Equity in the use of dental services provided by the Brazilian Unified Health System among the elderly: a population-based study/ Equidade no uso de servicos odontologicos provenientes do SUS entre idosos: estudo de base populacional.(articulo en portuguese )

• Published in: Ciência & saude coletiva Vol. 21; no. 11; pp. 3509 - 3523
• Main Authors: de Oliveira, Renata Francine Rodrigues, Souza, Joao Gabriel Silva, Haikal, Desiree Sant'Ana, Ferreira, Efigenia Ferreira, Martins, Andrea Maria Eleuterio de Barros Lima
• Format: Journal Article
• Language: Spanish
• Published: Associacao Brasileira de Pos-Graduacao em Saude Coletiva - ABRASCO 01-11-2016
• Subjects: Brasil
• 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.