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Sa\u00fade P\u00fablica"],"abstract":"Resumo: O servi\u00e7o odontol\u00f3gico, essencial para a sa\u00fade bucal de gestantes, \u00e9 influenciado por fatores que atuam como barreiras ou facilitadores, impactando m\u00e3e e beb\u00ea. Este estudo transversal investigou o uso de servi\u00e7os odontol\u00f3gicos e seus determinantes. Foram avaliadas gestantes usu\u00e1rias dos servi\u00e7os p\u00fablicos de sa\u00fade de Santa Maria, Rio Grande do Sul, Brasil, entre abril e outubro de 2022. Question\u00e1rios registraram dados sociodemogr\u00e1ficos, psicossociais e comportamentais. C\u00e1rie n\u00e3o tratada e gengivite foram clinicamente avaliadas. O desfecho considerou o uso de servi\u00e7os odontol\u00f3gicos nos \u00faltimos 12 meses e o motivo do uso no \u00faltimo atendimento. An\u00e1lises de regress\u00e3o log\u00edstica multinomial, baseadas no modelo de Andersen & Newman, avaliaram os determinantes do uso de servi\u00e7os odontol\u00f3gicos. Os resultados s\u00e3o apresentados em raz\u00e3o de chances (OR - odds ratio) e respectivos intervalos de 95% de confian\u00e7a (IC95%). Das 520 gestantes avaliadas, 72,3% utilizaram os servi\u00e7os. Estar no segundo e terceiro trimestres associou-se ao uso de servi\u00e7os odontol\u00f3gicos para tratamento no \u00faltimo atendimento (OR = 2,12; IC95%: 1,12-3,74 e OR = 3,92; IC95%: 2,02-6,86, respectivamente). Gestantes solteiras\/separadas, com menor escolaridade, baixo senso de coer\u00eancia e que percebiam barreiras para o uso tiveram, respectivamente, chances 1,63 (IC95%: 1,03-2,56), 2,54 (IC95%: 1,24-5,20), 2,90 (IC95%: 1,25-6,69) e 2,14 (IC95%: 1,10-4,13) vezes maior de n\u00e3o usar os servi\u00e7os. Assim, demonstrou-se a rela\u00e7\u00e3o entre determinantes de sa\u00fade e o uso de servi\u00e7os odontol\u00f3gicos no per\u00edodo pr\u00e9-gestacional e gestacional. Identificar esses aspectos pode contribuir para a reorganiza\u00e7\u00e3o de pol\u00edticas voltadas a esse grupo.<\/jats:p>","DOI":"10.1590\/0102-311xpt179524","type":"journal-article","created":{"date-parts":[[2025,7,21]],"date-time":"2025-07-21T15:03:42Z","timestamp":1753110222000},"source":"Crossref","is-referenced-by-count":1,"title":["Determinantes do uso de servi\u00e7os odontol\u00f3gicos no per\u00edodo pr\u00e9-gestacional e gestacional: um estudo transversal"],"prefix":"10.1590","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-6085-0947","authenticated-orcid":false,"given":"Let\u00edcia","family":"Mendes","sequence":"first","affiliation":[{"name":"Universidade Federal de Santa Maria, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9226-0832","authenticated-orcid":false,"given":"Bruno","family":"Emmanuelli","sequence":"additional","affiliation":[{"name":"Universidade Federal de Santa Maria, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3456-6910","authenticated-orcid":false,"given":"Maiara de Carvalho","family":"Segatto","sequence":"additional","affiliation":[{"name":"Universidade Federal de Santa Maria, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7792-8032","authenticated-orcid":false,"given":"Jessica Kl\u00f6ckner","family":"Knorst","sequence":"additional","affiliation":[{"name":"Universidade Federal de Santa Maria, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6291-552X","authenticated-orcid":false,"given":"Fernanda","family":"Tomazoni","sequence":"additional","affiliation":[{"name":"Universidade Federal de Santa Maria, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2812-3542","authenticated-orcid":false,"given":"Gabriela","family":"Ara\u00fajo","sequence":"additional","affiliation":[{"name":"Universidade Federal de Santa Maria, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2025]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"999","DOI":"10.1590\/S1413-81232006000400021","article-title":"Uso de servi\u00e7os odontol\u00f3gicos entre os estados do Brasil","volume":"11","author":"Pinheiro RS","year":"2006","journal-title":"Ci\u00eanc Sa\u00fade Colet"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"1063","DOI":"10.1590\/S0102-311X2009000500013","article-title":"Utiliza\u00e7\u00e3o de servi\u00e7os odontol\u00f3gicos e fatores associados um estudo de base populacional no Sul do Brasil","volume":"25","author":"Ara\u00fajo CS","year":"2009","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1111\/j.1523-536X.2010.00427.x","article-title":"Exploring dental care misconceptions and barriers in pregnancy","volume":"37","author":"Detman LA","year":"2010","journal-title":"Birth"},{"key":"ref4","series-title":"Gestor financiamento."},{"key":"ref5","series-title":"Brasil Sorridente. 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