Spatial analysis to identify differentials in dental needs by area‐based measures

Antunes, José Leopoldo Ferreira; Frazão, Paulo; Narvai, Paulo Capel; Bispo, Camila Manoel; Pegoretti, Tatiana

doi:10.1034/j.1600-0528.2002.300207.x

Cited by 106 publications

(114 citation statements)

References 18 publications

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“…Esta observação é consistente com estudos anteriores avaliando diferentes bases de dados, os quais reforçam a indicação de duradouros efeitos contextuais da privação sobre a experiência de cárie. Antunes et al 12 e Peres et al 10 apontaram associação negativa entre ín-dices de desenvolvimento social e níveis de cá-rie, respectivamente, para a dentição permanente e decídua. Baldani et al 18 reconheceram correlação significante entre CPO-D e desigualdade de renda, indicando que a experiên-cia de cárie não pode ser dissociada de disparidades socioeconômicas.…”

Section: Discussionunclassified

“…Esta observação representa uma indicação adicional de disparidade sociodemográfica afetando a experiência de cárie. Estudos anteriores sobre o tema refutaram fundamento biológico para os diferenciais étnicos na experiência de cárie, atribuindo-os exclusivamente à discrepante inserção socioeconômica desses segmentos de população e ao acesso diferencial a bens e serviços no Brasil (Antunes et al 12,21 ).…”

Section: Discussionunclassified

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

Antunes

Peres

Mello

2006

Ciênc. saúde coletiva

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Para documentar níveis de doença bucal no Brasil, e avaliar determinantes da experiência de cárie, estudou-se a condição dentária de 26.641 crianças de cinco anos de idade, conforme dados fornecidos por um levantamento nacional de saúde bucal realizado em 2002-3, compreendendo 250 cidades. A prevalência de cárie não tratada foi associada a características sociodemográficas das crianças examinadas e condições geográficas das cidades participantes, através de análise multinível. As regiões brasileiras com melhores indicadores sociais apresentaram perfil mais favorável de saúde bucal. Crianças negras e pardas, e aquelas estudando em áreas rurais e em pré-escolas públicas, apresentaram chance significantemente mais elevada de terem dentes decíduos cariados não tratados. O perfil de saúde bucal das cidades foi associado com a adição de flúor à água de abastecimento público, a proporção de domicílios ligados à rede de águas e o Índice de Desenvolvimento Humano. A experiência de cárie dentária é suscetível a desigualdades sociodemográficas e geográficas; o monitoramento dos contrastes em saúde bucal é relevante para a programação de intervenções socialmente apropriadas, dirigidas a melhorias globais e ao direcionamento de recursos para grupos de população com níveis mais elevados de necessidades.

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Section: Discussionunclassified

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

Antunes

Peres

Mello

2006

Ciênc. saúde coletiva

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“…This finding is consistent with the large body of evidence indicating the influence that individual-and neighbourhood-level socio-economic circumstances have on disparate health outcomes across geographic areas. [27][28][29][30][31][32] In 2006/07 and 2009/10, the average rate of visible dental decay was highest in the most socio-economically disadvantaged neighbourhoods, with approximately half of the children experiencing visible dental decay; whereas in the moderately high SES neighbourhoods, approximately one third of children experienced visible dental decay. The results indicated that although the highest rates of visible dental decay were found in the most socio-economically disadvantaged neighbourhoods, the highest numbers of children with dental decay were in the middle SES neighbourhoods.…”

Section: Discussionmentioning

confidence: 99%

Dental caries disparities in early childhood: A study of kindergarten children in British Columbia

Poon

Holley

Louie³

et al. 2015

Can J Public Health

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OBJECTIVE: The objective of this paper was to describe results of a public health-administered, provincial dental survey of children aged 4-6 years old in British Columbia, and assess the changes in rates of dental caries geographically and by neighbourhood socio-economic status between baseline (2006/07) and follow-up data collection (2009/10). METHOD:The study design involved two retrospective cohorts of kindergarten children who received a public health-administered dental assessment in the years 2006/07 and 2009/10. Neighbourhood socio-economic status was measured by an index created from Canadian Census and Tax Filer data sets. The dental outcomes included previous decay experience, untreated visible decay, and urgent treatment needs. RESULTS:The analysis comprised dental outcomes for 35,602 kindergarten children in 2006/07 and 35,215 children in 2009/10. There was a modest decrease in dental decay rates between surveys, with rates of decay experience -previous and untreated -of 38.9% and 36.7% respectively. However, there were disparities, with almost 50% of children with dental decay in the most socio-economically disadvantaged neighbourhoods, and approximately 30% with dental decay in the least disadvantaged areas. CONCLUSION:The kindergarten dental survey had extensive coverage, was at the population level, and enabled analysis of change in early childhood dental decay rates over time and by geography. Although overall rates improved, dental health inequalities persisted in both survey years at both regional and neighbourhood levels.KEY WORDS: Dental caries; oral health; child; trends; surveillance; British Columbia La traduction du résumé se trouve à la fin de l'article.

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“…30 In terms of social structure, several studies have shown the association between dental caries and income inequality. 13,[31][32][33] A plausible explanation is that high income inequality could be associated with under-investment in public policy, including the delivery of health services. Relationships of this type were investigated in Brazil, and income inequality lost significance following adjustments for a scale of public policies and years of water fluoridation.…”

Section: When Structure and Context Mattermentioning

confidence: 99%

Epidemiology of dental caries: when structure and context matter

Frazão

2012

Braz. oral res.

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The widespread expansion of the sugar market drove dental caries prevalence to high levels in several regions of the world. On the other hand, the dissemination of fluoride use is one of the reasons for caries decline at the end of the 20 th century. However, caries remains one of the most prevalent non-communicable chronic diseases in human beings, and an important cause of pain and dental loss, which lead to school and work absenteeism affecting individuals' daily activities and emotional stability. The decline in caries has important implications for research, human resources and oral healthcare. The aim of this study was to summarize the changes in dental caries occurrence in the population, and bring to light the latest research on the role of non-biological determinants in caries distribution.

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Spatial analysis to identify differentials in dental needs by area‐based measures

Cited by 106 publications

References 18 publications

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

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

Dental caries disparities in early childhood: A study of kindergarten children in British Columbia

Epidemiology of dental caries: when structure and context matter

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