Trends in use of dental services by Brazilian pre-school children considering Age-Period-Cohort Effect.
Journal
International journal of paediatric dentistry
ISSN: 1365-263X
Titre abrégé: Int J Paediatr Dent
Pays: England
ID NLM: 9107511
Informations de publication
Date de publication:
Jul 2019
Jul 2019
Historique:
received:
27
09
2018
revised:
06
02
2019
accepted:
07
02
2019
pubmed:
13
2
2019
medline:
30
10
2019
entrez:
13
2
2019
Statut:
ppublish
Résumé
Besides the growth in Brazilian public oral health investments, no pre-school children preventive policies were done, and surveys demonstrated lower prevalences of use of dental service. To verify trends in the use, type, and reason for seeking dental services among pre-school children considering time variations. This study used data of clinical examinations and structured interviews of three cross-sectional surveys of southern pre-school children in Brazil, from 2008, 2010, and 2013. Chi-square test for trends and hierarchical age-period-cohort (HAPC) analysis using the multilevel Poisson regression model assessing the influence of social and clinical variables in the use, type, and reason for seeking dental services were performed. A total of 1765 pre-school children participated in all surveys. At least, one time-related variation affected one of three assessed outcomes. There was no significant change in prevalence of the use of dental services (75.8%, 77.4%, and 74.9%, respectively, for each year; P = 0.750). In the HAPC analysis, younger children and from low socio-economic backgrounds were less likely to have visited the dentist. The prevalence of use of oral health services did not change and socio-economic inequalities persisted through the years, indicating a need of reviewing the policies to promote public health.
Sections du résumé
BACKGROUND
BACKGROUND
Besides the growth in Brazilian public oral health investments, no pre-school children preventive policies were done, and surveys demonstrated lower prevalences of use of dental service.
AIM
OBJECTIVE
To verify trends in the use, type, and reason for seeking dental services among pre-school children considering time variations.
METHODS
METHODS
This study used data of clinical examinations and structured interviews of three cross-sectional surveys of southern pre-school children in Brazil, from 2008, 2010, and 2013. Chi-square test for trends and hierarchical age-period-cohort (HAPC) analysis using the multilevel Poisson regression model assessing the influence of social and clinical variables in the use, type, and reason for seeking dental services were performed.
RESULTS
RESULTS
A total of 1765 pre-school children participated in all surveys. At least, one time-related variation affected one of three assessed outcomes. There was no significant change in prevalence of the use of dental services (75.8%, 77.4%, and 74.9%, respectively, for each year; P = 0.750). In the HAPC analysis, younger children and from low socio-economic backgrounds were less likely to have visited the dentist.
CONCLUSION
CONCLUSIONS
The prevalence of use of oral health services did not change and socio-economic inequalities persisted through the years, indicating a need of reviewing the policies to promote public health.
Types de publication
Journal Article
Langues
eng
Pagination
413-421Subventions
Organisme : Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - Brasil (CAPES)
Informations de copyright
© 2019 BSPD, IAPD and John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.