RESUMO Este estudo objetivou analisar os fatores contextuais do desempenho do atendimento odontológico para gestantes na Atenção Básica entre municípios baianos. A série temporal utilizou dados secundários dos 417 municípios, entre 2018 e 2022. O desfecho foi a meta do indicador de proporção de gestantes com atendimento odontológico por município: insuficiente (<60,0%) ou suficiente (≥60,0%). As variáveis contextuais foram: fatores sociodemográficos (Porte Populacional, Índice de Desenvolvimento Humano Municipal, Produto Interno Bruto municipal per capita – PIB, Índice de Gini da renda domiciliar per capita, Índice de Vulnerabilidade Social e Núcleos Regionais de Saúde) e serviço de saúde (Cobertura de Estratégia Saúde da Família – ESF e de Saúde Bucal). Realizou-se regressão de Poisson uni e multivariada (p<0,05). No último quadrimestre de cada ano: 2,9% (2018), 2,4% (2019), 5,3% (2020), 37,2% (2021) e 71,2% (2022) dos municípios atingiram a meta. No terceiro quadrimestre de 2021, os municípios com menor PIB, e em 2021 e 2022, com maior cobertura de ESF, apresentaram maior chance de atingir a meta. Conclui-se que houve aumento da proporção de atendimento odontológico para gestante ao longo dos anos entre os municípios baianos e atingir a meta foi associado a fatores sociodemográficos e de serviço de saúde.

ABSTRACT This study aimed to analyze the contextual factors of the performance of dental care for pregnant women in Primary Care among municipalities in Bahia. The time series used secondary data from 417 municipalities between 2018-2022. The outcome was the target indicator for the proportion of pregnant women with dental care per municipality: insufficient (<60.0%) or sufficient (≥60.0%). The contextual variables were: sociodemographic factors (Population Size, Municipal Human Development Index, municipal Gross Domestic Product per capita – GDP, Gini Index of household income per capita, Social Vulnerability Index and Regional Health Centers) and health service (Coverage of Family Health Strategy – ESF and Oral Health). Poisson regression was performed (p<0.05). In the last four months of each year: 2.9% (2018), 2.4% (2019), 5.3% (2020), 37.2% (2021) and 71.2% (2022) of the municipalities reached the goal. In the third four months of 2021, municipalities with lower GDP, and in 2021 and 2022, with greater ESF coverage, had a greater chance of reaching the target. It is concluded that there was an increase in the proportion of dental care for pregnant women over the years among the municipalities in Bahia, and achieving the goal was associated with sociodemographic and health service factors.

ABSTRACT This study aimed to analyze the contextual factors of the performance of dental care for pregnant women in Primary Care among municipalities in Bahia. The time series used secondary data from 417 municipalities between 2018-2022. The outcome was the target indicator for the proportion of pregnant women with dental care per municipality: insufficient (<60.0%) or sufficient (≥60.0%). The contextual variables were: sociodemographic factors (Population Size, Municipal Human Development Index, municipal Gross Domestic Product per capita – GDP, Gini Index of household income per capita, Social Vulnerability Index and Regional Health Centers) and health service (Coverage of Family Health Strategy – ESF and Oral Health). Poisson regression was performed (p<0.05). In the last four months of each year: 2.9% (2018), 2.4% (2019), 5.3% (2020), 37.2% (2021) and 71.2% (2022) of the municipalities reached the goal. In the third four months of 2021, municipalities with lower GDP, and in 2021 and 2022, with greater ESF coverage, had a greater chance of reaching the target. It is concluded that there was an increase in the proportion of dental care for pregnant women over the years among the municipalities in Bahia, and achieving the goal was associated with sociodemographic and health service factors. Bahia 41 20182022. 20182022 2018 2022. 2022 2018-2022 municipality <60.0% 600 60 0 (<60.0% ≥60.0%. ≥60.0% . (≥60.0%) were Population Size GDP Centers Coverage Health. Health) p<0.05. p005 p p<0.05 05 (p<0.05) year 29 2 9 2.9 2018, , (2018) 24 4 2.4 2019, 2019 (2019) 53 5 3 5.3 2020, 2020 (2020) 372 37 37.2 (2021 712 71 71.2 (2022 202 coverage 2018202 201 2018-202 <60.0 6 (<60.0 ≥60.0 (≥60.0% p00 p<0.0 (p<0.05 2. (2018 (2019 5. (2020 37. (202 7 71. 20 201820 2018-20 <60. (<60. ≥60. (≥60.0 p0 p<0. (p<0.0 (201 (20 20182 2018-2 <60 (<60 ≥60 (≥60. p<0 (p<0. (2 2018- <6 (<6 ≥6 (≥60 p< (p<0 ( < (< ≥ (≥6 (p< (≥ (p

