Visita ao dentista e fatores associados em gestantes atendidas nas Estratégias de Saúde da Família em Governador Valadares.

Abstract

The objective was to determine the prevalence of the last visit to the dentist and associated factors among pregnant women attended prenatal care in primary care in Governador Valadares. This cross-sectional study had as its target population pregnant adult women attended during prenatal care in 08 Family Health Strategies (ESF) in Governador Valadares. To participate in the study, pregnant women signed the informed consent form (opinion no. 6,185,182). The questionnaires were prepared based on the literature and included information on biological, sociodemographic, behavioral, knowledge and perception of oral health, general, gestational and oral health, and access to and use of health services of pregnant women. Statistical analysis was descriptive and the prevalence of the outcome variable was calculated. Bivariate analysis was tested using Chi-square and/or Fisher's exact tests. Multivariate analysis was performed using Poisson Regression with robust variance, estimating prevalence ratios (cross-sectional) and their 95% confidence intervals. A total of 77 pregnant women participated in the study. Most of the pregnant women were between 19 and 24 years old (48.0%), single (45.5%), self-declared brown (62.4%), with incomes between 1 and 3 minimum monthly wages (55.1%), with complete high school (68.8%), and unemployed (48.1%), with 1 to 2 children (62.3%). The last visit to the dentist after 12 months among the pregnant women in this study was observed in 33.3%. The highest prevalence of the last visit to the dentist after 12 months was associated with pregnant women who were in the 1st trimester of pregnancy (p < 0.002). Pregnant women who were less likely to have their last visit to the dentist more than 12 months ago were those who sought dental care and were seen immediately (PR 0.64 95%CI [0.55:0.75]) and those who had priority in care due to pregnancy [PR 0.73 95%CI (0.63:0.85)]. The last visit to the dentist more than 12 months ago was associated with the last visit to the doctor, previous pregnancy history, access to dental services and knowledge about oral health.