Thus, the difference of these variances between the null model and the final model was Discussion In this study, the individual variables of lower family income, greater number of household residents and more teeth requiring treatment were associated with the outcome. In the municipal context, better infrastructure leads to a greater use of public services. In recent years, a decrease in tooth decay prevalence has been identified, but inequalities remain in this scenario [ 43 ], and the challenges faced by public health policies are still great [ 44 ]. The complexity of the causes of health inequalities expresses the need for multisectoral actions in public health to address the negative macro-environmental factors and the physical and social environment. In addition, action is required regarding adverse health behaviors and access to health care [ 45 ].
Integrated Centre for Adult and Youth Education (CIEJA), Brazil
The Utilization of Home Care by the Elderly in Brazil's Primary Health Care System
Abstract Background Studying the factors associated with the use of dental services can provide the necessary knowledge to understand the reasons why individuals seek out public healthcare services and the formulation of more appropriate public policies for the present-day reality. Methods This work was a cross-sectional epidemiological study consisting of a sample of adults found in a research databank concerning the conditions of the oral health of the population of the state of Minas Gerais, Brazil. This study examined both main oral health disorders and relevant socioeconomic aspects. The dependent variable was defined as the type of service used, categorized under public and private use. The independent variables were selected and grouped to be inserted in the analysis model according to an adaptation of the behavioral model described by Andersen and Davidson.
NRTI - nucleoside and nucleotide reverse transcriptase inhibitors. NNRTI - non-nucleoside reverse transcriptase inhibitors. PI - protease inhibitors. ART - antiretroviral therapy.
P values are based on the Fisher exact test. We also found that the majority of home health care was delivered by public services in the FHS areas but by private providers in the TPHC areas. This difference may be explained by 3 factors. First, 1 FHS team is responsible, on average, for elderly residents, whereas under the TPHC model, 1 team was found to care, on average, for elderly residents Table 1 , thus increasing the need for additional nonpublic resources. Second, in the FHS areas, community health workers conducted monthly home health visits and other activities to connect elderly residents with the health team.