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1.
Children (Basel) ; 8(2)2021 Feb 03.
Artigo em Inglês | MEDLINE | ID: mdl-33546186

RESUMO

OBJECTIVE: To describe the experience and prevalence of dental caries in schoolchildren aged 6-12 years belonging to agricultural manual worker households. MATERIAL AND METHODS: A comparative cross-sectional study was conducted in two groups of schoolchildren: One considered "children of agricultural worker migrant parents" (n = 157) and the other "children of agricultural worker non-migrant parents" (n = 164). Epidemiological indices for dental caries were calculated for primary (dmft) and permanent (DMFT) dentitions, and compared in terms of age, sex, and the Simplified Oral Hygiene Index (SOHI). Two binary logistic regression models for caries prevalence in primary and permanent dentitions were generated in Stata. RESULTS: For primary dentition, we observed the following dmft index: Non-migrants = 1.73 ± 2.18 vs. migrants = 1.68 ± 2.14. Additionally, we recorded the following caries prevalence: Non-migrants = 59.1% vs. migrants = 51.3%. For permanent dentition, we observed the following DMFT index: Non-migrants = 0.32 ± 0.81 vs. migrants = 0.29 ± 0.95. Further, we recorded the following caries prevalence: Non-migrants = 17.6% vs. migrants = 12.8%. No differences were observed for either dentition (p > 0.05) in caries indices and their components or in caries prevalence. When both caries indices (dmft and DMFT) were combined, the non-migrant group had a higher level of caries experience than the migrant group (p < 0.05). No relationship (p > 0.05) with migrant status was observed in either multivariate models of caries prevalence. However, age did exhibit an association (p < 0.05) with caries. Only the plaque component of SOHI was associated (p < 0.05) with caries in permanent dentition. CONCLUSIONS: Although over half of school children from agricultural manual worker households had caries in either or both dentitions and a considerable proportion were untreated lesions, the prevalence levels were somewhat lower than other reports from Mexico in similar age groups. No statistically significant differences were found in caries experience or prevalence in either dentition between non-migrant and migrant groups.

2.
Medicine (Baltimore) ; 99(36): e21622, 2020 Sep 04.
Artigo em Inglês | MEDLINE | ID: mdl-32898997

RESUMO

The objective of the study was to characterize self-reported oral hygiene practices among Mexican older adults aged ≥60 years, and to measure the association between frequency of tooth brushing and a set of sociodemographic, socioeconomic, and dental variables.We conducted a cross-sectional study of 139 older adults aged ≥60 years in Pachuca, Mexico. A questionnaire and a clinical dental examination were administered to identify specific variables. We determined frequency of tooth brushing (or cleaning of dentures or prostheses) and use of toothpaste, mouthwash, and dental floss among respondents. Non-parametric testing was performed for statistical analysis and a multivariate logistic regression model was generated with Stata 11 software to determine frequency of tooth brushing.In our study sample, 53.2% of participants reported brushing their teeth at least once a day, 50.4% always using toothpaste, 16.5% using mouthwash and 3.6% using floss for their oral hygiene. In general, younger and female respondents used oral hygiene aids more than the others. Our multivariate model yielded an association (P < .05) between tooth brushing at least once daily and the following variables: having functional dentition (OR = 12.60), lacking health insurance (OR = 3.72), being retired/pensioned (OR = 4.50), and suffering from a chronic disease (OR = 0.43).The older adults in our sample exhibited deficient oral hygiene behaviors. The results suggest certain socioeconomic inequalities in oral health. The findings of this study should be considered when designing dental care instructions for older adults.