RESUMO Este estudo objetivou analisar os fatores contextuais do desempenho do atendimento odontológico para gestantes na Atenção Básica entre municípios baianos. A série temporal utilizou dados secundários dos 417 municípios, entre 2018 e 2022. O desfecho foi a meta do indicador de proporção de gestantes com atendimento odontológico por município: insuficiente (<60,0%) ou suficiente (≥60,0%). As variáveis contextuais foram: fatores sociodemográficos (Porte Populacional, Índice de Desenvolvimento Humano Municipal, Produto Interno Bruto municipal per capita – PIB, Índice de Gini da renda domiciliar per capita, Índice de Vulnerabilidade Social e Núcleos Regionais de Saúde) e serviço de saúde (Cobertura de Estratégia Saúde da Família – ESF e de Saúde Bucal). Realizou-se regressão de Poisson uni e multivariada (p<0,05). No último quadrimestre de cada ano: 2,9% (2018), 2,4% (2019), 5,3% (2020), 37,2% (2021) e 71,2% (2022) dos municípios atingiram a meta. No terceiro quadrimestre de 2021, os municípios com menor PIB, e em 2021 e 2022, com maior cobertura de ESF, apresentaram maior chance de atingir a meta. Conclui-se que houve aumento da proporção de atendimento odontológico para gestante ao longo dos anos entre os municípios baianos e atingir a meta foi associado a fatores sociodemográficos e de serviço de saúde. 41 201 2022 município <60,0% 600 60 0 (<60,0% ≥60,0%. ≥60,0% . (≥60,0%) foram Porte Populacional Municipal PIB Cobertura Bucal. Bucal Bucal) Realizouse Realizou se p<0,05. p005 p p<0,05 05 (p<0,05) ano 29 2 9 2,9 2018, , (2018) 24 4 2,4 2019, 2019 (2019) 53 5 3 5,3 2020, 2020 (2020) 372 37 37,2 (2021 712 71 71,2 (2022 202 Concluise Conclui 20 <60,0 6 (<60,0 ≥60,0 (≥60,0% p00 p<0,0 (p<0,05 2, (2018 (2019 5, (2020 37, (202 7 71, <60, (<60, ≥60, (≥60,0 p0 p<0, (p<0,0 (201 (20 <60 (<60 ≥60 (≥60, p<0 (p<0, (2 <6 (<6 ≥6 (≥60 p< (p<0 ( < (< ≥ (≥6 (p< (≥ (p

Abstract Objective: To compare the use of sealants in permanent molars between public and private dentists in Brazil. Material and Methods: This was a cross-sectional and analytical web survey study. The convenience sample consisted of dentists in Brazil who answered a pre-tested online form released via social media between July and October 2021. Descriptive analysis was performed using absolute and relative frequencies (%) and associations using the Chi-square test (p<0.05). Results: Brazilian professionals participated in the study (n=2,244). Comparing the professionals from the public service with those from the private service, the former had a higher positive perception of the use of sealants as a preventive (92.4% vs. 81.1%, p<0.00l) and therapeutic procedure (90.7% vs. 82.4%, p=0.00l), higher percentage of non-invasive (91.7% vs. 83.8%, p<0.00l) and invasive (22.8% vs. 12.0%, p< 0.001) techniques. Professionals from the private service reported more frequently that they did not use sealants than those from the public service (14.0% vs. 4.8%, p<0.00l). Resin sealant (97.7% vs. 94.9%, p=0.0l5) and Flow resin (62.0% vs. 54.3%, p=0.013) were the most used by professionals in the private service. The use of glass ionomer cement was not associated with the type of service (75.1% vs. 77.2%, p=0.172), nor was the use of adhesives (0.6% vs. 1.4%, p=0.195) or resin with Giomer technology (1.9% vs. 2.2%, p=0.856) (p>0.05). Conclusion: The percentage of use of sealants among dentists in Brazil is high, especially among professionals in the public service, and the most used materials were resinous sealants and glass ionomer cement. Objective Methods crosssectional cross sectional pretested pre tested 2021 % (% Chisquare Chi square p<0.05. p005 p p<0.05 . 0 05 (p<0.05) Results n=2,244. n2244 n n=2,244 2 244 (n=2,244) 92.4% 924 92 4 (92.4 vs 811 81 1 81.1% p<0.00l p000l pl 00l l 90.7% 907 90 7 (90.7 824 82 82.4% p=0.00l, p=0.00l , p=0.00l) noninvasive non 91.7% 917 91 (91.7 838 83 8 83.8% 22.8% 228 22 (22.8 120 12 12.0% 0.001 0001 001 techniques 14.0% 140 14 (14.0 48 4.8% p<0.00l. 97.7% 977 97 (97.7 949 94 9 94.9% p=0.0l5 p00l5 0l5 62.0% 620 62 (62.0 543 54 3 54.3% p=0.013 p0013 013 75.1% 751 75 (75.1 772 77 77.2% p=0.172, p0172 p=0.172 172 p=0.172) 0.6% 06 6 (0.6 1.4% p=0.195 p0195 195 1.9% 19 (1.9 2.2% p=0.856 p0856 856 p>0.05. p>0.05 (p>0.05) Conclusion high 202 ( p00 p<0.0 (p<0.05 n224 n=2,24 24 (n=2,244 92.4 (92. 81.1 90.7 (90. 82.4 91.7 (91. 83.8 22.8 (22. 12.0 0.00 000 00 14.0 (14. 4.8 97.7 (97. 94.9 p=0.0l p00l 0l 62.0 (62. 5 54.3 p=0.01 p001 01 75.1 (75. 77.2 p017 p=0.17 17 0.6 (0. 1.4 p=0.19 p019 1.9 (1. 2.2 p=0.85 p085 85 p>0.0 (p>0.05 20 p0 p<0. (p<0.0 n22 n=2,2 (n=2,24 92. (92 81. 90. (90 82. 91. (91 83. 22. (22 12. 0.0 14. (14 4. 97. (97 94. 62. (62 54. p=0.0 75. (75 77. p01 p=0.1 0. (0 1. (1 2. p=0.8 p08 p>0. (p>0.0 p<0 (p<0. n2 n=2, (n=2,2 (9 (2 (6 p=0. (7 p>0 (p>0. (p<0 n=2 (n=2, p=0 p> (p>0 (p< n= (n=2 p= (p> (p (n= (n

