Abordagem multinível quanto ao uso de serviços odontológicos no Sistema Único de Saúde entre adultos brasileiros

Abstract

Background: Adults who demand for public or private dental services. Objective: Factors associated with the use of dental services from SUS were identified among Brazilian adults, considering context and individual factors. Method: It was used contextual data from 177 municipalities of DATA/SUS, IBGE, Atlas Brazil and SB Brazil / 2010 Project; and individual data from SB Brazil/2010. SPSS 19.0 was used in descriptive and bivariate analyzes and STATA 14.0 in multilevel analysis. Results: The prevalence of use of services in SUS was 37.9%. The use of services in SUS was higher in municipalities with poor access to waste collection and lower in those with lower coverage of oral health teams. The use was lower among older men. Among those with lower schooling, lower family income, among blacks/brown/yellows and Indigenous, those with decayed teeth, and those who evaluated the dental appointment as regular/bad or bad. The greater use among the most vulnerable suggests equity. Conclusion: Contextual and individual effects on the behavior of adults regarding the type of dental service used, which should be considered in oral health policies were verified in this study.