Assuntos
Escovação Dentária/estatística & dados numéricos , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Dispositivos para o Cuidado Bucal Domiciliar , Feminino , Humanos , Masculino , México/epidemiologia , Pessoa de Meia-Idade , Antissépticos Bucais/administração & dosagem , Autorrelato , Fatores Socioeconômicos , Cremes Dentais/administração & dosagem
3.
J Am Dent Assoc ; 151(4): 276-286, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-32222176

RESUMO

BACKGROUND: The objective of this study was to compare the experience and distribution of tooth loss in people with and without diabetes. METHODS: The authors conducted a comparative cross-sectional study of patients at a public university. Analysis included medical records of those treated from 2013 through 2017. The dependent and main independent variables were the number of missing teeth and a diagnosis of diabetes, respectively. As covariables, the authors analyzed the sociodemographic and socioeconomic characteristics, as well as the general and oral health status of patients. A multivariate model based on negative binomial regression was constructed. RESULTS: Of the 3,406 medical records analyzed, 64.2% (n = 2,185) pertained to women, the mean age was 42.45 years, 87.9% did not have diabetes, and 12.1% had received a diagnosis of diabetes. The mean (standard deviation) number of missing teeth was 7.46 (7.89), 7.09 (7.60) in patients without diabetes, and 10.12 (9.32) in patients with diabetes. According to our final multivariate model, the expected mean number of missing teeth was 11.4% higher in patients with diabetes than in those without (P = .006). For every 1-year increase in age, the expected mean number of missing teeth increased by 3.9% (P < .001). Other variables related to tooth loss included occupation, marital status, and type of insurance. CONCLUSIONS: The results of the study indicate that the mean number of missing teeth is higher in people with diabetes and suggest that certain socioeconomic inequalities exist in the area of oral health. PRACTICAL IMPLICATIONS: The population needs to be apprised of the impact of diabetes on oral health.


Assuntos
Diabetes Mellitus , Perda de Dente , Adulto , Estudos Transversais , Feminino , Humanos , México , Saúde Bucal
4.
Medicine (Baltimore) ; 99(5): e19061, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32000455

RESUMO

To analyze whether a correlation exists between the caries status (Decayed, Missing and Filled Teeth, DMFT Index) of the first permanent molars (FPMs) and that of the full permanent dentition of Mexican adolescents, and to propose its use in large epidemiological studies of dental caries.We conducted a cross-sectional study of 1538 adolescents from 12 to 15 years old. Based on a clinical oral examination, we determined the DMFT Indices of their FPMs (FPM-DMFT) and of their full permanent dentition (comprehensive DMFT Index). We explored each FPM to determine whether it was with or without caries, filled, missing or sealed. For our statistical analysis, we used Fisher exact test and Spearman correlation in Stata software.After examining a total of 6157 FPMs, we found that 56.8% of our sample of adolescents had no caries in their 4 FPMs whereas 4.9% experienced caries in all 4. No significant differences emerged by sex (P > .05); however, by age, the older adolescents experienced greater FPM-DMFT (P < .05). Analysis yielded a correlation of r = 0.8693 between the FPM-DMFT and comprehensive DMFT scores (P < .0001) of participants. The underestimation of caries prevalence (DMFT > 0) was 5.4% (48.6% vs 43.2%), while the DMFT Index was underestimated at 0.34 (1.15 vs 0.81).The strong correlation between the FPM-DMFT and comprehensive DMFT Indices suggests that overall caries status can be inferred on the basis of FPM caries status. This evidence is useful when conducting large epidemiological studies such as national surveys.


Assuntos
Cárie Dentária/epidemiologia , Dentição Permanente , Dente Molar , Adolescente , Criança , Estudos Transversais , Índice CPO , Feminino , Humanos , Masculino , México/epidemiologia , Prevalência
5.
Artigo em Inglês | MEDLINE | ID: mdl-31480468