Aim To analyze associations between sociodemographic factors, self-perception, self-care practices in health with Oral Health Literacy (OHL) levels among users of Primary Health Care (PHC). Methods A cross-sectional and analytical study was performed in Piracicaba (São Paulo), Brazil, in 2018, with a convenience sample of users of PHC that were aged over 18 years. Data were collected with a questionnaire by a trained dentist in two Family Health Units. The outcome variable was OHL, measured by the OHLA-B instrument, which was dichotomized by median into low (≤8 point) and high (>8 point). The independent variables were sociodemographic conditions (age, sex, self-declared skin color, and education), self-perceived oral health and self-care practices in health (tooth brushing frequency, smoking habits, reason for the last visit to the dentist, and source of health information search). Unadjusted and adjusted analyses were performed between OHL and independent variables for multiple logistic regression model (p≤0.05). Results The sample consisted of 450 adults. A total of 54.7% had a low OHL. After adjusting for sex and age, OHL was associated with skin color (OR=0.57; 95%CI=0.37-085), educational level (OR=4.92; 95%CI=3.16-7.79), health information from health professionals (OR=2.40; 95%CI=1.42-4.16) and internet (OR=2.88; 95%CI=1.59-5.32), toothbrushing >1 time a day (OR=3.23; 95%CI=1.27-9.92) and smokers (OR=0.42; 95%CI=0.23-0.73). After adjusting for sex, age and income, OHL was associated with (OR=0.63; 95%CI=0.41-096), educational level (OR=4.06; 95%CI=2.57-6.51) and smokers (OR=0.48; 95%CI=0.26-0.84). Conclusions Low OHL was associated with socioeconomic factors, source of information and smoking. This fact highlights the importance of health professionals to promote OHL. factors selfperception, selfperception self perception, perception self-perception selfcare care (OHL PHC. . (PHC) crosssectional cross sectional São Paulo, Paulo , Paulo) Brazil 2018 1 years Units OHLAB OHLA B instrument ≤8 8 (≤ point >8 (> point. (age selfdeclared declared education, education education) selfperceived perceived tooth frequency habits search. search search) p≤0.05. p005 p p≤0.05 0 05 (p≤0.05) 45 adults 547 54 7 54.7 OR=0.57 OR057 OR 57 (OR=0.57 95%CI=0.37085, 95CI037085 CI 95%CI=0.37 085 95 37 95%CI=0.37-085) OR=4.92 OR492 4 92 (OR=4.92 95%CI=3.167.79, 95CI316779 95%CI=3.16 7.79 3 16 79 95%CI=3.16-7.79) OR=2.40 OR240 2 40 (OR=2.40 95%CI=1.424.16 95CI142416 95%CI=1.42 4.16 42 95%CI=1.42-4.16 OR=2.88 OR288 88 (OR=2.88 95%CI=1.595.32, 95CI159532 95%CI=1.59 5.32 59 5 32 95%CI=1.59-5.32) > OR=3.23 OR323 23 (OR=3.23 95%CI=1.279.92 95CI127992 95%CI=1.27 9.92 27 9 95%CI=1.27-9.92 OR=0.42 OR042 (OR=0.42 95%CI=0.230.73. 95CI023073 95%CI=0.23 0.73 73 95%CI=0.23-0.73) income OR=0.63 OR063 63 (OR=0.63 95%CI=0.41096, 95CI041096 95%CI=0.41 096 41 95%CI=0.41-096) OR=4.06 OR406 06 (OR=4.06 95%CI=2.576.51 95CI257651 95%CI=2.57 6.51 6 51 95%CI=2.57-6.51 OR=0.48 OR048 48 (OR=0.48 95%CI=0.260.84. 95CI026084 95%CI=0.26 0.84 26 84 95%CI=0.26-0.84) (PHC 201 ≤ ( p00 p≤0.0 (p≤0.05 54. OR=0.5 OR05 (OR=0.5 37085 95%CI=0.37085 95CI03708 95CI037 95%CI=0.3 08 95%CI=0.37-085 OR=4.9 OR49 (OR=4.9 167 95%CI=3.167.79 95CI31677 95CI316 95%CI=3.1 779 7.7 95%CI=3.16-7.79 OR=2.4 OR24 (OR=2.4 424 95%CI=1.424.1 95CI14241 95CI142 95%CI=1.4 416 4.1 95%CI=1.42-4.1 OR=2.8 OR28 (OR=2.8 595 95%CI=1.595.32 95CI15953 95CI159 95%CI=1.5 532 5.3 95%CI=1.59-5.32 OR=3.2 OR32 (OR=3.2 279 95%CI=1.279.9 95CI12799 95CI127 95%CI=1.2 992 9.9 95%CI=1.27-9.9 OR=0.4 OR04 (OR=0.4 230 95%CI=0.230.73 95CI02307 95CI023 95%CI=0.2 073 0.7 95%CI=0.23-0.73 OR=0.6 OR06 (OR=0.6 41096 95%CI=0.41096 95CI04109 95CI041 95%CI=0.4 09 95%CI=0.41-096 OR=4.0 OR40 (OR=4.0 576 95%CI=2.576.5 95CI25765 95CI257 95%CI=2.5 651 6.5 95%CI=2.57-6.5 260 95%CI=0.260.84 95CI02608 95CI026 084 0.8 95%CI=0.26-0.84 20 p0 p≤0. (p≤0.0 OR=0. OR0 (OR=0. 3708 95%CI=0.3708 95CI0370 95CI03 95%CI=0. 95%CI=0.37-08 OR=4. OR4 (OR=4. 95%CI=3.167.7 95CI3167 95CI31 95%CI=3. 77 7. 95%CI=3.16-7.7 OR=2. OR2 (OR=2. 95%CI=1.424. 95CI1424 95CI14 95%CI=1. 4. 95%CI=1.42-4. 95%CI=1.595.3 95CI1595 95CI15 53 5. 95%CI=1.59-5.3 OR=3. OR3 (OR=3. 95%CI=1.279. 95CI1279 95CI12 99 9. 95%CI=1.27-9. 95%CI=0.230.7 95CI0230 95CI02 07 0. 95%CI=0.23-0.7 4109 95%CI=0.4109 95CI0410 95CI04 95%CI=0.41-09 95%CI=2.576. 95CI2576 95CI25 95%CI=2. 65 6. 95%CI=2.57-6. 95%CI=0.260.8 95CI0260 95%CI=0.26-0.8 p≤0 (p≤0. OR=0 (OR=0 370 95%CI=0.370 95CI0 95%CI=0 95%CI=0.37-0 OR=4 (OR=4 95%CI=3.167. 95CI3 95%CI=3 95%CI=3.16-7. OR=2 (OR=2 95%CI=1.424 95CI1 95%CI=1 95%CI=1.42-4 95%CI=1.595. 95%CI=1.59-5. OR=3 (OR=3 95%CI=1.279 95%CI=1.27-9 95%CI=0.230. 95%CI=0.23-0. 410 95%CI=0.410 95%CI=0.41-0 95%CI=2.576 95CI2 95%CI=2 95%CI=2.57-6 95%CI=0.260. 95%CI=0.26-0. p≤ (p≤0 OR= (OR= 95CI 95%CI= 95%CI=0.37- 95%CI=3.167 95%CI=3.16-7 95%CI=1.42- 95%CI=1.595 95%CI=1.59-5 95%CI=1.27- 95%CI=0.230 95%CI=0.23-0 95%CI=0.41- 95%CI=2.57- 95%CI=0.260 95%CI=0.26-0 (p≤ (OR 95%CI 95%CI=3.16- 95%CI=1.59- 95%CI=0.23- 95%CI=0.26- (p

