Association of socioeconomic and educational indicators with dental caries among 12-year-old students living in a capital city in southern Brazil

Autores

  • Carolina Dea Bruzamolin Ph.D Student, Program in Clinical Dentistry, Positivo University
  • Gizele Franco Master's Student, Program in Clinical Dentistry, Positivo University
  • Fernanda Mara de Paiva Bertoli Ph.D Student, Program in Clinical Dentistry, Positivo University
  • Juliana Feltrin Souza Professor, Departament of Pediatric Dentistry, Universidade Federal do Paraná
  • Estela Maris Losso Adjunct Professor, Master’s Program in Clinical Dentistry, Positivo University
  • Marilisa Carneiro Leão Gabardo Adjunct Professor, Master’s Program in Clinical Dentistry, Positivo University
  • Eduardo Pizzatto Adjunct Professor, Master’s Program in Clinical Dentistry, Positivo University
  • João Armando Brancher Adjunct Professor, Master’s Program in Clinical Dentistry, Positivo University

DOI:

https://doi.org/10.15448/1980-6523.2018.1.29613

Palavras-chave:

epidemiology, oral health, pediatric dentistry.

Resumo

OBJECTIVE: The objectives of this study were to determine the prevalence of dental caries in a population of 12-year-old schoolchildren in the city of Curitiba and to evaluate the association between dental caries and socioeconomic and educational variables.
METHODS: Data were obtained from a socioeconomic and educational questionnaire assessment and a clinical examination to determine the index of decayed, missing, and filled teeth (DMF-T). A total of 451 children were examined, and the data obtained were analyzed using SPSS 14.0 and Stata programs.
RESULTS: The prevalence of caries was 22.2%, with a mean DMF-T of 0.37 (±0.90). Schoolchildren in public schools showed a higher mean DMF-T (0.39±0.93) and were 3.98 times more likely to develop caries compared to students from private schools. With regard to socioeconomic factors, the prevalence of dental caries in children in class C was 3.51 times greater than that in children in class A, i.e., 251% greater. There was also an association between low maternal education and an increase in the prevalence of dental caries in children.
CONCLUSION: In this study, dental caries is directly associated with low socioeconomic and cultural indicators of children’s families.

 

*** Associação de indicadores socioeconômicos e educacionais com cárie dentária em estudantes de 12 anos de idade em uma capital do sul do Brasil ***

OBJETIVO: Os objetivos deste estudo foram determinar a prevalência de cárie dentária em uma população de escolares de 12 anos de idade residentes na cidade de Curitiba e avaliar a associação entre esta doença e variáveis socioeconômicas e culturais.
METODOLOGIA: Os dados foram obtidos de um questionário socioeconômico e educacional e também por meio de um exame clínico que determinou o índice de dentes cariados, perdidos ou restaurados (CPO-D). Foram examinadas 451 crianças e os dados obtidos foram analisados usando os programas SPSS 14.0 e STATA.
RESULTADOS: A prevalência de cárie dentária foi de 22,2%, com média de CPO-D de 0,37 (±0,90). O CPO-D de crianças de escolas públicas foi maior (0,39±0,93) do que o CPO-D de crianças de escolas privadas. A chance de crianças de escolas públicas desenvolver cáries é 3,98 vezes maior do que crianças de escolas privadas. No que diz respeito aos fatores socioeconômicos, a prevalência de cárie dentária nas crianças da classe C foi 3,51 vezes maior do que em crianças da classe A, isto é, 251% maior. Também houve associação entre baixa alfabetização maternal e aumento da prevalência de cárie dentária nas crianças.
CONCLUSÃO: Neste estudo, a cárie dentária está diretamente associada com baixos indicadores socioeconômicos e culturais das famílias das crianças.

Palavras-chave: epidemiologia; saúde bucal; odontopediatria.