RESUMO

BACKGROUND: Type-2-Diabetes (T2D) and Periodontitis are major inflammatory diseases. However, not much is known about the specific subgingival microbiota in Mexicans with diabetes and metabolic dysbiosis. The aim of this study was to describe the subgingival microbiota of Mexicans with T2D and the different periodontal and metabolic conditions, through "Checkerboard" DNA-DNA hybridization. METHODS: Subjects were divided into two groups-periodontal-health (PH) (PH_non-T2D; n = 59, PH_T2D; n = 14) and generalized-periodontitis (GP) (GP_non-T2D; n = 67, GP_T2D; n = 38). Obesity (BMI ≥ 30 kg/m2) and serum levels of glycated-hemoglobin (HbA1c), total-lipids, triglycerides, total-cholesterol, high-density-lipids, and low-density-lipids were measured for the T2D individuals. Subgingival microbial identification was processed for 40 species through DNA-probes. RESULTS: Subjects with T2D harbored significantly higher mean total levels (PH: p < 0.001, and GP_NS), a lower proportion of "red" complex (GP: p < 0.01), a higher proportion of "yellow" (GP; p < 0.001), and "orange" (GP; p < 0.01) complex than the non-T2D. GP_T2D individuals exhibited a greater proportion of putative-species-Campylobacter gracilis and S. constellatus (p < 0.001), and Parvimonas micra and Prevotella nigrescens (p < 0.01), than GP_non-T2D. T2D individuals with HbA1c > 8% had presented significantly higher mean pocket-depth and higher levels of G. morbillorum (p < 0.05) and those with obesity or dyslipidemia harbored higher levels, prevalence, or proportion of Streptococcus sp., Actinomyces sp., and Capnocytophaga sp. CONCLUSIONS: T2D individuals harbored a particular microbial profile different to non-T2D microbiota. Metabolic control was related to dysbiosis of microbiota-HbA1c>8% related to periodontitis and obesity or dyslipidemia with the predominance of saccharolytic bacteria, irrespective of their periodontal condition.


Assuntos
Bactérias/isolamento & purificação , Diabetes Mellitus Tipo 2/microbiologia , Doenças da Gengiva/microbiologia , Microbiota , Periodontite/microbiologia , Adulto , Bactérias/genética , Campylobacter/genética , Feminino , Humanos , Masculino , México , Pessoa de Meia-Idade , Hibridização de Ácido Nucleico
6.
Artigo em Inglês | MEDLINE | ID: mdl-31195612

RESUMO

Aim: The objective of this study was to estimate the Out-Of-Pocket Expenditures (OOPEs) incurred by households on dental care, as well as to analyze the sociodemographic, economic, and oral health factors associated with such expenditures. Method: A cross-sectional study was conducted among 763 schoolchildren in Mexico. A questionnaire was distributed to parents to determine the variables related to OOPEs on dental care. The amounts were updated in 2017 in Mexican pesos and later converted to 2017 international dollars (purchasing power parities-PPP US $). Multivariate models were created: a linear regression model (which modeled the amount of OOPEs), and a logistic regression model (which modeled the likelihood of incurring OOPEs). Results: The OOPEs on dental care for the 763 schoolchildren were PPP US $53,578, averaging a PPP of US $70.2 ± 123.7 per child. Disbursements for treatment were the principal item within the OOPEs. The factors associated with OOPEs were the child's age, number of dental visits, previous dental pain, main reason for dental visit, educational level of mother, type of health insurance, household car ownership, and socioeconomic position. Conclusions: The average cost of dental care was PPP US $70.2 ± 123.7. Our study shows that households with higher school-aged children exhibiting the highest report of dental morbidity-as well as those without insurance-face the highest OOPEs. An array of variables were associated with higher expenditures. In general, higher-income households spent more on dental care. However, the present study did not estimate unmet needs across the socioeconomic gradient, and thus, future research is needed to fully ascertain disease burden.


Assuntos
Assistência Odontológica/economia , Países em Desenvolvimento/estatística & dados numéricos , Gastos em Saúde/estatística & dados numéricos , Adolescente , Criança , Estudos Transversais , Feminino , Humanos , Seguro Saúde , Masculino , México , Fatores Socioeconômicos , Inquéritos e Questionários
7.
J Matern Fetal Neonatal Med ; : 1-6, 2019 May 07.
Artigo em Inglês | MEDLINE | ID: mdl-31035800

