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1.
Gerodontology ; 2020 Dec 22.
Artigo em Inglês | MEDLINE | ID: mdl-33354806

RESUMO

BACKGROUND: Population ageing in Brazil is rapid and is likely to place additional pressure over the Brazilian public health system. OBJECTIVE: This study aims to examine the factors associated with utilisation of dental services in the previous year among a representative sample of older adults from São Paulo, Brazil. METHODS: The sample included 5951 older adults who participated in the SBSP-15 study, an epidemiological survey conducted in 2015 in the State of São Paulo, Brazil. The outcome "utilisation of dental services" was defined as having visited a dentist in the previous year. Chi-square tests were employed in the bivariate analyses and Poisson regressions with robust variance in the multilevel analysis. RESULTS: Only 30.5% of the participants had their last dental appointment within the previous year. Number of teeth and dental pain presented the strongest effects on the investigated outcome. Education, income, age, ethnicity, living alone, higher Family Health Strategy coverage and the Metropolitan area were associated with having visited a dentist in the previous year. Older adults who rated their oral health as positive did not report treatment need nor prosthodontic need, presented negative oral health-related quality of life, had their last dental appointment in the public health system and sought treatment due to pain or extraction also were more likely to report the utilisation of dental services in the previous year. CONCLUSION: Regional, sociodemographic and subjective factors are associated with utilisation of dental services in the previous year among the elders from the State of São Paulo, Brazil.

2.
Epidemiol Serv Saude ; 29(5): e2019523, 2020.
Artigo em Inglês, Português | MEDLINE | ID: mdl-33027427

RESUMO

OBJECTIVE: To analyze association between prevalence and severity of dental caries and demographic, socioeconomic, behavioral and oral health status in adolescents. METHODS: This was a cross-sectional study with secondary data on 5,558 adolescents examined in the São Paulo State Oral Health Survey in 2015. The zero-inflated negative binomial regression model was used, considering sample weights. Prevalence ratios (PR), ratios of mean (RM) and confidence intervals (CI) were estimated. RESULTS: Caries prevalence was 71.7%, and was higher in females (PR=1.09 - 95%CI 1.04;1.15), associated with being behind at school (PR=1.11 - 95%CI 1.03;1.18), dental calculus (PR=1.10 - 95%CI 1.01;1.20) and no access to fluoridated water (PR=1.21 - 95%CI 1.01;1.45). CONCLUSION: Identification of factors associated with dental caries can instruct the programming of health services aimed at controlling the disease.

3.
Rev Bras Epidemiol ; 23: e200098, 2020.
Artigo em Português, Inglês | MEDLINE | ID: mdl-33027435

RESUMO

OBJECTIVE: To assess the association between the impact of oral health on daily life and sociodemographic variables with oral parameters in adolescents living in the State of São Paulo, Brazil. METHODS: A cross-sectional study was conducted with data from 5,409 adolescents who participated in the "State Oral Health Survey of São Paulo - OH", 2015. The impact of oral health on daily life was assessed by the oral impacts on daily performances (OIDP) index, prevalence (presence or absence of impact) and severity of impact (OIDP scores). The negative binomial regression model (zeros-inflated) was used, considering the complex sampling and the sample weights. Prevalence ratio (PR), ratio of means (ROM) and confidence intervals (CI) were calculated. RESULTS: The prevalence of impact was 37.4%. After adjusting for the model, the impact was more prevalent (PR = 1.59; 95%CI 1.22 ‒ 1.81) and more severe (RR = 1.49; 95%CI 1.22 ‒ 1.81) among females. Compared to white-skin people, all remaining groups had a higher prevalence of impact. Among socioeconomic characteristics, family income higher than R$ 2,501 (RR = 0.79; 95%CI 0.64 ‒ 0.98) and household crowding (RR = 1.18; 95%CI 1.00 ‒ 1.39) were associated with the severity of impact. In the oral health conditions, untreated caries (PR = 1.46; 95%CI 1.23 ‒ 1.74) and gingival bleeding (PR = 1.35; 95%CI 1.14 ‒ 1.60) were associated with higher prevalence of impact. CONCLUSION: Females, non-whites, with untreated caries and gingival bleeding were associated with higher impact of oral health on daily life. Family income higher than R$ 2,500 and living in less crowded households were factors associated with less impact.


Assuntos
Atividades Cotidianas , Doenças da Boca/epidemiologia , Adolescente , Brasil/epidemiologia , Estudos Transversais , Feminino , Inquéritos Epidemiológicos , Humanos , Masculino , Fatores Socioeconômicos
4.
Braz Oral Res ; 34: e040, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32520075

RESUMO

This study aimed to identify factors associated with the need for complete dentures in one dental arch or both, among the elderly population. The cross-sectional household study was conducted with a representative sample of elderly people (65 years or older) in the state of São Paulo, Brazil, in 2015. The dependent variable was the need for complete dentures (in one arch or both), and independent variables were socioeconomic and demographic conditions, social capital, self-perception of oral health and access to dental services. Simple and multinomial logistic regression models tested effect measures (p < 0.05). A total of 5,948 elderly people participated. Results indicated that those with greater chances of needing a complete denture in one arch were male (OR = 1.54; CI95%:1.04-2.29), with fewer household goods (OR = 2.25; CI95%:1.50-3.38), lower monthly household income: R$501-1500 (OR = 3.44; CI95%:1.27-9.35), R$1501-2500 (OR = 4.11; CI95%:1.50-11.27), R$2501-4500 (OR = 2.76; CI95%:1.10-6.95), self-reported need for a complete denture (OR = 4.75; CI95%:3.08-7.35), ≥3 years since last dental appointment (OR = 1.80; CI95%:1.06-3.05), and dissatisfaction with last dental appointment (OR = 1.80; CI95%:1.06-3.05). There were more chances of the need for complete dentures in both arches among older elders (OR = 1.44; CI95%:1.06-1.88), with lower monthly household income: R$ < 501 (OR = 4.45; CI95%:1.71-11.60), R$501-1500 (OR = 4.01; CI95%:2.14-7.51), R$1501-2500 (OR = 2.95; CI95%:1.64-5.32), < 3 years of education (OR = 1.45; CI95%:1.13-1.85), feeling unhappy (OR = 2.74; CI95%:1.35-5.57), self-reported need for a complete denture (OR = 8.48; CI95%:5.75-12.50), dissatisfaction with their mouth (OR = 2.38; CI95%:1.64-3.46), ≥3 years since last dental appointment (OR = 4.28; CI95%:2.85-6.43), and dissatisfaction with last dental appointment (OR = 4.28; CI95%:2.85-6.43). The several dimensions of the determinants of the need for a complete denture reflect the influence of both demographic and socioeconomic aspects, social capital, self-perception of oral health and access to dental services.


