Impact of the Family Health Strategy: an analysis in cities in Northeast Brazil with more than 100,000 inhabitants
This study aimed to analyze the impact of the Family Health Strategy (FHS) on oral health in Northeast Brazil, in 12 municipalities with more than 100 thousand inhabitants. The reference was 20 census tracts, 10 of which in areas with oral health covered by the FHS for at least a year, matched with...
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| Veröffentlicht in: | Cadernos de saúde pública 2012-03, Vol.28 (3), p.449-462 |
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| creator | Pereira, Carmen Regina dos Santos Roncalli, Angelo Giuseppe Cangussu, Maria Cristina Teixeira Noro, Luiz Roberto Augusto Patrício, Alberto Allan Rodrigues Lima, Kenio Costa |
| description | This study aimed to analyze the impact of the Family Health Strategy (FHS) on oral health in Northeast Brazil, in 12 municipalities with more than 100 thousand inhabitants. The reference was 20 census tracts, 10 of which in areas with oral health covered by the FHS for at least a year, matched with 10 census tracts without oral health coverage. The total sample included 59,221 individuals. Three possible effects were considered: negative, positive, and absence of effect on the outcomes, based on the prevalence ratio adjusted by Poisson regression. The outcomes "access to collective preventive measures" and "treatment of toothache" indicate a positive effect in the FHS oral health model. However, the outcomes "coverage of tooth extraction" and "restorative treatment" showed either a negative effect or no effect in the majority of the municipalities in the sample. Evidence indicates that within the FHS, the results reflect the local organizational models for oral health care. |
| format | Article |
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The reference was 20 census tracts, 10 of which in areas with oral health covered by the FHS for at least a year, matched with 10 census tracts without oral health coverage. The total sample included 59,221 individuals. Three possible effects were considered: negative, positive, and absence of effect on the outcomes, based on the prevalence ratio adjusted by Poisson regression. The outcomes "access to collective preventive measures" and "treatment of toothache" indicate a positive effect in the FHS oral health model. However, the outcomes "coverage of tooth extraction" and "restorative treatment" showed either a negative effect or no effect in the majority of the municipalities in the sample. 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The reference was 20 census tracts, 10 of which in areas with oral health covered by the FHS for at least a year, matched with 10 census tracts without oral health coverage. The total sample included 59,221 individuals. Three possible effects were considered: negative, positive, and absence of effect on the outcomes, based on the prevalence ratio adjusted by Poisson regression. The outcomes "access to collective preventive measures" and "treatment of toothache" indicate a positive effect in the FHS oral health model. However, the outcomes "coverage of tooth extraction" and "restorative treatment" showed either a negative effect or no effect in the majority of the municipalities in the sample. Evidence indicates that within the FHS, the results reflect the local organizational models for oral health care.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Distribution</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Brazil</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cities - statistics & numerical data</subject><subject>Dental service</subject><subject>Family</subject><subject>Family Health - statistics & numerical data</subject><subject>Female</subject><subject>Health policy</subject><subject>Health Services Accessibility</subject><subject>Health Services Research - statistics & numerical data</subject><subject>Health Status Indicators</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Oral Health - standards</subject><subject>Oral Health - statistics & numerical data</subject><subject>Poisson Distribution</subject><subject>Program Evaluation</subject><subject>Sex Distribution</subject><subject>Young Adult</subject><issn>0102-311X</issn><issn>1678-4464</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7TQ</sourceid><recordid>eNp9kE1LxDAQhoMo7rr6FyQ3PVjIJGnSetPFdRcWPajgrUzb1I30yySL1F9vV9erMDAD7_O8hzkgU1A6iaRU8pBMGTAeCYDXCTnx_p0xLriIj8mEcwkxaD0lbtX0WATaVTRsDF1gY-uBLg3WYUOfgsNg3oZriu04WA_eempbWthgzc_10LnRQx_orcMvW9NPO4pN58zYN1rA2BVjbEQ3mNuAbfCn5KjC2puz_Z6Rl8Xd83wZrR_vV_ObddSDFiGqhCwx5kqmSVJpXfI8ASMKBVqVOQidC0wTWZVSVRLK2AgDSpYpk2MCGpiYkYvf3t51H1vjQ9ZYX5i6xtZ0W5-lPBGayXhHXv5LAucguVDJDj3fo9u8MWXWO9ugG7K_j4pvJNJxFA</recordid><startdate>201203</startdate><enddate>201203</enddate><creator>Pereira, Carmen Regina dos Santos</creator><creator>Roncalli, Angelo