RESUMO O objetivo do trabalho foi descrever a adesão às normas de biossegurança para o enfrentamento da Covid-19 entre profissionais de saúde bucal no município de Ponta Grossa-PR. Estudo transversal e descritivo, realizado com amostra de conveniência de Cirurgiões-Dentistas (CD), Técnicos em Saúde Bucal (TSB) e Auxiliares em Saúde Bucal (ASB) dos serviços odontológicos públicos e privados em nível ambulatorial. A coleta ocorreu entre agosto e outubro de 2020, com questionário on-line enviado por e-mail via Conselho Regional de Odontologia e mídias sociais. Dos 106 profissionais de saúde bucal incluídos, 79,2% eram CD; 16%, ASB; e 4,8%, TSB. A maioria não tinha condição de risco para Covid-19 (90,6%), trabalhava em clínicas da atenção básica (54%) e não interrompeu ou se afastou do serviço (44,3%). Em relação aos atendimentos, 49,1% restringiram os atendimentos somente em casos de urgência e emergência, 33% evitaram procedimentos que geravam aerossóis. A maioria adotou uso do face shield (75,5%), máscara N95/PPF2S/ou equivalente (62,3%) e avental impermeável (53,8%). Os profissionais de saúde bucal de Ponta Grossa-PR aderiram à maioria das normas de biossegurança no enfrentamento da Covid-19, principalmente no acesso e uso de equipamentos de proteção individual, e menos na realização de procedimentos clínicos com geração de aerossóis.

ABSTRACT The aim of this research was to describe the adherence to biosafety standards to face Covid-19 among oral health professionals in the city of Ponta Grossa-PR. The cross-sectional and descriptive study was carried out with convenience sample of Dental Surgeons (DS), Technicians (OHT), and Oral Health Assistants (OHA) from public and private dental services on an outpatient basis. Data collection took place between August and October 2020, through an on-line questionnaire sent by email by the Dental Regional Council and social media. Of the 106 oral health professionals included, 79.2% were DS, 16% OHA, and 4.8% OHT. Most of them were not at risk for Covid-19 (90.6%), worked in primary care dental clinics (54%), and did not interrupt or leave the service (44.3%). In relation to care, 49.1% restricted care only in cases of urgency and emergency and 33% avoided procedures that generate aerosols. The majority adopted the use of face shield (75.5%), face mask N95 / PPF2S / or similar (62.3%), and waterproof apron (53.8%). Oral health professionals in Ponta Grossa-PR adhered to most biosafety standards for facing Covid-19, especially in terms of access to and use of personal protective equipment, and less in performing clinical procedures with the generation of aerosols.

RESUMO O objetivo do trabalho foi descrever a adesão às normas de biossegurança para o enfrentamento da Covid-19 entre profissionais de saúde bucal no município de Ponta Grossa-PR. Estudo transversal e descritivo, realizado com amostra de conveniência de Cirurgiões-Dentistas (CD), Técnicos em Saúde Bucal (TSB) e Auxiliares em Saúde Bucal (ASB) dos serviços odontológicos públicos e privados em nível ambulatorial. A coleta ocorreu entre agosto e outubro de 2020, com questionário on-line enviado por e-mail via Conselho Regional de Odontologia e mídias sociais. Dos 106 profissionais de saúde bucal incluídos, 79,2% eram CD; 16%, ASB; e 4,8%, TSB. A maioria não tinha condição de risco para Covid-19 (90,6%), trabalhava em clínicas da atenção básica (54%) e não interrompeu ou se afastou do serviço (44,3%). Em relação aos atendimentos, 49,1% restringiram os atendimentos somente em casos de urgência e emergência, 33% evitaram procedimentos que geravam aerossóis. A maioria adotou uso do face shield (75,5%), máscara N95/PPF2S/ou equivalente (62,3%) e avental impermeável (53,8%). Os profissionais de saúde bucal de Ponta Grossa-PR aderiram à maioria das normas de biossegurança no enfrentamento da Covid-19, principalmente no acesso e uso de equipamentos de proteção individual, e menos na realização de procedimentos clínicos com geração de aerossóis.

ABSTRACT The aim of this research was to describe the adherence to biosafety standards to face Covid-19 among oral health professionals in the city of Ponta Grossa-PR. The cross-sectional and descriptive study was carried out with convenience sample of Dental Surgeons (DS), Technicians (OHT), and Oral Health Assistants (OHA) from public and private dental services on an outpatient basis. Data collection took place between August and October 2020, through an on-line questionnaire sent by email by the Dental Regional Council and social media. Of the 106 oral health professionals included, 79.2% were DS, 16% OHA, and 4.8% OHT. Most of them were not at risk for Covid-19 (90.6%), worked in primary care dental clinics (54%), and did not interrupt or leave the service (44.3%). In relation to care, 49.1% restricted care only in cases of urgency and emergency and 33% avoided procedures that generate aerosols. The majority adopted the use of face shield (75.5%), face mask N95 / PPF2S / or similar (62.3%), and waterproof apron (53.8%). Oral health professionals in Ponta Grossa-PR adhered to most biosafety standards for facing Covid-19, especially in terms of access to and use of personal protective equipment, and less in performing clinical procedures with the generation of aerosols.