Assuntos
Prótese Total/estatística & dados numéricos , Determinação de Necessidades de Cuidados de Saúde/estatística & dados numéricos , Idoso , Idoso de 80 Anos ou mais , Brasil , Estudos Transversais , Arco Dental , Feminino , Acesso aos Serviços de Saúde/estatística & dados numéricos , Humanos , Modelos Logísticos , Masculino , Saúde Bucal/estatística & dados numéricos , Autoimagem , Fatores Socioeconômicos , Inquéritos e Questionários
5.
Dent Traumatol ; 36(5): 510-517, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32274898

RESUMO

BACKGROUND/AIM: Since children spend most of their time in school, some environmental characteristics of the schools may influence the occurrence of traumatic dental injuries (TDI). Therefore, the aim of this cross-sectional study was to assess the prevalence of TDI in 12 years old children in Quito, Ecuador, and its association with some school environmental aspects. MATERIAL AND METHODS: Six calibrated examiners evaluated 998 children from 31 public schools of Quito, to evaluate the occurrence of TDI in anterior teeth. School coordinators answered questionnaires on school physical conditions, promotion of health practices and the occurrence of negative episodes in school. The occlusion and socioeconomic status of the participants were also evaluated. Prevalence of TDI, unadjusted and adjusted by the design effect was calculated. Association between individual and contextual explanatory variables and presence of TDI were evaluated using multilevel Poisson regression analysis (P < .05). RESULTS: TDI prevalence adjusted by design effect was 20.7%. Children studying in schools with patio floor of grass and with access ramps had significantly lower prevalence of TDI than children studying in schools with patio floor of cement and with only stairs, respectively. The prevalence of TDI was also lower in children from schools that offered healthy meals or that had a proper place for oral hygiene. CONCLUSIONS: Schools with adequate physical structures and that promote health practices to their students have a lower prevalence of TDI.


Assuntos
Traumatismos Dentários/epidemiologia , Brasil/epidemiologia , Criança , Estudos Transversais , Humanos , Prevalência , Instituições Acadêmicas , Inquéritos e Questionários
6.
Community Dent Oral Epidemiol ; 48(2): 130-136, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-31828838

RESUMO

OBJECTIVES: The aim of the present study was to analyse the factors associated with self-perceived need for dental treatment among adolescents. METHODS: A representative sample in the state of São Paulo, Brazil, comprising 5558 adolescents, was evaluated in 2015. The adolescents were selected by probabilistic sampling by conglomerates in two stages. The outcome evaluated was self-perceived treatment need measured via a validated questionnaire. Independent variables included sociodemographic factors, type, frequency and reason for last dental visit, and examination of oral conditions. Statistical analysis was based on the multiple hierarchical logistic regression model. RESULTS: Of the total sample, 3340 (62.6%) adolescents reported needing dental treatment. After fitting the model, the self-perceived need for treatment was associated with adolescents with family income of up to $1,500 BRL (OR 1.39; [95% CI = 1.20-1.60]; P < .001), who sought dental services solely for curative treatment (OR 1.58; [95% CI = 1.46-1.72]; P < .001), reported toothaches in the previous six months (OR 2.88; [95% CI = 2.53-3.28]; P < .001), were dissatisfied with the appearance of their teeth and mouth (OR 5.94; [95% CI = 5.03-7.01]; P < .001), had caries in the posterior teeth only (OR 3.04; [95% CI = 2.77-3.33]; P < .001) or had caries in the anterior teeth (OR 4.75; [95% CI = 4.05-5.56]; P < .001). CONCLUSIONS: The self-perceived need for dental treatment among Brazilian adolescents was associated with normative and subjective needs, and sociodemographic context factors. This finding provides important evidence for collective health planning.


Assuntos
Assistência Odontológica/estatística & dados numéricos , Necessidades e Demandas de Serviços de Saúde , Saúde Bucal , Autoimagem , Adolescente , Atitude Frente a Saúde , Brasil , Estudos Transversais , Cárie Dentária , Inquéritos de Saúde Bucal , Feminino , Comportamentos Relacionados com a Saúde , Humanos , Renda , Masculino , Determinação de Necessidades de Cuidados de Saúde , Inquéritos e Questionários
7.
Gerodontology ; 37(1): 78-86, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31815316