Giuseppe</creator><creator>Cangussu, Maria Cristina Teixeira</creator><creator>Noro, Luiz Roberto Augusto</creator><creator>Patrício, Alberto Allan Rodrigues</creator><creator>Lima, Kenio Costa</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7TQ</scope><scope>DHY</scope><scope>DON</scope><scope>7X8</scope></search><sort><creationdate>201203</creationdate><title>Impact of the Family Health Strategy: an analysis in cities in Northeast Brazil with more than 100,000 inhabitants</title><author>Pereira, Carmen Regina dos Santos ; Roncalli, Angelo Giuseppe ; Cangussu, Maria Cristina Teixeira ; Noro, Luiz Roberto Augusto ; Patrício, Alberto Allan Rodrigues ; Lima, Kenio Costa</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p173t-f34da5264988f77d2b81e3c6176db137b3a984fd46f41d5e3e164d9047b317103</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>por</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Distribution</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Brazil</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cities - statistics & numerical data</topic><topic>Dental service</topic><topic>Family</topic><topic>Family Health - statistics & numerical data</topic><topic>Female</topic><topic>Health policy</topic><topic>Health Services Accessibility</topic><topic>Health Services Research - statistics & numerical data</topic><topic>Health Status Indicators</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Oral Health - standards</topic><topic>Oral Health - statistics & numerical data</topic><topic>Poisson Distribution</topic><topic>Program Evaluation</topic><topic>Sex Distribution</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pereira, Carmen Regina dos Santos</creatorcontrib><creatorcontrib>Roncalli, Angelo Giuseppe</creatorcontrib><creatorcontrib>Cangussu, Maria Cristina Teixeira</creatorcontrib><creatorcontrib>Noro, Luiz Roberto Augusto</creatorcontrib><creatorcontrib>Patrício, Alberto Allan Rodrigues</creatorcontrib><creatorcontrib>Lima, Kenio Costa</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>PAIS Index</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>MEDLINE - Academic</collection><jtitle>Cadernos de saúde pública</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pereira, Carmen Regina dos Santos</au><au>Roncalli, Angelo Giuseppe</au><au>Cangussu, Maria Cristina Teixeira</au><au>Noro, Luiz Roberto Augusto</au><au>Patrício, Alberto Allan Rodrigues</au><au>Lima, Kenio Costa</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of the Family Health Strategy: an analysis in cities in Northeast Brazil with more than 100,000 inhabitants</atitle><jtitle>Cadernos de saúde pública</jtitle><addtitle>Cad Saude Publica</addtitle><date>2012-03</date><risdate>2012</risdate><volume>28</volume><issue>3</issue><spage>449</spage><epage>462</epage><pages>449-462</pages><issn>0102-311X</issn><eissn>1678-4464</eissn><coden>CSAQEW</coden><abstract>This study aimed to analyze the impact of the Family Health Strategy (FHS) on oral health in Northeast Brazil, in 12 municipalities with more than 100 thousand inhabitants. The reference was 20 census tracts, 10 of which in areas with oral health covered by the FHS for at least a year, matched with 10 census tracts without oral health coverage. The total sample included 59,221 individuals. Three possible effects were considered: negative, positive, and absence of effect on the outcomes, based on the prevalence ratio adjusted by Poisson regression. The outcomes "access to collective preventive measures" and "treatment of toothache" indicate a positive effect in the FHS oral health model. However, the outcomes "coverage of tooth extraction" and "restorative treatment" showed either a negative effect or no effect in the majority of the municipalities in the sample. Evidence indicates that within the FHS, the results reflect the local organizational models for oral health care.</abstract><cop>Brazil</cop><pmid>22415177</pmid><tpages>14</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0102-311X |
| ispartof | Cadernos de saúde pública, 2012-03, Vol.28 (3), p.449-462 |
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| language | por |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; PAIS Index; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Adolescent Adult Age Distribution Aged Aged, 80 and over Brazil Child Child, Preschool Cities - statistics & numerical data Dental service Family Family Health - statistics & numerical data Female Health policy Health Services Accessibility Health Services Research - statistics & numerical data Health Status Indicators Humans Infant Male Middle Aged Oral Health - standards Oral Health - statistics & numerical data Poisson Distribution Program Evaluation Sex Distribution Young Adult |
| title | Impact of the Family Health Strategy: an analysis in cities in Northeast Brazil with more than 100,000 inhabitants |
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