Biografia do Autor

Carolina Dea Bruzamolin, Ph.D Student, Program in Clinical Dentistry, Positivo University

Department of Dentistry

Gizele Franco, Master's Student, Program in Clinical Dentistry, Positivo University

Department of Dentistry

Fernanda Mara de Paiva Bertoli, Ph.D Student, Program in Clinical Dentistry, Positivo University

Department of Dentistry

Juliana Feltrin Souza, Professor, Departament of Pediatric Dentistry, Universidade Federal do Paraná

Departament of Pediatric Dentistry

Estela Maris Losso, Adjunct Professor, Master’s Program in Clinical Dentistry, Positivo University

Departament of Dentistr

Marilisa Carneiro Leão Gabardo, Adjunct Professor, Master’s Program in Clinical Dentistry, Positivo University

Departament of Dentistry

Eduardo Pizzatto, Adjunct Professor, Master’s Program in Clinical Dentistry, Positivo University

Departament of Dentistry

João Armando Brancher, Adjunct Professor, Master’s Program in Clinical Dentistry, Positivo University

Departament of Dentistry

Referências

Li X, Lafolla TJ. Dental Caries and sealant prevalence in children and adolescents in the United States, NCHS Data Brief 2011-2012. 2015; 20:1-8.

Hiremath A, Murugaboopathy V, Ankola AV, Hebbal M. Prevalence of dental caries among primary school children of India – a cross-sectional study. Journal of Clinical and Diagnostic Research 2016;10:47-50.

https://doi.org/10.7860/JCDR/2016/22474.8642

Pitts N, Amaechi B, Niederman R, Acevedo AM, Vianna R, Ganss C, Ismail A, Honkala E. Global oral health inequalities: dental caries task group – research agenda. Adv Dent Res 2011;23:211-20.

https://doi.org/10.1177/0022034511402016

Freire MCM, Reis SCGB, Gonçalves MM, Balbo PL, Leles CR. Condição de saúde bucal em escolares de 12 anos de escolas públicas e privadas de Goiânia, Brasil. Rev Panam Salud Publica 2010;28(2):86-91.

https://doi.org/10.1590/S1020-49892010000800003

Piovesan C, Mendes FM, Antunes JLF, Ardenghi TM. Inequalities in the distribution of dental caries among 12-year-old Brazilian schoolchildren. Braz Oral Res 2011, 25:69-75.

https://doi.org/10.1590/S1806-83242011000100012

Moysés ST, Moysés SJ, Watt RG, Sheiham A. Associations between health promoting schools’ policies and indicators of oral health in Brazil. Health Prom Int 2003;18(3):209-18.

https://doi.org/10.1093/heapro/dag016

Ministério da Saúde. Projeto SB Brasil 2012: Pesquisa nacional de saúde bucal – resultados principais. Brasília, 2011.

Peres MA, Peres KG, Dornellas de Barros AJ, Victoria CG. The relation between family socioeconomic trajectories from childhood to adolescence and dental caries and associated oral behaviour. J Epidemiol Community Health 2007;61:141-5.

https://doi.org/10.1136/jech.2005.044818

Roncalli AG. Epidemiologia e saúde bucal coletiva: um caminhar compartilhado. Ciência & Saúde Coletiva 2006;11(1):105-14.

https://doi.org/10.1590/S1413-81232006000100018

Ministério da Saúde. Projeto SB Brasil 2003. Condições de saúde bucal da população brasileira. Brasília, 2003.

Oliveira LB, Moreira RS, Reis SCGB., Freire MCM. Cárie dentária em escolares de 12 anos: análise multinível dos fatores individuais e do ambiente escolar em Goiânia. Rev Bras Epidemiol 2015; 18(3): 642-54.

https://doi.org/10.1590/1980-5497201500030010

Engelmann JL, Tomazoni F, Oliveira MDM, Ardenghil TM. Association between Dental Caries and Socioeconomic Factors in Schoolchildren – A Multilevel Analysis. Brazilian Dental Journal 2016;27(1):72-8.

https://doi.org/10.1590/0103-6440201600435

Castro C, Bruzamolin CD, Duda JG, Brancher JA, Pizzatto E. Epidemiological study to determine factors associated with dental caries in schoolers. Revista Sul Bras Odontologia 2015;12(3):289-96. 14. IBGE. Perfil dos Municípios Brasileiros 2010. Disponível em:

http://www.ibge.gov.br/. Acesso em: 07 de setembro de 2016.

