{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T13:00:23Z","timestamp":1790600423069,"version":"4.1.0"},"reference-count":57,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,12,22]],"date-time":"2020-12-22T00:00:00Z","timestamp":1608595200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Gerodontology"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Population ageing in Brazil is rapid and is likely to place additional pressure over the Brazilian public health system.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study aims to examine the factors associated with utilisation of dental services in the previous year among a representative sample of older adults from S\u00e3o Paulo, Brazil.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The sample included 5951 older adults who participated in the SBSP\u201015 study, an epidemiological survey conducted in 2015 in the State of S\u00e3o Paulo, Brazil. The outcome \u201cutilisation of dental services\u201d was defined as having visited a dentist in the previous year. Chi\u2010square tests were employed in the bivariate analyses and Poisson regressions with robust variance in the multilevel analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Only 30.5% of the participants had their last dental appointment within the previous year. Number of teeth and dental pain presented the strongest effects on the investigated outcome. Education, income, age, ethnicity, living alone, higher Family Health Strategy coverage and the Metropolitan area were associated with having visited a dentist in the previous year. Older adults who rated their oral health as positive did not report treatment need nor prosthodontic need, presented negative oral health\u2010related quality of life, had their last dental appointment in the public health system and sought treatment due to pain or extraction also were more likely to report the utilisation of dental services in the previous year.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Regional, sociodemographic and subjective factors are associated with utilisation of dental services in the previous year among the elders from the State of S\u00e3o Paulo, Brazil.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ger.12519","type":"journal-article","created":{"date-parts":[[2020,12,23]],"date-time":"2020-12-23T23:01:41Z","timestamp":1608764501000},"page":"216-227","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Factors associated with utilisation of dental services by the elders from S\u00e3o Paulo, Brazil"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6122-4399","authenticated-orcid":false,"given":"Gustavo Hermes","family":"Soares","sequence":"first","affiliation":[{"name":"Forensic Dentistry and Community Health Department Dentistry School University of S\u00e3o Paulo S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ezequiel","family":"Ortiz\u2010Rosa","sequence":"additional","affiliation":[{"name":"Forensic Dentistry and Community Health Department Dentistry School University of S\u00e3o Paulo S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline Paula","family":"Alves","sequence":"additional","affiliation":[{"name":"Forensic Dentistry and Community Health Department Dentistry School University of S\u00e3o Paulo S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dayanne","family":"Paz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ki Sung","family":"An","sequence":"additional","affiliation":[{"name":"Forensic Dentistry and Community Health Department Dentistry School University of S\u00e3o Paulo S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio Carlos","family":"Pereira","sequence":"additional","affiliation":[{"name":"Community Dentistry Department Piracicaba Dental School University of Campinas S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Gabriela Haye","family":"Biazevic","sequence":"additional","affiliation":[{"name":"Forensic Dentistry and Community Health Department Dentistry School University of S\u00e3o Paulo S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ant\u00f4nio Carlos","family":"Frias","sequence":"additional","affiliation":[{"name":"Forensic Dentistry and Community Health Department Dentistry School University of S\u00e3o Paulo S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edgard","family":"Michel\u2010Crosato","sequence":"additional","affiliation":[{"name":"Forensic Dentistry and Community Health Department Dentistry School University of S\u00e3o Paulo S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,12,22]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)60541-8"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.5123\/S1679-49742012000400003"},{"key":"e_1_2_10_4_1","volume-title":"Mudan\u00e7a demogr\u00e1fica no Brasil no in\u00edcio do s\u00e9culo XXI: subs\u00eddios para as proje\u00e7\u00f5es da popula\u00e7\u00e3o","author":"Brazilian Institute of Geography and Statistics","year":"2015"},{"key":"e_1_2_10_5_1","volume-title":"Where are the Elderly? 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