Judith Rafaelle Oliveira Pinho

Evaluación de los indicadores de salud bucal en Brasil: ¿tendencia evolutiva pro-equidad?

Fue evaluada la hipotesis de que los indicadores de salud bucal obtenidos en el Pacto de Atencion Basica de 2006, en el Pacto de Salud del bienio 2010/2011 e indicadores de transicion entre el Pacto por la Salud y Contrato Organizativo de Accion Publica en Salud de 2012, no fueron diferentes entre las Unidades Federativas (UF) brasilenas con diferentes Indices de Desarrollo Humano (IDH). Para eso, se realizo un estudio longitudinal ecologico comparando las UF de Brasil con extremos del IDH. Los datos fueron obtenidos de los sistemas de informacion del Sistema Unico de Salud (SUS) y del Programa de Naciones Unidas para el Desarrollo, y sometidos a un analisis de regresion lineal de efectos mixtos (alfa = 5%). Todos los indicadores de oportunidad de acceso fueron asociados negativamente con el IDH. Para los de utilizacion, la asociacion se produjo en apenas dos indicadores. Los resultados mostraron una tendencia evolutiva pro-equidad para los indicadores de oportunidad de acceso en relacion con la salud bucal.This study tested the hypothesis that oral health indicators from the Pact for Primary Healthcare 2006, the Biennial Pact for Health 2010-2011, and the indicators for the transition from the Pact for Health to the 2012 Organizational Contract for Public Action in Health did not differ between states of Brazil with different Human Development Indices (HDI). A longitudinal ecological study was performed, comparing the states of Brazil with the highest and lowest HDIs. Data were obtained from the information systems of the Brazilian Unified National Health System (SUS) and the United Nations Development Program (UNDP) and submitted to mixed-effects linear regression (alpha = 5%). All the indicators for opportunity of access to oral health care were inversely associated with HDI. For indicators of use, the association only occurred with two indicators. The results showed a trend towards equity for indicators of opportunity of access to oral health.

Avaliação dos indicadores de saúde bucal no Brasil: tendência evolutiva pró-equidade?

Fue evaluada la hipotesis de que los indicadores de salud bucal obtenidos en el Pacto de Atencion Basica de 2006, en el Pacto de Salud del bienio 2010/2011 e indicadores de transicion entre el Pacto por la Salud y Contrato Organizativo de Accion Publica en Salud de 2012, no fueron diferentes entre las Unidades Federativas (UF) brasilenas con diferentes Indices de Desarrollo Humano (IDH). Para eso, se realizo un estudio longitudinal ecologico comparando las UF de Brasil con extremos del IDH. Los datos fueron obtenidos de los sistemas de informacion del Sistema Unico de Salud (SUS) y del Programa de Naciones Unidas para el Desarrollo, y sometidos a un analisis de regresion lineal de efectos mixtos (alfa = 5%). Todos los indicadores de oportunidad de acceso fueron asociados negativamente con el IDH. Para los de utilizacion, la asociacion se produjo en apenas dos indicadores. Los resultados mostraron una tendencia evolutiva pro-equidad para los indicadores de oportunidad de acceso en relacion con la salud bucal.This study tested the hypothesis that oral health indicators from the Pact for Primary Healthcare 2006, the Biennial Pact for Health 2010-2011, and the indicators for the transition from the Pact for Health to the 2012 Organizational Contract for Public Action in Health did not differ between states of Brazil with different Human Development Indices (HDI). A longitudinal ecological study was performed, comparing the states of Brazil with the highest and lowest HDIs. Data were obtained from the information systems of the Brazilian Unified National Health System (SUS) and the United Nations Development Program (UNDP) and submitted to mixed-effects linear regression (alpha = 5%). All the indicators for opportunity of access to oral health care were inversely associated with HDI. For indicators of use, the association only occurred with two indicators. The results showed a trend towards equity for indicators of opportunity of access to oral health.

Evaluation of oral health indicators in Brazil: a trend towards equity in dental care?

Fue evaluada la hipotesis de que los indicadores de salud bucal obtenidos en el Pacto de Atencion Basica de 2006, en el Pacto de Salud del bienio 2010/2011 e indicadores de transicion entre el Pacto por la Salud y Contrato Organizativo de Accion Publica en Salud de 2012, no fueron diferentes entre las Unidades Federativas (UF) brasilenas con diferentes Indices de Desarrollo Humano (IDH). Para eso, se realizo un estudio longitudinal ecologico comparando las UF de Brasil con extremos del IDH. Los datos fueron obtenidos de los sistemas de informacion del Sistema Unico de Salud (SUS) y del Programa de Naciones Unidas para el Desarrollo, y sometidos a un analisis de regresion lineal de efectos mixtos (alfa = 5%). Todos los indicadores de oportunidad de acceso fueron asociados negativamente con el IDH. Para los de utilizacion, la asociacion se produjo en apenas dos indicadores. Los resultados mostraron una tendencia evolutiva pro-equidad para los indicadores de oportunidad de acceso en relacion con la salud bucal.This study tested the hypothesis that oral health indicators from the Pact for Primary Healthcare 2006, the Biennial Pact for Health 2010-2011, and the indicators for the transition from the Pact for Health to the 2012 Organizational Contract for Public Action in Health did not differ between states of Brazil with different Human Development Indices (HDI). A longitudinal ecological study was performed, comparing the states of Brazil with the highest and lowest HDIs. Data were obtained from the information systems of the Brazilian Unified National Health System (SUS) and the United Nations Development Program (UNDP) and submitted to mixed-effects linear regression (alpha = 5%). All the indicators for opportunity of access to oral health care were inversely associated with HDI. For indicators of use, the association only occurred with two indicators. The results showed a trend towards equity for indicators of opportunity of access to oral health.

Condições socioeconômicas estão associadas ao overbite e overjet? Uma avaliação utilizando fotografias digitais

Purpose: to estimate the association between socioeconomic factors and occlusal changes like overbite and overjet in students aged 7 to 15 years. Method: this is a cross-sectional study in 251 students of both gender regularly enrolled in the school of public and private schools in Sao Luis, Maranhao, Brazil. All subjects carried out the sample photos extra-oral standardized face (front resting, smiling front and profile) and intraoral (front, right side and left side in occlusion, occlusal upper and lower occlusal) for the diagnosis of changes. The photographs were evaluated by three observers under blind and disagreements were discussed to achieve consensus. Overbite and overjet were diagnosed according to criteria of Angle. Results: it was found that 35.4% of the children were 18.3% and overbite, overjet. There was a statistically significant association between family income and overbite (p = 0.003) and overjet (p = 0.029), noting that most children who had no overbite (69.4%) were low-income families (up to 2 minimum wage). Similarly, most people with overjet were families with higher incomes, while the majority of those without overjet had low family income. For other variables there was no statistically significant difference in frequency distribution of overjet and overbite. Conclusion: the prevalence of overbite and overjet among the studied population is high, especially among those with higher family income.