The potential impact of neighborhood empowerment on dental caries among adolescents

Pattussi, Marcos Pascoal; Hardy, Rebecca; Sheiham, Aubrey

doi:10.1111/j.1600-0528.2006.00283.x

Cited by 87 publications

(147 citation statements)

References 20 publications

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“…and stress, which would influence health-related behaviors 19,30,31,32 . Another important factor in the prevention of oral diseases is fluoridation of the public water supply, considered one of the ten most relevant public health measures in the 20 th century 33 .…”

Section: Discussionmentioning

confidence: 99%

The association between individual and contextual factors and functional dentition status among adults in Rio Grande do Sul State, Brazil: a multilevel study

Koltermann¹,

Giordani²,

Pattussi³

2011

Cad. Saúde Pública

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Functional dentition plays an important role in maintaining masticatory function, which is closely related to the number of teeth present in the mouth. The objective of this study was to investigate the association between individual and contextual factors and functional dentition (defined IntroductionTooth loss is one of the main public health problems affecting the adult population worldwide 1 . This situation directly and indirectly influences the individual's overall health. Compromised masticatory function affects quality of diet, increasing the risk of various health problems like cardiovascular diseases, physical disabilities and even death 2,3 . Edentulous individuals show lower consumption of important macro and micronutrients as compared to those with functional dentition 4,5 . For example, edentulism without rehabilitation with prostheses has been associated with reduced intake of carbohydrates, vitamins, and minerals 4 . Obesity 3 and malnutrition 5 have also been linked to tooth loss.There are various causes of tooth loss, the main ones being dental caries and periodontal disease. Other factors include access to dental services, health system organization, and oral health care 6,7 . Higher tooth loss rates have been associated with unfavorable socioeconomic conditions 8,9 .Functional dentition plays an important role in maintaining masticatory function, which is closely related to the number of teeth present in the mouth 10,11,12 . According to this concept, maintenance of functionality requires a minimum of 20 teeth well distributed in the upper and lower dental arches. In 1992, the World Health Organization (WHO) declared the lifetime reten-ARTIGO ARTICLE

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Section: Discussionmentioning

confidence: 99%

The association between individual and contextual factors and functional dentition status among adults in Rio Grande do Sul State, Brazil: a multilevel study

Koltermann¹,

Giordani²,

Pattussi³

2011

Cad. Saúde Pública

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“…Other studies have dealt with the association between social capital and health within the Brazilian population [11][12][13]. Research that investigates the association between quality of life and social capital in this age range is scarce, however, in this light, the present study aimed to measure social capital and analyse its possible relation to quality of life among adolescents.…”

Section: Introductionmentioning

confidence: 99%

Social capital and quality of life in adolescent apprentices in Brazil: An exploratory study

Campos¹,

Borges²,

Leles³

et al. 2013

Health

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Background: Adolescents who rely on social aid networks tend to be more socially competent and enjoy higher levels of quality of life than those who interact only with their own limited groups of family and friends. In this light, the present study aimed to measure social capital and analyse its possible relation to adolescents' quality of life. Methods: This is a cross-sectional analytical study with 363 adolescents from the Brazilian NGO. The instruments used included a short Portuguese version of the Integrated Questionnaire to Measure Social Capital (SC-QI) from the World Bank and its abbreviated Portuguese version from the World Health Organization Quality of Life Bref (WHOQoL-Bref) used to measure the quality of life. To measure social capital, the present study chose to use a segmentation analysis, along with the Two-Step Cluster method, applying Euclidian distance and the criteria of centroid aggregation. The MannWhitney test was used to compare the scores of WHOQoL-Bref domains among the clusters, at a significance level of 5%. Results: The segmentation analysis resulted in two clusters, with 160 (44.1%) adolescents classified as Low Social Capital (LSC) and 178 (49%) classified as High Social Capital (HSC). Participation in activities for the good of the community (p < 0.001), opinion regarding the differences between people in the community (p = 0.002), and number of community meetings (p < 0.001) constituted the decisive variables for determining the separation of the clusters. When quality of life among the newly formed clusters was compared, the highest average score in the HSC cluster was found in the Psychological Domain (75.4 ± 11.9), whereas in the LSC cluster, the highest average score was found in the Physical Domain (74.6 ± 12.6). Lower quality of life scores was found in the environmental domain for both the LSC clusters (51.3 ± 14.0) and the HSC clusters (54.7 ± 15.5). This difference proved to be statistically significant (p = 0.009). Conclusions: The results showed that adolescents with higher social capital also presented higher scores concerning quality of life. For the studied population, a positive relation between the two concepts was verified.

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“…This finding confirms previous reports on the importance of investigating the impact of contextual factors on oral health outcomes. 8,9,10,28 Moreover, most children who participated in our study had their first dental visit after the age of 4 years. Only 14 children went to the dentist before their first year of life, as recommended by international guidelines.…”

Section: Discussionmentioning

confidence: 99%

“…3,4,5,6,7 Nevertheless, recent studies have demonstrated the importance of contextual factors for different oral health outcomes, including the use of dental services. 8,9,10,11,12 In Brazil, the latest official publication showed regional inequality in dental care utilization (SBBRASIL 2010). It is suggested that the economic and social attributes of the community might influence dental care utilization by people who reside in it.…”

Section: Introductionmentioning

confidence: 99%

Individual and contextual factors influencing dental health care utilization by preschool children: a multilevel analysis

et al. 2017

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The effect of contextual factors on dental care utilization was evaluated after adjustment for individual characteristics of Brazilian preschool children. This cross-sectional study assessed 639 preschool children aged 1 to 5 years from Santa Maria, a town in Rio Grande do Sul State, located in southern Brazil. Participants were randomly selected from children attending the National Children's Vaccination Day and 15 health centers were selected for this research. Visual examinations followed the ICDAS criteria. Parents answered a questionnaire about demographic and socioeconomic characteristics. Contextual influences on children's dental care utilization were obtained from two community-related variables: presence of dentists and presence of workers' associations in the neighborhood. Unadjusted and adjusted multilevel logistic regression models were used to describe the association between outcome and predictor variables. A prevalence of 21.6% was found for regular use of dental services. The unadjusted assessment of the associations of dental health care utilization with individual and contextual factors included children's ages, family income, parents' schooling, mothers' participation in their children's school activities, dental caries, and presence of workers' associations in the neighborhood as the main outcome covariates. Individual variables remained associated with the outcome after adding contextual variables in the model. In conclusion, individual and contextual variables were associated with dental health care utilization by preschool children.

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The potential impact of neighborhood empowerment on dental caries among adolescents

Abstract: Neighborhood empowerment may play an important role in explaining inequalities in the levels of dental caries. New perspectives are needed so that more effective interventions can be implemented using area-based perspectives.

Cited by 87 publications

References 20 publications

The association between individual and contextual factors and functional dentition status among adults in Rio Grande do Sul State, Brazil: a multilevel study

The association between individual and contextual factors and functional dentition status among adults in Rio Grande do Sul State, Brazil: a multilevel study

Social capital and quality of life in adolescent apprentices in Brazil: An exploratory study

Individual and contextual factors influencing dental health care utilization by preschool children: a multilevel analysis

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