RESUMO

AIM: To investigate factors that influence the oral health-related quality of life of older people (65 years and over) in Brazil. BACKGROUND: Population-based studies should be conducted to support health-planning interventions. MATERIALS AND METHODS: Data from the São Paulo State Survey on Oral Health (SBSP-2015), which consisted of 5951 individuals, were used. A theoretical-conceptual model was built based on the impact of family socio-economic characteristics, individual social-demographic features and self-perceived and clinical oral health status on the oral impact on daily performance (OIDP). Multivariate binary logistic regression analysis was conducted at 5% significance level. Statistically significant variables included within the adjusted logistic regression model entered the multiple correspondence analysis (MCA). RESULTS: Oral health impact on daily activities was observed in 34.6% of older people. Characteristics significantly related to impact on OIDP score were as follows: family income up to R$ 500 (OR = 2.73), self-perceived treatment need (OR = 1.33), self-perceived toothache (OR = 1.52), self-perception of denture replacement need (OR = 1.27), dissatisfaction (OR = 1.50) or very dissatisfied (OR = 2.57) with own oral health, partial lower denture use (OR = 1.34) and needing partial lower dentures (OR = 1.28). Increased number of people living in the same house (B = 0.05, OR = 1.06), number of bedrooms in the house (B = -0.10, OR = 0.90), age (B = -0.03, OR = 0.97) and number of teeth needing treatment (B = 0.08, OR = 1.08) contributed significantly to OIDP. CONCLUSION: Prevalence of OIDP of older people in the state of São Paulo was related to factors other than their clinical and self-perceived oral health status.


Assuntos
Saúde Bucal , Qualidade de Vida , Atividades Cotidianas , Idoso , Idoso de 80 Anos ou mais , Brasil , Estudos Transversais , Humanos , Autoimagem
8.
Braz. oral res. (Online) ; 34: e040, 2020. tab, graf
Artigo em Inglês | LILACS-Express | LILACS, BBO - Odontologia | ID: biblio-1132695

RESUMO

Abstract: This study aimed to identify factors associated with the need for complete dentures in one dental arch or both, among the elderly population. The cross-sectional household study was conducted with a representative sample of elderly people (65 years or older) in the state of São Paulo, Brazil, in 2015. The dependent variable was the need for complete dentures (in one arch or both), and independent variables were socioeconomic and demographic conditions, social capital, self-perception of oral health and access to dental services. Simple and multinomial logistic regression models tested effect measures (p < 0.05). A total of 5,948 elderly people participated. Results indicated that those with greater chances of needing a complete denture in one arch were male (OR = 1.54; CI95%:1.04-2.29), with fewer household goods (OR = 2.25; CI95%:1.50-3.38), lower monthly household income: R$501-1500 (OR = 3.44; CI95%:1.27-9.35), R$1501-2500 (OR = 4.11; CI95%:1.50-11.27), R$2501-4500 (OR = 2.76; CI95%:1.10-6.95), self-reported need for a complete denture (OR = 4.75; CI95%:3.08-7.35), ≥3 years since last dental appointment (OR = 1.80; CI95%:1.06-3.05), and dissatisfaction with last dental appointment (OR = 1.80; CI95%:1.06-3.05). There were more chances of the need for complete dentures in both arches among older elders (OR = 1.44; CI95%:1.06-1.88), with lower monthly household income: R$ < 501 (OR = 4.45; CI95%:1.71-11.60), R$501-1500 (OR = 4.01; CI95%:2.14-7.51), R$1501-2500 (OR = 2.95; CI95%:1.64-5.32), < 3 years of education (OR = 1.45; CI95%:1.13-1.85), feeling unhappy (OR = 2.74; CI95%:1.35-5.57), self-reported need for a complete denture (OR = 8.48; CI95%:5.75-12.50), dissatisfaction with their mouth (OR = 2.38; CI95%:1.64-3.46), ≥3 years since last dental appointment (OR = 4.28; CI95%:2.85-6.43), and dissatisfaction with last dental appointment (OR = 4.28; CI95%:2.85-6.43). The several dimensions of the determinants of the need for a complete denture reflect the influence of both demographic and socioeconomic aspects, social capital, self-perception of oral health and access to dental services.

9.
Epidemiol. serv. saúde ; 29(5): e2019523, 2020. tab, graf
Artigo em Português | LILACS-Express | LILACS | ID: biblio-1124775

RESUMO

Resumo Objetivo: Analisar a associação entre prevalência e severidade da cárie e fatores demográficos e socioeconômicos, comportamental e de condições de saúde bucal em adolescentes. Métodos: Estudo transversal com dados secundários de 5.558 adolescentes (15 a 19 anos) examinados na Pesquisa Estadual de Saúde Bucal de São Paulo em 2015. As associações foram testadas pelo modelo de regressão binomial negativa inflado de zeros, considerando-se os pesos amostrais. estimaram-se as razões de prevalência (RP), razões de média (RM) e intervalos de confiança (IC). Resultados: A prevalência de cárie foi de 71,7%, maior no gênero feminino (RP=1,09 - IC95% 1,04;1,15), associada a atraso escolar (RP=1,11 - IC95% 1,03;1,18), cálculo dentário (RP=1,10 - IC95% 1,01;1,20) e não acesso à água fluoretada (RP=1,21 - IC95% 1,01;1,45). Conclusão: A identificação dos fatores associados à cárie pode instruir a programação dos serviços de saúde dirigidos ao controle da doença.


Resumen Objetivo: Analizar la asociación entre prevalencia y magnitud de la caries y factores demográficos, socioeconómicos, conductuales y de salud bucal en adolescentes. Métodos: Estudio transversal con datos secundarios de 5.558 adolescentes (15 a 19 años) examinados en la Encuesta de Salud Oral del Estado de São Paulo en 2015. Las asociaciones se probaron mediante el modelo de regresión binomial negativa inflado de ceros, considerando los pesos de la muestra. Se estimaron las razones de prevalencia (RP), razones medias (RM) e intervalos de confianza (IC). Resultados: La prevalencia de caries fue del 71,7% y mayor en las mujeres (PR=1,09 y IC95% 1,04;1,15), asociada a atraso escolar (PR=1.11 - IC95% 1,03;1,18), cálculo dental (PR=1,10 - IC95% 1,01;1,20) y sin acceso a agua fluorada (PR=1,21 - IC95% 1,01;1,45). Conclusión: La identificación de los factores asociados con la caries puede instruir la programación de servicios de salud destinados a controlar enfermedad.