World Health Organization. Oral Health Survey - Basic Methods. Geneva, 2013.

Colussi CF, Calvo MCM. Modelo de avaliação da saúde bucal na atenção básica. Cad Saúde Pública 2011;27(9):1731-45.

https://doi.org/10.1590/S0102-311X2011000900007

Brasil. Ministério da Saúde. Diretrizes da Política Nacional de Saúde Bucal. Brasília, 2004.

Martins LGT, Lacerda JT, Nickel DA, Traebert J. Proposta de um modelo de avaliação da atenção pública à saúde bucal da criança. Cad Saúde Pública 2016;32(3):1-9.

https://doi.org/10.1590/0102-311X00006415

Moretti AC, Teixeira FF, Suss FMB, Lawder JAC, Lima LSM, Bueno RE, Moysés JS, Moysés ST. Intersectoriality in health promotion actions carried out by the oral health team of Curitiba, Paraná State. Ciência & Saúde Coletiva 2010;15(Supl. 1):1827-34.

https://doi.org/10.1590/S1413-81232010000700095

Pinho JRO, Souza TC, Bôas MDV, Marques CPC, Neves PAM. Evolução da cobertura das equipes de saúde bucal nas macrorregiões brasileiras. Rev Assoc Paul Cir Dent 2015;69(1):80-5.

Figueira TR, Leite ICG. Percepções, conhecimentos e práticas em saúde bucal de escolares. Rev Gaúcha Odontol 2008; 56(1):27-32.

Rosema NA, Van Palenstein Helderman WH, Van Der Weijden GA. Gingivitis and plaque scores of 8- to 11-year-old Burmese children following participation in a 2-year school-based toothbrushing programme. Int J Dent Hyg 2012;10(3):163-8.

https://doi.org/10.1111/j.1601-5037.2012.00553.x

Hashim R, Williams S, Thomson WM. Oral hygiene and dental caries in 5- to 6-year-old children in Ajman, United Arab Emirates. Int J Dent Hyg 2013;11(3):208-15.

https://doi.org/10.1111/idh.12011

Petersen PE. The World Oral Health Report 2003: continuous improvement of oral health in the 21st century--the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol 2003;31(1):3-23.

https://doi.org/10.1046/j..2003.com122.x

Pinto-Sarmento TCA, Abreu MH, Gomes MC, Costa EMMB, Martins CC, Granville-Garcia AF, Paiva SM. Determinant Factors of Untreated Dental Caries and Lesion Activity in Preschool Children Using ICDAS. PLoS One 2016;11(2):e0150116.

https://doi.org/10.1371/journal.pone.0150116

Gabardo MCL, Bruzamolin CD, Brancher JA, Moysés SJ. Prevalence of oral diseases, socioeconomic indicators, and provision of dental services: exploring nexus RSBO 2016;13(1):35-40.

Yang AJ, Gromoske AN, Olson MA, Chaffin JG. Single and cumulative relations of social risk factors with children’s dental health and careutilization within regions of the United States. Matern Child Health J 2016; 20(3):495-506.

https://doi.org/10.1007/s10995-015-1847-2

Barata RB. Epidemiologia social. Rev Bras Epidemiol 2005;8:7-17.

https://doi.org/10.1590/S1415-790X2005000100002

Antunes JL, Frazão P, Narvai PC, Bispo CM, Pegoretti T. Spatial analysis to identify differentials in dental needs by area-based measures. Community Dent Oral Epidemiol 2002;30(2):133-42.

https://doi.org/10.1034/j.1600-0528.2002.300207.x

Folayan OM, Kolawole KA, Oziegbe EO, Oyedele T, Oshomoji OV, Chukwumah NM, Onyejak N. Prevalence, and early childhood caries risk indicators in preschool children in suburban Nigeria. BMC Oral Health 2015;15:72.

https://doi.org/10.1186/s12903-015-0058-y

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Publicado

2018-12-30

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Artigo Original