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Impact of socioeconomic inequalities on dental caries in deprived children: a multilevel analysis.
Aravena-Rivas, Y; Monsalves, M J; Espinoza-Espinoza, G; Weitz, A; Hernández, B; Castillo, J; Zaror, C.
Afiliación
  • Aravena-Rivas Y; Center for Research in Epidemiology, Economics and Oral Public Health (CIEESPO), Faculty of Dentistry, Universidad de La Frontera, Temuco, Chile.
  • Monsalves MJ; Facultad de Medicina y Ciencia, Universidad San Sebastián, Santiago, Chile.
  • Espinoza-Espinoza G; Instituto de Investigación en Ciencias Odontológicas, Facultad de Odontología, Universidad de Chile, Santiago, Chile.
  • Weitz A; Center for Research in Epidemiology, Economics and Oral Public Health (CIEESPO), Faculty of Dentistry, Universidad de La Frontera, Temuco, Chile.
  • Hernández B; Department of Public Health, Faculty of Medicine, Universidad de La Frontera, Temuco, Chile.
  • Castillo J; Junta Nacional de Auxilio Escolar y Becas (JUNAEB), Santiago, Chile.
  • Zaror C; Junta Nacional de Auxilio Escolar y Becas (JUNAEB), Santiago, Chile.
Community Dent Health ; 39(3): 191-196, 2022 Aug 30.
Article en En | MEDLINE | ID: mdl-35852232
ABSTRACT

OBJECTIVES:

Inequalities have been reported between high, middle and low socioeconomic position (SEP) children. However, the effect of contextual and individual SEP on existing inequalities among socioeconomically deprived children varies between local contexts. The aim of this study was to assess the impact of contextual and individual SEP on individual caries experience among socioeconomically deprived children in Chile.

METHODS:

Cross-sectional multilevel analysis of data from the 2015 electronic register of the National Board of School Aid and Scholarships (JUNAEB) of Chile. The contextual variables were the municipality Human Development Index (HDI) and rurality index. Individual variables included gender, living in extreme poverty and school grade. Multilevel negative binomial models assessed their impact on DMFT/dmft.

RESULTS:

112,429 children in 255 municipalities were included. Overall, contextual SEP (HDI) was not associated with caries experience in the primary or permanent dentition. Individual SEP (living in extreme poverty) was associated with caries experience in both dentitions. The proportion of children living in extreme poverty with caries experience in the primary teeth was 17% higher than children not living in extreme poverty (PR 1.17; 95% CI 1.15-1.19), while for children with permanent teeth it was 9% higher (PR 1.09; 95% CI 1.08-1.11).

CONCLUSION:

These findings could support the development of health strategies focused on individual SEP to efficiently reduce oral health inequalities among socioeconomically deprived children.
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Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Caries Dental Tipo de estudio: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Child / Humans Idioma: En Revista: Community Dent Health Asunto de la revista: ODONTOLOGIA / SAUDE PUBLICA Año: 2022 Tipo del documento: Article País de afiliación: Chile

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Caries Dental Tipo de estudio: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Child / Humans Idioma: En Revista: Community Dent Health Asunto de la revista: ODONTOLOGIA / SAUDE PUBLICA Año: 2022 Tipo del documento: Article País de afiliación: Chile