RESUMO

INTRODUCTION: Preterm delivery is a multifactorial health problem that represents a serious public health problem around the world. In recent years, there has been an increase in scientific evidence suggesting associations between oral health status (mainly periodontal disease and tooth loss) and an increased risk of systemic diseases and various adverse pregnancy outcomes. This study explores the association between indicators of oral health and preterm delivery in a sample of Mexican pregnant women. MATERIALS AND METHODS: A case-control study was carried out with 111 pregnant (36 cases, 75 controls) who received prenatal care and delivered in an obstetric hospital in Pachuca, Mexico. Clinical files were reviewed to obtain the necessary information for the variables studied. The dependent variable was preterm delivery and the independent variables were gingivitis, periodontitis, DMFT index and its components, the number of decayed teeth with pulpal exposure or endodontic lesions, age of the mother, education, alcohol use, smoking status, number of gestations, and sex of the newborn. RESULTS: The average ages were similar between the cases and the controls (24.29 ± 5.42 versus 24.89 ± 5.67, p = .5781). Significant differences were observed with gingivitis (p < .01) and periodontitis (p < .001). In addition, when the severity of gingivitis or periodontitis increased, the percentage of cases of preterm delivery increased (p < .01). The average number of teeth lost was higher among the cases than among the controls (1.33 ± 1.89 versus 0.81 ± 1.82, p < .05). CONCLUSIONS: It was found that gingivitis, periodontitis, and tooth loss were associated with preterm delivery. It is necessary to carry out actions aimed at the preservation of oral health in pregnant patients to avoid adverse results. These findings indicate a likely association, but it needs to be confirmed by large and well-designed studies.

8.
P R Health Sci J ; 36(3): 146-151, 2017 09.
Artigo em Inglês | MEDLINE | ID: mdl-28915303

RESUMO

OBJECTIVE: To determine the prevalence of functional dentition and associated periodontal variables in a sample of Mexican adult males. METHODS: A cross-sectional study of 161 policemen in Campeche, Mexico, was carried out. A clinical examination using an electronic probe was used to collect variables (dental plaque, periodontal pockets, gingival recession, suppuration, and bleeding on probing) on 6 periodontal sites (a maximum of 168 sites, excluding third molars). Sociodemographic, socioeconomic, and behavioral variables were collected through a self-administered survey. Functional dentition was defined as having 21 or more natural teeth. Data were analyzed with STATA 11.0, using logistic regression models. RESULTS: Mean age was 38.3 (±10.9) years. The prevalence of having a functional dentition was 83.8% in the sample. The odds of having a functional dentition declined with age (odds ratio [OR] = 0.93), having diabetes (OR = 0.27) and with having a high percentage of sites with plaque (OR = 0.77), with bleeding on probing (OR = 0.97), and with gingival recession (OR = 0.82). CONCLUSION: While a large proportion of subjects had a functional dentition in this community-dwelling sample of adult Mexican males, the likelihood of their having a functional dentition decreased with age, with their having been diagnosed with diabetes, and with assorted negative indicators of periodontal/gingival status.


Assuntos
Placa Dentária/epidemiologia , Dentição , Retração Gengival/epidemiologia , Bolsa Periodontal/epidemiologia , Adulto , Fatores Etários , Idoso , Estudos Transversais , Diabetes Mellitus/epidemiologia , Hemorragia Gengival/epidemiologia , Humanos , Modelos Logísticos , Masculino , México/epidemiologia , Pessoa de Meia-Idade , Polícia , Prevalência , Fatores Socioeconômicos , Adulto Jovem
9.
Biomed Res Int ; 2017: 7431301, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28685149

RESUMO

OBJECTIVE: To identify dental pain prevalence and associated factors in Mexican schoolchildren. METHODS: This cross-sectional study included 1,404 schoolchildren aged 6 to 12 years from public schools in the city of Pachuca de Soto, Hidalgo, Mexico. Data were collected through a questionnaire that addressed sociodemographic and socioeconomic factors, eating and dental hygiene habits, and behavior variables. The dependent variable was self-reported dental pain in the 12 months prior to the survey. Data were analyzed using nonparametric statistics and a binary logistical regression model. RESULTS: Dental pain prevalence among the studied children was 49.9%. The variables associated in the final model (p < 0.05) were younger mother's age, higher socioeconomic level, absence of an automobile in the home, fried food, fruit intake, lower tooth brushing frequency, never having used mouthwash or not knowing about it, and parents/guardians with regular to high levels of knowledge about oral health and a regular or good/very good perception of their child's oral health. CONCLUSIONS: One in two children in the study had experienced dental pain in the twelve months prior to the survey. The association of socioeconomic variables with dental pain suggested inequalities among the children in terms of oral health.


