional study, and the sample was composed of 412 users living in the areas covered by the public PHC services who visited a health unit for an oral exam or treatment in the last 24 months. Participants in the study responded to a home-based interview with questions that addressed socioeconomic status, behavioral, general health, dental prostheses, access to dental services in the PHC and their OHRQoL as measured by the Oral Health Impact Profile (OHIP-14) instrument. After the interview, a dental examination was performed to count the number of teeth. Chi-square tests, Student's t tests and multivariate analyses were performed using a hierarchical model and a Poisson regression with robust variance to evaluate the association between independent variables and OHRQoL. Access to oral health services in the PHC was statistically associated with OHRQoL, and the estimated prevalence rate was PR = 1.17 (CI 95% 1.00-1.37). In this study, the definition of access was based on the availability of dental consultations on demand. The study identified that lack of access to oral health services offered by the PHC was associated with a higher prevalence of impact on the quality of life of individuals.
AB - The aim of the present study was to evaluate the association between access to oral health care in the Primary Health Care (PHC) and Oral Health-Related Quality of Life (OHRQoL). The present study was a cross-sectional study, and the sample was composed of 412 users living in the areas covered by the public PHC services who visited a health unit for an oral exam or treatment in the last 24 months. Participants in the study responded to a home-based interview with questions that addressed socioeconomic status, behavioral, general health, dental prostheses, access to dental services in the PHC and their OHRQoL as measured by the Oral Health Impact Profile (OHIP-14) instrument. After the interview, a dental examination was performed to count the number of teeth. Chi-square tests, Student's t tests and multivariate analyses were performed using a hierarchical model and a Poisson regression with robust variance to evaluate the association between independent variables and OHRQoL. Access to oral health services in the PHC was statistically associated with OHRQoL, and the estimated prevalence rate was PR = 1.17 (CI 95% 1.00-1.37). In this study, the definition of access was based on the availability of dental consultations on demand. The study identified that lack of access to oral health services offered by the PHC was associated with a higher prevalence of impact on the quality of life of individuals.
KW - Health services accessibility
KW - Oral health
KW - Primary health care
KW - Quality of life
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U2 - 10.1590/1807-3107BOR-2019.VOL33.0018
DO - 10.1590/1807-3107BOR-2019.VOL33.0018
M3 - Article
C2 - 31432923
AN - SCOPUS:85071744528
SN - 1806-8324
VL - 33
JO - Brazilian Oral Research
JF - Brazilian Oral Research
M1 - e018
ER -