ArticleRevista brasileira de epidemiologia = Brazilian journal of epidemiology2026
Individual and Contextual Factors Associated with the Need for and Use of Dental Prostheses in Brazil: A Multilevel Analysis of SB Brasil 2023 Data.
Article in Revista brasileira de epidemiologia = Brazilian journal of epidemiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveTo evaluate how individual and contextual socioeconomic variables influence the prevalence of denture use and need among Brazilian older adults, considering the National Oral Health Survey (SB Brasil 2023) and the expansion of primary and specialized care.
methodsThis is a quantitative, analytical, cross-sectional study with 9,745 older adults (65-74 years) from SB Brasil 2023, whose outcomes are "need" and "use" of dentures. Associations are analyzed using multilevel logistic regression with random intercept by municipality, reporting odds ratios and 95% confidence intervals with a robust estimator.
resultsThe model for denture need indicated higher odds among self-declared Black older adults, users of public services, and residents of municipalities with a higher proportion of Black people (p<0.05). For denture use, a higher probability was observed among women, people with per-capita income between the poverty line and two minimum wages, and schooling of 5-8 years (p<0.05). Access through the public service was associated with a lower probability of use (p<0.05).
conclusionDenture use and need among older adults are marked by inequities by skin color, gender, income, and schooling. The availability of public dental services showed no significant effect, and strategies are needed that prioritize vulnerable groups and increase the efficiency of dental care in the Unified Health System.
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