Assuntos
Dor/epidemiologia , Criança , Estudos Transversais , Feminino , Humanos , Masculino , México/epidemiologia , Dor/fisiopatologia , Prevalência , Fatores de Risco , Fatores Socioeconômicos
10.
Sci Rep ; 7: 40686, 2017 01 17.
Artigo em Inglês | MEDLINE | ID: mdl-28094800

RESUMO

We determined the prevalence of hyposalivation and xerostomia in older Mexicans (≥60 years), and its relationship with diverse factors. A cross-sectional study was realized in elderly subjects from Pachuca, Mexico. Chewing-stimulated saliva was collected under standardized conditions and salivary flow was measured; subjects were considered to have hyposalivation if their stimulated salivary flow was less than 0.7 mL per minute. Xerostomia was evaluated by asking subjects 'Does your mouth feel dry?'. Hyposalivation was present in 59.7%, and xerostomia in 25.2% of subjects. 16.5% of subjects had both conditions. Xerostomia was present in 27.7% of subjects with hyposalivation and 21.4% of subjects without hyposalivation, but the difference was not significant (p > 0.05). Thus, 68.3% of older Mexicans had xerostomia and/or hyposalivation. Factors associated with hyposalivation were: using fewer devices in oral hygiene, lacking social benefits for retirement/pension, living in a public retirement home, brushing teeth less than twice a day and lacking teeth without dentures. None of the factors included in this study were associated with xerostomia. We concluded that several variables studied were associated with hyposalivation, but none for xerostomia. Additional research should examine the amount of hyposalivation and factors associated with hyposalivation especially in elderly with increased risk for hyposalivation.


Assuntos
Xerostomia/epidemiologia , Xerostomia/etiologia , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , México/epidemiologia , Pessoa de Meia-Idade , Prevalência , Fatores de Risco , Fatores Socioeconômicos , Xerostomia/terapia
11.
Rev Invest Clin ; 65(3): 228-36, 2013.
Artigo em Espanhol | MEDLINE | ID: mdl-23877810

RESUMO

OBJECTIVE: To determine the experience, prevalence and severity of dental caries and its relationship with nutritional status in nursery infants 17 to 47 months of age. MATERIAL AND METHODS: A cross-sectional study in 152 infants 17 to 47 months of age attending one of five day care centers of the city of Pachuca, Hidalgo was performed. Clinical examinations were performed using the methods recommended by the World Health Organization for epidemiologic studies on dental caries. We calculated the caries index (dmft), the significant caries index (SiC) as well as the treatment needs index (TNI) and the care index (CI). Nutritional status was determined using the weight and height for age, in Federico Gomez's scale. In the statistical analysis nonparametric tests were used. RESULTS: Mean age was 2.52 ± 0.76 years; 51.3% were boys. With regard to nutritional status, 19.1% were classified as malnourished and 19.1% were overweight/obese. The dmft index was 1.53 ± 2.52. The SiC index was 4.14, the TNI 86.3% and the CI 13.7%. Caries prevalence was 48.0%. It was observed that 33.5% of children had 1 to 3 teeth with caries experience and 14.5% had 4 or more teeth affected. Statistically significant differences for tooth decay were identified (p < 0.05) by age, height and weight but not (p> 0.05) by sex and nutritional status. CONCLUSIONS: This study shows that nearly half of children examined had caries experience. High treatment needs for dental caries were observed. A correlation was found between dmft index and age, weight and height. No association was identified between experience, prevalence and severity of dental caries and nutritional status of infants. It appears necessary to improve oral health preventive measures in these infants.


