Prevalence of dental visits and its associated factors during prenatal care: a cross-sectional study with puerperal women in hospitals covered by the Brazilian National Health System, Santa Catarina State, Brazil, 2019

Wagner, Katia Jakovljevic Pudla; Reses, Manoela de Leon Nobrega; Boing, Antonio Fernando

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Epidemiologia e Serviços de Saúde

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Original Article • Epidemiol. Serv. Saúde 30 (4) • Jan-Dec 2021 • https://doi.org/10.1590/S1679-49742021000400019 copy

Prevalence of dental visits and its associated factors during prenatal care: a cross-sectional study with puerperal women in hospitals covered by the Brazilian National Health System, Santa Catarina State, Brazil, 2019^* * The study received financial support from Fundação de Amparo à Pesquisa of the state of Santa Catarina (Fapesc): Process No 2017TR1364.

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective

To assess the prevalence of dental visits and its associated factors during prenatal care.

Methods

This was a cross-sectional study based on interviews conducted with puerperal women in 31 hospitals covered by the Brazilian National Health System (SUS) in Santa Catarina, Brazil, 2019. Sociodemographic, economic and prenatal-related data were collected. Multivariate analyses were performed using logistic regression to calculate odds ratios (OR).

Results

3,580 puerperal women and 41.4% (95% confidence interval [95%CI] 39.7;43%) underwent dental visits during prenatal care. Higher chance of dental visits was associated with higher education level (OR=1.35 - 95%CI 1.06;1.71) and a higher number of medical/nursing consultations (OR= 1.97 - 95%CI 1.47;2.65); this chance decreased when the puerperal women did not have paid work (OR=0.82 - 95%CI 0.70;0.96) and did not take part in education activities offered by the SUS (OR=0.63 - 95%CI 0.52;0.77).

Conclusion

Factors related to schooling, employment, prenatal care and education activities increased the chance of dental visits during pregnancy in Santa Catarina State.

Keywords:
Dental Care; Prenatal Care; Dental health education; Delivery of Health Care; Healthcare Disparities; Cross-sectional studies

Variable	n	% (95%IC^a)
Age group (years)
13-17	173	4.9 (4.2;5.7)
18-34	2,847	80.8 (79.4;82.1)
≥35	504	14.3 (13.2;15.5)
Race/skin color
White	2,205	63.4 (61.8;65.0)
Black and brown	1,271	36.6 (35.0;38.2)
Marital status
With a partner	2,864	80.5 (79.1;81.7)
Without a partner	695	19.5 (18.2;20.9)
Schooling (years of study)
≤9	1,218	34.5 (33.0;36.1)
10-12	1,853	52.5 (50.8;54.1)
≥13	458	13.0 (11.9;14.1)
*Household income per capita* (tercile)**
1^st	1,134	33.4 (31.8;35.0)
2^nd	1,147	33.8 (32.2;35.4)
3^rd	1,114	32.8 (31.2;34.4)
Parity
With other children	1,732	60.8 (59.0;62.6)
Without other children	1,117	39.2 (37.4;41.0)
Trimester when prenatal care started
1^st	2,829	81.8 (80.5;83.0)
2^nd	576	16.7 (15.4;17.9)
3^rd	52	1.5 (1.1;2.0)
Number of medical/nursing consultations
1-5	382	11.1 (10.1;12.2)
6-7	659	19.2 (17.9;20.6)
8-9	958	28.0 (26.5;29.5)
≥10	1,429	41.7 (40.0;43.3)
Current paid work
Yes	1,630	46.0 (44.3;47.6)
No	1,914	54.0 (52.4;55.6)
Participation in education activities offered by Primary health care within SUS^b
Yes	553	15.6 (14.4;16.8)
No	2,991	84.4 (83.2;85.5)

