Abstract
This study aimed to evaluate access to and utilization of various types of dental services by individuals 18 years or older in Brazil's State capitals. We gathered data from the Telephone Survey Surveillance System for Risk and Protective Factors for Chronic Diseases (VIGITEL) in 2009 (n = 54,367). More than half of the target population reported the need for dental treatment in the previous year; of these, 15.2% lacked access to dental services when needed. The private sector provided 61.1% of all dental appointments. The share of services provided by the Unified National Health System (SUS) ranged from 6.2% in the Federal District to 35.2% in Boa Vista, in the North. Multivariate Poisson regression models showed higher prevalence of dental treatment needs among women, middle-aged adults, and individuals with more schooling. Lack of access to dental care was more frequent among women, young adults, less educated individuals, and among lightener-skinned blacks. Our findings highlight sharp inequalities in the use of and access to dental services in the Brazilian State capitals.
Highlights
As informações provenientes de inquéritos de saúde são fundamentais para o monitoramento das condições de saúde da população, subsidiam o desenvolvimento de políticas públicas e possibilitam a avaliação do impacto das medidas implementadas ao longo do tempo
This study aimed to evaluate access to and utilization of various types of dental services by individuals 18 years or older in Brazil’s State capitals
More than half of the target population reported the need for dental treatment in the previous year; of these, 15.2% lacked access to dental services when needed
Summary
Tipo do serviço odontológico utilizado [n = 23.293] Privado Convênio Público Outro. Em cada quatro pessoas não conseguiu atendimento quando necessitou. O uso de serviço odontológico privado para o atendimento foi elevado, sendo igual ou superior a 50% em 21 capitais. No Distrito Federal, Goiânia (Goiás), Rio de Janeiro, São Paulo, Belo Horizonte (Minas Gerais) e Porto Alegre, a prevalência do uso de serviço odontológico do SUS foi inferior a 10%. Em Teresina (Piauí), Boa Vista, Campo Grande e Vitória uma em cada três pessoas que relataram ter tido consulta odontológica a realizou no âmbito do SUS. S94 Peres MA et al. Prevalência de necessidade de serviço odontológico, falta de acesso (não conseguiu quando necessitou) e tipo de serviço odontológico utilizado, segundo capitais de unidades federativas do Brasil.
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