Individual and contextual factors influencing dental health care utilization by preschool children: a multilevel analysis

Abstract:

:The effect of contextual factors on dental care utilization was evaluated after adjustment for individual characteristics of Brazilian preschool children. This cross-sectional study assessed 639 preschool children aged 1 to 5 years from Santa Maria, a town in Rio Grande do Sul State, located in southern Brazil. Participants were randomly selected from children attending the National Children's Vaccination Day and 15 health centers were selected for this research. Visual examinations followed the ICDAS criteria. Parents answered a questionnaire about demographic and socioeconomic characteristics. Contextual influences on children's dental care utilization were obtained from two community-related variables: presence of dentists and presence of workers' associations in the neighborhood. Unadjusted and adjusted multilevel logistic regression models were used to describe the association between outcome and predictor variables. A prevalence of 21.6% was found for regular use of dental services. The unadjusted assessment of the associations of dental health care utilization with individual and contextual factors included children's ages, family income, parents' schooling, mothers' participation in their children's school activities, dental caries, and presence of workers' associations in the neighborhood as the main outcome covariates. Individual variables remained associated with the outcome after adding contextual variables in the model. In conclusion, individual and contextual variables were associated with dental health care utilization by preschool children.

journal_name

Braz Oral Res

journal_title

Brazilian oral research

authors

Piovesan C,Ardenghi TM,Mendes FM,Agostini BA,Michel-Crosato E

doi

10.1590/1807-3107BOR-2017.vol31.0027

subject

Has Abstract

pub_date

2017-03-30 00:00:00

pages

e27

eissn

1806-8324

issn

1807-3107

pii

S1806-83242017000100225

journal_volume

31

pub_type

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