Inequalities in dental services utilization among Brazilian low-income children: the role of individual determinants

Baldani, Márcia Helena; Mendes, Yasmine Bittencourt Emílio; Lawder, Juliana Aparecida de Campos; Lara, Ana Paula Ingles de; Rodrigues, Michelli Marta Azevedo da Silva; Antunes, José Leopoldo Ferreira

doi:10.1111/j.1752-7325.2010.00201.x

Cited by 56 publications

(79 citation statements)

References 21 publications

(29 reference statements)

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“…Routine visit to the dentist was reported by half of adolescents, corroborating the findings of previous study conducted in Southeastern Brazil [30,31] Patients with eating disorders are more likely to hide and deny their condition, thus avoiding the help of health professionals [26]. After evaluating women aged 18 years or older with diagnosis of bulimia nervosa, US researchers found that the majority (70.8%) reported that they had not talked with oral health professionals about their problem, and the causes related to this barrier between patient and oral health professional were mainly embarrassment (81.1%), shame (77.6%) and fear (54.2%) [22].…”

Section: Discussionsupporting

confidence: 80%

Association Between Nutritional Status and Dental Caries in Brazilian Teenagers with and without Risk for Eating Disorders

Aragão¹,

Fernandes²,

Brandt³

et al. 2016

Pesqui. bras. odontopediatria clín. integr.

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Objective: To evaluate the relationship between nutritional status and dental caries in Brazilian female adolescents with and without behavioral risk for eating disorders. Material and Methods: Cross-sectional study involving 60 girls, 15 to18 years old, randomly selected from public and private schools. Risk behavior for eating disorder was assessed by the Bulimic Investigatory Test of Edinburgh, anthropometric measurements were taken to calculate the body mass index, dental examinations were performed to verify the caries experience and a questionnaire to collect sociodemographic data was applied. Data were analyzed descriptively and analytically using the Statistical Package for the Social Sciences 18.0 software. The level of statistical significance was set at 5%, with a 95% confidence interval. Results: Most of the girls studied in public school (75,0%), had no partner (95,0%) and had a monthly family income above the minimum wage (63,3%). The prevalence of dental caries was high (86.7%). The most used practice for weight loss was the act of purge (18.3%). There was no statistically significant association between dental caries and Body Mass Index (p=0,655), however, it was observed that adolescents with high Body Mass Index had a higher risk for Eating Disorders (p<0,05). Conclusion: The nutritional status was not associated with dental caries, however the monitoring of girls with high Body Mass Indexis important due to the increased risk of eating disorders.

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Section: Discussionsupporting

confidence: 80%

Association Between Nutritional Status and Dental Caries in Brazilian Teenagers with and without Risk for Eating Disorders

Aragão¹,

Fernandes²,

Brandt³

et al. 2016

Pesqui. bras. odontopediatria clín. integr.

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“…This finding is similar to findings in other developing countries 22,23 , except Kenya, where higher figures have been reported 24 . Prior reports from Ile-Ife 15,25 , Ibadan 26 and Enugu 27 in Nigeria -all located in Southern Nigeria -had reported higher proportions of children utilizing dental care services.…”

Section: Discussionsupporting

confidence: 82%

Effect of referral for dental service on dental-service utilization by primary school children aged 8 to 11 years in Enugu, Nigeria

Onyejaka¹,

Foláyan

Folaranmi

2017

Braz. J. Oral Sci.

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Aim: To determine how one dental education session and referral of study participants aged 8-11 years would affect utilization of oral-health care services. Methods: This descriptive prospective study recruited 1,406 pupils aged 8-11 years from randomly selected primary schools in Enugu metropolis. All pupils received one oral-health education and referral letters for treatment. Data were collected on the pupils' socio-demographic profile, family structure, and history of oral-health care utilization in the 12 months preceding the study and within 12 months of receipt of referral letter. The effect of these factors as predictors of past and recent dental service utilization was determined using logistic regression. Results: Only 4.3% of the study participants had ever used oral-health services in the 12 months prior to the study. Within 12 months of issuing the referral letters, 9.0% of pupils used the oral-health services. Children from middle (AOR: 0.46; CI: 0.29-0.73; p=0.001) and low socioeconomic strata (AOR: 0.21; CI: 0.11-0.39; p<0.001) and those living with relatives/ guardians (AOR: 0.08, CI: 0.01-0.56; p=0.01) were still less likely to have utilized oral-health services. Conclusions: Referral of children for oral-health care increased the number of children who utilized oral health care services.

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“…Factors addressed by health geography studies investigating the dynamics of dental health disparities include the following: the geographical distribution of dental professionals 14,15,16,17 ; variables representing socioeconomic status 18,19,20,21,22,23 ; and lifestyle behaviors associated with poor oral health, such as consumption of sugared beverages and dental attendance patterns 16,24 .…”

Section: Introductionmentioning

confidence: 99%

The association between geographical factors and dental caries in a rural area in Mexico

et al. 2013

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The aim of this study was to investigate the association between markers of oral disease and geographical factors influencing access to dental care (DMFT score) among school children in Central Mexico. Retrospective data were collected during an international service-learning program between 2002 and 2009. A sample of 1,143 children (55% females; mean age 12.7±13.1years) was analyzed. The mean DMFT score, represented largely by untreated tooth decay, was 4.02 (4.76). The variables that had the most significant effect on the DMFT score were proportion of paved roads between the community and dental services, and the availability of piped potable water. The DMFT score increased in proportion to the percentage of paved roads. In contrast, the DMFT score decreased with the availability of piped potable water. Similar results were found for untreated tooth decay. The main variable associated with a significant increase in dental fillings was proportion of paved roads. Together with Brazilian reports, this is one of the first investigations of the association between geographical factors and oral health in an underdeveloped setting.

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Inequalities in dental services utilization among Brazilian low-income children: the role of individual determinants

Abstract: The conceptual framework has confirmed the presence of social and psychosocial inequalities on the utilization pattern of dental services for low-income children. The individual determinants seem to be important predictors of access.

Cited by 56 publications

References 21 publications

Association Between Nutritional Status and Dental Caries in Brazilian Teenagers with and without Risk for Eating Disorders

Association Between Nutritional Status and Dental Caries in Brazilian Teenagers with and without Risk for Eating Disorders

Effect of referral for dental service on dental-service utilization by primary school children aged 8 to 11 years in Enugu, Nigeria

The association between geographical factors and dental caries in a rural area in Mexico

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