Assuntos
Cárie Dentária/epidemiologia , Estado Nutricional , Estatura , Peso Corporal , Pré-Escolar , Comorbidade , Estudos Transversais , Índice CPO , Feminino , Humanos , Lactente , Masculino , Desnutrição/epidemiologia , México/epidemiologia , Obesidade/epidemiologia , Sobrepeso/epidemiologia , Prevalência
12.
Gac Med Mex ; 148(3): 218-26, 2012.
Artigo em Espanhol | MEDLINE | ID: mdl-22820354

RESUMO

OBJECTIVE: The purpose of this study was to quantify the influence of some of the predisposing, enabling, and healthcare need variables on dental health services utilization (DHSU) among Mexican adolescents. MATERIAL AND METHODS: This is a cross-sectional analytical study including 1,538 Mexican teenagers 12 and 15 years of age. The dependent variable was DHSU in the previous 12 months. Data were collected through a questionnaire and included demographic, socioeconomic, and behavioral factors. The study included an oral examination. The analysis included nonparametric statistics and a logistic regression model. RESULTS: Of the 1,538 adolescents, 688 were 12 years old and 850 were 15 years old. Girls accounted for 49.9%. The prevalence of DHSU was 15%. In the final model we found that having moved at least once from the community in which the child was born was associated with DHSU (OR: 1.24; 95% CI: 1.10-1.40; p > 0.05), just as it was observed for purchasing purified water for home consumption instead of relying on piped water supplies (OR: 1.52; 95% CI: 1.03-2.25), higher educational attainment of the mother (OR: 1.39; 95% CI: 1.02-1.91) and of the father (OR: 1.87; 95% CI: 1.09-3.19). Having more sound teeth (OR: 0.96; 95% CI: 0.94-0.98), and having at least one tooth with caries (OR: 1.10; 95% CI: 1.01-1.18) were also associated with DHSU (p > 0.05). CONCLUSION: The percentage of subjects with DHSU in the prior 12 months was low compared with other studies. Our identification of the variables associated with DHSU (often surrogates of socioeconomic position) indicated the existence of oral health inequalities and the need to develop strategies to reduce the gaps identified.


Assuntos
Serviços de Saúde Bucal/estatística & dados numéricos , Necessidades e Demandas de Serviços de Saúde/estatística & dados numéricos , Adolescente , Criança , Estudos Transversais , Feminino , Humanos , Masculino , México , Saúde da População Rural
13.
Med Oral Patol Oral Cir Bucal ; 17(5): e807-13, 2012 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-22549678

RESUMO

BACKGROUND: Diverse variables are implicated in the pathogenesis of gingival recession; more detailed knowledge about the relationship between the clinical presentation of gingival recession and assorted risk indicators may lead to improved patient monitoring, early intervention, and subsequent prevention. The objective was to evaluate clinically gingival recession in a homogeneous Mexican adult male population and to determine the strength of association with related factors. METHOD: A cross-sectional study was carried out in a largely homogeneous group in terms of ethnic background, socioeconomic status, gender, occupation, and medical/dental insurance, in Campeche, Mexico. Periodontal examinations were undertaken to determine diverse clinical dental variables. All periodontal clinical examinations were assessed using the Florida Probe System, a dental chair and one examiner. Questionnaires were used to collect diverse risk indicators. Statistical analyses were undertaken with negative binomial regression models. RESULTS: The mean number of sites with gingival recession per subject was 6.73±5.81; the prevalence was 87.6%. In the negative binomial regression model we observed that for (i) each year of age, and (ii) each percentage unit of increase in sites with plaque, and (iii) with suppuration, mean sites with gingival recession increased 2.9%, 1.0% and 13.0%, respectively. Having a spouse was associated with gingival recession. CONCLUSIONS: We observed association between gingival recession, and sociodemographic and clinical parameters. Patients need be educated about risk indicators for gingival recession as well as the preventive maneuvers that may be implemented to minimize its occurrence. The potential of improved oral self-care to prevent a largely benign condition such as gingival recession is important, given the associated disorders that may ensue root exposure, such as root caries and root hypersensitivity.


