巴西青少年牙科就诊:2019年全国学校健康调查的描述性分析

Hellen Monique da Motta, Nathalia Ribeiro Jorge da Silva-Garcia, Letícia Regina Morello Sartori, Maria Beatriz Junqueira de Camargo, Sarah Arangurem Karam
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摘要

目的:了解参加2019年全国学校健康调查(PeNSE)的青少年牙科就诊情况。方法:一项描述性横断面研究,分析过去一年的牙科就诊情况,考虑性别、种族/肤色、母亲教育程度和牙齿疼痛。仅包括年龄在13至15岁之间的PeNSE 2019参与者。绝对频率和相对频率使用皮尔逊卡方检验进行验证,置信水平为5% (p值)。结果:去年的牙医就诊率为66.7%;与黑人青少年相比,声称自己是白人的青少年的患病率更高(71.8%对61.9%),女性(68.4%;95%可信区间67.27;69.49),牙痛学生占69.4%;95%可信区间67.61;71.10%)和受过高等教育的母亲(77.9%;95%可信区间76.56;79.18)。牙科覆盖率高的联邦单位报告的服务使用率较低,而覆盖率低的联邦单位报告的牙医就诊比例较高。结论:13 ~ 15岁青少年近1年牙科就诊率为66.7%;女性青少年去看牙医的比例更高,她们自称是白人,她们的母亲受过高等教育,她们自己也有牙痛。此外,在牙科覆盖率较高的地方,看牙医的流行率较低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Dental visits among adolescents in Brazil: descriptive analysis of the National School Health Survey, 2019.

Objective: To describe the prevalence of dental visits among adolescents participating in the 2019 National School Health Survey (PeNSE).

Methods: A descriptive cross-sectional study analyzing dental visits in the last year considering sex, race/skin color, maternal education and dental pain. Only PeNSE 2019 participants between ages 13 and 15 years were included. Absolute and relative frequencies were verified using Pearson's Chi-square test, with a 5% confidence level (p-value<0.05) and the respective 95% confidence intervals (95%CI). As a secondary analysis, data on dental coverage in primary health care were collected and reported according to Brazilian regions.

Results: The prevalence of visits to the dentist in the last year was 66.7%; a higher prevalence was noted for adolescents who declared themselves white compared to black adolescents (71.8% versus 61.9%), for females (68.4%; 95%CI 67.27; 69.49), among students with toothache (69.4%; 95%CI 67.61; 71.10) and with mothers with higher education (77.9%; 95%CI 76.56; 79.18). Federative units with high dental coverage reported lower use of services, while those with lower coverage reported a higher proportion of visits to the dentist.

Conclusion: Among adolescents aged 13 to 15 years, a 66.7% prevalence of visits to the dentist in the last year was observed; higher prevalences of visits to the dentist were found among female adolescents, self-declared white, with mothers with higher education and with self-reported toothache. Furthermore, there was a lower prevalence of visits to the dentist in places with greater dental coverage.

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