Background
Methods
Study design and area
Data sources
Surveys databases
Administrative databases
Sociodemographic databases
Epidemiological databases
Theoretical model
Data analysis
Results
Year | Gini Index | Percentage of elderly population | Male/female ratio (M/F) | Proportion of adult smokers | Per capita household income | PHC financing (in millions) | Coverage of Family Health Strategy Teams | Coverage of Oral Health Teams | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
x | sd | x | sd | x | sd | x | sd | x | sd | x | sd | x | sd | x | sd | |
2002 | 0.57 | 0.03 | 7.42 | 1.87 | 98.53 | 3.91 | 526.40 | 211.92 | 119.89 | 111.89 | 41.24 | 19.85 | 16.36 | 12.06 | ||
2003 | 0.56 | 0.03 | 7.41 | 1.87 | 98.53 | 3.91 | 495.81 | 198.34 | 136.35 | 129.84 | 44.90 | 20.85 | 22.32 | 16.01 | ||
2004 | 0.56 | 0.04 | 7.40 | 1.86 | 98.52 | 3.91 | 507.03 | 203.54 | 164.86 | 151.13 | 48.63 | 21.22 | 31.71 | 22.01 | ||
2005 | 0.55 | 0.03 | 7.38 | 1.86 | 98.50 | 3.92 | 537.07 | 218.13 | 192.49 | 168.28 | 55.15 | 21.71 | 45.93 | 30.09 | ||
2006 | 0.54 | 0.04 | 7.37 | 1.86 | 98.50 | 3.92 | 594.12 | 232.86 | 224.97 | 196.20 | 55.80 | 21.63 | 48.92 | 30.56 | ||
2007 | 0.54 | 0.04 | 8.29 | 2.08 | 98.35 | 4.04 | 15.72 | 2.61 | 617.36 | 253.05 | 252.80 | 221.97 | 56.19 | 21.09 | 51.85 | 30.97 |
2008 | 0.53 | 0.04 | 8.53 | 2.14 | 98.41 | 4.15 | 14.73 | 3.29 | 649.98 | 256.73 | 285.68 | 248.96 | 59.22 | 20.77 | 54.49 | 31.17 |
2009 | 0.53 | 0.04 | 8.74 | 2.21 | 98.39 | 4.23 | 14.84 | 3.26 | 680.47 | 258.75 | 335.89 | 294.11 | 61.28 | 20.58 | 59.65 | 34.29 |
2010 | 0.60 | 0.04 | 9.42 | 2.26 | 97.57 | 3.75 | 14.34 | 2.97 | 675.23 | 281.23 | 362.10 | 316.69 | 62.52 | 19.93 | 62.88 | 32.06 |
2011 | 0.52 | 0.03 | 9.41 | 2.26 | 97.57 | 3.75 | 13.36 | 3.48 | 722.71 | 275.77 | 412.20 | 363.76 | 61.54 | 18.84 | 63.54 | 30.94 |
2012 | 0.52 | 0.04 | 9.40 | 2.26 | 97.57 | 3.76 | 777.33 | 272.16 | 468.21 | 425.48 | 62.67 | 17.81 | 66.46 | 29.25 |
Year | BRAZIL | ||
---|---|---|---|
2002 | 2008 | 2012 | |
% Full team (modality I)a
| |||
Mean | 98.7 | 98.0 | 88.1 |
Standard deviation | 8.1 | 9.7 | 21.3 |
Q1 | 100.0 | 100.0 | 100.0 |
Median | 100.0 | 100.0 | 100.0 |
Q3 | 100.0 | 100.0 | 100.0 |
% Dentist with legally protected work contract PHC | |||
Mean | 30.4 | 57.3 | – |
Standard deviation | 45.4 | 46.1 | – |
Q1 | 0 | 0 | – |
Median | 0 | 100.0 | – |
Q3 | 100.0 | 100.0 | – |
% BHU with minimum equipment | |||
Mean | 90.9 | 64.5 | 95.5 |
Standard deviation | 13.7 | 12.1 | 10.2 |
Q1 | 88.9 | 61.5 | 100.0 |
Median | 100.0 | 61.5 | 100.0 |
Q3 | 100.0 | 61.5 | 100.0 |
% BHU with instruments (clinical examination) | |||
Mean | 81.0 | 99.2 | – |
Standard deviation | 39.2 | 9.0 | – |
Q1 | 100.0 | 100.0 | – |
Median | 100.0 | 100.0 | – |
Q3 | 100.0 | 100.0 | – |
% prevention actions/cancer diagnosis | |||
Mean | – | 49.9 | 74.5 |
Standard deviation | – | 24.0 | 12.6 |
Q1 | – | 35.7 | 66.7 |
Median | – | 50.0 | 75.0 |
Q3 | – | 71.4 | 83.3 |
Variables | Incidence rate of oral cancer (model 1) | Mortality rate of oral cancer (model 2) | ||||||||
---|---|---|---|---|---|---|---|---|---|---|
Fixed Effect | Random effect | Fixed Effect | Random effect | |||||||
β | CI95% | P | β | Residue | β | CI95% | P | β | Residue | |
