Understanding of Socially Vulnerable  Individuals on Oral Health and Access to Dentist: A Brazilian Study

ResumoIntrodução: O aumento da população encarcerada é um fenômeno que vem sistematicamente sofrendo incremento no mundo todo, levando a superlotação dos presídios, a qual tem consequência direta nas condições de saúde destes indivíduos. Objetivo: Explorar a relação entre saúde bucal, trajetória de vida e percepção de sujeitos em contexto de vulnerabilidade. Material e método: Trata-se de um estudo qualitativo desenvolvido junto a encarcerados de uma Penitenciária Estadual. Para obtenção e tratamento dos dados utilizou-se entrevista individual e técnica da Análise de Conteúdo Temática. Resultado: Os entrevistados apresentaram uma percepção limitada do processo saúde e doença bucal, fomentada por experiências de familiares e de conhecimento adquirido na rua ou na mídia. A trajetória de vida em cárcere pareceu pouco influenciar neste entendimento. No entanto, a vivência no cárcere influenciou na condição bucal dos encarcerados através da facilitação do acesso ao serviço odontológico e a materiais de higiene bucal e melhoria em seus conhecimentos e hábitos de saúde. As referências de saúde bucal expostas mostraram-se, em geral, consonantes com o chamado senso comum e com estudos desenvolvidos em populações socialmente similares. Conclusão: Desta forma, considerando-se as limitações impostas pela forma da coleta dados, sob um contexto de cárcere e vulnerabilidade, sugere-se uma influência não prejudicial da condição estudada sobre a saúde bucal dos encarcerados.Descritores: Vulnerabilidade social; saúde bucal; estilo de vida. AbstractIntroduction: The increase in prison populations is a phenomenon which is systematically rising throughout the world, leading to overcrowding of prisons, which has direct consequences on the health conditions of the individuals. Objective: To explore the relationship among oral health, the life path and the perception of subjects in a vulnerability context. Material and method: This is a qualitative study, developed with inmates in a State Penitentiary. To obtain and process the data, individual interviews and the Thematic Content Analysis technique were used. Result: The interviewees showed limited perception of the process of oral health and disease fostered by the experiences of relatives and by knowledge acquired in the street or from the media. The life path in prison seemed to have little influence on this understanding. However, the prison experience influenced the oral condition of the inmates by facilitating access to dental service, oral hygiene materials and the improvement in their health knowledge and habits. The oral health results presented were, generally, in agreement with so-called common sense and with studies developed in socially similar populations. Conclusion: Thus, considering the limitations imposed by the way data were collected, in prison and in a vulnerability context; a non-harmful influence on the condition studied regarding the oral health of inmates is suggested.

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“…This result confirms the findings of other studies of populations in socially vulnerable situations 7,8 .…”

Section: Determining Factors Of Oral Healthsupporting

confidence: 92%

“…The inmates' point of view reflects the impact of oral health on their interpersonal relationships when the loss of a dental element occurs 7 , especially in the anterior region.…”

Section: Impact Of Oral Health On Quality Of Lifementioning

confidence: 99%

Oral health, the perspective of the inmate and the context of vulnerability

Fadel

Valentim

Fillus

et al. 2015

Rev. odontol. UNESP

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“…Studies on social vulnerability to oral health are less common, especially from developing nations like Nigeria. The few direct studies on social vulnerability to oral diseases explore social vulnerability of adults to oral diseases 14,24 and fewer studies examined social vulnerability of children to oral diseases [25][26][27][28] .…”

Section: Introductionmentioning

confidence: 99%

Does social vulnerability for caries predict caries status of children in sub-urban Nigeria?

Foláyan

Arije

2016

Braz. J. Oral Sci.

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It is important to identify groups of people vulnerable to a disease condition. Aim: To determine the association between social vulnerability to caries and caries status of children in Ile-Ife, Nigeria. Methods: A composite vulnerability index for caries was developed using data generated for 992 children. Wilks’ Lambda test to verify relationship between vulnerability and its variables. Logistic regression analysis was conducted to determine if the social vulnerability for caries index was a good predictor for caries status. Results: The social vulnerability to caries index could not predict caries status. The study found that sex, age and number of siblings were the significant predictors of caries status in the study population. Females (AOR: 1.63; 95%CI: 1.08 – 2.46; p=0.02) and children with more than two siblings had higher odds of having caries (AOR: 2.61; 95%CI: 1.61 – 4.24; p<0.001) while children below 5 years had lower odds of having caries (AOR: 0.62; 95%CI: 0.39 – 1.00; p=0.05) Conclusions: The social vulnerability index for caries could not predict the caries status of children in the study population. Sensitive tools to identify children with caries in the study population should be developed.

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Understanding of Socially Vulnerable Individuals on Oral Health and Access to Dentist: A Brazilian Study

Cited by 2 publications

References 25 publications

Oral health, the perspective of the inmate and the context of vulnerability

Oral health, the perspective of the inmate and the context of vulnerability

Does social vulnerability for caries predict caries status of children in sub-urban Nigeria?

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