Aim This study analyzes factors associated with dimensions of health literacy (HL) functional, communicative and critical among public health service users with chronic non-communicable diseases. Methods A cross-sectional analytical research was carried out in Piracicaba, São Paulo, Brazil, with adults and older adults attending Family Health Units (FHU). Data were collected by oral exam (CPOD and CPI) and a questionnaire on systemic conditions, sociodemographic factors, health behaviors and HLS (HLS-14). The outcomes consisted of functional, communicative, and critical HL dimensions dichotomized by median (high and low), which were analyzed by chi-square test (p<0.05) to find associations with the variables studied. Results The study sample comprised 238 FHU users with 62.7 (± 10.55) mean age, of which 47.5% (n=113) showed high functional HL, 50.0% (n=119) high communicative HL, and 46.2% (n=110) high critical HL. High functional HL was associated with men (p<0.05). Functional and communicative HL were associated with having higher education (p<0.001 and p=0.018, respectively). High communicative and critical HL were associated with regular use of dental and medical services (p<0.05). Individuals with low functional HL were more likely to present poor tooth brushing (p=0.020). High HL (in all three dimensions) was associated with regular flossing and having more teeth (p<0.05). Conclusion Functional, communicative and critical HL were associated with health behaviors and clinical outcomes, whereas the functional dimension was also associated with sociodemographic factors. HL dimensions allowed to differentiate health-related factors.

RESUMO O objetivo do estudo foi analisar os indicadores relacionados à gestão e ao processo de trabalho dos Núcleos Ampliados de Saúde da Família, nas perspectivas da equipe de Atenção Básica e do próprio Núcleo Ampliado de Saúde da Família no Brasil. Trata-se de estudo transversal com análise de série histórica, com dados secundários da Avaliação Externa do Programa de Melhoria do Acesso e da Qualidade da Atenção Básica. Os dados foram obtidos dos módulos II e IV do 2º e do 3º ciclos. Foram realizados teste qui-quadrado e Mann-Witney (p<0,05). As notas atribuídas pelas equipes de Atenção Básica aos Núcleos foram acima de 7 e aumentaram 1 ponto no 3º ciclo, constatando-se melhora em quase todos os itens do 2º para o 3º ciclo, referente aos encontros com a gestão municipal e ao processo de trabalho da equipe de Atenção Básica e do Núcleo Ampliado de Saúde da Família no planejamento das ações e da periodicidade. Conclui-se que houve melhora na maioria dos indicadores relacionados à gestão e ao processo de trabalho, nas perspectivas da equipe de Atenção Básica e do Núcleo Ampliado de Saúde da Família no Brasil.

ABSTRACT The aim of the study was to analyze the indicators related to the management and working process of the Family Health Care Expanded Support Centers according to the Primary Health Care and the Centers teams perspectives in Brazil. This is a cross-sectional study with historical series analysis, using secondary data from the External Evaluation of the Program for Improving Access and Quality of Primary Care. The data were obtained from modules II and module IV from the 2nd and 3rd cycles. Chisquare and the Mann-Witney test (p<0.05) were performed. The grades given by the Primary Health Care teams to the Centers were above 7 and increased 1 point in the 3rd cycle, beside, there was an upgrade in almost all items from the 2nd to the 3rd cycles, concerning to the meetings with the municipal management and the working process of the Primary Health Care and Centers teams in the planning of actions and its frequency. We came to the conclusion that there was an increase in most indicators related to management and working process from the perspective of Primary Health Care team and Family Health Care Expanded Support Centers in Brazil.

ABSTRACT The aim of the study was to analyze the indicators related to the management and working process of the Family Health Care Expanded Support Centers according to the Primary Health Care and the Centers teams perspectives in Brazil. This is a cross-sectional study with historical series analysis, using secondary data from the External Evaluation of the Program for Improving Access and Quality of Primary Care. The data were obtained from modules II and module IV from the 2nd and 3rd cycles. Chisquare and the Mann-Witney test (p<0.05) were performed. The grades given by the Primary Health Care teams to the Centers were above 7 and increased 1 point in the 3rd cycle, beside, there was an upgrade in almost all items from the 2nd to the 3rd cycles, concerning to the meetings with the municipal management and the working process of the Primary Health Care and Centers teams in the planning of actions and its frequency. We came to the conclusion that there was an increase in most indicators related to management and working process from the perspective of Primary Health Care team and Family Health Care Expanded Support Centers in Brazil.

RESUMO O objetivo do estudo foi analisar os indicadores relacionados à gestão e ao processo de trabalho dos Núcleos Ampliados de Saúde da Família, nas perspectivas da equipe de Atenção Básica e do próprio Núcleo Ampliado de Saúde da Família no Brasil. Trata-se de estudo transversal com análise de série histórica, com dados secundários da Avaliação Externa do Programa de Melhoria do Acesso e da Qualidade da Atenção Básica. Os dados foram obtidos dos módulos II e IV do 2º e do 3º ciclos. Foram realizados teste qui-quadrado e Mann-Witney (p<0,05). As notas atribuídas pelas equipes de Atenção Básica aos Núcleos foram acima de 7 e aumentaram 1 ponto no 3º ciclo, constatando-se melhora em quase todos os itens do 2º para o 3º ciclo, referente aos encontros com a gestão municipal e ao processo de trabalho da equipe de Atenção Básica e do Núcleo Ampliado de Saúde da Família no planejamento das ações e da periodicidade. Conclui-se que houve melhora na maioria dos indicadores relacionados à gestão e ao processo de trabalho, nas perspectivas da equipe de Atenção Básica e do Núcleo Ampliado de Saúde da Família no Brasil.

