Use of dental services among adults from a birth cohort in the South region of Brazil

ABSTRACT OBJECTIVE Measure the prevalence of use of dental services in the previous year and associated factors among 31-year-old adults from a birth cohort of 1982. METHODS This is a cross-sectional study that analyzed a birth cohort of 1982 from the city of Pelotas. In 1997, a systematic sampl...

Full description

Bibliographic Details
Main Authors: Rafaela do Carmo Borges, Mariana Silveira Echeverria, Sarah Arangurem Karam, Bernardo Lessa Horta, Flávio Fernando Demarco
Format: Article
Language:English
Published: Universidade de São Paulo 2023-08-01
Series:Revista de Saúde Pública
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102023000100237&tlng=en
_version_ 1797743275993464832
author Rafaela do Carmo Borges
Mariana Silveira Echeverria
Sarah Arangurem Karam
Bernardo Lessa Horta
Flávio Fernando Demarco
author_facet Rafaela do Carmo Borges
Mariana Silveira Echeverria
Sarah Arangurem Karam
Bernardo Lessa Horta
Flávio Fernando Demarco
author_sort Rafaela do Carmo Borges
collection DOAJ
description ABSTRACT OBJECTIVE Measure the prevalence of use of dental services in the previous year and associated factors among 31-year-old adults from a birth cohort of 1982. METHODS This is a cross-sectional study that analyzed a birth cohort of 1982 from the city of Pelotas. In 1997, a systematic sample of 27% of the city’s census sectors was defined and all households in these sectors were visited, where 1,076 15-year-old adolescents were interviewed. For the oral health studies, 900 of these individuals were randomly selected and followed up at 24 and 31 years of age. The study used data collected from 523 individuals in 2013 (at 31 years old). The outcome was visit to the dentist (use of dental services) in the previous year. Demographic factors (sex), socioeconomic factors (income, education), and oral health factors (reason and type of service, self-perception of oral health, dental pain and caries experience - DMFT) were used as independent variables. Prevalence ratios were estimated using Poisson regression. RESULTS The prevalence of use of dental services in the previous year was 55.3% (95%CI: 51.0–59.5%). In the adjusted analysis, the reason and type of service, self-perception of oral health, and DMFT were associated with the outcome. A stronger association was found with use of dental services in individuals who visited for prevention and used the private service, who were satisfied with their oral health, and who had more caries experiences. CONCLUSION 55.3% of the cohort sample used dental services in the previous year. Individuals who visited the dentist of private service for preventive reasons, who were very satisfied with their oral health, used these services in a higher proportion. In addition, a higher DMFT index also led to higher use of services.
first_indexed 2024-03-12T14:53:09Z
format Article
id doaj.art-e18ec636e31d408b96626485cdafa56d
institution Directory Open Access Journal
issn 1518-8787
language English
last_indexed 2024-03-12T14:53:09Z
publishDate 2023-08-01
publisher Universidade de São Paulo
record_format Article
series Revista de Saúde Pública
spelling doaj.art-e18ec636e31d408b96626485cdafa56d2023-08-15T07:46:14ZengUniversidade de São PauloRevista de Saúde Pública1518-87872023-08-015710.11606/s1518-8787.2023057004604Use of dental services among adults from a birth cohort in the South region of BrazilRafaela do Carmo Borgeshttps://orcid.org/0000-0001-5424-7381Mariana Silveira Echeverriahttps://orcid.org/0000-0002-2045-4232Sarah Arangurem Karamhttps://orcid.org/0000-0002-3921-0182Bernardo Lessa Hortahttps://orcid.org/0000-0001-9843-412XFlávio Fernando Demarcohttps://orcid.org/0000-0003-2276-491XABSTRACT OBJECTIVE Measure the prevalence of use of dental services in the previous year and associated factors among 31-year-old adults from a birth cohort of 1982. METHODS This is a cross-sectional study that analyzed a birth cohort of 1982 from the city of Pelotas. In 1997, a systematic sample of 27% of the city’s census sectors was defined and all households in these sectors were visited, where 1,076 15-year-old adolescents were interviewed. For the oral health studies, 900 of these individuals were randomly selected and followed up at 24 and 31 years of age. The study used data collected from 523 individuals in 2013 (at 31 years old). The outcome was visit to the dentist (use of dental services) in the previous year. Demographic factors (sex), socioeconomic factors (income, education), and oral health factors (reason and type of service, self-perception of oral health, dental pain and caries experience - DMFT) were used as independent variables. Prevalence ratios were estimated using Poisson regression. RESULTS The prevalence of use of dental services in the previous year was 55.3% (95%CI: 51.0–59.5%). In the adjusted analysis, the reason and type of service, self-perception of oral health, and DMFT were associated with the outcome. A stronger association was found with use of dental services in individuals who visited for prevention and used the private service, who were satisfied with their oral health, and who had more caries experiences. CONCLUSION 55.3% of the cohort sample used dental services in the previous year. Individuals who visited the dentist of private service for preventive reasons, who were very satisfied with their oral health, used these services in a higher proportion. In addition, a higher DMFT index also led to higher use of services.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102023000100237&tlng=enDental CareDental Health ServicesDisparities in Health CareAdults
spellingShingle Rafaela do Carmo Borges
Mariana Silveira Echeverria
Sarah Arangurem Karam
Bernardo Lessa Horta
Flávio Fernando Demarco
Use of dental services among adults from a birth cohort in the South region of Brazil
Revista de Saúde Pública
Dental Care
Dental Health Services
Disparities in Health Care
Adults
title Use of dental services among adults from a birth cohort in the South region of Brazil
title_full Use of dental services among adults from a birth cohort in the South region of Brazil
title_fullStr Use of dental services among adults from a birth cohort in the South region of Brazil
title_full_unstemmed Use of dental services among adults from a birth cohort in the South region of Brazil
title_short Use of dental services among adults from a birth cohort in the South region of Brazil
title_sort use of dental services among adults from a birth cohort in the south region of brazil
topic Dental Care
Dental Health Services
Disparities in Health Care
Adults
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102023000100237&tlng=en
work_keys_str_mv AT rafaeladocarmoborges useofdentalservicesamongadultsfromabirthcohortinthesouthregionofbrazil
AT marianasilveiraecheverria useofdentalservicesamongadultsfromabirthcohortinthesouthregionofbrazil
AT saraharanguremkaram useofdentalservicesamongadultsfromabirthcohortinthesouthregionofbrazil
AT bernardolessahorta useofdentalservicesamongadultsfromabirthcohortinthesouthregionofbrazil
AT flaviofernandodemarco useofdentalservicesamongadultsfromabirthcohortinthesouthregionofbrazil