Considerations on social determinants in university dental practice
Objectives: The objective was to analyze the determinants of health and social representations regarding health and illness in patients who attended the University Dental Hospital of the National University of La Plata.
Methods: A cross-sectional, descriptive observational study was carried out on 200 patients who were treated at the University Dental Hospital. Age, sex, geographic accessibility, clinical attention, perceptions about individual oral health were taken as variables. The sample was divided into four groups: A: 18 to 30 (n = 44); B: 31 to 50 (n = 92); C: 51 to 70 (n = 53); D: more than 70 (n = 11). A voluntary questionnaire was applied through 15 questions and a lickert scale. Statistical analysis was performed using IBM SPSS Statistics 22.0, 95% CI, p<0.05, and Pearson’s correlation coefficient was evaluated. In addition, the analysis of the qualitative data was carried out through the Atlas.ti program and an intra-methodology triangulation
Results: Regarding the perception of individual oral health, an indifferent attitude was observed in all groups (p> 0.05). Likewise, no differences were observed regarding the low level of requirement of the dental consultation (A = 31.8%, B = 43.5%, C = 24.5%, D = 36.4%, p> 0.05). Among the difficulties were the distance from the hospital center and scarce economic resources. Although all the groups identified the importance of the dental consultation, it was significant in group B the patients who manifested their scant interest in oral health care (46.5%).
Conclusions: From the sample analyzed, the conditioning of clinical attention by socioeconomic factors was warned, as well as the low level of information regarding health care and the prevention of oral diseases. The described context affected the access of patients to health systems, as well as their participation and appreciation regarding their oral health.