The concept of dental vulnerability in Brazil

Palacio, Danielle da Costa; Rebustini, Flávio; Oliveira, Daniele Boina de; Neto, João Peres; Sanches, Thais Paragis; Mafra, Ana Carolina Cintra Nunes; Bonfim, Daiana; Miraglia, João Luiz; Bado, Fernanda Maria Rovai; Barbieri, Wander; Filho, Valmir Vanderlei Gomes; Pereira, Antônio Carlos

doi:10.33448/rsd-v10i9.17792

Cited by 3 publications

(5 citation statements)

References 23 publications

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“…The model’s fit indices were: χ 2 /df; Non-Normed Fit Index (NNFI) > 0.95; Comparative Fit Index (CFI) > 0.95; Goodness Fit Index (GFI) > 0.95; Root Mean Square Error of Approximation (RMSEA) < 0.08; and Root Mean Square of Residuals (RMSR) < 0.8. The model tested in CFA was the factorial solution found in the initial EFA study 2 .…”

Section: Methodsmentioning

confidence: 99%

“…Análise fatorial confirmatória (AFC): para os dados primários da AFC, utilizou-se as cargas fatoriais e o poder preditivo do item (R 2 ). Os índices de ajustamento do modelo adotados foram: χ 2 /df; índice de ajuste não-normativo (NNFI – Non-Normed Fit Index) > 0,95; índice de ajuste comparativo (CFI –Comparative Fit Index) > 0,95; índices de adequação de ajuste (GFI –Goodness Fit Index) > 0,95; raiz do erro quadrático médio de aproximação (RMSEA – Root Mean Square Error of Approximation) < 0,08; e raiz quadrática média dos resíduos (RMSR – Root Mean Square of Residuals) < 0,8. O modelo testado na AFC foi a solução fatorial encontrada no estudo inicial da AFE 2 .…”

Section: Métodosunclassified

“…Vulnerability is the result of multidimensional and relational conditions, and is determined by a set of individual, social, and programmatic factors. In oral health, dental vulnerability has recently been defined as “a set of factors of the social, structural, and general, mental, oral health dimensions, in addition to health services and public management that influence the dynamics of the health-disease process in dentistry.” 2 In light of this multifactorial context and the knowledge gap in oral healthcare, an instrument that allows the identification of dental vulnerability in a systematic and standardized manner across Brazil is essential to support the planning of oral health actions in a timely and equitable manner.…”

Section: Introductionmentioning

confidence: 99%

“…A vulnerabilidade resulta de condições multidimensionais e relacionais, e é caracterizada pelo conjunto de fatores individual, social e programático, que somados levam ou não à vulnerabilidade. Na saúde bucal, recentemente, vulnerabilidade odontológica foi definida como “um conjunto de fatores sociais, estruturais, de saúde geral, mental e bucal, além de fatores envolvendo os serviços de saúde e a gestão pública que influenciam a dinâmica do processo saúde-doença em odontologia” 2 . Diante desse contexto multifatorial e da lacuna do cuidado em saúde bucal, um instrumento que permita a identificação da vulnerabilidade odontológica de forma sistemática e padronizada em todo país é fundamental para apoiar o planejamento das ações de saúde bucal de forma oportuna e equitativa.…”

Section: Introductionunclassified

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Validação da estrutura interna da Escala Brasileira de Vulnerabilidade Odontológica

Oliveira,

Rebustini,

Palacio

et al. 2023

Rev. saúde pública

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OBJETIVO: Avaliar evidências de validade da estrutura interna da Escala Brasileira de Vulnerabilidade Odontológica (EVO-BR) quando aplicada no Brasil. MÉTODOS: Trata-se de um estudo de natureza psicométrica, que busca validar uma escala construída através de evidências de estrutura interna. A coleta de dados foi realizada em 18 unidades básicas de saúde que executam a metodologia da Planificação da Atenção à Saúde, distribuídas nas cinco regiões do Brasil. A versão inicial da EVO-BR continha 41 itens que mediam vulnerabilidade odontológica e foram aplicados por em usuários com 18 anos ou mais, usuários do Sistema Único de Saúde, que estivessem nas unidades básicas de saúde para consulta por profissionais de nível superior. Para avaliação das evidências foram utilizadas as seguintes análises estatísticas: análise fatorial exploratória, confirmatória e network analysis. RESULTADOS: Participaram do estudo 1.753 usuários. Para adequação da amostra considerou-se a fatorabilidade obtida de Kaiser-Meyer-Olkin (KMO) = 0,65, Bartlett sphericity = 8019,7 e determinante da matriz de 0,008. A análise paralela inicial indicou um modelo de 4 dimensões e teve os itens ajustados conforme cargas fatorais (variaram de 0,38 a 0,99), comunalidades (0,13 a 0,89) e Pratt’s measure até que o modelo tivesse congruência nos princípios estatístico e interpretativo simultaneamente. O modelo final apresentou 15 itens, manteve a indicação de quatro dimensões pela análise paralela e com uma variância explicada de 68,56%. CONCLUSÕES: A EVO-BR é uma escala validada para mensurar vulnerabilidade odontológica, e pode contribuir para organização do acesso a equipe de saúde bucal na atenção primária à saúde por meio da estratificação da população, como recomendado na planificação.