Abstract Objective: To analyze association between prevalence and severity of dental caries and demographic, socioeconomic, behavioral and oral health status in adolescents. Methods: This was a cross-sectional study with secondary data on 5,558 adolescents examined in the São Paulo State Oral Health Survey in 2015. The zero-inflated negative binomial regression model was used, considering sample weights. Prevalence ratios (PR), ratios of mean (RM) and confidence intervals (CI) were estimated. Results: Caries prevalence was 71.7%, and was higher in females (PR=1.09 - 95%CI 1.04;1.15), associated with being behind at school (PR=1.11 - 95%CI 1.03;1.18), dental calculus (PR=1.10 - 95%CI 1.01;1.20) and no access to fluoridated water (PR=1.21 - 95%CI 1.01;1.45). Conclusion: Identification of factors associated with dental caries can instruct the programming of health services aimed at controlling the disease.

10.
Rev. bras. epidemiol ; 23: e200098, 2020. tab
Artigo em Português | LILACS-Express | LILACS | ID: biblio-1126025

RESUMO

RESUMO: Objetivo: Verificar a associação entre impacto nas atividades de vida diária e variáveis sociodemográficas e parâmetros bucais em adolescentes no Estado de São Paulo. Métodos: Estudo transversal com dados de 5.409 adolescentes que participaram da "Pesquisa Estadual de Saúde Bucal de São Paulo - SB", de 2015. O impacto nas atividades de vida diária foi avaliado pelo índice de impacto das condições de saúde bucal nas atividades de vida diária (em inglês: oral impacts on daily performances [OIDP]), pela prevalência (presença ou ausência de impacto) e pela severidade do impacto (escores do OIDP). Utilizou-se o modelo de regressão binomial negativa inflado de zeros, considerando os pesos amostrais. Foram calculados as razões de prevalências (RP), as razões de médias (RM) e os intervalos de confiança (IC). Resultados: A prevalência de impacto nas atividades de vida diária foi de 37,4%. Após o ajuste, pôde-se observar que o sexo feminino permaneceu com maior prevalência (RP = 1,59; IC95% 1,36 ‒ 1,81) e severidade do impacto (RM = 1,49; IC95% 1,22 ‒ 1,81). Na comparação com brancos, os demais grupos tiveram maior prevalência de impacto. A renda familiar maior que R$ 2.501 (RM = 0,79; IC95% 0,64 ‒ 0,98) e a aglomeração domiciliar (RM = 1,18; IC95% 1,00 ‒ 1,39) foram associadas com a severidade do impacto. Nas condições de saúde bucal, verificou-se que a cárie não tratada (RP = 1,46; IC95% 1,23 ‒ 1,74) e o sangramento gengival (RP = 1,35; IC95% 1,14 ‒ 1,60) permaneceram associados com maior prevalência de impacto. Conclusão: Sexo feminino, ter cor não branca, ter cárie não tratada e sangramento gengival foram associados ao maior impacto nas atividades de vida diária. Ter renda maior que R$ 2.500 e residir em domicílios menos aglomerados associaram-se com menor impacto.


ABSTRACT: Objective: To assess the association between the impact of oral health on daily life and sociodemographic variables with oral parameters in adolescents living in the State of São Paulo, Brazil. Methods: A cross-sectional study was conducted with data from 5,409 adolescents who participated in the "State Oral Health Survey of São Paulo - OH", 2015. The impact of oral health on daily life was assessed by the oral impacts on daily performances (OIDP) index, prevalence (presence or absence of impact) and severity of impact (OIDP scores). The negative binomial regression model (zeros-inflated) was used, considering the complex sampling and the sample weights. Prevalence ratio (PR), ratio of means (ROM) and confidence intervals (CI) were calculated. Results: The prevalence of impact was 37.4%. After adjusting for the model, the impact was more prevalent (PR = 1.59; 95%CI 1.22 ‒ 1.81) and more severe (RR = 1.49; 95%CI 1.22 ‒ 1.81) among females. Compared to white-skin people, all remaining groups had a higher prevalence of impact. Among socioeconomic characteristics, family income higher than R$ 2,501 (RR = 0.79; 95%CI 0.64 ‒ 0.98) and household crowding (RR = 1.18; 95%CI 1.00 ‒ 1.39) were associated with the severity of impact. In the oral health conditions, untreated caries (PR = 1.46; 95%CI 1.23 ‒ 1.74) and gingival bleeding (PR = 1.35; 95%CI 1.14 ‒ 1.60) were associated with higher prevalence of impact. Conclusion: Females, non-whites, with untreated caries and gingival bleeding were associated with higher impact of oral health on daily life. Family income higher than R$ 2,500 and living in less crowded households were factors associated with less impact.

11.
Rev Saude Publica ; 53: 105, 2019.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31826174

RESUMO

OBJECTIVE: To evaluate the factors associated with tooth loss in adults from the position and number of teeth lost in the dental arches. METHODS: This is a cross-sectional, population-based study with adults participating in the epidemiological survey of oral health of São Paulo in 2015. The outcome of the study was tooth loss, assessed by the proposed classification, namely: I) lost up to 12 back teeth; II) lost up to 12 teeth (including front teeth); and III) lost more than 12 teeth. A four-block analysis was conducted, supported by a conceptual theoretical model adapted for tooth loss. For the multinomial logistic regression, "individuals who did not lose teeth due to caries or periodontal disease" was used as reference (p < 0.05). RESULTS: Of 6,051 adults evaluated, 25.3% (n = 1,530) were classified in category I, 32.7% (n = 1,977) in II, 9.4% (n = 568) in III, and 1.9% (n = 117) were edentulous. Lower income and schooling, the perception of need for treatment and the last appointment motivated by routine, pain or extraction were associated with tooth loss, regardless of the classification. The negative evaluation of the dental service was associated with individuals who lost up to 12 teeth, both front and back. The presence of women and periodontal pocket were associated with tooth loss of up to 12 teeth, including front, and more than 12 teeth. Caries were associated with adults who lost up to 12 teeth, including front teeth. CONCLUSION: The proposed classification allowed the identification of differences between the associated factors. Thus, the need to consider such classification in future studies is evident.


