Contextual and individual determinants of periodontal disease: Multilevel analysis based on Andersen's model

Valente, Maria Isabel Bastos; Vettore, Mário Vianna

doi:10.1111/cdoe.12349

Cited by 16 publications

(35 citation statements)

References 30 publications

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“…However, it has been used as an analytical tool to investigate the association of environmental determinants and individual characteristics with a determined outcome or occurrence disease, due to the logic to select the associated contextual and individual factors. This can be seen in the study by Valente and Vettore, in 2018, that identified the relationship of such predictors with periodontal disease and considered the model useful to assess the contextual and individual influences on the condition.…”

Section: Discussionmentioning

confidence: 99%

“…Association of contextual, individual determinants, and health behaviors with dental trauma, adapted from the behavioral model of Andersen…”

Section: Methodsmentioning

confidence: 99%

“…It is suggested, therefore, that investigation of the determinants of TDIs should not be limited to individual factors. Social and living conditions, income distribution and health policies are important aspects of the distribution of such diseases and should be studied with the same intensity and attention.…”

Section: Introductionmentioning

confidence: 99%

“…It consists of an established multilevel system that includes contextual and individual predisposing factors, need and enabling components that influence health . It is a useful framework to help understand the rationale of epidemiological studies and the interpretation of their results …”

Section: Introductionmentioning

confidence: 99%

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Individual and contextual factors associated with traumatic dental injuries in a population of Brazilian adolescents

Fonseca

Antunes

Cascaes

et al. 2019

Dental Traumatology

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Background/Aims Traumatic dental injuries (TDIs) stand out as one of the major public health problems worldwide, characterized by a high prevalence in children and adolescents. However, their association with the 15‐19 years age group has not been fully described. The aim of this study was to evaluate TDIs in a population of Brazilian adolescents. Methods An association study was performed with 5558 adolescents attending the São Paulo State Oral Health Survey (SBSP‐15). Individual predisposing variables (gender, age, schooling, ethnic, overjet, and molar relationship); contextual predisposing (city size and Municipal Human Development Index); individual enabling (per capita income and type of service used); contextual enabling (number of dentists, family health team coverage, and family median income); individual need (satisfaction and perception regarding treatment) and contextual needs (average supervised brushing, number of visits, and dental extractions per city), as well as health behaviors were analyzed. Andersen's behavioral model was used for the data analysis. A multilevel logistic regression with fixed effects was performed to calculate the odds ratio (OR), with 95% confidence interval (CI). Results The prevalence of TDIs in adolescents was 1.42% (95% CI: 0.94‐2.13). Individual and contextual factors of need, predisposing factors, facilitators, and health behaviors were associated with TDIs. In the adjusted analysis, gender (OR = 0.32, 95% CI: 0.18‐0.53), mean family income (OR = 2.52, 95% CI: 1.35‐4.69), number of dental visits (OR = 0.40, 95% CI: 0.19‐0.84), and time of last visit (OR = 2.64, 95% CI: 1.46‐4.77) remained significant concerning trauma. Conclusion At least one variable of the individual and contextual predisposing, enabling, and need factors (except for individual enabling variables) were associated with dental trauma in Brazilian adolescents aged 15‐19 years. This information may help with the planning of preventive actions and dental treatment, especially in mid‐sized and large cities.

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Section: Discussionmentioning

confidence: 99%

“…Association of contextual, individual determinants, and health behaviors with dental trauma, adapted from the behavioral model of Andersen…”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Individual and contextual factors associated with traumatic dental injuries in a population of Brazilian adolescents

Fonseca

Antunes

Cascaes

et al. 2019

Dental Traumatology

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show abstract

“…The role of social determinants and contextual variables as potential factors influencing oral health have been studied; however, there is no consensus in literature regarding these factors [11,12]. A recent study, including data from the European Union and Israel, showed that the tooth retention in older adults may be related to socioeconomic status in early life, living conditions in childhood, and experiences in oral health throughout life [13].…”

Section: Introductionmentioning

confidence: 99%

Inequalities in Oral Health among Older Brazilians: A Cross-Sectional Analysis of a National Survey

Prado

Garbín²,

Moimaz³

et al. 2018

Pesqui. bras. odontopediatria clín. integr.

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Objective: To investigate the association of tooth loss and periodontal disease with socioeconomic and demographic factors, the need for and use of health services, and the effect of oral health on the daily lives of older Brazilians. Material and Methods: We abstracted data from a nation-wide, representative, cross-sectional survey of 7619 Brazilians aged between 65 to 74 years. Poisson regression models were created to investigate associations between oral diseases and income, education level, gender, ethnicity, region of residence, and use of dental services; statistical significance was set at 5%. Results: The mean age of the 7619 subjects studied was 69 years (95% Confidence Interval, 68.9-69.1); 61.9% were women. Regarding ethnicity, 46.95% were White, 38.90% were Brown, 11.54% were Black and 2.53% belonged to other ethnic groups. Bleeding on probing or dental calculus was present in 26.67% of subjects, whereas LOA was present in 87.27%. The loss of at least one tooth was observed in 48.90% of subjects, while 47.03% were completely edentulous. Low educational status increased the prevalence ratio (PR) of all diseases (loss of attachment, PR=5.54; bleeding on probing, PR=3.93; tooth loss, PR=2.24; edentulousness, PR=3.34). The prevalence of tooth loss was 2.58 times higher in subjects who reported a monthly income of less than 301 USD. The effect on daily life was occasionally a protective factor and occasionally increased the likelihoods of diseases. Conclusion: These findings substantiate the association of socioeconomic conditions, demographic features, and use of dental services with bleeding on probing, presence of dental calculus, loss of periodontal attachment, tooth loss, and edentulousness among older Brazilian subjects.

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La santé orale, un axe majeur de prévention

Braeckevelt¹

2022

Actualités Pharmaceutiques

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Contextual and individual determinants of periodontal disease: Multilevel analysis based on Andersen's model

Abstract: Contextual predisposing factors and individual characteristics influenced periodontal disease experience in adults and older people. Contextual enabling factors were also meaningful determinants of periodontal disease in the former age group.

Cited by 16 publications

References 30 publications

Individual and contextual factors associated with traumatic dental injuries in a population of Brazilian adolescents

Individual and contextual factors associated with traumatic dental injuries in a population of Brazilian adolescents

Inequalities in Oral Health among Older Brazilians: A Cross-Sectional Analysis of a National Survey

La santé orale, un axe majeur de prévention

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