Equity inthe use of dental services provided by the Brazilian Unified Health System (SUS) among the elderly: a population-based study

• Published in: Ciência & saude coletiva Vol. 21; no. 11; pp. 3509 - 3523
• Main Authors: Oliveira, Renata Francine Rodrigues de, Souza, João Gabriel Silva, Haikal, Desireé Sant'Ana, Ferreira, Efigênia Ferreira E, Martins, Andréa Maria Eleutério de Barros Lima
• Format: Journal Article
• Language: Portuguese; English
• Published: Brazil Associação Brasileira de Saúde Coletiva 01.11.2016
• Subjects: Aged; Brazil; Cross-Sectional Studies; Delivery of Health Care - organization & administration; Dental Health Services - utilization; Dental insurance; Educational Status; Female; Humans; Income; Male; Models, Statistical; Oral Health; Oral hygiene; Population-based studies; Self-Examination - statistics & numerical data
• ISSN: 1413-8123; 1678-4561
• DOI: 10.1590/1413-812320152111.22532015

The scope of this study is to establish the profile of elderly users of dental services provided by the Brazilian Unified Health System(SUS) and associated factors from the standpoint of equity. It involves an analytical cross-sectional study with hierarchical modeling conducted on the basis of a complex probabilistic sample of groups of the elderly (65-74 years of age) living in a densely populated Brazilian city. Independent variables were included relating to: socio-demographic characteristics, access to information on health, behaviors/health-care system and health outcomes. Descriptive, bivariate and multiple hierarchical analysis was performed. Of the 480 elderly persons included, 138 (31.2%) used dental services from the SUS. Use of these services was greater as per capita income and level of schooling decreased. It was lower among those who had not conducted exams of their own mouths (oral self-examinations) and higher among those individuals who used dental services for non-routine procedures. In addition, people whose relationship had been affected by oral health issues and a negative perception of their appearance used the SUS more frequently. The conclusion drawn is that the use of dental services of the SUS was most prevalent among the elderly living in precarious conditions.