Resumo Objetivos: analisar os fatores associados a avaliação positiva auto percebida do cuidado pré-natal entre usuárias da Atenção Primária à Saúde. Métodos: o estudo transversal analítico foi realizado com dados secundários do Módulo III do 2º ciclo (2013/2014) da Avaliação Externa do Programa Melhoria de Acesso e Qualidade da Atenção Básica (PMAQ-AB), coletado com usuários nas próprias Unidades Básicas de Saúde (UBS) que aderiram ao PMAQ-AB no Brasil. A análise hierárquica foi realizada com modelo teórico adaptado e regressão logística entre a avaliação autopercebida (positiva - muito bom/bom ou negativa - regular/ruim/muito ruim) e os fatores sociodemográficos, assistência pré-natal e avaliação do serviço de saúde (p<0,05). Resultados: a amostra foi composta por 9.922 mulheres, sendo que 81,7% avaliaram o cuidado pré-natal como muito bom/bom. No modelo final, a avaliação positiva foi associada a mulheres com ensino superior incompleto ou mais (OR=1,05;IC95%=1,01-1,09; p=0,010), que realizou o exame de VDRL (OR=1,07; IC95%=,01-1,14;p=0,020), consulta com o mesmo profissional (OR=1,07; IC95%=1,02-1,12; p=0,010), recebeu orientação sobre o exame preventivo (OR=1,05; IC95%=1,01-1,08; p=0,007), acreditava que a orientação ajudou na gravidez e cuidados com a criança (OR=1,24;IC95%=1,05-1,46;p=0,012), avaliou a estrutura da UBS como muito boa/boa (OR=1,19;IC95%=1,14-1,24; p<0,001) e não trocaria de UBS ou equipe (OR=1,62; IC95%=1,48-1,68;p<0,001). Conclusão: a avaliação positiva do cuidado pré-natal foi associada aos fatores sociodemográficos, assistência pré-natal e avaliação do serviço de saúde.

Abstract Objective: to analyze the factors associated with positive self-perceived evaluation of prenatal care among users of Primary Health Care (PHC). Methods: the analytical cross-sectional study was carried out with secondary data from the 3rd Module of the 2nd cycle (2013 / 2014) of the External Evaluation of the Improvement of Access and Quality of Primary Care Program (PMAQ-AB – Portuguese acronym), collected from users in the Basic Health Units (BHU) that joined the PMAQ-AB in Brazil. The hierarchical analysis was performed using a theoretical model and logistic regression was performed between the self-perceived evaluation (positive - very good/good or negative - regular/poor/very bad) and the sociodemographic characteristics, prenatal care and health service evaluation (p<0.05). Results: the sample consisted of 9,922 women and 81.7% rated care as very good/good. In the final model, positive evaluation was associated to women with incomplete higher education or over (OR=1.05; CI95%=1.01-1.09; p=0.010), who underwent the VDRL exam (OR=1.07; CI95%=1.01-1.14; p=0.020), consultation with the same professional (OR=1.07; CI95%=1.02-1.12; p=0.010), received guidance on the gynecological preventive exam (OR=1.05; CI95%=1.01-1.08; p=0.007), believed that guidance helped with pregnancy and child care (OR=1.24; CI95%=1.05-1.46; p=0.012), evaluated the BHU structure as very good/good (OR=1.19; CI95%=:1.14-1.24; p<0.001) and would not change BHU or team (OR=1.62; CI95%=1.48-1.68; p<0.001). Conclusion: the positive evaluation of prenatal care was associated with sociodemographic factors, prenatal care and health service evaluation.

RESUMO OBJETIVO O objetivo foi analisar o papel da Literacia em Saúde (LS) como fator associado às perdas dentárias entre usuários do Sistema Único de Saúde com doenças crônicas não transmissíveis. MÉTODOS O estudo transversal e analítico foi conduzido com usuários adultos e idosos selecionados em dez Unidades de Saúde da Família sorteadas, em Piracicaba – SP, Brasil. Foi aplicado um questionário com dados sociodemográficos (sexo, idade, cor da pele e escolaridade), comportamentais (escovação e uso de fio dental), determinantes em saúde (tipo e frequência de uso de serviço de saúde médico e odontológico) e clínica (dor). As condições bucais foram coletadas por exame intrabucal do biofilme dental visível e Índice Pediodontal Comunitário. As condições clínicas sistêmicas (glicemia, hemoglobina glicada e pressóricas) foram extraídas dos prontuários. A variável explanatória foi a LS (baixa, média e alta), medida pelo Health Literacy Scale (HLS-14). RESULTADOS O desfecho foi à perda dentária medida pelo Índice de dentes permanentes cariados, perdidos e obturados. Foi realizada regressão logística com uso de um modelo conceitual para a LS (p < 0,05). Para os 238 indivíduos, a média de idade foi 62,7 anos (± 10,55). A perda dentária esteve associada à LS nos modelos de regressão ajustados por tipo de serviço odontológico, frequência odontológica e uso de fio dental. No modelo final, a perda dentária teve como fatores associados a maior idade (OR = 1,12; IC95% 1,07–1,17), menor escolaridade (OR = 3,43; IC95% 1,17–10,10), ao uso irregular de fio dental (OR = 4,58; IC95% 1,75–7,31), uso irregular do serviço odontológico (OR = 2,60; IC95% 1,32–5,12), bolsa periodontal (> 4mm) (OR = 0,31; IC95% 0,01–0,08), ter biofilme dental visível (OR = 7,23; IC95% 3,19–16,41) e maior índice de glicemia (OR = 1,98; IC95% 1,00–3,92). CONCLUSÕES A perda dentária esteve associada à LS quando ajustada por comportamentos em saúde, a partir da inclusão das variáveis sociodemográficas e condições clínicas ela perdeu a significância. No modelo final, comportamentos, determinantes em saúde e condições clínicas foram indicadores de risco da perda dentária, demonstrando a multifatorialidade envolvida neste fenômeno.

