Social capital and factors associated with the caries experience in adults – a population-based study in Brazil

Nogueira, Jamille Silva; Pereira, Antônio Carlos; Frias, Antônio Carlos; Ambrosano, Gláucia María Bovi; Cortellazzi, Karine Laura; Guerra, Luciane Miranda; Cavalcante, Denise de Fátima Barros; Bulgareli, Jaqueline Vilela

doi:10.1590/1807-3107bor-2019.vol33.0118

Cited by 8 publications

(8 citation statements)

References 19 publications

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“…Beyond the individual factors, the use of dental services has also been linked to broader social determinants, such as social capital, referring to attributes of social structure that facilitates the actions of individuals [ 2 , 6 ]. There has been increasing evidence for the influence of social capital on oral health [ 7 , 8 , 9 , 10 , 11 ]. Two dimensions of social capital include the structural (measured by social network, civic engagement) and cognitive (measured by trust, reciprocity) dimensions [ 12 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

Factors Affecting Dental Service Utilisation in Indonesia: A Population-Based Multilevel Analysis

Santoso

Bramantoro

Bagoly

et al. 2020

IJERPH

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This study aimed to examine the prevalence of dental service utilisation in Indonesia and its association with social determinants at individual and community levels. Cross-sectional data from the 2014 Indonesian Family Life Survey (IFLS-5) was analysed. Individual independent variables included age, sex, marital status, educational attainment, economic status, health insurance, dental pain, self-reported mouth ulcers, self-rated health status, unmet healthcare needs and smoking status, while community independent variables included cognitive, structural social capital and residential area. Multilevel logistic regressions were performed to explore the associations between independent variables at different levels and the outcome of dental service utilisation. Of the total sample of 16,860 adults aged 15 years or older in our study, around 86.4% never visited a dentist. Dental service utilisation was associated with older age, female, currently not married, higher education level and economic status, health insurance, dental pain, self-reported mouth ulcers, met healthcare needs, never smoking, living in urban areas and communities with high structural social capital. Both individual and broader social determinants influenced dental service utilisation in Indonesia. These factors should be considered in the formulation of oral health policies and programmes aiming to improve dental service utilisation in the country.

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Section: Introductionmentioning

confidence: 99%

Factors Affecting Dental Service Utilisation in Indonesia: A Population-Based Multilevel Analysis

Santoso

Bramantoro

Bagoly

et al. 2020

IJERPH

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“…When disadvantaged subjects were compared with the general population, they had a higher level of caries. Low-income subjects, indeed, have a double probability of suffering from caries (OR 2.2 [95% CI 1.7–2.7], p < 0.05; 6524 participants, two studies) [ 56 , 57 ], while subjects with a low level of education showed a greater than one and a half times probability (OR 1.6 [95% CI 1.42–1.9], p < 0.05; 5653 participants) [ 57 ], with a similar odds ratio to immigrants (OR 1.66 [95% CI 1.29–2.13], p < 0.05; 3738 participants) [ 58 ] and individuals living in rural areas (OR 1.6 [95% CI 1.2–4.3], p = 0.01; 280 participants) [ 59 ].…”

Section: Resultsmentioning

confidence: 99%

“…In all three types of disadvantaged individuals in whom caries experience was compared with the general population, DMFT was higher in socially vulnerable people. Specifically, a greater probability of having a higher DMFT index was found in low-education people (OR 1.40 [95% CI 1.29–1.52], p < 0.05; 6051 participants) [ 57 ], in low-income people (OR 3.7 [95% CI 2.8–4.6], p < 0.05; 1695 participants, two studies, I 2 = 78%) [ 56 , 76 ] and in professionals who sustain an excessive hourly workload (>40 h of overtime) (OR 2.56 [95% CI 1.23–5.33] p = 0.012 to OR 3.01 [95% CI 1.13–7.97] p = 0.027; 950 participants) [ 79 , 80 ]. Moreover, institutionalized elderly people (resident in care homes) showed a higher caries experience than non-institutionalized elderly people with a DMFT 25.4 SD 2.1 ([95% CI 19.9–30.9]; 2608 participants, six studies) versus 16.1 SD 2.1 ([95% CI 11.2–21]; 8276 participants, nine studies) [ 29 , 31 , 34 , 40 , 41 , 44 , 48 , 60 , 61 , 63 , 64 , 81 , 82 ].…”