Assuntos
Perda de Dente/epidemiologia , Adulto , Fatores Etários , Brasil/epidemiologia , Estudos Transversais , Cárie Dentária/epidemiologia , Cárie Dentária/fisiopatologia , Feminino , Humanos , Masculino , Saúde Bucal , Doenças Periodontais/classificação , Bolsa Periodontal/epidemiologia , Bolsa Periodontal/fisiopatologia , Fatores de Risco , Fatores Sexuais , Fatores Socioeconômicos , Perda de Dente/etiologia
12.
Rev Saude Publica ; 53: 108, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31826175

RESUMO

OBJECTIVE: To evaluate the association of school failure among Brazilian adolescents with social conditions and aspects of oral health through hierarchical analysis. METHODS: A state-wide survey of 5,558 adolescents from the state of São Paulo, Brazil, inquired about the sociodemographic and social capital of participants by using a structured questionnaire. Trained and calibrated professionals performed intraoral examinations and interviews in the households. Questions about the access to dentist, reason for and frequency of using dental services, toothache episodes and impact of oral conditions on daily activities (OIDP) were applied. Oral examinations evaluated caries experience, tooth losses, periodontal problems, presence of open bite, and maxillary and mandibular overjet. School failure was estimated according to the teenagers' years of schooling. The independent variables were grouped into three blocks: sociodemographic and economic characteristics, social capital and oral health aspects. The multiple hierarchical logistic regression model was used to identify the factors associated with school failure. RESULTS: Of the total sample, information about schooling of 5,162 adolescents was obtained, of whom 29.6% presented school failure. We found that adolescents over the age of 16 years who did not declare themselves as white, female, with feelings of insecurity, unhappiness, with toothache, caries, tooth losses, affected by dentofacial and/or periodontal changes, were more likely to fail at school. CONCLUSION: Oral disorders and social factors were associated with school failure in adolescents. A successful school trajectory was a strong determinant of health, therefore actions between the educational and health sectors must be developed for adolescents, especially those with this profile.


Assuntos
Fracasso Acadêmico , Avaliação Educacional , Saúde Bucal/estatística & dados numéricos , Adolescente , Adulto , Brasil/epidemiologia , Estudos Transversais , Cárie Dentária , Inquéritos de Saúde Bucal , Feminino , Humanos , Masculino , Fatores de Risco , Fatores Socioeconômicos , Inquéritos e Questionários , Perda de Dente , Adulto Jovem
13.
Braz Oral Res ; 33: e118, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31859707

RESUMO

The objective of this study was to investigate the experience of caries related to social capital and associated factors in adults in large-scale population-based study. A Cross-sectional study was performed in 163 municipalities in the State of São Paulo, Brazil (SBSP-2015). 17,560 people were evaluated, of which 6051 were adults aged 35-44 years. Hierarchical logistic regression analysis was proposed. Outcome variables (decayed teeth, missing teeth and DMFT) and independent variables were included in the model, considering the distal (income and schooling); intermediate (social capital) and proximal levels (sex and ethnicity). Results showed that income up to 1,500 reais - US$ 367.6 in 11/11/2019 - (OR = 1.91;1.75-2.08), schooling up to 8 years (OR = 1.32;1.12-1.56) and non-white ethnicity (OR = 1.54;1.35-1.76) were more likely to have decayed teeth. Income up to 1500 reais (OR = 1.29;1.15-1.44), schooling up to 8 years (OR = 2.13;1.90-2.38), low social capital (OR = 1.84;1.65-2.04), medium social capital (OR = 1.15;1.01-1.30) and females were more likely to have lost teeth (OR = 1.13;1.03-1.23). Schooling up to 8 years (OR = 1.51;1.35-1.69), low social capital (OR = 1.25; 1.14-1.37) and female (OR = 1.40,1.19-1.53) were associated with DMFT. It was concluded that sociodemographic factors and low social capital were associated with the experience of caries, which should be taken into account in the formulation of public policies.


Assuntos
Cárie Dentária/epidemiologia , Capital Social , Adulto , Brasil/epidemiologia , Estudos Transversais , Índice CPO , Feminino , Humanos , Modelos Logísticos , Masculino , Prevalência , Distribuição por Sexo , Fatores Socioeconômicos , Inquéritos e Questionários
14.
Rev Bras Epidemiol ; 22: e190042, 2019 Aug 19.
Artigo em Inglês | MEDLINE | ID: mdl-31432986

RESUMO

INTRODUCTION: The epidemiological profile of dental caries for Indigenous Peoples is complex and heterogeneous. The oral health of the Kaingang people, third largest Indigenous population from Brazil, has not been investigated so far. OBJECTIVE: The purpose of this study was to assess the prevalence and severity of dental caries, in addition to the associated factors of the need of dental extraction among Kaingang adult Indigenous. METHODS: A cross-sectional oral health survey was conducted among Kaingang adults aged from 35 to 44 years old living in the Guarita Indigenous Land, Rio Grande do Sul. Clinical exams were performed to analyze the conditions of dental crown and treatment needs. RESULTS: A total of 107 Indigenous adults were examined. Mean DMFT score was 14.45 (± 5.80). Two-thirds of the DMFT score accounted for missing teeth. Anterior lower dentition presented the highest rates of sound teeth, whereas the lower first molars had the lowest. Need for dental extraction was observed in 34.58% and was associated with village location, time of last dental visit, and higher number of decayed teeth. CONCLUSION: The high frequencies of caries and missing teeth observed in this population indicate a lack of adequate assistance. It is essential to discuss health care models in order to combat avoidable social and health injustices.


