Factors associated with dental caries in Brazilian children: a multilevel approach

Martins, MT; Sardenberg, Fernanda; Abreu, MH; Mp, Vale; Paiva, Saul Martins; Pordeus, Isabela Almeida

doi:10.1111/cdoe.12087

Cited by 34 publications

(46 citation statements)

References 19 publications

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“…The socioeconomic factor evaluated in the present investigation was per capita household income. Household income is often used as an explanatory variable for dental caries, and the inverse relationship between income and caries is widely recognized . This is the first study to demonstrate that the distribution of untreated dental caries among income strata is partially explained by HFI.…”

Section: Discussionmentioning

confidence: 82%

“…Household income is often used as an explanatory variable for dental caries, and the inverse relationship between income and caries is widely recognized. 18,19 This is the first study to demonstrate that the distribution of untreated dental caries among income strata is partially explained by HFI. Food insecurity is a social health determinant defined as inadequate access to food, which results in a scarcity of food items, irregular eating patterns, and hunger.…”

Section: T a B L E 3 Poisson Model With Robustmentioning

confidence: 91%

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How much does household food insecurity explain income inequalities in untreated dental caries?

Ferreira

Gomes

Granville‐Garcia

et al. 2019

Int J Paed Dentistry

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Background The pathway by which socioeconomic disadvantages are manifested in the occurrence of dental caries remains unclear. Aim To explore how much the association between untreated dental caries and income inequalities is related to household food insecurity (HFI). Design A population‐based study was conducted with a sample of 466 12‐year‐old students. Dental caries was evaluated by an examiner who had undergone calibration exercises. HFI was assessed using the Food Insecurity Scale validated for Brazilian Portuguese. Poisson regression models were created to determine associations between dental caries and both household income and HFI. The proportion of the income effect on dental caries explained by HFI was determined by the variation in percentages between the crude prevalence ratio (PRc) for dental caries and this measure adjusted by HFI (PRa). Results The prevalence of dental caries was higher among children from families with a per capita household income lower than US$ 71 (PR: 1.69; 95%CI: 1.15‐2.49) or from US$ 71 to US$ 142 (PR: 1.50; 95%CI: 1.04‐2.17). Moreover, 14% of the association between a low income and dental caries was explained by HFI. Conclusions Differences in the prevalence of dental caries in schoolchildren related to socioeconomic inequalities could partially be attributed to HFI in low‐income families.

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Section: Discussionmentioning

confidence: 82%

Section: T a B L E 3 Poisson Model With Robustmentioning

confidence: 91%

How much does household food insecurity explain income inequalities in untreated dental caries?

Ferreira

Gomes

Granville‐Garcia

et al. 2019

Int J Paed Dentistry

View full text Add to dashboard Cite

show abstract

“…Those adverse sociodemographic indicators are also related to unfavorable biological characteristics, such as low birth weight and shorter height . Therefore, the relationship between dental caries and the biological factors listed in the present systematic review may exist as a result of the impact of family‐related disadvantages, either social or economic, on developmental patterns and dental health of young individuals along their life course.…”

Section: Discussionmentioning

confidence: 95%

Factors associated with the development of dental caries in children and adolescents in studies employing the life course approach: a systematic review

Abreu

Elyasi

Badri

et al. 2015

European J Oral Sciences

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The purpose of this article was to conduct a systematic review of studies that used the life course approach to evaluate the association between factors experienced in early life and throughout the lifetime and the development of dental caries in children and adolescents. A systematic search of five electronic databases was carried out. Hand searches of the reference lists of the included articles and a gray literature search were also performed. Quantitative studies that adopted the life course approach to examine the factors associated with the development of dental caries in children and adolescents were selected. Abstracts were screened by two reviewers. Reports with relevant abstracts received full-text review and were examined for inclusion in the present systematic review. Qualitative evaluation of the included articles was carried out using the Newcastle-Ottawa Scale. As a result of the high degree of heterogeneity, meta-analysis was not feasible. Among the 48 articles submitted to full-text analysis, 11 were included in the present systematic review. Different life course factors were associated with the development of dental caries among children and adolescents, including sociodemographic, biological, psychological, and oral health behaviors, as well as the dental status of mothers, children, and adolescents.

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“…The multilevel analysis has been described in the literature as an appropriate statistical approach, allowing estimation of the proportion of the variance at each level [Diez Roux, 2002;Lynch et al, 2004;Celeste and Nadanovsky, 2010a]. Indeed, there are few studies and conflicting evidence about the association of contextual effect on oral health in preschool children Aida et al, 2008;Pereira et al, 2010;Borrell and Baquero, 2011;Borenstein et al, 2013;Martins et al, 2014]. While a study demonstrated a strong influence of contextual factors on dental caries among preschool children [Aida et al, 2008], others showed a weak or no effect, mainly when individual variables were included as controls [Bramlett et al, 2010;Piovesan et al, 2011].…”

mentioning

confidence: 99%

Neighbourhood Determinants of Caries Experience in Preschool Children: A Multilevel Study

Priesnitz¹,

Celeste²,

Pereira³

et al. 2016

Caries Res

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Objectives: To investigate the association between neighbourhood factors and decayed, missing, and filled teeth (dmft) index among preschool children. Methods: The sample of this cross-sectional study comprised 1,110 children (0-5 years old) clustered in 16 official neighbourhoods of Canoas city, southern Brazil. Multilevel binomial models were used to estimate the association of contextual variables at neighbourhood level (Human Development Index, average income, and public primary health care units) with two oral health outcomes: decayed teeth (dt) and missing or filled teeth (mft), after adjusting for individual variables (gender, age, maternal education, equivalent household income logarithm, household, and point of care). Results: Overall, 24.9% of the sample had dental caries experience (dmft >0), and 92.3% of the dmft was untreated caries. There was no statistical significant association (p > 0.05) of contextual characteristics with the decay component. The teeth of children living in richer areas had 2.87 (95% CI: 1.05-7.86) times more chances of being treated (mft component). Variance attributed to neighbourhood level was estimated as 5.9% (p < 0.01) and 4.1% (p = 0.17) for dt and mft, respectively, in adjusted models. Conclusions: Intra-urban areas seem homogeneous, with small variability between neighbourhoods, having no contextual effect on untreated dental caries (dt). Contextual variables may influence treatment access (mft) through the use of dental services in preschool children.

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Factors associated with dental caries in Brazilian children: a multilevel approach

Cited by 34 publications

References 19 publications

How much does household food insecurity explain income inequalities in untreated dental caries?

How much does household food insecurity explain income inequalities in untreated dental caries?

Factors associated with the development of dental caries in children and adolescents in studies employing the life course approach: a systematic review

Neighbourhood Determinants of Caries Experience in Preschool Children: A Multilevel Study

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