Variable	Total	Dental consultation n (%)	Crude OR^a (95%IC^b)	p-value^c	Adjusted OR^a (95%IC^b)	p-value^c
Age group (years)				0.633		0.453
13-17	173	68 (38.7)	1.00		1.00
18-34	2,847	1,200 (41.7)	1.13 (0.83;1.55)		0.91 (0.65;1.29)
≥35	504	200 (40.2)	1.06 (0.75;1.52)		0.81 (0.55;1.20)
Race/skin color				0.289		0.275
White	2,205	888 (40.6)	1.00		1.00
Black and Brown	1,271	569 (42.4)	1.08 (0.94;1.24)		1.08 (0.93;1.25)
Marital status				0.941		0.836
With a partner	2,864	1,179 (41.5)	1.00		1.00
Without a partner	695	283 (41.3)	0.99 (0.94;1.18)		1.02 (0.85;1.22)
Schooling (years of study)				<0.001		0,048
≤9	1,218	453 (37.6)	1.00		1.00
10-12	1,853	773 (42.1)	1.21 (1.04;1.40)		1.09 (0.92;1.28)
≥13	458	222 (48.5)	1.56 (1.26;1.94)		1.35 (1.06;1.71)
*Household income per capita* (tercile)**				<0.001		0.163
1^st	1,134	438 (39.1)	1.00		1.00
2^nd	1,147	456 (40.0)	1.04 (0.88;1.23)		0.98 (0.82;1.18)
3^rd	1,114	513 (46.3)	1.35 (1.14;1.59)		1.16 (0.96;1.41)
Current paid work				<0.001		0.014
Yes	1,630	731 (45.2)	1.00		1.00
No	1,914	727 (38.3)	0.75 (0.66;0.86)		0.82 (0.70;0.96)
Parity				0.027		0.774
With other children	1,732	492 (44.1)	1.00		1.00
Without other children	1,117	975 (40.9)	0.88 (0.75;1.02)		0.97 (0.82;1.16)
Trimester when prenatal care started				<0.001		0.166
1^st	2,829	1,228 (43.5)	1.00		1.00
2^nd	576	197 (34.3)	0.68 (0.56;0.81)		0.83 (0.67;1.3)
3^rd	52	10 (19.2)	0.31 (0.15;0.62)		0.67 (0.31;1.40)
Number of medical/nursing consultations				<0.001		<0.001
1-5	382	96 (25.1)	1.00		1.00
6-7	659	249 (38.2)	1.83 (1.38;2.41)		1.72 (1.26;2.35)
8-9	958	406 (42.6)	2.21 (1.69;2.87)		1.91 (1.41;2.58)
≥10	1,429	655 (45.9)	2.52 (1.96;3.25)		1.97 (1.47;2.65)
Participation in education activities offered by Primary Health care within SUS^d				<0.001		<0.001
Yes	553	293 (53.0)	1.00		1.00
No	2,991	1,171 (39.3)	0.57 (0.48;0.69)		0.63 (0.52;0.77)

Reason for dental consultation	n	% (95%IC^a)
Routine dental check-up (cleaning, maintenance or prevention)	1,057	72.1 (69.8;74.3)
Toothache	134	9.1 (7.8;10.7)
Orthodontic treatment	99	6.8 (5.6;8.1)
Tooth extraction	31	2.1 (1.5;3.0)
Root canal treatment	26	1.8 (1.2;2.6)
Gum disease	39	2.6 (1.9;3.5)
Other reasons	81	5.5 (4.5;6.8)

Secretaria de Vigilância em Saúde e Ambiente - Ministério da Saúde do Brasil SRTVN Quadra 701, Via W5 Norte, Lote D, Edifício P0700, CEP: 70719-040, +55 61 3315-3464, Fax: +55 61 3315-3464 - Brasília - DF - Brazil
E-mail: ress.svs@gmail.com

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[1] Correspondence
: Katia Jakovljevic Pudla Wagner - Centro de Educação Profissional Professor Enori Pozzo, Av. Advogado Sebastião Calomeno, No. 400, São Francisco, Curitibanos, SC, Brazil. CEP: 89520-000. E-mail: katia.wagner@ufsc.br