{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T20:08:47Z","timestamp":1760299727554},"reference-count":38,"publisher":"FapUNIFESP (SciELO)","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cad. Sa\u00fade P\u00fablica"],"published-print":{"date-parts":[[2017,11,21]]},"abstract":"<jats:p>Abstract: This cross-sectional study aimed to assess the association between the quality of primary health care (PHC) and the use of dental services by preschoolers served by the Family Health Strategy (FHS), controlling for socio-demographic determinants and perceived need. The sample encompassed 438 children aged 3-5 years, enrolled in 19 FHS facilities in Ponta Grossa, Paran\u00e1 State, Brazil. Individual level variables were collected by interviewing parents or caregivers at home. They answered a questionnaire on socioeconomic conditions, oral hygiene habits and use of dental services. Parental perception of child\u2019s oral health related quality of life, as perceived need, was assessed by the Brazilian version of Early Childhood Oral Health Impact Scale (ECOHIS). Normative need was assessed by oral examinations, according to guidelines standardized by the World Health Organization. The contextual level factor was defined as the extent of implementation of PHC in the facilities. Managers responded to PCATool-Brazil, a validated questionnaire which measures the extent of PHC. Dentists answered to a version of PCATool, which was adapted and pretested for dental services. Multilevel analysis, based on Andersen\u2019s behavioral model, fitted the adjustment of \u201chaving ever consulted a dentist\u201d to contextual and individual covariates. We observed high prevalence of dental caries. Almost half of the sample had had dental appointments in life. Social gradients were observed for the use of dental services. Although it was not able to eliminate the impact of adverse social conditions, higher levels of PHC attributes in dental services favored the effective use of such services by low-income children.<\/jats:p>","DOI":"10.1590\/0102-311x00158116","type":"journal-article","created":{"date-parts":[[2017,11,18]],"date-time":"2017-11-18T17:29:29Z","timestamp":1511026169000},"source":"Crossref","is-referenced-by-count":15,"title":["Assessing the role of appropriate primary health care on the use of dental services by Brazilian low-income preschool children"],"prefix":"10.1590","volume":"33","author":[{"given":"M\u00e1rcia Helena","family":"Baldani","sequence":"first","affiliation":[{"name":"Universidade Estadual de Ponta Grossa,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juliana Schaia","family":"Rocha","sequence":"additional","affiliation":[{"name":"Pontif\u00edcia Universidade Cat\u00f3lica do Paran\u00e1,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cristina Berger","family":"Fadel","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Ponta Grossa,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio Carlos","family":"Nascimento","sequence":"additional","affiliation":[{"name":"Universidade Positivo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Leopoldo Ferreira","family":"Antunes","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samuel Jorge","family":"Moys\u00e9s","sequence":"additional","affiliation":[{"name":"Pontif\u00edcia Universidade Cat\u00f3lica do Paran\u00e1,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"1594","DOI":"10.1542\/peds.2013-3725","article-title":"Factors associated with dental care utilization in early childhood","volume":"133","author":"Darmawikarta D","year":"2014","journal-title":"Pediatrics"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1017\/S174413311100034X","article-title":"Socioeconomic status and child health what is the role of health care, health conditions, injuries and maternal health?","volume":"7","author":"Allin S","year":"2012","journal-title":"Health Econ Policy Law"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1186\/s12939-015-0132-8","article-title":"Time trends in socio-economic inequalities in the lack of access to dental services among children in Spain 1987-2011","volume":"14","author":"Pinilla J","year":"2015","journal-title":"Int J Equity Health"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1111\/j.1752-7325.2010.00201.x","article-title":"Inequalities in dental services utilization among Brazilian low-income children: the role of individual determinants","volume":"71","author":"Baldani MH","year":"2011","journal-title":"J Public Health Dent"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"1333","DOI":"10.1177\/0022034515599979","article-title":"Ten years of a National Oral Health Policy in Brazil innovation, boldness, and numerous challenges","volume":"94","author":"Pucca G","year":"2015","journal-title":"J Dent Res"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1111\/j.1875-595x.2012.00124.x","article-title":"Decline in dental caries among 12-year-old children in Brazil, 1980-2005","volume":"62","author":"Lauris JRP","year":"2012","journal-title":"Int Dent J"},{"key":"ref7","series-title":"Projeto SB Brasil 2003: condi\u00e7\u00f5es de sa\u00fade bucal da popula\u00e7\u00e3o brasileira no ano 2002-2003","year":"2004"},{"key":"ref8","series-title":"SB Brasil 2010. 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