Assuntos
Cárie Dentária/epidemiologia , Necessidades e Demandas de Serviços de Saúde/estatística & dados numéricos , Índios Sul-Americanos/estatística & dados numéricos , Extração Dentária/estatística & dados numéricos , Adulto , Distribuição por Idade , Brasil/epidemiologia , Estudos Transversais , Índice CPO , Feminino , Humanos , Masculino , Prevalência , Índice de Gravidade de Doença , Distribuição por Sexo , Fatores Sociológicos , Estatísticas não Paramétricas
15.
BMC Oral Health ; 19(1): 184, 2019 08 14.
Artigo em Inglês | MEDLINE | ID: mdl-31412847

RESUMO

BACKGROUND: There is a paucity of population-based surveys on oral health conditions in Ecuador. Thus, the aim of this study was to conduct an epidemiological survey with a representative sample of children aged 12 years from public schools of Quito, Ecuador. The aim of this initial report was to describe the methodology used in the survey, as well to present results regarding calibration procedures and prevalence of oral-health related outcomes. METHODS: We invited 33 public schools' coordinators from the urban area of Quito, and 1100 children (12 years old) to take part in this study. Six trained and calibrated examiners conducted clinical examinations using oral mirrors and ball-ended probes to assess: dental caries, traumatic dental injuries, malocclusion, gingival bleeding, presence of calculus and fluorosis. Children also responded a questionnaire on Oral Health-Related Quality of Life (OHRQoL). Individual sociodemographic data was collected through a questionnaire sent to parents. Moreover, some contextual data on school environment (infrastructure conditions, promotion of health practices and negative episodes) were also evaluated. Prevalence values, crude and weighted by sampling weights, and 95% confidence intervals (95%CI) were calculated. RESULTS: Nine hundred and ninety-eight children from 31 schools were examined from March to May 2017. The adjusted prevalence values (95%CI) for the six outcomes evaluated were: dental caries = 60.3% (55.3 to 65.0%); traumatic dental injuries = 20.7% (17.2 to 24.8%); dental fluorosis = 63.7% (58.5 to 68.5%); gingival bleeding = 92.0% (87.1 to 95.2%); presence of calculus = 69.9 (60.5 to 77.9%); and malocclusion = 25.8% (21.8 to 30.3%). Adjusted mean of number of decayed, missed or filled permanent teeth (DMF-T) was 1.61 (1.37 to 1.84). Results on OHRQoL and other contextual variables will be reported in other articles. CONCLUSION: The prevalence of the majority of oral health problems in 12-year-old children from public schools in Quito-Ecuador was compatible with those observed in other similar cities. However, periodontal health and fluorosis seem to be highly prevalent in children from Quito.


Assuntos
Cárie Dentária , Saúde Bucal , Criança , Estudos Transversais , Índice CPO , Cárie Dentária/epidemiologia , Equador/epidemiologia , Humanos , População , Prevalência , Qualidade de Vida , Inquéritos e Questionários
16.
Rev. bras. epidemiol ; 22: e190042, 2019. tab, graf
Artigo em Inglês | LILACS | ID: biblio-1020565

RESUMO

ABSTRACT: Introduction: The epidemiological profile of dental caries for Indigenous Peoples is complex and heterogeneous. The oral health of the Kaingang people, third largest Indigenous population from Brazil, has not been investigated so far. Objective: The purpose of this study was to assess the prevalence and severity of dental caries, in addition to the associated factors of the need of dental extraction among Kaingang adult Indigenous. Methods: A cross-sectional oral health survey was conducted among Kaingang adults aged from 35 to 44 years old living in the Guarita Indigenous Land, Rio Grande do Sul. Clinical exams were performed to analyze the conditions of dental crown and treatment needs. Results: A total of 107 Indigenous adults were examined. Mean DMFT score was 14.45 (± 5.80). Two-thirds of the DMFT score accounted for missing teeth. Anterior lower dentition presented the highest rates of sound teeth, whereas the lower first molars had the lowest. Need for dental extraction was observed in 34.58% and was associated with village location, time of last dental visit, and higher number of decayed teeth. Conclusion: The high frequencies of caries and missing teeth observed in this population indicate a lack of adequate assistance. It is essential to discuss health care models in order to combat avoidable social and health injustices.


RESUMO: Introdução: O perfil epidemiológico de cárie dentária dos povos indígenas é complexo e heterogêneo. A saúde bucal do povo Kaingang, terceira maior população indígena do Brasil, ainda não foi investigada. Objetivo: O objetivo deste estudo foi avaliar a prevalência e severidade de cárie, além dos fatores associados à necessidade de extração dentária entre adultos Indígenas Kaingang. Métodos: Foi realizado um inquérito de saúde bucal entre adultos Kaingang com idade entre 35 e 44 anos residentes na Terra Indígena Guarita, Rio Grande do Sul. Exames clínicos foram realizados a fim de analisar as condições da coroas dentárias e as necessidades de tratamento, seguindo os critérios e diretrizes da Organização Mundial da Saúde e da Pesquisa Nacional de Saúde Bucal SB Brasil 2010. Resultados: O total de 107 Indígenas Kaingang foi examinado. O índice de dentes cariados, perdidos e obturados (CPOD) médio observado foi de 14,45 (± 5,80). Dois terços do escore do indíce foram compostos do componente "perdidos". A dentição inferior anterior apresentou as maiores taxas de dentes hígidos, enquanto os primeiros molares inferiores apresentaram as menores. Necessidade de extração dentária foi observada em 34,58%, sendo associada com a localização da aldeia, tempo da última consulta odontológica e maior número de dentes cariados. Conclusão: As altas frequências de cárie não tratada e dentes perdidos observados nessa população indicam a falta de assistência adequada. É necessário discutir modelos de atenção à saúde para combater iniquidades sociais e de saúde.