Assuntos
Retração Gengival/epidemiologia , Adulto , Estudos Transversais , Humanos , Masculino , México , Fatores de Risco
14.
J Orofac Pain ; 24(3): 279-86, 2010.
Artigo em Inglês | MEDLINE | ID: mdl-20664829

RESUMO

AIMS: To identify the effect of unmet dental treatment needs and socioeconomic and sociodemographic variables on the patterns of dental visits in the presence of dental pain in 6- to 12-year-old Mexican schoolchildren. METHODS: A case-control study included 379 patients that had a dental visit because of dental pain in the 12 months preceding this study and 1,137 controls. Mothers and/or guardians supplied sociodemographic, socioeconomic, and oral health-related information through a questionnaire. The profiles of unmet dental needs and of oral hygiene were ascertained by means of a standardized dental examination administered to participating children. Odds ratios (OR) and 95% confidence intervals (CIs) were calculated with logistic regression. RESULTS: Higher unmet dental needs and lack of health insurance were associated with the experience of dental visits because of dental pain in the preceding 12 months. Boys who attended public schools had a 70% (95% CI = 1.29 to 2.23) higher probability of having had a dental visit in which dental pain was one of the main reasons for attendance, compared to boys attending private schools. The effect for girls was only 28% (95% CI = 1.10 to 1.50) higher for girls attending a public school, compared to girls attending private schools. Older children had a higher occurrence of dental visits because of dental pain than younger children. CONCLUSIONS: While higher unmet dental needs and lack of health insurance were strong predictors of having had dental visits because of dental pain in the preceding 12 months, some socioeconomic variables and sociodemographic variables modified these relationships.


Assuntos
Assistência Odontológica/estatística & dados numéricos , Necessidades e Demandas de Serviços de Saúde/estatística & dados numéricos , Classe Social , Odontalgia/terapia , Fatores Etários , Automóveis , Estudos de Casos e Controles , Criança , Índice CPO , Escolaridade , Características da Família , Feminino , Humanos , Seguro Saúde/estatística & dados numéricos , Masculino , México , Ocupações , Higiene Bucal , Índice de Higiene Oral , Propriedade , Pais/educação , Setor Privado , Setor Público , Fatores Sexuais , Escovação Dentária/estatística & dados numéricos
15.
Cad. saúde pública ; 25(12): 2621-2631, dez. 2009. tab
Artigo em Espanhol | LILACS | ID: lil-538412

RESUMO

El objetivo del estudio fue evaluar la asociación entre diversos indicadores socioeconómicos y la utilización de servicios de salud bucal. Se realizó un estudio transversal en 3.048 escolares. La variable utilización de servicios de salud bucal y las variables sociodemográficas y socioeconómicas se colectaron a través de un cuestionario dirigido a las madres. Para determinar las necesidades de salud se realizó un examen clínico bucal a los niños. Las asociaciones ajustadas fueron evaluadas con regresión logística politómica. Las variables asociadas a servicios preventivos y curativos fueron mayor edad, mayor frecuencia de cepillado y menor edad al inicio de cepillado dental, tener seguro público o privado, y mejor nivel socioeconómico. Además, sólo para los servicios preventivos, también se asoció estar inscrito en una escuela privada, y sólo para los servicios curativos, la posesión de automóvil y tener necesidades de salud bucal entre moderadas y muy altas. Los resultados sugieren la existencia de desigualdades socioeconómicas en la utilización de servicios de salud bucal en niños mexicanos.


The aim of this cross-sectional study was to evaluate the association between socioeconomic indicators and use of dental services in a sample of 3,048 Mexican schoolchildren. The dependent variable "use of dental services" and independent variables were collected through a questionnaire addressed to mothers. To determine oral health needs, a clinical oral examination was performed. The adjusted associations were evaluated using polytomous logistic regression. Adjusted by gender, the categories associated with both preventive and curative services were age, greater frequency of brushing, earlier initiation of brushing, healthcare coverage, and better socioeconomic status. In addition, for preventive services only, use of services was associated with enrolment in private school, and for curative services only, family's possession of an automobile and having moderate to high oral health needs. The results suggest the existence of socioeconomic inequalities in the use of both preventive and curative dental services by Mexican children.


