Characteristics of sanitation companies associated to water fluoridation of the supply systems of Brazilian municipalities, 2008.
| Autor: | Silva FBD; Departamento de Política, Gestão e Saúde, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, SP, Brazil., Frazão P; Departamento de Política, Gestão e Saúde, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, SP, Brazil. |
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| Jazyk: | English; Portuguese |
| Zdroj: | Revista brasileira de epidemiologia = Brazilian journal of epidemiology [Rev Bras Epidemiol] 2020; Vol. 23, pp. e200086. Date of Electronic Publication: 2020 Jul 27. |
| DOI: | 10.1590/1980-549720200086 |
| Abstrakt: | Introduction: The adjusted effect of the characteristics of sanitation companies on the provision of fluoridation into public water supply in Brazilian municipalities was evaluated. Methods: Cross-sectional and ecological study based on the 2010 Demographic Census, 2008 National Survey on Basic Sanitation (PNSB), and 2010 Atlas of Human Development. The independent variables were the characteristics of utilities and municipalities, and the outcome was the lack of provision of fluoridation. Prevalence ratio was estimated with Poisson regression with robust variance. Results: 5,565 Brazilian municipalities were included. In the adjusted analysis, the outcome was independently and positively associated to municipalities in the North, Northeast, Central-West and Southeast macro-regions, with coverage rates for water and sewage services below the median value, with less than 10,000 inhabitants, medium and low/very low in human development. Regarding the independent effect of the utilities' characteristics, they were more likely not to provide fluoridation, all the companies that were not classified as indirect administration of the government or mixed-capital company or mixed-capital company of public character; municipal and intermunicipal (PR=1.21; 95%CI 1.19-1.23); and when the municipal government is the only provider (PR=1.22; 95%CI 1.20-1.25). Conclusion: The lack of provision of water fluoridation was greater when the service was mainly provided by municipal administrations and private companies associated or not to public entities, regardless of the characteristics of the municipalities. |
| Databáze: | MEDLINE |
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