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Epidemiologia e Serviços de Saúde

Print version ISSN 1679-4974On-line version ISSN 2237-9622

Abstract

SILVA, Franklin Barbosa da  and  FRAZAO, Paulo. Sanitation utilities and fluoridation of water supply systems: an ecological study in Brazilian municipalities, 2008-2010. Epidemiol. Serv. Saúde [online]. 2018, vol.27, n.4, e2018015.  Epub Oct 18, 2018. ISSN 1679-4974.  http://dx.doi.org/10.5123/s1679-49742018000400003.

Objective:

to describe the characteristics of Brazilian sanitation utilities and municipalities according to the water supply system fluoridation situation.

Methods:

this was an ecological study using data from the National Survey of Basic Sanitation 2008, the Demographic Census 2010 and the Atlas of Human Development 2010.

Results:

of the 5,565 Brazilian municipalities, 60% had a fluoridation service; there was variation in fluoridation provision depending on the characteristics of the service providers and the municipality; the greater the coverage of water supply and sewerage and the higher the level of human development, the greater the provision of fluoridation (p<0.001); fluoridation provision was higher in municipalities where the sanitation utilities were mixed-capital companies (75%) and lower when the companies were private (27%) and also when the service was provided only by the municipal government (40%).

Conclusion:

there was an important dependence relationship between the characteristics of the companies and the provision of water fluoridation in Brazilian municipalities.

Keywords : Fluoridation; Sanitation; Sanitation Utilities; Public Health Policy; Ecological Studies.

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