Analysis of the access of pregnant women to the first programmatic dental appointment: an ecological study.

IF 1.5 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Brazilian oral research Pub Date : 2024-01-05 eCollection Date: 2024-01-01 DOI:10.1590/1807-3107bor-2024.vol38.0012
Camila Mariotti, Leiriane Alves de Souza, Luiz Renato Paranhos, Jaqueline Vilela Bulgareli, Álex Moreira Herval
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Abstract

To plan and evaluate public health policies, it is important to understand the influence of social factors on the quality and access to dental care. This study aimed to verify the potential association between the indicators of pregnant women receiving dental care and the social and health care indicators of cities in the Brazilian state of Minas Gerais. A cross-sectional ecological study was performed with secondary data from the Brazilian Institute of Geography and Statistics and the Health Care Department of the Ministry of Health regarding the cities of Minas Gerais. The study analyzed three health care indicators (such as more than six prenatal, the proportion of syphilis and human immunodeficiency virus tests, and oral health coverage) and four social indicators (average monthly wage, illiteracy rate, proportion of employed population, and rate of adequate sanitary sewerage). Bivariate analysis (Mann-Whitney test) and logistic regression were performed using Jamovi software. All of the indicators analyzed were associated with the access of pregnant women to dental care. However, in the regression models, only health care indicators remained statistically significant. Thus, although social indicators are associated with the access of pregnant women to dental appointments, access to primary health care and the teamwork of primary health care teams may overcome social inequality in the access of pregnant women to dental care.

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孕妇获得首次牙科就诊机会的分析:一项生态研究。
为了规划和评估公共卫生政策,了解社会因素对牙科保健的质量和获得性的影响非常重要。本研究旨在验证孕妇接受牙科保健的指标与巴西米纳斯吉拉斯州城市的社会和医疗保健指标之间的潜在关联。我们利用巴西地理统计研究所和卫生部医疗保健司提供的有关米纳斯吉拉斯州各城市的二手数据,进行了一项横断面生态研究。研究分析了三项医疗保健指标(如六次以上产前检查、梅毒和人体免疫缺陷病毒检测比例、口腔健康覆盖率)和四项社会指标(平均月工资、文盲率、就业人口比例、适当卫生排污率)。使用 Jamovi 软件进行了二元分析(曼-惠特尼检验)和逻辑回归分析。所有分析指标都与孕妇获得牙科保健服务有关。然而,在回归模型中,只有医疗保健指标仍具有统计学意义。因此,尽管社会指标与孕妇获得牙科预约服务有关,但获得初级保健服务和初级保健小组的团队合作可以克服孕妇获得牙科保健服务方面的社会不平等。
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来源期刊
CiteScore
3.70
自引率
4.00%
发文量
107
审稿时长
12 weeks
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