title: [Inequalities in oral health care use in the primary care setting and associated factors in two Brazilian municipalities].
abstract: OBJECTIVE
  To investigate the factors associated with inequality in the use of oral health services in the Brazilian Family Health Program (Estratégia Saúde da Família, ESF) as measured by dental extractions.
  
  
  METHODS
  A population-based household survey was carried out in two municipalities with full coverage by the ESF in the state of Bahia, Brazil. Ten census tracts were randomly selected. Households were selected by systematic sampling. To assess the use of public services by the population, a prevalence of 50%, sampling error of 4%, and confidence interval of 95% were considered. Trained community health workers conducted key informant interviews on use of oral health services and collected demographic data for all household members aged 15 years or older. Dental extraction was the main outcome. The association between dental extraction and predictive variables was assessed using prevalence ratio, and multivar logistic regression analysis was performed using odds ratio (OR).
  
  
  RESULTS
  Data from 2,539 people was collected. Of these, 682 (26.86%) had used primary oral health care services in the previous 12 months. Dental extraction was performed in 218 (31.96%) out of 682 primary care patients. Being assisted by social programs (OR = 1.43; IC95%: 1.02-2.01), being older than 35 years (OR = 1.59; IC95%: 1.12-2.27), and having lower education levels (OR = 1.81; IC95%: 1.27-2.56) were independently associated with the outcome.
  
  
  CONCLUSIONS
  The present results suggest that historical inequalities of access to oral health services persist. Intersectoral actions may play an important role in improving oral health conditions.
authors.affiliation: Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, BA, Brasil, felipefagundes@outlook.com.
authors.forename: Felipe Fagundes
authors.initials: FF
authors.lastname: Soares
authors.affiliation: Departamento de Odontologia Social e Pediátrica, Faculdade de Odontologia, Universidade Federal da Bahia, Salvador, BA, Brasil.
authors.forename: Sônia Cristina Lima
authors.initials: SC
authors.lastname: Chaves
authors.affiliation: Departamento de Odontologia Social e Pediátrica, Faculdade de Odontologia, Universidade Federal da Bahia, Salvador, BA, Brasil.
authors.forename: Maria Cristina Teixeira
authors.initials: MC
authors.lastname: Cangussu
mesh_terms: D000328:Adult; D001938:Brazil; D002648:Child; D003752:Dental Health Services / Q000458:organization & administration / Q000706:statistics & numerical data*; D004522:Educational Status; D005006:Ethnicity / Q000706:statistics & numerical data; D005260:Female; D019538:Health Care Surveys; D054624:Health Status Disparities; D054625:Healthcare Disparities; D006801:Humans; D007182:Income; D008297:Male; D011320:Primary Health Care / Q000458:organization & administration / Q000706:statistics & numerical data*; D012946:Social Welfare; D014081:Tooth Extraction / Q000706:statistics & numerical data*; D014505:Urban Population / Q000706:statistics & numerical data*