Determinantes individuais e contextuais da necessidade de tratamento odontológico na dentição decídua no Brasil

Antunes, José Leopoldo Ferreira; Peres, Marco Aurélio; Mello, Tatiana Ribeiro de Campos

doi:10.1590/s1413-81232006000100015

Cited by 42 publications

(48 citation statements)

References 14 publications

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“…On the other hand, although high, the prevalence of untreated dental caries was lower than the estimate for 2003, which was 54.0%. 3 With regards the dmft index, the national estimate for 2010 (2.41) corresponds to a 14% decrease, when compared with that observed in 2003 (2.80). 3 In addition to documenting actual levels of dental treatment needs in deciduous teeth, this study assessed the inequality in its distribution between Brazilian regions and between children with different socio-demographic characteristics.…”

Section: Discussionmentioning

confidence: 92%

“…The principal outcome variable in this study was the prevalence of untreated dental caries, into which was integrated information on the prevalence of the disease and the lack of dental treatment. 3 Individual-level sociodemographic characteristics were gathered using the SBBrasil 2010 questionnaire: sex, skin color and household income. The contextual characteristics of the municipalities were obtained by consulting the results of the 2010 IBGE census.…”

Section: Methodsmentioning

confidence: 99%

“…17 However, few studies have evaluated the distribution of early childhood caries and its associated individual and contextual factors. 1,3,13 …”

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confidence: 99%

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Desigualdades na prevalência de cárie dentária não tratada em crianças pré-escolares no Brasil

2013

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OBJECTIVE:To evaluate the infl uence of social inequalities of individual and contextual nature on untreated dental caries in Brazilian children. METHODS:The data on the prevalence of dental caries were obtained from the Brazilian Oral Health Survey (SBBrasil 2010) Project, an epidemiological survey of oral health with a representative sample for the country and each of the geographical micro-regions. Children aged fi ve (n = 7,217) in 177 municipalities were examined and their parents/guardians completed a questionnaire. Contextual characteristics referring to the municipalities in 2010 (mean income, fl uorodized water and proportion of residences with water supply) were supplied by the Fundação Instituto Brasileiro de Geografi a e Estatística (Brazilian Institute of Geography and Statistics). Multilevel Poisson regression analysis models were used to assess associations. RESULTS:The prevalence of non-treated dental caries was 48.2%; more than half of the sample had at least one deciduous tooth affected by dental caries. The index of dental caries in deciduous teeth was 2.41, with higher fi gures in the North and Northeast. Black and brown children and those from lower income families had a higher prevalence of untreated dental caries. With regards context, the mean income in the municipality and the addition of fl uoride to the water supply were inversely associated with the prevalence of the outcome. CONCLUSIONS:Inequalities in the prevalence of untreated dental caries remain, affecting deciduous teeth of children in Brazil. Planning public policies to promote oral health should consider the effect of contextual factors as a determinant of individual risk.

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Section: Discussionmentioning

confidence: 92%

Section: Methodsmentioning

confidence: 99%

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Desigualdades na prevalência de cárie dentária não tratada em crianças pré-escolares no Brasil

2013

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“…Consequently, presence of dental caries increases the number of dental appointments, which can lead to tooth loss in latter ages, affecting aesthetics, nutritional intake, and decreasing the individuals' quality of life. 7,8 In addition, dental caries María Raquel FERNÁNDEZ (a) Marília Leão GOETTEMS (a) Flávio Fernando DEMARCO (a) Marcos Britto CORRÊA (a) treatment has a heavy financial impact for individuals and public health services. 9 Investigating the occurrence and risk factors of dental caries is important to help establish preventive strategies, 10 identify treatment needs in a population, and compare the results with other studies worldwide.…”

Section: Introductionmentioning

confidence: 99%

“…Possible variables associated with dental caries have been extensively investigated, and some are well known in children, such as sex, skin color, diet, tooth brushing habits, along with socioeconomic factors such as family income and type of school. 7,11 On the other hand, discussions on the relationship between dental caries experience and other less studied factors like overweight, obesity or physical activity have increased only recently. 12 Overweight and obesity are a serious public health problem, 13,14 commonly defined as an excess amount of body fat in relation to lean body mass, caused when energy intake far outweighs energy expenditure.…”

Section: Introductionmentioning

confidence: 99%

Is obesity associated to dental caries in Brazilian schoolchildren?

et al. 2017

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Is obesity associated to dental caries in Brazilian schoolchildren?Abstract: This cross-sectional study aimed to determine the association between dental caries and weight status, and between dental caries and physical activity in Brazilian schoolchildren aged 8 to 12 years. A multi-stage sample of children enrolled in 20 private and public schools in 2010 in Pelotas, Southern Brazil, were invited to participate in the study. Socioeconomic data were collected from parents, and data regarding children characteristics were collected from children using a questionnaire and anthropometric measures. The Body Mass Index was obtained, and children were classified as overweight/obese considering age and sex. Dental examinations were performed to assess the presence of gingival inflammation, dental caries prevalence (DMFT≥1) and dental caries experience (mean DMFT). Multivariate Poisson Regression was used to assess factors associated with dental caries prevalence and experience. A total of 1,210 children were included in the study. Dental caries prevalence was 32.4% (95% CI 29.7-35.2), while the mean DMFT was 0.64 (± SD 1.00). Children who practiced less than 300 minutes per week of physical activity and overweigh/obese children had lower prevalence of dental caries, while children with obesity or overweight presented lower dental caries experience. Obesity/overweight and physical activity level presented an inverse relationship with dental caries. Longitudinal studies investigating the complexity of this relationship are required.

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A Multilevel Approach on Self-Reported Dental Caries in Subjects of Minority Ethnic Groups: A Cross-Sectional Study of 6440 Adults

Medina

Posada-López

Agudelo‐Suárez

2015

J Immigrant Minority Health

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Regional contextual factors and dental caries using multilevel modeling related to adults in minority ethnic groups have been scantily explored. The influence of the socioeconomic context on self-reported dental caries (SRDC) in individuals of minority ethnic groups (IEG) in Colombia was studied. Data from the 2007 National Public Health Survey were collected in 34,843 participants of the population. The influence of different factors on SRDC in IEG was investigated with logistic and multilevel regression analyses. A total of 6440 individuals belonged to an ethnic group. Multilevel analysis showed a significant variance in SRDC that was smaller in IEG level than between states. Multilevel multivariate analysis also associated SRDC with increasing age, lower education level, last dental visit >1 year, unmet dental need and low Gross Domestic Product (GDP). Minority ethnic groups were at risk to report higher dental caries, where low GDP was an important variable to be considered.

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Determinantes individuais e contextuais da necessidade de tratamento odontológico na dentição decídua no Brasil

Cited by 42 publications

References 14 publications

Desigualdades na prevalência de cárie dentária não tratada em crianças pré-escolares no Brasil

Desigualdades na prevalência de cárie dentária não tratada em crianças pré-escolares no Brasil

Is obesity associated to dental caries in Brazilian schoolchildren?

A Multilevel Approach on Self-Reported Dental Caries in Subjects of Minority Ethnic Groups: A Cross-Sectional Study of 6440 Adults

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