caa a22 4500 606222324 CHVBK 20210128101133.0 cr unu---uuuuu 210128e20150501xx s 000 0 eng 10.1007/s00038-015-0670-2 doi (NATIONALLICENCE)springer-10.1007/s00038-015-0670-2 Nonuse of dental service by schoolchildren in Southern Brazil: impact of socioeconomics, behavioral and clinical factors [Elektronische Daten] [Vanessa da Costa, Marília Goettems, Luísa de Oliveira, Sandra Tarquinio, Dione Torriani, Marcos Correa, Flávio Demarco] Objectives: To assess clinical, behavioral and socioeconomic factors associated with nonuse of dental services by schoolchildren. Methods: A cross-sectional school-based study with 1211 children aged 8-12years was carried out in Pelotas, Brazil. The outcome (never having had a dental appointment) and independent variables were collected through interview with parents and children, including sex, age, parent's schooling, family income, self-perception about oral health, and dental fear. Dental caries was assessed by clinical examination performed at schools. Results: 291 (24.3%; 95% CI 22.0-26.9) of the children had never visited a dentist. Multivariate Poisson regression analysis showed that the outcome was associated with children from mothers with little education (≤0.001), from public schools (≤0.001), from crowded households (≤0.001), who had no caries (≤0.001), who had dental fear (≤0.001), and who started oral hygiene later (0.04). Conclusions: Despite the extensive increase in oral health coverage, especially in the public system in the last years in Brazil, there is still an unassisted portion of the population of schoolchildren. It was observed that socioeconomic, behavioral, and clinical factors influenced the nonuse of dental services. Swiss School of Public Health, 2015 Dental health services nationallicence Cross-sectional studies nationallicence Oral health nationallicence Dental caries nationallicence Child nationallicence Socioeconomic factors nationallicence da Costa Vanessa Post-Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, RS, Brazil aut Goettems Marília Post-Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, RS, Brazil aut de Oliveira Luísa Post-Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, RS, Brazil aut Tarquinio Sandra Post-Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, RS, Brazil aut Torriani Dione Post-Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, RS, Brazil aut Correa Marcos Post-Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, RS, Brazil aut Demarco Flávio Post-Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, RS, Brazil aut International Journal of Public Health Springer Basel 60/4(2015-05-01), 411-416 1661-8556 60:4<411 2015 60 38 https://doi.org/10.1007/s00038-015-0670-2 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00038-015-0670-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- da Costa Vanessa Post-Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, RS, Brazil aut NATIONALLICENCE 700 1- Goettems Marília Post-Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, RS, Brazil aut NATIONALLICENCE 700 1- de Oliveira Luísa Post-Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, RS, Brazil aut NATIONALLICENCE 700 1- Tarquinio Sandra Post-Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, RS, Brazil aut NATIONALLICENCE 700 1- Torriani Dione Post-Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, RS, Brazil aut NATIONALLICENCE 700 1- Correa Marcos Post-Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, RS, Brazil aut NATIONALLICENCE 700 1- Demarco Flávio Post-Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, RS, Brazil aut NATIONALLICENCE 773 0- International Journal of Public Health Springer Basel 60/4(2015-05-01), 411-416 1661-8556 60:4<411 2015 60 38