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Inequalities in the use of dental services by people with and without disabilities in Brazil: a National Health Survey.
Costa, Francine Dos Santos; Possebom Dos Santos, Luany; Chisini, Luiz Alexandre.
Afiliação
  • Costa FDS; Programa de Pós-Graduação em Epidemiologia, Universidade Federal de Pelotas - UFPel, 1160, Marchal Deodoro St. 3th floor, room 331, Pelotas, RS, 96020-220, Brazil.
  • Possebom Dos Santos L; DDS, Private Dental Practioner, Lajeado, RS, 95914-014, Brazil.
  • Chisini LA; School of Dentistry, Department of Restorative Dentistry, Graduate Program in Dentistry, Universidade Federal de Pelotas - UFPel, 457, Gonçalves Chaves St. 5th floor, Pelotas, RS,, 96015-560, Brazil. alexandrechisini@gmail.com.
Clin Oral Investig ; 28(10): 540, 2024 Sep 21.
Article em En | MEDLINE | ID: mdl-39320481
ABSTRACT

OBJECTIVES:

The present cross-sectional study aimed to evaluate if social, racial, and gender inequalities disproportionally affect the use of dental services by people with and without disabilities in Brazil in the year 2013. MATERIALS AND

METHODS:

The study used data from the 2013 National Health Survey and the dependent variable was the use of dental services. The outcome was stratified by gender, race, and social variables. Descriptive analysis was represented by absolute and relative frequencies. Two inequality measures were used to investigate the inequalities the Slope Index of Inequalities (SII) and the Concentration Index of Inequalities (CIX). The SII expresses the absolute difference and the CIX identifies the relative inequality.

RESULTS:

Of 145,580 adults evaluated, 7.7% reported disability. The proportion of adults without disabilities who used dental services in the last 12 months was higher (45.2%; 95%CI 44.2-46.1) than adults with disabilities (33.9%; 95%CI 32.0-35.9). There was an absolute difference of 40% points (SII 0.40; CI95% (0.36-0.45) in the use of dental services between poorer and richer people with disabilities. Absolute and relative inequalities were identified in the use of dental services, considering the education of the head of the family and family income, with similar results for people with and without disabilities. High inequality is observed concerning race. Racial minorities (Black, Brown, Yellow, and Indigenous) without disabilities presented a higher use of dental services in the last 12 months than racial minorities with disabilities.

CONCLUSIONS:

Our findings demonstrate that social and racial inequities negatively affect individuals with and without disabilities. CLINICAL RELEVANCE Inequalities exist in the use of oral health services for people with and without disabilities.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pessoas com Deficiência / Disparidades em Assistência à Saúde Limite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Brasil Idioma: En Revista: Clin Oral Investig Assunto da revista: ODONTOLOGIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Alemanha

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pessoas com Deficiência / Disparidades em Assistência à Saúde Limite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Brasil Idioma: En Revista: Clin Oral Investig Assunto da revista: ODONTOLOGIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Alemanha