ABSTRACT OBJECTIVE The objective was to analyze the role of health literacy (HL) as a factor associated with tooth loss among users of the Brazilian Health System with chronic non-communicable diseases. METHODS The cross-sectional analytical study was conducted with adult and elderly users chosen at ten Family Health Clinics in a draw in the town of Piracicaba, São Paulo State, Brazil. A questionnaire was applied with sociodemographic data (sex, age, skin color and education), behavioral data (brushing and flossing), determinants in health (type of dental health services and how often) and clinical data (pain). Mouth conditions were collected by intraoral examination of visible dental biofilm and community Pediodontal Index. The systemic clinical conditions (blood glucose, glycated hemoglobin and blood pressure) were extracted from the medical records. The explanatory variable was HL (low, medium and high), measured with the Health Literacy Scale (HLS-14). RESULTS The outcome was tooth loss measured by the index of decayed, missing and filled teeth. Logistic regression was performed using a conceptual model for HL (p < 0.05). For the 238 subjects, the mean age was 62.7 years (± 10.55). Tooth loss was associated with HL in regression models adjusted by type of dental service, dental frequency, and dental floss. In the final model, the factors associated with tooth loss are older age (OR = 1,12; 95%CI: 1,07–1,17), a lower education (OR = 3,43; 95%CI: 1,17–10,10), irregular use of dental floss (OR = 4,58; 95%CI: 1.75 in–7,31), irregular use of dental services (n = 2,60; 95% 1,32–5,12), periodontal pocket (> 4 mm) (n = 0,31; 95%CI: 0,01–0,08), having visible dental biofilm (OR = 7,23; 95%CI: 3,19–16,41) and a higher level of blood sugar (glucose) (n = 1,98; 95%CI: 1.00–3,92). CONCLUSIONS tooth loss was associated with HL when adjusted by health behaviors; when sociodemographic variables and clinical conditions were included, it was less significant. In the final model, behaviors, determinants in health and clinical conditions were risk indicators of tooth loss, showing the multifactorial nature of this phenomenon.

RESUMO OBJETIVO O objetivo foi analisar o papel da Literacia em Saúde (LS) como fator associado às perdas dentárias entre usuários do Sistema Único de Saúde com doenças crônicas não transmissíveis. MÉTODOS O estudo transversal e analítico foi conduzido com usuários adultos e idosos selecionados em dez Unidades de Saúde da Família sorteadas, em Piracicaba – SP, Brasil. Foi aplicado um questionário com dados sociodemográficos (sexo, idade, cor da pele e escolaridade), comportamentais (escovação e uso de fio dental), determinantes em saúde (tipo e frequência de uso de serviço de saúde médico e odontológico) e clínica (dor). As condições bucais foram coletadas por exame intrabucal do biofilme dental visível e Índice Pediodontal Comunitário. As condições clínicas sistêmicas (glicemia, hemoglobina glicada e pressóricas) foram extraídas dos prontuários. A variável explanatória foi a LS (baixa, média e alta), medida pelo Health Literacy Scale (HLS-14). RESULTADOS O desfecho foi à perda dentária medida pelo Índice de dentes permanentes cariados, perdidos e obturados. Foi realizada regressão logística com uso de um modelo conceitual para a LS (p < 0,05). Para os 238 indivíduos, a média de idade foi 62,7 anos (± 10,55). A perda dentária esteve associada à LS nos modelos de regressão ajustados por tipo de serviço odontológico, frequência odontológica e uso de fio dental. No modelo final, a perda dentária teve como fatores associados a maior idade (OR = 1,12; IC95% 1,07–1,17), menor escolaridade (OR = 3,43; IC95% 1,17–10,10), ao uso irregular de fio dental (OR = 4,58; IC95% 1,75–7,31), uso irregular do serviço odontológico (OR = 2,60; IC95% 1,32–5,12), bolsa periodontal (> 4mm) (OR = 0,31; IC95% 0,01–0,08), ter biofilme dental visível (OR = 7,23; IC95% 3,19–16,41) e maior índice de glicemia (OR = 1,98; IC95% 1,00–3,92). CONCLUSÕES A perda dentária esteve associada à LS quando ajustada por comportamentos em saúde, a partir da inclusão das variáveis sociodemográficas e condições clínicas ela perdeu a significância. No modelo final, comportamentos, determinantes em saúde e condições clínicas foram indicadores de risco da perda dentária, demonstrando a multifatorialidade envolvida neste fenômeno.

ABSTRACT OBJECTIVE The objective was to analyze the role of health literacy (HL) as a factor associated with tooth loss among users of the Brazilian Health System with chronic non-communicable diseases. METHODS The cross-sectional analytical study was conducted with adult and elderly users chosen at ten Family Health Clinics in a draw in the town of Piracicaba, São Paulo State, Brazil. A questionnaire was applied with sociodemographic data (sex, age, skin color and education), behavioral data (brushing and flossing), determinants in health (type of dental health services and how often) and clinical data (pain). Mouth conditions were collected by intraoral examination of visible dental biofilm and community Pediodontal Index. The systemic clinical conditions (blood glucose, glycated hemoglobin and blood pressure) were extracted from the medical records. The explanatory variable was HL (low, medium and high), measured with the Health Literacy Scale (HLS-14). RESULTS The outcome was tooth loss measured by the index of decayed, missing and filled teeth. Logistic regression was performed using a conceptual model for HL (p < 0.05). For the 238 subjects, the mean age was 62.7 years (± 10.55). Tooth loss was associated with HL in regression models adjusted by type of dental service, dental frequency, and dental floss. In the final model, the factors associated with tooth loss are older age (OR = 1,12; 95%CI: 1,07–1,17), a lower education (OR = 3,43; 95%CI: 1,17–10,10), irregular use of dental floss (OR = 4,58; 95%CI: 1.75 in–7,31), irregular use of dental services (n = 2,60; 95% 1,32–5,12), periodontal pocket (> 4 mm) (n = 0,31; 95%CI: 0,01–0,08), having visible dental biofilm (OR = 7,23; 95%CI: 3,19–16,41) and a higher level of blood sugar (glucose) (n = 1,98; 95%CI: 1.00–3,92). CONCLUSIONS tooth loss was associated with HL when adjusted by health behaviors; when sociodemographic variables and clinical conditions were included, it was less significant. In the final model, behaviors, determinants in health and clinical conditions were risk indicators of tooth loss, showing the multifactorial nature of this phenomenon.

