Racial and regional inequalities of dental pain in adolescents: Brazilian National Survey of School Health (PeNSE), 2009 to 2015

Costa, Francine dos Santos; Wendt, Andrea; Costa, Cleide; Chisini, Luiz Alexandre; Agostini, Bernardo Antônio; Neves, Rosália Garcia; Flores, Thaynã Ramos; Corrêa, Marcos Britto; Demarco, Flávio Fernando

doi:10.1590/0102-311x00108620

Cited by 8 publications

(5 citation statements)

References 39 publications

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“…Non-white individuals were more likely to have dental pain, even when compared with white individuals who used the dental services at least once over time. These results agree with some published studies that report a higher prevalence of dental pain among individuals declared to be non-white, regardless of other factors [43][44][45].…”

Section: Discussionsupporting

confidence: 93%

Impact of the use of dental services on dental pain according to adolescents’ skin colour: a 10-year cohort

Rauber

Knorst

Noronha

et al. 2022

Preprint

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Objective: Evaluate the association of the interaction between the use of dental services and the skin colour on the occurrence of dental pain over time. Matherial and methods: This study is a cohort with 10 years of follow-up, started in 2010 with a sample of 639 preschool children (1-5 years old). The use of dental services, race and the presence of dental pain were self- reported by the individuals according to predefined criteria Multilevel logistic regression analysis was performed to assess the interaction between skin colour and use of dental services in the occurrence of dental pain over time. Results: About 449 and 429 were reassessed in 2017 and 2020, respectively. The occurrence of toothache across the cohort was 60.7%. Caucasian individuals who used dental services throughout the cohort had a 51% lower chance of having a toothache than those who used dental services but were non-white (OR 0.49; 95% IC 0.27- 0.90). Conclusion: there was a racial inequity in the occurrence of toothache among individuals who managed to make use of dental services throughout the follow-ups. Clinical relevance: The differences found should serve as a warning to the way how individuals with different characteristics are treated and must be used to combat this inequity. Individuals should receive resolute and personalized treatments according to their clinical condition and not according to their socioeconomic characteristics.

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Section: Discussionsupporting

confidence: 93%

Impact of the use of dental services on dental pain according to adolescents’ skin colour: a 10-year cohort

Rauber

Knorst

Noronha

et al. 2022

Preprint

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show abstract

“…The inequality indices showed a distribution of negative self-rated oral health, with a concentration in the strata of poorer individuals with lower schooling level, pro-poverty. The same pattern of inequality index is perceived concerning toothache in Brazilian adolescents, with the outcome polarized on individuals of black skin color and whose mothers have lower schooling levels 42 . A higher prevalence of negative self-rated oral health was observed in the lowest income quartile and in the group with the lowest schooling level.…”

Section: Discussionmentioning

confidence: 81%

Social and racial inequity in self-rated oral health in adults in Southern Brazil

et al. 2022

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This study aimed to estimate social and racial inequalities in self-rated oral health in adults from the Brazilian birth cohort study. This study belongs to 1982 Pelotas (Brazil) birth cohort study. Data from this study was collected for oral health conditions 31 years old (Oral Health Study). The outcome was self-rated oral health, dichotomized into positive (good/very good) and negative (regular/bad/very bad). Analyses were stratified by gender, racial/skin color groups, schooling level and income. For statistical analysis, the slope index of inequality (SII) and the concentration index (CIX) were used. The prevalence of negative self-rated oral health was 36.1%. Social inequalities were observed in self-rated oral health in both absolute and relative terms. A SII of -30.0 (95%CI: -43.6; -16.4) was observed for income, and -27.7 (95%CI: -41.9; -13.4) for schooling level. Both the individuals’ income and the schooling level had negative CIX (CIXincome -14.6 [95%CI: -21.2; -8.0] and CIXschooling level -14.1 [95%CI: -20.7; -7.5]). Furthermore, the prevalence of negative self-rated oral health in black/brown/indigenous individuals from the highest income/schooling level was comparable to prevalence of the outcome in the white individuals belonging to the lowest income/schooling levels. This study results demonstrate racial disparities in oral health regardless of income and schooling levels. Furthermore, a higher concentration of negative self-rated oral health was identified among the most socioeconomically vulnerable individuals. Our findings reinforce the presence of racial and socioeconomic inequalities in oral health.

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“…Previous studies on toothache using longitudinal data in Brazil highlighted the relation of toothache to maternal education inequality remained stable from childhood and adolescence 2 . The prevalence of toothache among Brazilian adolescents increased and was found linked to race and region 18 . Another study in Brazil showed that the economically disadvantaged group had a higher prevalence of toothache in primary and mixed dentition 17 .…”

Section: Introductionmentioning

confidence: 99%

“…Most of the studies in dental pain are cross-sectional 1,[13][14][15] . Few studies have focused on changes in toothache experiences at two or more points in time 12,[16][17][18] . Some studies examined the trend of toothache over the different periods of life and found socioeconomic conditions were related to toothache experience.…”

Section: Introductionmentioning

confidence: 99%

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Toothache experiences

et al. 2022

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Aim: To describe the pattern of toothache experience in a cohort of children aged 2-5 over 21 years and to find the relationship between previous toothache experience and later reports of toothache to get finding on the most critical period of toothache as a problem in life. Methods: This is a secondary data analysis from Indonesia Family Life Survey (IFLS). A total of 1,927 children from IFLS-1 with complete data were included as baseline participants. They were followed up four times within 21 years (age 6-9y, age 9-12y, age 16-19y, age 23- 26y). Toothache was based on the question of self-reported toothache experience during the last four weeks. After 21 years, a total of 1,098 individuals could be traced and completed every cohort of the survey. Toothache experiences were reported for frequencies in every cohort and accumulative experiences over 21 years. Logistic regression tests were performed to analyze the association of previous toothache experience and later toothache experience. Results: Almost 40% of the respondents reported toothache at least once in their life. The age of 6-9 years is the period when a high percentage of children had teeth-related pain. The experience of toothache at this period was significantly related to every period of age in life. Conclusions: The period of early mixed dentition is important. Oral health status in this period is associated with future oral health. A comprehensive dental health prevention program targeting this population is essential to increase the quality of life.

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Racial and regional inequalities of dental pain in adolescents: Brazilian National Survey of School Health (PeNSE), 2009 to 2015

Cited by 8 publications

References 39 publications

Impact of the use of dental services on dental pain according to adolescents’ skin colour: a 10-year cohort

Impact of the use of dental services on dental pain according to adolescents’ skin colour: a 10-year cohort

Social and racial inequity in self-rated oral health in adults in Southern Brazil

Toothache experiences

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