Section: Resultsmentioning

confidence: 99%

Systematic Review of the Literature on Dental Caries and Periodontal Disease in Socio-Economically Disadvantaged Individuals

Cianetti

Valenti

Orso

et al. 2021

IJERPH

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Dental caries and periodontal disease represent a health problem and a social cost for the entire population, and in particular for socio-economically disadvantaged individuals who are less resistant to disease. The aim of this review is to estimate the prevalence and severity of the two dental pathologies, caries and periodontal disease, in the different classes of socio-economically disadvantaged subjects and to understand which of them are most affected. A systematic search of the literature was performed in MEDLINE (via PubMed), EMBASE and Web of Science after establishing a suitable search strategy for each database, using keywords related to socio-economically vulnerable classes and health outcomes. Socio-economically disadvantaged individuals are more susceptible to tooth decay and periodontal disease (with relative tooth loss) than non-vulnerable people. Additionally, when multiple vulnerabilities are combined in the same subject, these oral diseases worsen. There is no type of vulnerability more affected by caries and periodontitis than others, since overall they all have severe disease indices. The data from this systematic literature review might be useful for health policy makers looking to allocate more resources and services to socially disadvantaged individuals, resulting in making them more resilient to oral disease due to their social marginalization.

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“…Examiner training procedures, data collection methods and the variables included in the study were previously described in other studies [19][20][21][22][23][24]. The concentration of oral disease in the population was estimated by the oral disease burden (ODB) variable, which was the outcome of this study.…”

Section: Methodsmentioning

confidence: 99%

Influence of Socioeconomic Status on Oral Disease Burden: a Population-based Study

Lucena

Silva

Barbosa

et al. 2021

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Background: Dental caries is associated with Biological, behavioral, socioeconomic, and environmental factors; however, socioeconomic status is a distal determinant of dental caries development that modulates exposure to risk and protective factors. This study aimed to analyze the factors associated with the distribution and concentration of oral diseases in a population-based study in Brazil.Methods: This is a quantitative, analytical, cross-sectional study based on secondary data from the SB São Paulo 2015 epidemiological survey. A total of 17,560 subjects were included. The concentration of oral disease in the population was estimated by the oral disease burden (ODB) variable. The ODB consists of four components: dental caries; tooth loss; need for dental prosthesis and periodontal condition. Thus, the total score on the ODB could vary between 0 and 4, with the highest score indicating the worst possible situation. ODB was analyzed in multivariate negative binomial regression, and multivariate binary logistic regression analysis. The following demographic data were included as independent variables: age group, skin color, socioeconomic data, and family income.Results: ODB was present in 86.9% of the sample. Negative multivariate binomial regression showed a statistically significant relationship (p<0.005) between ODB and all variables analyzed (skin color, family income, education, OIDP results and age range). The adjusted multivariate binary logistic regression showed that the individuals most likely to have at least one component of ODB were nonwhite (25.5%), had a family income of up to R$ 1,500.00 / month (19.6%), had only completed primary education (19.1%), and reported that their oral health had an impact on their daily activities (57.6%). Elderly individuals were two times more likely than adolescents to have an ODB component.Conclusions: ODB is associated with factors related to social inequality. Adults and elderly individuals had the highest cumulative number of ODB components.

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Social capital and factors associated with the caries experience in adults – a population-based study in Brazil

Cited by 8 publications

References 19 publications

Factors Affecting Dental Service Utilisation in Indonesia: A Population-Based Multilevel Analysis

Factors Affecting Dental Service Utilisation in Indonesia: A Population-Based Multilevel Analysis

Systematic Review of the Literature on Dental Caries and Periodontal Disease in Socio-Economically Disadvantaged Individuals

Influence of Socioeconomic Status on Oral Disease Burden: a Population-based Study

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