Assuntos
Humanos , Masculino , Feminino , Adulto , Extração Dentária/estatística & dados numéricos , Índios Sul-Americanos/estatística & dados numéricos , Cárie Dentária/epidemiologia , Necessidades e Demandas de Serviços de Saúde/estatística & dados numéricos , Índice de Gravidade de Doença , Brasil/epidemiologia , Índice CPO , Prevalência , Estudos Transversais , Distribuição por Sexo , Distribuição por Idade , Estatísticas não Paramétricas , Fatores Sociológicos
17.
Arq. odontol ; 55: 1-12, jan.-dez. 2019. tab
Artigo em Português | LILACS, BBO - Odontologia | ID: biblio-1007370

RESUMO

Objetivo: Analisar os fatores associados ao tipo de serviço odontológico utilizado por adultos. Métodos: O estudo transversal analítico utilizou-se de dados secundários do Levantamento Epidemiológico representativo da população adulta (35-44 anos) no município de Embu das Artes-SP, Brasil, em 2008. A coleta de dados por amostragem probabilística foi realizada nos domicílios. O desfecho foi ser usuário do serviço público odontológico para tratamento regular ou atendimento de urgência. As variáveis independentes foram: agravos bucais (Índice de dentes Permanentes Cariados, Perdidos e Obturados, Índice Periodontal Comunitário, Perda de Inserção Periodontal e necessidade de prótese); condições socioeconômicas (renda familiar, aglomeração domiciliar, número de filhos, escolaridade); condições demográficas (sexo, estado civil, cor da pele); hábitos (fumo); utilização dos serviços (tempo da última consulta odontológica, informações sobre como evitar problemas bucais); percepção dos problemas bucais (dor de dente nos últimos seis meses, necessidade de tratamento e condição bucal afeta relacionamentos com outras pessoas). Houve realização de análise descritiva e bivariada, além das razões de prevalência (RP). Resultados: Houve a participação de 345 adultos, sendo 53% usuários do serviço público para tratamento regular ou urgência odontológica. O uso regular ou de urgência odontológico público foi associado ao sexo feminino (RP = 1,32; IC95%: 1,14-1,54), ter maior número de filhos (RP = 1,15; IC95%: 1,01-1,31), aglomeração domiciliar (RP = 1,88; IC95%: 1,42-2,50), menor renda familiar (RP = 2,23; IC95%: 1,33-3,66), relato de dor nos últimos 6 meses (RP = 1,43; IC95%: 1,06-1,42), considerar que a condição bucal afeta os relacionamentos com outras pessoas (RP = 1,30; IC95%: 1,05-1,62), e ser fumante ou ex fumante (RP = 1,67; IC95%: 1,15-2,24). O uso do serviço público apenas para o tratamento de urgência foi maior entre mulheres (RP = 1,48; IC95%: 1,16-1,86), maior número de filhos (RP = 1,22; IC95%: 1,08-1,37), aglomeração domiciliar (RP: 1,54; IC95%: 1,20-1,97), menor renda familiar (RP = 1,68; IC95%: 1,07-2,62) e apresentar relato de dor nos últimos seis meses (RP = 1,37; IC95%: 1,03-1,83). Conclusão: O uso do serviço odontológico público esteve associado a fatores socioeconômicos, e isso demonstra que, mesmo há 10 anos, o município praticava o princípio da equidade na atenção à saúde bucal.Descritores: Acesso aos serviços de saúde. Odontologia em saúde pública. Serviços de saúde bucal. (AU)


Aim: To analyze the factors associated with the type of dental service used by adults. Methods: This cross-sectional analytical study used secondary data from an Epidemiological Survey representative of the adult population (35-44 years) in the city of Embu das Artes-SP, Brazil, conducted in 2008. Data collection by probabilistic sampling was performed in the households. The outcome was to be a public dental service user for regular treatment or urgent care. The independent variables were: oral complaints (Index Decayed, Missing and Filled Teeth, Community Periodontal Index, Periodontal Attachment Loss, and need for prosthesis]; socioeconomic conditions (family income, household agglomeration, number of children, schooling); demographic conditions (gender, marital status, skin color); habits (smoking); use of services (time of the last dental visit, information on avoiding oral problems); perception of oral problems (toothache in the last six months; need for treatment and oral condition affects relationships with other people). A descriptive and bivariate analysis was performed, besides the prevalence ratios (PR). Results: This study analyzed 345 adults, 53% of whom were users of the public service for regular or urgent treatment. Regular use or public dental emergency was associated with the female sex (PR = 1.32 95%CI: 1.14-1.54); had a higher number of children (PR = 1.15; 95%CI: 1.01-1.31), house agglomeration (PR = 1.88; 95%CI: 1.42-2.50), lower family income (PR = 2.23; 95%CI: 1.33-3.66); reported pain in the last 6 months (PR = 1.43; 95%CI: 1.06-1.42); considered that the oral condition affects relationships with other people (PR = 1.30; 95% CI: 1.05-1.62); and was smoker or former smoker (RP = 1.67; 95%CI: 1.15-2.24). The use of public service only for emergency treatment showed a higher prevalence among women (PR = 1.48; 95%CI: 1.16-1.86), a higher number of children (PR = 1.22; 95%CI: 1.08-1.37), house agglomeration (RP = 1.54; 95%CI: 1.20-1.97), lower family income (PR = 1.68; 95%CI: 1.07-2.62), and household agglomeration pain in the last six months (PR = 1.37; 95%CI: 1.03-1.83). Conclusion: The use of the public dental service was associated with socioeconomic factors, and this proves that, even 10 years ago in this municipality, the principle of equity in oral health care was already in practice. (AU)


Assuntos
Doenças Periodontais , Fatores Socioeconômicos , Saúde Bucal , Assistência Odontológica , Adulto , Cárie Dentária , Serviços de Saúde Bucal , Acesso aos Serviços de Saúde , Estudos Transversais
18.
Oral Health Prev Dent ; 16(6): 563-569, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30574611

