Palabras clave
Atención prenatal
Salud bucal
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Resumen
Objetivo: Analizar la asociación de factores sociodemográficos y patrón de acceso odontológico con la alfabetización en salud bucal (ASB) de gestantes atendidas en Atención Primaria de Salud (APS). Métodos: Estudio transversal, con gestantes atendidas en la APS de un municipio de la región metropolitana del sur de Brasil. Se evaluaron las condiciones sociodemográficas y económicas, el estado de acceso dental y la alfabetización en salud bucal (ASB) mediante cuestionarios autoadministrados. Se realizaron análisis de regresión de Poisson univariados y múltiples con varianza robusta (α =0,05). Resultados: La ausencia de equipos de salud bucal (eSB) en las Unidades Básicas de Salud (UBS) se asoció estadísticamente con bajo ASB, independientemente de otros factores (RP = 1,306; IC 95%: 1,032–1,653), las mujeres embarazadas con más de 01 año desde la última consulta odontológica (RP = 1,297; IC 95%: 1,026–1,940) y las mujeres solteras/viudas o separadas (RP = 1,338; IC 95%: 1,054–1,697) también mostraron asociación significativa con ASB. La educación superior resultó ser un factor protector contra ASB bajo (PR=0,310; IC95% 0,183 – 0,525) en comparación con aquellos con educación inferior. Conclusión: La ASB en gestantes se asoció con la escolaridade, estado civil y la presencia de eSB en las UBS, evidenciando la necesidad de políticas públicas dirigidas a ampliar la cobertura de salud bucal en la APS.
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