Contextual variables | ||||||||||
Gini index | 5.57 | −6.63: 17.77 | 0.371 | 2.96 | 1.79 | −0.68 | −2.11: 0.75 | 0.354 | 0.89 | 0.50 |
Per capita household income | 0.004 | 0.002: 0.007 | 0.001 | 2.35 | 1.72 | 0.007 | 0.0003: 0.001 | <0.001 | 0.81 | 0.49 |
Proportion of elderly population | 0.37 | 0.06: 0.68 | 0.020 | 2.32 | 1.77 | 0.19 | 0.14: 0.23 | <0.001 | 0.58 | 0.45 |
Male/Female ratio | −0.23 | −0.35: −0.10 | <0.001 | 2.50 | 1.71 | −0.05 | −0.07: −0.03 | <0.001 | 0.79 | 0.47 |
Proportion of adult smokers | 0.37 | 0.04: 0.69 | 0.024 | 2.59 | 0.97 | −0.006 | −0.04: 0.03 | 0.779 | 0.93 | 0.45 |
Structure of PHC services | ||||||||||
Financing of PHC | −0.24−9
| −0.19−9: 0.14−9
| 0.775 | 2.92 | 1.80 | −0.27−9
| −0.55−9: 0.15−10
| 0.063 | 0.94 | 0.49 |
% full team (modality 1) | −0.002 | −0.11: 0.10 | 0.965 | 2.86 | 1.65 | 0.01 | −0.009: 0.03 | 0.274 | 0.87 | 0.49 |
% full team (modality 2) | −0.04 | −.026: 0.18 | 0.743 | 2.85 | 1.77 | −0.004 | −0.03: 0.02 | 0.778 | 0.84 | 0.52 |
% team with no precarious work bond (modality 1) | 0.006 | −0.02: 0.04 | 0.658 | 2.74 | 1.78 | 0.004 | −0.001: 0.01 | 0.144 | 0.80 | 0.51 |
% team with no precarious work bond (modality 2) | 0.006 | −0.02: 0.03 | 0.682 | 2.75 | 1.78 | 0.004 | −0.002: 0.01 | 0.209 | 0.81 | 0.51 |
% adjustment of oral health equipment | 0.14 | −0.006: 0.28 | 0.060 | 2.58 | 1.61 | 0.002 | −0.006: 0.009 | 0.682 | 0.88 | 0.49 |
% adjustment of examination instruments | 0.01 | −0.04: 0.06 | 0.622 | 2.74 | 1.77 | −0.0008 | −0.01: 0.01 | 0.904 | 0.84 | 0.52 |
% adjustment of IPE inputs | −0.02 | −0.16: 0.12 | 0.794 | 2.86 | 1.65 | 0.01 | −0.003: 0.02 | 0.121 | 0.87 | 0.48 |
Work process in PHC | ||||||||||
% of actions for prevention and diagnosis | 0.08 | 0.01: 0.14 | 0.014 | 2.51 | 1.57 | 0.02 | 0.009: 0.04 | 0.002 | 0.76 | 0.46 |
Products of PHC services | ||||||||||
FHST Coverage | −0.03 | −0.05: −0.009 | 0.005 | 2.65 | 1.74 | −0.004 | −0.007: −0.0003 | 0.032 | 0.88 | 0.49 |
OHT Coverage | −0.006 | −0.02: 0.008 | 0.408 | 2.80 | 1.80 | 0.002 | −0.0007: 0.08 | 0.170 | 0.92 | 0.49 |
Mean supervised tooth brushing | −0.34 | −0.66: −0.02 | 0.039 | 3.09 | 1.54 | −0.05 | −0.10: 0.01 | 0.112 | 0.96 | 0.49 |
Coverage of 1st dental consultation | – | – | – | – | – | −0.02 | −0.06: 0.03 | 0.502 | 0.87 | 0.54 |
Mean individual basic procedures | −1.49 | −4.38: 1.39 | 0.311 | 3.05 | 1.84 | −0.06 | −0.46: 0.34 | 0.765 | 0.89 | 0.50 |
Variables | Incidence rates of oral cancer (model 1) | Mortality rate of oral cancer (model 2) | ||||
---|---|---|---|---|---|---|
β | CI95% | P | β | CI95% | P | |
FIXED EFFECT | ||||||
Contextual variables | ||||||
Per capita household income | – | – | – | – | – | – |
% of older subjects | 0.96 | 0.63: 1.30 | <0.001 | 0.24 | 0.15: 0.33 | <0.001 |
Proportion of adult smokers | 0.29 | 0.07: 0.51 | 0.010 | |||
Structure of PHC services | ||||||
FHST coverage | – | – | – | −0.01 | −0.02: −0.003 | 0.006 |
Financing of PHC | −0.52−9
| −0.96−9: −0.11−9
| 0.014 | |||
% Adequacy of SB equipment | – | – | – | |||
Work process in PHC | ||||||
% of prevention and diagnosis of oral cancer | – | – | – | 0.02 | 0.008: 0.04 | 0.002 |
RANDOM EFFECT | ||||||
Coefficient (β) | 1.74 | 0.42 | ||||
Residue | 0.65 | 0.39 |