RESUMO

PURPOSE: To evaluate the relationship between decayed, missing and filled teeth (DMF index) and body mass index (BMI). MATERIALS AND METHODS: This was a cross-sectional, population-based study developed in 2015 at a primary health care (PHC) unit in the city of Sao Paulo, Brazil. Participants completed a form including sociodemographic and socioeconomic characteristics, nutritional, general health and oral health data. An anthropometric oral assessment was performed, and the association of DMFT and its components with not-categorised and categorised BMI was tested through simple and multiple logistic analysis, trend test and Spearman correlation. RESULTS: The sample consisted of 239 individuals aged 18 to 70 years. The prevalence of caries was 84.5%, the mean DMFT was 14.6 and the mean BMI was 27.46. There was positive association for DMFT with BMI and age, sex, formal education, hypertension, diabetes and use of dental floss. A positive association is also suggested between BMI and missing teeth. CONCLUSION: A correlation was observed between DMFT (missing teeth) and BMI. This can help to identify at-risk groups, plan progammes and treatment of overweight and obese individuals in primary health care.


Assuntos
Índice de Massa Corporal , Índice CPO , Cárie Dentária , Adolescente , Adulto , Correlação de Dados , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Adulto Jovem
19.
PLoS One ; 13(11): e0206730, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30403725

RESUMO

The objective of the present study was to analyze individual, contextual and social support factors associated with periodontal condition among 2332 dentate elderly Brazilian participants from the São Paulo State Oral Health Survey 2015 (SBSP-15). METHODS: This study used the database compiled by the SBSP-15, conducted from January to December in 2015. The associations were made by relative risk (RR), with Multilevel Poisson Regressions, among individual, contextual and social support variables, and had periodontal diseases as outcomes. RESULTS: The mean age of elders was 70.13 years (SD 5.67). The risk factors for all outcomes of periodontal diseases were male gender and self-perceived color of non-white skin. Regarding social support, feeling unhappy was a risk factor for the presence of shallow periodontal pockets (3-5mm) RR 1.43(CI 95% 1.10-1.86). The coverage of the Family Health Strategy (FHS) was a protective factor for gingival bleeding RR = 0.7(CI 95% 0.44-0.99) and calculus RR = 0.75(CI 95% 0.60-0.95), and a risk factor for the number of lost sextants (sextants with only one tooth or without any teeth) RR = 1.12(CI 95% 1.00-1.28). Living in municipalities with more than 90% fluoridation coverage was a protective factor for the number of lost sextants RR = 0.89(CI 95% 0.78-0.99). CONCLUSIONS: The study showed evidence that individual (gender and self-perceived skin color), contextual (coverage of the family health strategy and water fluoridation) and social support factors (feeling unhappy) are associated with the clinical outcomes of periodontal diseases in Brazilian elders. This reinforces the need for transdisciplinary actions in the FHS, stimulating work together and intersectoral collaboration between FHS and NASF (Family Health Support Center).


Assuntos
Doenças Periodontais/epidemiologia , Idoso , Brasil/epidemiologia , Inquéritos de Saúde Bucal , Feminino , Humanos , Masculino , Análise Multinível , Fatores de Risco , Fatores Socioeconômicos
20.
PLoS One ; 13(9): e0203777, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30212507

RESUMO

OBJECTIVE: This study aimed to assess the oral impact on daily performance and its association with sociodemographic characteristics, tooth pain, need for prosthesis, and periodontal disease of adults in the state of São Paulo, Brazil. METHODS: This was a cross-sectional epidemiological study with secondary data obtained from the Oral Health Conditions Project- 2015 conducted in 163 municipalities in the state of São Paulo with the participation of 17,560 individuals. This study evaluated adults in the age-range between 35-44 years (n = 5,855), selected by means of probabilistic cluster sampling in two stages. The outcome variable was the OIDP (Oral Impacts on Daily Performances), obtained by using this instrument to assess daily activities (eating, speaking, oral hygiene, relaxation, sports practice, smile, study/work, social contact, and sleep). The independent variables were collected and grouped into three blocks: Block 1 (sex, age group, and ethnic group); Block 2 (household income and education); and Block 3 (tooth pain, need for prosthesis, bleeding, calculus, and periodontal pockets). A hierarchical multiple logistic regression analysis was performed considering the complex cluster sampling plan. Each observation was assigned a specific weight, depending on the location, which resulted in weighted frequencies adjusted for the effect of outlining. RESULTS: the female sex (p<0.0001), ethnic group black/mulatto (p<0.0001), low household income (p = 0.0112), up to 8 years of education (p<0.0001), tooth pain (p<0.0001), presence of bleeding (p<0.0001), and presence of periodontal pockets (p<0.0001) had greater oral impact on daily performance. CONCLUSION: sociodemographic characteristics, tooth pain, and presence of periodontal disease were associated with oral impact on daily performance of the adult population in the state of São Paulo, Brazil.


Assuntos
Atividades Cotidianas , Saúde Bucal/estatística & dados numéricos , Doenças Periodontais/patologia , Adulto , Brasil/epidemiologia , Estudos Transversais , Demografia , Escolaridade , Feminino , Hemorragia/complicações , Hemorragia/diagnóstico , Hemorragia/epidemiologia , Hemorragia/patologia , Humanos , Renda , Modelos Logísticos , Masculino , Razão de Chances , Saúde Bucal/etnologia , Dor/diagnóstico , Dor/etiologia , Doenças Periodontais/epidemiologia , Doenças Periodontais/etnologia , Bolsa Periodontal/complicações , Bolsa Periodontal/diagnóstico , Bolsa Periodontal/epidemiologia , Próteses e Implantes/estatística & dados numéricos , Qualidade de Vida , Fatores Sexuais
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