[Dietary guidelines for the Brazilian population: implications for the Brazilian National Policy on Oral Health]. / Guias alimentares para a população brasileira: implicações para a Política Nacional de Saúde Bucal.

Dietary guidelines are intended to orient dietary habits and policies for health promotion and disease prevention. This article discusses Brazil's national dietary guidelines, aiming to identify issues that can support the strategies proposed by the National Policy on Oral Health. The two currently available official guidelines produced by the Ministry of Health were reviewed: the Dietary Guidelines for Children under Two and the Population Dietary Guidelines. The guidelines recommend reduction in sugar intake, essential for caries prevention, and other measures to prevent tooth decay and oral cancer. These guidelines are thus a key part of an oral and overall health promotion strategy and should be integrated into the National Policy on Oral Health.

Guias alimentares para a população brasileira: implicações para a Política Nacional de Saúde Bucal / Dietary guidelines for the Brazilian population: implications for the Brazilian National Policy on Oral Health

Guias alimentares são documentos que orientam sobre práticas alimentares e políticas que visam à promoção da saúde e prevenção de doenças nas populações. Este artigo tem como objetivo apresentar e discutir os guias alimentares para a população brasileira, buscando identificar aspectos que possam subsidiar as estratégias propostas na Política Nacional de Saúde Bucal. Foram revisados os dois guias oficiais do Ministério da Saúde disponíveis até o momento: o Guia Alimentar para Crianças Menores de 2 Anos e o Guia Alimentar para a População Brasileira. Os guias apresentam recomendações sobre a redução do consumo de açúcar, fundamental na prevenção da cárie, bem como outras diretrizes que podem contribuir para a prevenção da erosão dentária e do câncer bucal. Constituem, assim, um componente importante da estratégia de promoção da saúde geral e bucal, e as recomendações devem ser integradas à Política Nacional de Saúde Bucal.

Dietary guidelines are intended to orient dietary habits and policies for health promotion and disease prevention. This article discusses Brazil's national dietary guidelines, aiming to identify issues that can support the strategies proposed by the National Policy on Oral Health. The two currently available official guidelines produced by the Ministry of Health were reviewed: the Dietary Guidelines for Children under Two and the Population Dietary Guidelines. The guidelines recommend reduction in sugar intake, essential for caries prevention, and other measures to prevent tooth decay and oral cancer. These guidelines are thus a key part of an oral and overall health promotion strategy and should be integrated into the National Policy on Oral Health.

[Oral health in 12 year-old students from public and private schools in the city of Goiânia, Brazil]. / Condição de saúde bucal em escolares de 12 anos de escolas públicas e privadas de Goiânia, Brasil.

OBJECTIVE: To compare 12-year-old students from public and private schools in the city of Goiânia, Brazil, in terms of the prevalence of caries, periodontal conditions, dentofacial anomalies, and fluorosis. METHODS: In 2003, the 2002-2003 Oral Health Conditions in the Brazilian Population project (SB Brasil) was expanded to Goiânia as a cross-sectional study, as described in the present article. The sample included 1 947 students from urban schools: 1 790 (91.9%) attended public schools and 157 (8.1%) attended private schools. Data on the following oral conditions were collected through clinical examination: dental caries (decayed, missing, or filled teeth index, DMFT), periodontal condition (Community Periodontal Index, CPI), dentofacial anomaly (Dental Aesthetics Index, DAI), and dental fluorosis (Dean index). The groups were compared using the chi-square and Mann-Whitney U tests. RESULTS: There were differences between the public and private schools for all the variables. DMFT, CPI, and DAI indexes were higher in children from public schools (P < 0.05). Fluorosis was more prevalent in students from private schools (P < 0.05). CONCLUSIONS: The type of school was associated with the oral health condition of the children in this sample. Investments in actions and services to mitigate this inequality and its effects should be made as part of the policies to promote oral health.

Condição de saúde bucal em escolares de 12 anos de escolas públicas e privadas de Goiânia, Brasil / Oral health in 12 year-old students from public and private schools in the city of Goiânia, Brazil

OBJETIVO: Comparar os alunos de 12 anos das escolas públicas e privadas de Goiânia, Goiás, quanto à prevalência de cárie, condição periodontal, anomalia dentofacial e fluorose. MÉTODOS: Em 2003, o Projeto Condições de Saúde Bucal da População Brasileira 2002-2003 (SB Brasil) foi ampliado para Goiânia na forma de um estudo transversal, descrito neste trabalho. A amostra foi constituída por 1 947 escolares de 12 anos frequentando escolas da zona urbana do Município: 1 790 (91,9 por cento) eram de escolas públicas e 157 (8,1 por cento) de escolas privadas. Através de exame clínico, foram coletados dados sobre as seguintes condições bucais: cárie dentária (índice de dentes cariados, perdidos e obturado, CPOD), condição periodontal (índice periodontal comunitário, CPI), anormalidade dento-facial (índice de estética dental, DAI) e fluorose dentária (índice de Dean). Para comparação entre os grupos foram utilizados os testes do qui-quadrado e U de Mann Whitney. RESULTADOS: Houve diferença entre os tipos de escola para todas as variáveis investigadas. Os escolares de instituições públicas apresentaram índices mais elevados de cárie, condição periodontal e anomalia dentofacial do que aqueles de escolas privadas (P < 0,05). Os escolares de instituições privadas apresentaram maior prevalência de fluorose (P < 0,05). CONCLUSÕES: O tipo de escola foi associado à condição de saúde bucal dos escolares pesquisados. São recomendados investimentos em ações e serviços que busquem minimizar tais desigualdades e seus efeitos como parte das políticas de saúde bucal.