Abstract Objective: To analyze the role of an individual’s perception of their partner’s oral health in heterosexual couples. Material and Methods: The exploratory study with a qualitative and quantitative approach and data were collected in households in 2015. The quantitative data were analyzed using simple and multivariate binary logistic regression (p<0.05), and the qualitative using Thematic Content Analysis. Results: Of 143 participants, 113 (79.0%) were in a relationship and made up the final sample of the present study. Both women and men reported a small percentage of discomfort in relation to their partners’ oral health (23.1% vs. 14.8%; p=0.199), and only a few had received complaints about their own oral health (20.7% vs. 10.7%; p=0.179). However, almost half of the sample had been told by their partner to see the dentist (47.6% vs. 31.0%; p=0.156), and of these, most were men (48.3% vs. 25.0%; p=0.022). The men that were more likely to be told by their partners to see the dentist (OR=5.82; 95% CI: 1.71-19.80) were upper-class (OR=3.35; 95% CI: 1.05-10.67), workers (OR=7.45; 95% CI: 1.62-34.20) who were dissatisfied with their oral health (OR=3.45; 95% CI: 1.13-10.51). The participants’ reasons for complaining of their partners’ oral health or for telling them to see the dentist were related to physiopathological clinical aspects and healthcare habits. Conclusion: The women told their male partners to seek dental services more often, and future studies should explore whether women are predictors of care and the validity of this information as an indicator of the oral health condition of their male partners.

ABSTRACT Objective: To analyze the factors associated with the SARS-CoV-2 infection among oral health professionals. Material and Methods: This was a cross-sectional study in the city of São Paulo, São Paulo State, Brazil. Professionals from three different categories were included: dental surgeons (DS), dental assistants (DA), and dental hygienists (DH). A questionnaire was created on a digital platform and sent via institutional email to each subject. The questionnaire contained 32 questions about sociodemographic, work, and behavior factors. The data about SARS-CoV-2 infection was confirmed through RT-PCR exams. Descriptive (absolute and relative frequencies) and inferential analyses (chi-squared or Fisher’s exact test) (p<0.05) were performed. Results: There was a SARS-CoV-2 infection prevalence of 3.8% for DS, 30.0% for DH, and 33.3% for DA. SARS-CoV-2 was associated with a lower income (p=0.027), a lower education level (p=0.011), the category of technical professionals (DA and DH) (p=0.025), and using public transportation to commute to work (p=0.009). Conclusion: Sociodemographic factors like lower income and education levels and work factors like job category and public transportation were associated with COVID-19 among professionals on the oral health teams.

RESUMO Teve-se por objetivo analisar as condições de acessibilidade, estrutura e oferta de serviços odontológicos de Unidades Básicas de Saúde com Equipe de Saúde Bucal e compará-los entre as regiões geográficas brasileiras. O estudo quantitativo, analítico e transversal utilizou dados secundários referentes aos Módulo I, V e VI da Avaliação Externa do 2º Ciclo do Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica (PMAQ-AB) (2013-2014). A análise descritiva foi realizada por frequências absolutas (n) e relativas (%), e houve comparação entre regiões brasileiras pelo teste qui-quadrado com uso do Teste Z ajustado pelo método Bonferroni (p<0,05). A amostra foi constituída por 24.056 Unidades Básicas de Saúde, nas quais atuavam 29.778 Equipes de Atenção Básica; destas, 16.203 (67,3%) possuíam serviços odontológicos e abrigavam 18.119 Equipes de Saúde Bucal. De maneira geral, as Unidades Básicas de Saúde apresentavam boa estrutura física, porém, baixa acessibilidade para pessoas com deficiência. Os consultórios odontológicos apresentavam estrutura física adequada e equipamentos, instrumentos e insumos odontológicos suficientes. No entanto, exibiam alta proporção na oferta de serviço mutiladores em comparação a procedimentos que evitariam as extrações dentárias, e baixa oferta de referência especializada. Além disso, houve evidenciadas desigualdades regionais, favoráveis às regiões Sul e Sudeste.

ABSTRACT The aim of the study was to analyze the conditions of accessibility, structure and offer of dental services in Basic Health Units with the Oral Health Team and to compare them between the Brazilian geographic regions. The quantitative, analytical and cross-sectional study used secondary data referring to Module I, V and VI of the External Evaluation of the 2nd Cycle of the National Program for Improving Access and Quality of Primary Care (PMAQ-AB) (2013-2014). The descriptive analysis was performed by absolute (n) and relative (%) frequencies, and there was a comparison between Brazilian regions using the chi-square test using the Z Test adjusted by the Bonferroni method (p <0.05). The sample consisted of 24,056 Basic Health Units, in which 29,778 Primary Care Teams worked; of these, 16,203 (67.3%) had dental services and housed 18,119 Oral Health Teams. In general, the Basic Health Units had a good physical structure, but low accessibility for disabled persons. The dental offices had adequate physical structure and sufficient dental equipment, instruments and supplies. However, they exhibited a high proportion of mutilating service offerings compared to procedures that would avoid tooth extractions, and a low specialized reference supply. In addition, regional inequalities were observed, favorable to the South and Southeast regions.