Insatisfação com os serviços odontológicos entre idosos brasileiros dentados e edentados: análise multinível

Abstract

The scope of this study was to evaluate dissatisfaction with dental services among dentate and edentulous elderly Brazilians and its associ ation with contextual and individual variables. The data from the National Oral Health Survey conducted in 2010 and contextual variables relat ed to cities were used. Descriptive, bivariate and multilevel analysis was conducted among 1,989 elderly individuals. Of these, 11.2% of dentate and 22.1% of edentulous elderly people were dis satisfied. Among the dentate individuals, dissatis faction was associated with contextual variables (location of municipality, human development index, GINI Index, the presence of Dental Spe cialty Centers and the coverage of oral health in public service) and persons related to health care and oral health conditions. For the edentulous individuals, no associated contextual variables were identified. Only the motive for the use of the service and satisfaction with teeth and mouth were associated with dissatisfaction with dental services. A considerable prevalence of dissatisfac tion with the services was identified, being higher among edentulous elderly Brazilians. Among den tate elderly Brazilians, an association with con textual variables was detected