Abstract
Abstract Objective: To investigate factors associated with the use of dental care services. Methods: A cross-sectional study with a representative sample of elderly individuals aged 65 years or older residing in the state of São Paulo in 2015 was performed. Hierarchical multivariate logistic regression analysis was used based on the theoretical model of access determination proposed by Andersen (1995) to predict dental care visits. Results: The prevalence of public service use by the elderly was 1.981 (37.8%), while 3.253 (62.2%) used the private service/ health plan/ other type of service. Hierarchical multiple analysis (p≤0.05) identified that less schooling or never having studied, non-white, lower income and motivated by pain/extraction were associated with the use of public dental services. The study showed a reduced use of public dental care among elderly persons who required some type of upper dentures (except complete dentures), need for some type of lower dentures (including complete dentures) and demonstrated a positive self-perception of oral health condition. Conclusions: A higher prevalence of the use of private dental care/health plan/other type of service was identified. Less schooling or never having studied, non-white skin color, lower income and seeking the dentist with pain or to extract teeth were factors associated with the use of public dental services by the elderly.
Highlights
The aim of the present study was to investigate factors associated with the use of public dental care services by elderly persons, based on the epidemiological survey of the Conditions of Oral Health of the Population of the State of São Paulo (SB-SP) carried out in 2015
The variables with significance lower than 0.20 in the bivariate analysis were accepted for the construction of the multiple logistic regression model and Odds Ratio (OR) with 95% confidence interval
The present study found that 37.8% of the at least once in their lives is 0.62 OR times less than elderly used the public dental service
Summary
Means of less complex and preventive treatment, the early detection of diseases in distinct stages of Brazil is undergoing a demographic and life and improving the quality of life of the elderly[2]. The aim of the present study was to investigate factors associated with the use of public dental care services by elderly persons, based on the epidemiological survey of the Conditions of Oral Health of the Population of the State of São Paulo (SB-SP) carried out in 2015. In the second stage 390 Census Sectors (Secondary Sampling Units - SSU) were drawn, with two sectors for each of the 177 municipal regions and 36 sectors for the city of São Despite these poor oral health conditions and the low prevalence of the use of dental services, 46.6% of the elderly required dental treatment[3,4]. The sample size was calculated for each of the health problems and for the respective age group with the results of mean dental caries, periodontal condition and dentures (use and need), standard deviation and acceptable degree of uniformity in the procedures[10]. Presence of dental calculus, need for endodontic treatment, need for upper and lower dentures and satisfaction with oral/dental condition
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