Assuntos
Criança , Feminino , Humanos , Masculino , Assistência Odontológica para Crianças , Serviços de Saúde Bucal , Acesso aos Serviços de Saúde/estatística & dados numéricos , Necessidades e Demandas de Serviços de Saúde/estatística & dados numéricos , Saúde Bucal , Estudos Transversais , Cárie Dentária/prevenção & controle , Disparidades em Assistência à Saúde , México , Previdência Social , Fatores Socioeconômicos , Inquéritos e Questionários , Escovação Dentária/estatística & dados numéricos
16.
Cad Saude Publica ; 25(12): 2621-31, 2009 Dec.
Artigo em Espanhol | MEDLINE | ID: mdl-20191153

RESUMO

The aim of this cross-sectional study was to evaluate the association between socioeconomic indicators and use of dental services in a sample of 3,048 Mexican schoolchildren. The dependent variable 'use of dental services' and independent variables were collected through a questionnaire addressed to mothers. To determine oral health needs, a clinical oral examination was performed. The adjusted associations were evaluated using polytomous logistic regression. Adjusted by gender, the categories associated with both preventive and curative services were age, greater frequency of brushing, earlier initiation of brushing, healthcare coverage, and better socioeconomic status. In addition, for preventive services only, use of services was associated with enrolment in private school, and for curative services only, family's possession of an automobile and having moderate to high oral health needs. The results suggest the existence of socioeconomic inequalities in the use of both preventive and curative dental services by Mexican children.


Assuntos
Assistência Odontológica para Crianças/estatística & dados numéricos , Serviços de Saúde Bucal/estatística & dados numéricos , Acesso aos Serviços de Saúde/estatística & dados numéricos , Necessidades e Demandas de Serviços de Saúde/estatística & dados numéricos , Saúde Bucal , Criança , Estudos Transversais , Cárie Dentária/prevenção & controle , Feminino , Disparidades em Assistência à Saúde , Humanos , Masculino , México , Previdência Social , Fatores Socioeconômicos , Inquéritos e Questionários , Escovação Dentária/estatística & dados numéricos
17.
Rev Invest Clin ; 61(6): 489-96, 2009.
Artigo em Espanhol | MEDLINE | ID: mdl-20184130

RESUMO

OBJECTIVE: To identify the association between tooth brushing frequency and variables of socioeconomic position in Nicaraguan schoolchildren. MATERIAL AND METHODS: A cross sectional study was undertaken in 1353 schoolchildren ages 6 to 12 randomly selected from 25 elementary schools in Leon, Nicaragua. Using a questionnaire addressed to mothers, sociodemographic, socioeconomic and behavioral variables were collected. The dependent variable was tooth brushing frequency, which was dichotomized in 0 "at least one 7 times/week" and 1 "7 or more times/week". A multivariate analysis was carried out with logistic regression in STATA 9. RESULTS: The average age of child participants was 8.99 +/- 2.00 years and 49.7% were women. In the final model, older age (OR = 2.04), female sex (OR = 1.39) and having a mother with positive attitudes toward oral health (OR = 2.5) were positively associated with the tooth brushing frequency (p < 0.05). Larger family size (OR = 0.89) and having low socioeconomic status (1st quartile; OR = 0.54, 2nd quartile; OR = 0.62, 3rd quartile; OR = 0.67) showed a negative relationship with the tooth brushing frequency. To have had at least one preventive dental visit in the previous year was positively associated (p < 0.10) with tooth brushing frequency. CONCLUSION: This study suggested that existence of indicators of socioeconomic inequalities exist even within less developed countries, and thus emphasize the need to target health promotion programs to vulnerable socioeconomic groups.


Assuntos
Disparidades nos Níveis de Saúde , Saúde Bucal , Escovação Dentária/estatística & dados numéricos , Criança , Estudos Transversais , Feminino , Humanos , Masculino , Nicarágua , Fatores Socioeconômicos
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