ArticleBMC public health2021
Does the implementation of a national oral health policy reduce inequalities in oral health services utilization? The Brazilian experience.
Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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Who cites it
28 citing papers in PubMed.
- Physical Activity and Untreated Dental Caries in Brazil: Implications for Population-Based Caries Risk Assessment.Dentistry journal · 2026Article
- Oral health services use among adults in Brazil: inequities and the role of SUS in mitigating them (SB Brasil 2023).BMC oral health · 2026Article
- Improving and sustaining adolescent access to primary care in a socioeconomically vulnerable urban community in Brazil: outcomes of a quality improvement initiative.BMJ paediatrics open · 2026Article
- Oral health and chronic kidney disease in Brazil: a population-based analysis of the 2019 National Health Survey.BMC public health · 2026Article
- Advances and challenges in periodontal disease inequalities in Brazil: a population-based comparative analysis, 2010-2023.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2026Article
- Trends in Socioeconomic Inequalities in the Distribution of Dental Caries Among Brazilian Adolescents, 2003-2023.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2026Observational
- Inequalities oral health between beneficiaries and non-beneficiaries of the Bolsa Família Program in Brazil: evidence from SB Brasil 2023.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2026Article
- Individual and contextual factors associated with tooth loss among Brazilian older adults.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2026Article
- Inequalities in the use of public oral health services among older adults in Brazil: a national population-based study, 2023.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2026Article
- Policy Options to Complement the New Canadian Dental Program Enabling High Quality Care for People With Disabilities and Older Adults.Gerodontology · 2025Review
- SmilebrightMethods and protocols · 2025Article
- Factors associated with the effectiveness of oral health promotion in the Family Health Strategy.Brazilian oral research · 2025Article
- Article
- Evolution of socioeconomic inequalities in oral health and use of dental services in adult population of Brazil between 2013 and 2019.Cadernos de saude publica · 2025Article
- [Time trend of Family Health Strategy oral health teams in Brazilian municipalities from 2001 to 2021].Cadernos de saude publica · 2025Article
- Education- and income-based inequalities of functional dentition by dental service utilization.Frontiers in oral health · 2025Article
- Oral health policy model for Turkey: how to deliver preventive services?Frontiers in health services · 2025Article
- Accessibility for people with motor disabilities at CEOs in Brazil: an ecological study.Brazilian oral research · 2025Article
- Factors associated with the use of dental services by older people in the city of São Paulo, Brazil.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2025Article
- Impact of an oral care subsidization reform on intersectional inequities in self-rated oral health in Sweden.International journal for equity in health · 2024Article
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Abstract
backgroundThis study aimed to assess the trend in income-related inequalities in oral health services utilization by the Brazilian population from 1998 to 2013. This period represents a timeline that includes different stages of implementation of the National Oral Health Policy.
methodsThe design was based on repeated cross-sectional surveys using secondary data from household-based studies carried out in Brazil in 1998, 2003, 2008, and 2013. The dependent variable was "having access to a dentist appointment at least once in a lifetime (yes/no)." Monthly household per capita income, based on Brazil's minimum wage, was included as the main independent variable. To measure the inequalities in oral health access related to economic position, the following complex indexes based on regression were used: (a) the slope index of inequality (SII) and (b) the relative index of inequality (RII).
resultsThere was a reduction in the percentage of individuals who never had a dentist appointment for all age groups and income classifications. In general, there was a reduction trend in absolute inequality for all age groups (p < 0.001). The relative inequality and reduction trend were different between the age groups studied.
conclusionsThe National Oral Health Policy was very important for expanding free of charge, public access to dental appointment. However, despite policy implementation, there continues to be high levels of inequality in access to dental consultation. Assessing which strategies are necessary to overcome this challenge is discussed.
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