OBJECTIVE: To compare 12-year-old students from public and private schools in the city of Goiânia, Brazil, in terms of the prevalence of caries, periodontal conditions, dentofacial anomalies, and fluorosis. METHODS: In 2003, the 2002-2003 Oral Health Conditions in the Brazilian Population project (SB Brasil) was expanded to Goiânia as a cross-sectional study, as described in the present article. The sample included 1 947 students from urban schools: 1 790 (91.9 percent) attended public schools and 157 (8.1 percent) attended private schools. Data on the following oral conditions were collected through clinical examination: dental caries (decayed, missing, or filled teeth index, DMFT), periodontal condition (Community Periodontal Index, CPI), dentofacial anomaly (Dental Aesthetics Index, DAI), and dental fluorosis (Dean index). The groups were compared using the chi-square and Mann-Whitney U tests. RESULTS: There were differences between the public and private schools for all the variables. DMFT, CPI, and DAI indexes were higher in children from public schools (P < 0.05). Fluorosis was more prevalent in students from private schools (P < 0.05). CONCLUSIONS: The type of school was associated with the oral health condition of the children in this sample. Investments in actions and services to mitigate this inequality and its effects should be made as part of the policies to promote oral health.

Caracterização dos cuidadores de crianças HIV+/AIDS abordando a qualidade de vida, a classificação socioeconômica e temas relacionados à saúde bucal / Characterization of caregivers for children with HIV/AIDS, addressing quality of life, socio-economic stratification and oral health aspects

OBJETIVO: O estudo pretende caracterizar a percepção, os conhecimentos sobre promoção e sobre os cuidados com a saúde bucal de cuidadores de crianças com HIV+/AIDS. MÉTODOS: Um questionário foi aplicado aos cuidadores de crianças HIV+/AIDS, abordando a qualidade de vida, a classificação socioeconômica (CCEB) e temas sobre a saúde bucal, através de um conjunto de perguntas fechadas, envolvendo percepção, cuidados e promoção da saúde bucal. A consistência interna foi avaliada através dos domínios do WHOQoL-bref dos componentes do CCEB e dos temas de saúde bucal; uma análise de agrupamento foi realizada com os escores dos domínios do WHOQoL-bref. RESULTADOS: A estatística de alfa-Crombach quantificou a consistência interna: 0,9101, 0,8027 e 0,6355, respectivamente, para os domínios do WHOQoL, para as questões do CCEB e para os temas de saúde bucal. A análise de agrupamento gerou dois grupos de informantes. Houve relações entre os níveis de qualidade de vida, os estratos do CCEB e as respostas observadas nos temas sobre a saúde bucal; foram relatadas dificuldades de acesso à atenção odontológica. CONCLUSÕES: A metodologia e os instrumentos utilizados mostraram consistência e coerência com o referencial teórico, contribuindo para o desenvolvimento da assistência à saúde de crianças HIV+.

OBJECTIVE: This study examines perceptions, and knowledge of how to promote oral healthcare among people caring for children with HIV/AIDS. METHODS: A questionnaire was completed by people caring for children with HIV/AIDS, encompassing the quality of life (WHOQoL-bref); the socioeconomic stratification (BECC); and aspects related to oral health through the perception, care and promotion of oral health. Internal consistency was evaluated for the WHOQoL-bref domains, for the BECC questions and for the oral health questions. Cluster analysis was performed by WHOQoL-bref domain scores. RESULTS: The alpha-Crombach statistics showed that the internal consistency quality progressed: 0.9101, 0.8027, and 0.6355, respectively, for WHOQoL-bref domains, for the ECC questions, and for the oral health questions. The cluster analysis generated two homogenous groups. There were descriptive relations between the quality of life scores and the BECC strata and the answers given for the oral health related themes; difficulties were reported in accessing dental care. CONCLUSIONS: The methodology and tools deployed by this survey showed consistency and coherence to the theoretical framework, contributing to the development of better healthcare for HIV+ children.

[Characterization of caregivers for children with HIV/AIDS, addressing quality of life, socio-economic stratification and oral health aspects]. / Caracterização dos cuidadores de crianças HIV+/AIDS abordando a qualidade de vida, a classificação socioeconômica e temas relacionados à saúde bucal.

OBJECTIVE: This study examines perceptions, and knowledge of how to promote oral healthcare among people caring for children with HIV/AIDS. METHODS: A questionnaire was completed by people caring for children with HIV/AIDS, encompassing the quality of life (WHOQoL-bref); the socioeconomic stratification (BECC); and aspects related to oral health through the perception, care and promotion of oral health. Internal consistency was evaluated for the WHOQoL-bref domains, for the BECC questions and for the oral health questions. Cluster analysis was performed by WHOQoL-bref domain scores. RESULTS: The alpha-Crombach statistics showed that the internal consistency quality progressed: 0.9101, 0.8027, and 0.6355, respectively, for WHOQoL-bref domains, for the ECC questions, and for the oral health questions. The cluster analysis generated two homogenous groups. There were descriptive relations between the quality of life scores and the BECC strata and the answers given for the oral health related themes; difficulties were reported in accessing dental care. CONCLUSIONS: The methodology and tools deployed by this survey showed consistency and coherence to the theoretical framework, contributing to the development of better healthcare for HIV+ children.