Toothache and social and economic conditions among adolescents in Northeastern Brazil

Noro, Luiz Roberto Augusto; Roncalli, Ângelo Giuseppe; Júnior, Francisco Ivan Rodrigues Mendes; Lima, Kênio Costa de; Teixeira, Ana Karine Macedo

doi:10.1590/1413-81232014191.2110

Cited by 25 publications

(33 citation statements)

References 19 publications

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“…The dependent variable was the prevalence of self‐reported dental pain (yes/no), obtained through the question “Have you had toothache in the last six months? Exclude pain caused by orthodontic appliances.” This question has been used in the three editions of the PeNSE, following the methodology of previous studies (Borges et al, ; Goes et al, ; Lewis & Stout, ; Noro et al, ; Peres et al, ; Santiago et al, ; Schuch et al, ).…”

Section: Methodsmentioning

confidence: 99%

“…Epidemiological studies have shown variation in the prevalence according to age, place of study and methodology used. In Brazil, local studies have shown the prevalence estimates from 25.6% to 35.7% (Borges & Gottlieb, ; Goes et al, ; Noro, Roncalli, Mendes Júnior, Lima, & de, & Teixeira, A. K. M., ; Peres, Peres, Frias, & Antunes, ; Santiago, Valença, & Vettore, ; Schuch, Correa, Torriani, Demarco, & Goettems, ). Among the factors associated with pain in developing as well as in developed countries are demographic, socioeconomic, family, psychosocial and cultural factors, as well as the oral health condition and related behaviours (Bastos, Gigante, Peres, & Nedel, ; Bastos et al, ; Borges et al, ; Escoffié‐Ramirez et al, ; Freire et al, 2012; Jung, Watt, Sheiham, Ryu, & Tsakos, ; Kiwanuka & Åstrøm, ; Lahti, Sipilä, Taanila, & Laitinen, ; Lewis & Stout, ; Nomura, Bastos, & Peres, ; Noro et al, ; Pau, Croucher, & Marcenes, ; Schuch et al, ).…”

Section: Introductionmentioning

confidence: 99%

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Individual and contextual determinants of dental pain in adolescents: Evidence from a national survey

et al. 2019

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Objective To investigate the prevalence of dental pain among adolescent students and its association with individual, school and city variables, using a multilevel approach. Subjects and Methods Individual and school data were obtained from the National Adolescent School‐Based Health Survey (PeNSE) conducted in Brazil in 2015 in a sample of 34,776 students from 1,339 schools in the 27 Brazilian capital cities. Secondary data on socioeconomic, structural and health indicators of the cities were obtained from public databases. The outcome was the prevalence of dental pain in the last six months (yes/no). Independent variables, consisting of potential social and behavioural determinants of dental pain, were structured in three levels: individual, school and city. Multilevel logistic regression was performed. Results Prevalence of dental pain was 21.8% (95% CI = 21.0–22.7). Unadjusted analysis showed significant associations between the outcome and most of the factors in the individual and in the contextual levels. In the final adjusted model, adolescents who reported unfavourable health‐related behaviours, adverse socioeconomic or psychosocial characteristics, as well as those attending public schools and living in cities with high caries prevalence (DMFT) at age 12, were more likely to report dental pain. Conclusions Prevalence of dental pain was high and associated with adverse individual and contextual factors in the school and city levels.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Individual and contextual determinants of dental pain in adolescents: Evidence from a national survey

et al. 2019

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“…Finally, for immediate dental assistance, adjustments were made for household crowding (≤1/> 1), time of last dental consultation (last year yes/no), and participation in adolescent groups (yes/no). Noro et al [2014]. Regarding the socioeconomic trajectory, 13.2% of the individuals had always been poor, 14% were upwardly mobile across the waves, 20% were downwardly mobile, and 52.8% had never been poor.…”

Section: Methodsmentioning

confidence: 94%

“…A representative subsample of 1,021 children was obtained to conduct the oral health epidemiological survey, which included some oral health conditions, e.g., dental caries, gingival conditions, and malocclusions. The size of this sample was calculated considering a prevalence of malocclusion of 30%, a margin of error of 10%, and a level of confidence of 95% [Noro et al, 2014].…”

Section: Methodsmentioning

confidence: 99%

Income Trajectories and Oral Health of Young People in a Life Course Study

2019

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Objective: To investigate the impact of the family’s socioeconomic trajectory on the oral health status of young people in the city of Sobral, Ceará, Brazil, and test the hypotheses of the life course theory. Methods: This is a cohort study conducted in 2000, 2006, and 2012. In the third wave, 482 individuals between 17 and 21 years of age were examined and interviewed. The outcomes analyzed were the trajectory of tooth decay (decayed teeth in 2012 and cavity reoccurrence) and the trajectory of dental assistance (immediate dental assistance and untreated caries). The socioeconomic trajectory was measured by the mobility of the family’s income between childhood and youth and the number of episodes of poverty throughout life. Results: The risk of developing decayed teeth in 2012 was greater for those who had always remained poor. Young people who were never poor had fewer decayed teeth in 2012, but more cavity reoccurrence. Downward mobility resulted in less access to immediate dental assistance. More experience of poverty throughout life implied more decayed teeth in 2012 and less immediate dental assistance. Conclusion: The life course hypotheses regarding an influence of socioeconomic mobility and cumulative risk on oral health outcomes in youth were confirmed.

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“…With regard to access to oral health services, it is known that socioeconomic status [12,13], living conditions [14] and experience of caries [15,16] negatively affect the search for dental care. However, factors inherent to the organization of health services are poorly studied, especially those regarding specialized dental care.…”

Section: Introductionmentioning

confidence: 99%

Accessibility to Specialized Public Oral Health Services from the Perspective of Brazilian Users

Rangel

Silva

Lucena

et al. 2016

IJERPH

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The Specialized Dental Clinics (SDCs) represent the first government initiative in Latin America aimed at providing specialized oral health services. This study sought to evaluate the organizational accessibility to specialized oral health care services in Brazil and to understand the factors that may be associated with accessibility from the user’s perspective. This epidemiological, cross-sectional and quantitative study was conducted by means of interviews with individuals who sought specialized public oral health services in the city of João Pessoa, Paraíba, Brazil, and consisted of a sample of 590 individuals. Users expressed a favorable view of the classification and resolutive nature of specialized services offered by Brazilian public health. The binary logistic regression analysis revealed weak points highlighting the difficulty involved in obtaining such treatments leading to unfavorable evaluations. In the resolutive nature item, difficulty in accessing the location, queues and lack of materials and equipment were highlighted as statistically significant unfavorable aspects. While many of the users considered the service to be resolutive, weaknesses were mentioned that need to be detected to promote improvements and to prevent other health models adopted worldwide from reproducing the same flaws.

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Toothache and social and economic conditions among adolescents in Northeastern Brazil

Abstract: Resumo O objetivo deste estudo foi relacionar dor de dente com condição socioeconômica, acesso aos serviços de saúde bucal e estilo de vida em adolescentes do município de Sobral, Ceará, desenvolvido com

Cited by 25 publications

References 19 publications

Individual and contextual determinants of dental pain in adolescents: Evidence from a national survey

Individual and contextual determinants of dental pain in adolescents: Evidence from a national survey

Income Trajectories and Oral Health of Young People in a Life Course Study

Accessibility to Specialized Public Oral Health Services from the Perspective of Brazilian Users

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