Iniquidades em saude bucal: escolares beneficiarios do Bolsa Familia sao mais vulneraveis?

Abstract

OBJECTIVETo evaluate the association between being a recipient of the Bolsa Família program and oral health conditions in Brazilian schoolchildren.METHODSA cross-sectional study was conducted with 1,107 schoolchildren aged between eight and 12 years from 20 public and private schools in Pelotas, RS, Southern Brazil. A list of all children receiving the Bolsa Família program was provided by the participant schools. Demographic, socioeconomic and oral hygiene information were assessed using a questionnaire completed by the schoolchildren and their parents. Dental exams were performed to assess the presence of dental plaque and prevalence of dental caries. Data were analyzed by Chi-square test, Chi-square test for linear trend and multivariate Poisson Regression (prevalence ratio; 95% confidence interval).RESULTSSchoolchildren from non-nuclear families, with a DMFT ≥ 1 and who had never visited a dentist were associated with receiving the Bolsa Família. Final model showed that caries prevalence was twice as high (PR 2.00; 95%CI 1.47;2.69) in schoolchildren benefiting from the Bolsa Família . It was also showed that schoolchildren benefiting from the program presented greater severity of dental caries compared to school children from private schools (RR 1.53; 95%CI 1.18;2.00). After final adjustments, the prevalence of schoolchildren who have never visited a dentist was six times higher in children who received the government benefit (PR 6.18; 95%CI 3.07;12.45) compared to those from private schools.CONCLUSIONSSchoolchildren benefiting from the Bolsa Família program experienced more caries lesions and have less frequently accessed dental care services, which suggest the need to include oral health in the program.

Dental caries among preschool children: effects of social inequality and the impact of a university extension project

“…To combat health disparities, the Brazilian government has in recent years invested in income transfer programs. To receive this benefit certain requirements must be fulfilled, and accessing education, health, and social assistance is required and supported [22].…”

“…Brazilian dentistry is evolving; however, it is extremely necessary that it prioritize preventive actions and health promotion, because the high rates of dmft reveal that dentistry is still focused on the curative approach and not on prevention [22]. In schoolchildren, encouragement for measures to strengthen oral health should be directed toward actions that promote health, such as health education, supervised brushing, topical application of fluoride, and dietary guidance [29].…”

Revista de Saúde Pública: 50 years disseminating the knowledge in nutrition

“…Publications on dental caries remained over the 50 years in RSP, especially on the association of the disease with poverty, the availability of micronutrients (especially fluoride), methodological issues for diagnosis, and public policies. The latest publications are from 2013, when they published several studies on dental health in the different groups of the population 4 , 25 , 36 , 53 , its evolution in recent decades 52 , and its possible association with obesity 61 .…”

Saúde bucal, fatores socioeconômicos e qualidade de vida de crianças de 12 anos de idade da cidade de Patos-PB

“…Neste estudo, optou-se por avaliar, associado à prevalência da cárie dentária, os dados socioeconômicos das famílias envolvidas. Os fatores socioeconômicos apresentam forte influência sobre a condição de saúde bucal 16,24,25 , afirmação também comprovada neste trabalho. Em estudos semelhantes, Meneghim et al 26 não identificaram associação entre presença de cárie e nenhum fator socioeconômicos, em contrapartida aos resultados observados por Mazzillo et al 27 que identificaram associação entre a presença de cárie e o tipo de escola da criança.…”

“…Em estudos semelhantes, Meneghim et al 26 não identificaram associação entre presença de cárie e nenhum fator socioeconômicos, em contrapartida aos resultados observados por Mazzillo et al 27 que identificaram associação entre a presença de cárie e o tipo de escola da criança. Corrêa-Faria et al 28 encontraram associação significativa entre a presença de cárie e a renda familiar; Oliveira et al 24 associaram a presença de cárie ao número de residentes por domicílio, escolaridade do chefe e tipo de escola da criança e Piovesan et al 7 afirmaram que a renda e a escolaridade do chefe são os fatores socioeconômicos de maior associação com a presença da cárie dentária.…”