Access to dental services and oral health-related quality of life in the context of primary health care
Access to dental services and oral health-related quality of life in the context of primary health care
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DOI：
10.1590/1807-3107bor-2019.vol33.0018
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发表时间：
2019-01-01
影响因子：
2.5
通讯作者：
SANTOS, Camila Mello dos
中科院分区：
文献类型：
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作者：
BASTOS, Lucelen Fontoura;HUGO, Fernando Neves;SANTOS, Camila Mello dos
本研究的目的是评估初级卫生保健(PHC)中获得口腔保健的机会与口腔健康相关生活质量(OHRQOL)之间的关系。本研究是一项横断面研究，样本包括居住在公共PHC服务覆盖地区的412名使用者，他们在过去24个月内前往卫生单位进行口腔检查或治疗。这项研究的参与者对以家庭为基础的采访做出了回应，提出了一些问题，涉及社会经济状况、行为、一般健康、牙齿修复、在PHC获得牙科服务的机会以及他们的OHRQOL(由口腔健康影响概况(OHIP-14)测量)。访谈结束后，进行牙科检查，计算牙齿数量。卡方检验、学生t检验和多变量分析采用分层模型和具有稳健方差的泊松回归来评估自变量与OHRQOL之间的关联。在PHC获得口腔健康服务与OHRQOL统计相关，估计患病率为PR=1.17(CI 95%1.00-1.37)。在这项研究中，准入的定义是基于按需提供牙科会诊的情况。这项研究发现，缺乏获得PHC提供的口腔健康服务的机会与对个人生活质量影响的流行率更高有关。
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.