Educational intervention concerning flu-like syndromes after the Covid-19 pandemic: impacts on dental indicators using an interrupted time series analysis

IF 1.7 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health Pub Date : 2026-03-01 Epub Date: 2026-02-13 DOI:10.1016/j.cegh.2026.102312

Hassan Lavalier de Oliveira Lima , Francenilde Silva de Sousa , Isabelle Aguiar Prado , Judith Rafaele Oliveira Pinho , Ana Basília dos Reis Oliveira , Alberto Allan Rodrigues Patrício , Paulo Savio Angeiras de Goes , Nilcema Figueiredo , Elisa Miranda Costa , Erika Barbara Abreu Fonseca Thomaz

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引用次数: 0

Abstract

Background

In Brazil, the state of emergency and the suspension of non-essential activities and non-urgent health services have led to a decline in the supply of dental services provided by the Brazilian Unified Health System (SUS). To analyze the impact of an educational intervention concerning flu-like syndromes on indicators of the use of oral health services (UOHS) in Primary Health Care (PHC) after the Covid-19 pandemic.

Methods

Study based on a non-randomized community pilot trial with controlled analysis of interrupted time series conducted in four small municipalities in Northeastern Brazil. This intervention with oral health professionals and managers of PHC units lasted 12 months and was dichotomized into before (March 2020 to September 2022) and during (October 2022 to September 2023) the intervention. Three other municipalities with similar sociodemographic characteristics were used as negative controls (no intervention). Outcomes.

Findings

Training was associated with an increase of 1.01 in the proportion of RPCR per thousand inhabitants per month (Xreg = 1.01; p-value = 0.009) and a decrease of 1.28 in the proportion of RDEP per thousand inhabitants per month (Xreg = -1.28; p-value<0.001), but it produced no significant change in the proportion of RPPP (Xreg = 1.47 p-value = 0.799). One of the municipalities in the control group showed a decrease of 4.19 in proportion of RPPP per thousand inhabitants per month (Xreg = −4.19; p-value = 0.004).

Interpretation

Training concerning flu-like syndromes is important for the safe return of PHC health professionals to dental clinic activities in the aftermath of the Covid-19 pandemic, helping to guarantee comprehensive and problem-solving access to health systems located in areas of social vulnerability.

查看原文本刊更多论文

Covid-19大流行后流感样综合征的教育干预：使用中断时间序列分析对牙科指标的影响

背景在巴西，紧急状态和非必要活动和非紧急保健服务的暂停导致巴西统一保健系统提供的牙科服务减少。分析新型冠状病毒大流行后流感样综合征教育干预对初级卫生保健（PHC）口腔卫生服务（UOHS）使用指标的影响。方法研究基于在巴西东北部四个小城市进行的非随机社区试点试验，并对中断时间序列进行对照分析。对口腔卫生专业人员和初级保健单位管理人员的干预持续了12个月，分为干预前（2020年3月至2022年9月）和干预期间（2022年10月至2023年9月）。另外三个具有类似社会人口特征的城市作为阴性对照（无干预）。结果。结果显示，饮酒与每月每千居民的RPCR比例增加1.01 (Xreg = 1.01； p值= 0.009)，每月每千居民的RDEP比例减少1.28 （Xreg = -1.28； p值<；0.001）有关，但对RPPP比例没有显著变化（Xreg = 1.47 p值= 0.799）。对照组的一个城市显示，每月每千居民的RPPP比例下降了4.19 （Xreg = - 4.19； p值= 0.004）。在2019冠状病毒病大流行之后，关于流感样综合征的培训对于初级保健卫生专业人员安全返回牙科诊所活动非常重要，有助于确保在社会脆弱地区获得全面和解决问题的卫生系统。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Epidemiology and Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.60

自引率

7.70%

发文量

218

审稿时长

66 days

期刊介绍： Clinical Epidemiology and Global Health (CEGH) is a multidisciplinary journal and it is published four times (March, June, September, December) a year. The mandate of CEGH is to promote articles on clinical epidemiology with focus on developing countries in the context of global health. We also accept articles from other countries. It publishes original research work across all disciplines of medicine and allied sciences, related to clinical epidemiology and global health. The journal publishes Original articles, Review articles, Evidence Summaries, Letters to the Editor. All articles published in CEGH are peer-reviewed and published online for immediate access and citation.