Determinantes individuais e contextuais da cárie em crianças brasileiras de 12 anos em 2010
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Data
2013
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Resumo
OBJECTIVE: To estimate the prevalence and severity of dental caries in
Brazilian children and the association with individual and contextual factors.
METHODS: Data were taken from the Brazilian Oral Health Survey (SBBrasil
2010) a sample of 7,247 12-year-olds. The data were collected using clinical
examinations and interviews. The dependent variables were the prevalence of
dental caries (decayed, missing and filled teeth [DMFT] ≥ 1 and DMFT ≥ 4).
Bivariate (Rao Scott test) and multivariate (Poisson regression) analyses were
carried out. The individual variables were sociodemographic variables,
periodontal health and reporting discomfort while brushing. Contextual factors
were the presence of water fluoridation, the percentage of residences connected
to the water supply and median income of the municipality.
RESULTS: The prevalence of DMFT ≥ 1 was 56.0%. Mean DMFT was 2.04
(95%CI 1.76;2.31) and 22.2% of children had DMFT ≥ 4. Caries experience
was significantly more common in children with black, brown or yellow skin;
in low-income families; in children with dental calculus or bleeding gums and in
those who reported discomfort while brushing. Living in towns with fluoridated
tap water, with low coverage of water supply and with low median income were
contextual factors associated with the disease.
CONCLUSIONS: The prevalence of dental caries in Brazilian 12-year-olds was
low, according to World Health Organization criteria. There were significant
geographical and socioeconomic inequalities in levels of the disease.
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Child, Dental caries, epidemiology, Oral health, Socioeconomic factors, Dental health surveys, Health inequalities, Criança, Cárie dentária, epidemiologia, Fatores socioeconômicos, Desigualdades em saúde, Saúde bucal, Inquéritos de saúde bucal
Citação
FREIRE, Maria do Carmo Matias et al. Determinantes individuais e contextuais da carie em crianças brasileiras de 12 anos em 2010. Revista de Saúde Pública, São Paulo, v. 47, supl. 3, p. 40-49, 2013.