ArticlePloS one2018
Contextual and individual factors associated with dental services utilisation by Brazilian adults: A multilevel analysis.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.
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Who cites it
37 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Factors Associated with Dental Service Use Based on the Andersen Model: A Systematic Review.International journal of environmental research and public health · 2021Pooled it
- Effect of immediate versus delayed loadings of dental implants on the oral health-related quality of life in Saudi population. Experimental clinical trial.Saudi medical journal · 2019Trial
- Oral health services use among adults in Brazil: inequities and the role of SUS in mitigating them (SB Brasil 2023).BMC oral health · 2026Article
- Impact of structural and interpersonal racism on oral health and dental services.Revista de saude publica · 2026Article
- Prevalence and associated factors of denture use among older adults living in rural and urban areas of China: a national cross-sectional study.BMC oral health · 2025Article
- Education- and income-based inequalities of functional dentition by dental service utilization.Frontiers in oral health · 2025Article
- [Determinants of the use of dental services in the pre-gestational and gestational periods: a cross-sectional study].Cadernos de saude publica · 2025Article
- Article
- Cross-cultural translation and modification of the revised oral assessment guide for oral health assessment by non-dentists.BDJ open · 2023Article
- Utilization of dental care among adult populations: a scoping review of applied models.BMC oral health · 2023Article
- Associations of socioeconomic and health factors with dental non-attendance: A comparison of three cohorts of women.Community dentistry and oral epidemiology · 2023Article
- Effect of Socioeconomic Status on Teeth and Dental Care - Evidence from a Population-based Study in Indonesia.Oral health & preventive dentistry · 2023Article
- Article
- Dental Health Utilization in Palau: Feasibility of an Oral Cancer Screening Program.Annals of global health · 2023Article
- Use of dental services among adults from a birth cohort in the South region of Brazil.Revista de saude publica · 2023Article
- Factors associated with recent and regular non-use of dental services by students from a university in southeastern Brazil: a cross-sectional study.BMC oral health · 2022Article
- Does social support predict increased use of dental services in older men?Australian dental journal · 2022Article
- Socioeconomic inequalities in the utilization of dental services among adults in Saudi Arabia.BMC oral health · 2022Article
- Prevalence of and factors associated with dental service utilization among early elderly in Lithuania.BMC health services research · 2022Article
- Socioeconomic and Demographic Contexts of Brazilian and International University Students Regarding the Use of Dental Services.International journal of dentistry · 2022Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundInequalities in the utilisation of dental services in Brazil are remarkable. The aim of this study was to evaluate the association of contextual and individual factors with the utilisation of dental services by Brazilian adults using the Andersen's behavioural model.
methodsIndividual-level data from 27,017 adults residents in the State capitals who were interviewed in the 2013 Brazilian National Health Survey were pooled with contextual city-level data. The outcomes were non-utilisation of dental services and last dental visit over 12 months ago. Individual predisposing variables were age, sex, race/skin colour, schooling and social network. Individual enabling variables included income, health insurance and registration in primary health care. Individual need variables were self-perceived dental health and self-reported missing teeth. Multilevel logistic regression models were performed to estimate odds ratio (OR) and 95% confidence intervals (95% CIs) of the association of contextual and individual predisposing, enabling and need-related variables with dental services outcomes.
resultsPredisposing (OR = 0.89; 95% CI 0.81-0.97) and enabling (OR = 0.90; 95% CI 0.85-0.96) contextual factors were associated with non-utilisation of dental services. Individual predisposing (sex, race/skin colour, schooling), enabling (income, health insurance) and need (self-perceived oral health, missing teeth) were associated with non-utilisation of dental services and last dental visit over 12 months ago. The latter was also associated with other individual predisposing (age, social network) and need (eating difficulties due to oral problems) characteristics.
conclusionsIndividual and contextual determinants influenced dental services utilisation in Brazilian adults. These factors should be on the policy agenda and considered in the organisation of health services aiming to reduce oral health inequalities related to access and utilisation of dental services.
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