Perceived discrimination in health services and preventive dental attendance in Brazilian adults

Objectives It is evident that discriminatory attitudes affect different dimensions of personal life, including health. This study aimed to verify the association between perceived discrimination in health services and preventive dental attendance in Brazilian adults. Methods This cross‐sectional stu...

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Bibliographic Details
Published in:Community dentistry and oral epidemiology 2020-12, Vol.48 (6), p.533-539
Main Authors: Junior, Orlando Luiz do Amaral, Menegazzo, Gabriele Rissotto, Fagundes, Maria Laura Braccini, de Sousa, Jailson Lopes, Tôrres, Luisa Helena do Nascimento, Giordani, Jessye Melgarejo do Amaral
Format: Article
Language:English
Subjects:
Adult
Brazil - epidemiology
Cross-Sectional Studies
Dental Care
Dental Health Services
Dentistry
Health Services
Humans
Oral Health
primary prevention
Regression analysis
Social Class
social discrimination
Social interactions
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Summary:Objectives It is evident that discriminatory attitudes affect different dimensions of personal life, including health. This study aimed to verify the association between perceived discrimination in health services and preventive dental attendance in Brazilian adults. Methods This cross‐sectional study used secondary data from the 2013 National Health Survey (PNS), a representative survey of the Brazilian population. The response rate was 91.9%, with 60,202 adults agreeing to complete the oral health self‐perception questionnaire. Data were analysed using the software STATA 14.0. A descriptive sample analysis was conducted that considered sample weight as well as an association between health discrimination and factors associated with preventive dental attendance through Poisson regression models. Results Adjusted analysis demonstrated that, regarding the reasons that led to discrimination, lack of money, social class and type of working occupation showed a negative association with preventive dental attendance. Conclusion Our findings show that discrimination perpetuates health inequities. Those with worse social conditions need more assistance as they struggle with discrimination and end up going for a check‐up after the disease is established or advanced. Preventive care, which could change the health condition of the disadvantaged population, is often a reality only for those less vulnerable.
ISSN:0301-5661
1600-0528
DOI:10.1111/cdoe.12565