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Section: Methodsmentioning

confidence: 99%

Section: Métodosunclassified

Section: Introductionmentioning

confidence: 99%

Section: Introductionunclassified

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Validação da estrutura interna da Escala Brasileira de Vulnerabilidade Odontológica

Oliveira,

Rebustini,

Palacio

et al. 2023

Rev. saúde pública

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“…Accordingly, the Dental Vulnerability Scale (EVO-BR), which adopts a comprehensive approach to the concept of vulnerability [ 8 ], is a nationally validated instrument used to identify oral health determining and conditioning factors [ 9 ]. It comprises 15 items and can be applied by PHC professionals to cover different dimensions in General Health, Oral Health, Infrastructure and Health Services.…”

Section: Introductionmentioning

confidence: 99%

Standardization of Dental Vulnerability Scale scores (EVO-BR)

de Oliveira,

Belotti,

Eshriqui

et al. 2024

BMC Oral Health

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Background Dental Vulnerability Scale (EVO-BR) is an instrument developed to help identifying oral health-vulnerable individuals. This scale comprises 15 items distributed into 4 dimensions. It is the first instrument with the potential to guide clinical and managerial decisions in the oral health field. The aim is to validate a score to enable using EVO-BR in Primary Health Care (PHC). Method The investigated sample included PHC users in five Brazilian regions. Data were collected at two different stages: in 2019 (São Paulo) and in 2022 (Minas Gerais, Mato Grosso, Roraima, Pernambuco e Paraná). Exploratory descriptive study of this scale scores was carried out to create classification ranges. Subsequently, discriminant analysis was performed to assess the accuracy of the established classification. Boosting regression was carried out to check items’ weight for the instrument score. Results EVO-BR score ranged from 0 (highest vulnerability) to 15 (lowest vulnerability). Four (4) classification configurations were tested. Score equal to 12 points was the one presenting the best classification of the assessed individuals (100% were correctly classified). Boosting regression has evidenced that items 1 and 2 (Overall health domain) and 14 and 15 (Health Services domain) had the strongest influence on this instrument’s score. Conclusion The process to standardize the EVO-BR score and, consequently, to develop assessment ranges, is an important step in the fight against health inequalities, since it provides a tool to help planning actions and interventions aimed at meeting specific needs of the population in the Primary Health Care context.

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Standardization of Dental Vulnerability Scale Scores (EVO-BR)

Oliveira,

Belotti,

Eshriqui

et al. 2024

Preprint

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Background: Dental Vulnerability Scale (also known as EVO-BR) is an instrument developed to help identifying oral health-vulnerable individuals. This scale comprises 15 items distributed into 4 dimensions. It is the first instrument with the potential to guide clinical and managerial decisions in the oral health field. The aim is to validate a score to enable using EVO-BR in PCC practice. Method: The investigated sample included Primary Care Center users in five Brazilian regions. Data were collected at two different stages: in 2019 (São Paulo) and in 2022 (Minas Gerais, Mato Grosso, Roraima, Pernambuco e Paraná). Exploratory descriptive study of this scale scores was carried out to create classification ranges. Subsequently, discriminant analysis was performed to assess the accuracy of the established classification. Boosting regression was carried out to check items’ weight for the instrument score. Results: EVO-BR score ranged from 0 (highest vulnerability) to 15 (lowest vulnerability). Four (4) classification configurations were tested. Score equal to 12 points was the one presenting the best classification of the assessed individuals (100% were correctly classified). Boosting regression has evidenced that items 1 and 2 (Overall health domain) and 14 and 15 (Health Services domain) had the strongest influence on this instrument’s score. Conclusion: The process to standardize the EVO-BR score and, consequently, to develop assessment ranges, is an important step in the fight against health inequalities, since it provides a tool to help planning actions and interventions aimed at meeting specific needs of the population in the Primary Care Health context.

show abstract

The concept of dental vulnerability in Brazil

Cited by 3 publications

References 23 publications

Validação da estrutura interna da Escala Brasileira de Vulnerabilidade Odontológica

Validação da estrutura interna da Escala Brasileira de Vulnerabilidade Odontológica

Standardization of Dental Vulnerability Scale scores (EVO-BR)

Standardization of Dental Vulnerability Scale Scores (EVO-BR)

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