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Determinantes de saúde oral: evidência para Portugal
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Resumo(s)
Os determinantes de saúde oral são factores que influenciam indirectamente a saúde oral. O seu estudo permite aproximar os recursos da equidade aquando da elaboração de estratégias de saúde pública. Este estudo pretende investigar os determinantes de saúde oral relevantes para a população portuguesa e o seu impacto na saúde oral. Foi utilizado o Inquérito Nacional de Saúde 2014, realizado a 18204 indivíduos como amostra representativa da população portuguesa. Para caracterizar a amostra recorreu-se a variáveis de ordem sociodemográfica e aplicou-se estatística descritiva relativa às variáveis de saúde oral e de saúde geral. Aplicou-se estatística inferencial para verificar se as variáveis em causa estavam relacionadas com o teste do qui-quadrado. Foram verificadas associações entre os indivíduos com mais de 50 anos e a escovagem inferior a duas vezes por dia e com a última ida ao médico dentista ter sido há mais de um ano; verificou-se também a frequência de escovagem ser superior no género masculino que o feminino. Dos indivíduos que não foram ao médico dentista no ano passado, 73% reside numa área medianamente ou pouco povoada e o seu nível de ensino é reduzido; menor rendimento económico foi associado a escovagem com menor frequência; dos indivíduos que vão ao MD há mais de 1 ano 56% considera a sua saúde como boa ou superior e 85% dos indivíduos que não têm assistência extra à saúde consideram que é caro ir ao médico dentista. Os determinantes: género feminino, região urbana, idade inferior a 50, ensino secundário ou superior, pertencer ao 4º-5º quintil de rendimento e considerar a saúde como boa ou superior influenciam de forma positiva os comportamentos relativos à saúde oral. Por outro lado, verificou-se que assistência extra à saúde não foi um fator positivo para os parâmetros avaliados.
Oral health determinants are factors that indirectly cause an impact on individual’s oral health. Its study allows making public health strategies in order to promote equity. The aim of this study is to investigate which oral health determinants are important to the Portuguese and their impact on oral health. Data were collected from Health National Enquiry 2014, which was conducted on 18204, representative to Portuguese population. It was used demographic variables to characterize this sample and descriptive analyses to variables of oral health and general health. Inferential statistics were used to recognize if the variables of this study were related to qui-square test. Results indicate that there were associations with people over 50 years and brushing teeth less than twice a day and with not going to dentistry’s office for over a year; men’s frequency of brushing teeth is above woman’s. Regarding who didn’t go to the dentistry’s office last year, 73% lives in rural areas and have low educational stage; lower income is associated with brushing teeth less; 56% whom considered their health as good or superior and whom with low educational stage didn’t come to dentistry’s office last year and 85% who didn’t have insurance consider dentistry’s consultations expensive. Oral health can have a positive impact by: being a female, living in urban areas, aged less than 50, having high school or more, belonging to 4th or 5th salary’s quintiles and by considering their health as good or more. On the contrary, having insurance had not a positive effect on oral health on this study.
Oral health determinants are factors that indirectly cause an impact on individual’s oral health. Its study allows making public health strategies in order to promote equity. The aim of this study is to investigate which oral health determinants are important to the Portuguese and their impact on oral health. Data were collected from Health National Enquiry 2014, which was conducted on 18204, representative to Portuguese population. It was used demographic variables to characterize this sample and descriptive analyses to variables of oral health and general health. Inferential statistics were used to recognize if the variables of this study were related to qui-square test. Results indicate that there were associations with people over 50 years and brushing teeth less than twice a day and with not going to dentistry’s office for over a year; men’s frequency of brushing teeth is above woman’s. Regarding who didn’t go to the dentistry’s office last year, 73% lives in rural areas and have low educational stage; lower income is associated with brushing teeth less; 56% whom considered their health as good or superior and whom with low educational stage didn’t come to dentistry’s office last year and 85% who didn’t have insurance consider dentistry’s consultations expensive. Oral health can have a positive impact by: being a female, living in urban areas, aged less than 50, having high school or more, belonging to 4th or 5th salary’s quintiles and by considering their health as good or more. On the contrary, having insurance had not a positive effect on oral health on this study.
Descrição
Tese de mestrado, Medicina Dentária, Universidade de Lisboa, Faculdade de Medicina Dentária, 2016
Palavras-chave
Saúde oral Determinantes sociais da saúde Teses de mestrado - 2016