Contextual and individual factors associated with public dental services utilisation in Brazil: A multilevel analysis.

<h4>Background</h4>This study verified the association between contextual and individual factors and public dental services utilisation in Brazil.<h4>Methods</h4>The study was conducted based on a cross-sectional population-based household survey performed in Brazil (National...

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Autores principales:	Maria Helena Rodrigues Galvão, Arthur de Almeida Medeiros, Angelo Giuseppe Roncalli
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/59fed9e2b9f34b9f8c0eba57b15d34b8
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spelling	oai:doaj.org-article:59fed9e2b9f34b9f8c0eba57b15d34b82021-12-02T20:09:19ZContextual and individual factors associated with public dental services utilisation in Brazil: A multilevel analysis.1932-620310.1371/journal.pone.0254310https://doaj.org/article/59fed9e2b9f34b9f8c0eba57b15d34b82021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0254310https://doaj.org/toc/1932-6203<h4>Background</h4>This study verified the association between contextual and individual factors and public dental services utilisation in Brazil.<h4>Methods</h4>The study was conducted based on a cross-sectional population-based household survey performed in Brazil (National Health Survey- 2019)). Data was collected between August 2019 and March 2020. Total sample included 43,167 individuals aged ≥15 years who had at least one dental appointment in the last 12 months before interview. Study outcome was 'public dental service utilisation', and Andersen's behavioral model was adopted for selecting independent variables. A multilevel analysis was performed using individual factors as first level and federation units as second level.<h4>Results</h4>The highest prevalence of public dental service utilisation on an individual level was observed among unable to read or write people (PR: 3.31; p<0.001), indigenous (PR: 1.40; p<0.001), black or brown (PR: 1.16; p<0.001), with per capita household income of up to U$124 (PR: 2.40; p<0.001), living in the rural area (PR: 1.28; p<0.001), and who self-rated oral health as regular (PR: 1.15; p<0.001) or very bad/bad (PR: 1.26; p<0.001). On the contextual level, highest PR of public dental service utilisation was observed among those living in federal units with increased oral health coverage in primary health care.<h4>Conclusions</h4>Public dental service utilisation is associated with individual and contextual factors. These results can guide decision-making based on evidence from policymakers, demonstrating the potential for mitigating oral health inequalities and increasing service coverage in a public and universal health system.Maria Helena Rodrigues GalvãoArthur de Almeida MedeirosAngelo Giuseppe RoncalliPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0254310 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Maria Helena Rodrigues Galvão Arthur de Almeida Medeiros Angelo Giuseppe Roncalli Contextual and individual factors associated with public dental services utilisation in Brazil: A multilevel analysis.
description	<h4>Background</h4>This study verified the association between contextual and individual factors and public dental services utilisation in Brazil.<h4>Methods</h4>The study was conducted based on a cross-sectional population-based household survey performed in Brazil (National Health Survey- 2019)). Data was collected between August 2019 and March 2020. Total sample included 43,167 individuals aged ≥15 years who had at least one dental appointment in the last 12 months before interview. Study outcome was 'public dental service utilisation', and Andersen's behavioral model was adopted for selecting independent variables. A multilevel analysis was performed using individual factors as first level and federation units as second level.<h4>Results</h4>The highest prevalence of public dental service utilisation on an individual level was observed among unable to read or write people (PR: 3.31; p<0.001), indigenous (PR: 1.40; p<0.001), black or brown (PR: 1.16; p<0.001), with per capita household income of up to U$124 (PR: 2.40; p<0.001), living in the rural area (PR: 1.28; p<0.001), and who self-rated oral health as regular (PR: 1.15; p<0.001) or very bad/bad (PR: 1.26; p<0.001). On the contextual level, highest PR of public dental service utilisation was observed among those living in federal units with increased oral health coverage in primary health care.<h4>Conclusions</h4>Public dental service utilisation is associated with individual and contextual factors. These results can guide decision-making based on evidence from policymakers, demonstrating the potential for mitigating oral health inequalities and increasing service coverage in a public and universal health system.
format	article
author	Maria Helena Rodrigues Galvão Arthur de Almeida Medeiros Angelo Giuseppe Roncalli
author_facet	Maria Helena Rodrigues Galvão Arthur de Almeida Medeiros Angelo Giuseppe Roncalli
author_sort	Maria Helena Rodrigues Galvão
title	Contextual and individual factors associated with public dental services utilisation in Brazil: A multilevel analysis.
title_short	Contextual and individual factors associated with public dental services utilisation in Brazil: A multilevel analysis.
title_full	Contextual and individual factors associated with public dental services utilisation in Brazil: A multilevel analysis.
title_fullStr	Contextual and individual factors associated with public dental services utilisation in Brazil: A multilevel analysis.
title_full_unstemmed	Contextual and individual factors associated with public dental services utilisation in Brazil: A multilevel analysis.
title_sort	contextual and individual factors associated with public dental services utilisation in brazil: a multilevel analysis.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/59fed9e2b9f34b9f8c0eba57b15d34b8
work_keys_str_mv	AT mariahelenarodriguesgalvao contextualandindividualfactorsassociatedwithpublicdentalservicesutilisationinbrazilamultilevelanalysis AT arthurdealmeidamedeiros contextualandindividualfactorsassociatedwithpublicdentalservicesutilisationinbrazilamultilevelanalysis AT angelogiusepperoncalli contextualandindividualfactorsassociatedwithpublicdentalservicesutilisationinbrazilamultilevelanalysis
_version_	1718375062203006976

Contextual and individual factors associated with public dental services utilisation in Brazil: A multilevel analysis.

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