The association between socioeconomic development at the town level and the distribution of dental caries in Brazilian children
OBJECTIVE: To investigate the association between dental caries among children in the state of São Paulo, Brazil, and town-level indices of socioeconomic development. METHODS: We examined 15 385 oral-examination records from children aged 5 or 6 years old from 129 towns and cities in the state of Sã...
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Pan American Health Organization
2003-09-01
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doaj-6aa8b34a25e44f37b79abdd3023938492020-11-24T22:38:18ZengPan American Health OrganizationRevista Panamericana de Salud Pública1020-49892003-09-0114314915710.1590/s1020-49892003000800001S1020-49892003000800001The association between socioeconomic development at the town level and the distribution of dental caries in Brazilian childrenMarco Aurélio Peres0Karen Glazer Peres1José Leopoldo Ferreira Antunes2Simone Rennó Junqueira3Paulo Frazão4Paulo Capel Narvai5Universidade Federal de Santa CatarinaUniversidade do Sul de Santa CatarinaUniversidade de São PauloUniversidade de São PauloUniversidade de São PauloUniversidade de São PauloOBJECTIVE: To investigate the association between dental caries among children in the state of São Paulo, Brazil, and town-level indices of socioeconomic development. METHODS: We examined 15 385 oral-examination records from children aged 5 or 6 years old from 129 towns and cities in the state of São Paulo. We studied two outcomes: (1) the mean number of decayed, missing, and filled deciduous teeth (dmft index) and (2) the care index, which is the proportion of decayed teeth that have already been filled. The explanatory variables were the child development index, human development index, illiteracy rate among subjects older than 20 years, household income, Gini coefficient, insufficient income, fluoridated water supply, number of dentists per 10 000 inhabitants, number of dentists in the public service per 10 000 inhabitants, and number of weekly hours of dentist work in the public service per 10 000 inhabitants. Multiple linear regression models were fitted to the two outcome variables (dmft index and care index). RESULTS: The multiple linear regression analysis showed that a higher dmft index was associated with a low child development index, a high illiteracy rate, and an unfluoridated water supply. The child development index was significantly associated with the care index, and the number of dentists in the public service per 10 000 inhabitants showed borderline statistical significance. CONCLUSIONS: Our results indicate that town-level indices of socioeconomic status are significantly correlated with caries indices. Our results also emphasize the beneficial effect that fluoridating water has on reducing the prevalence of dental caries and the fact that strategies for treating and preventing oral diseases should be emphasized within the context of overall health promotion for children.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892003000800001&lng=en&tlng=enDental cariesdental caresocioeconomic factorsBrazil |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Marco Aurélio Peres Karen Glazer Peres José Leopoldo Ferreira Antunes Simone Rennó Junqueira Paulo Frazão Paulo Capel Narvai |
spellingShingle |
Marco Aurélio Peres Karen Glazer Peres José Leopoldo Ferreira Antunes Simone Rennó Junqueira Paulo Frazão Paulo Capel Narvai The association between socioeconomic development at the town level and the distribution of dental caries in Brazilian children Revista Panamericana de Salud Pública Dental caries dental care socioeconomic factors Brazil |
author_facet |
Marco Aurélio Peres Karen Glazer Peres José Leopoldo Ferreira Antunes Simone Rennó Junqueira Paulo Frazão Paulo Capel Narvai |
author_sort |
Marco Aurélio Peres |
title |
The association between socioeconomic development at the town level and the distribution of dental caries in Brazilian children |
title_short |
The association between socioeconomic development at the town level and the distribution of dental caries in Brazilian children |
title_full |
The association between socioeconomic development at the town level and the distribution of dental caries in Brazilian children |
title_fullStr |
The association between socioeconomic development at the town level and the distribution of dental caries in Brazilian children |
title_full_unstemmed |
The association between socioeconomic development at the town level and the distribution of dental caries in Brazilian children |
title_sort |
association between socioeconomic development at the town level and the distribution of dental caries in brazilian children |
publisher |
Pan American Health Organization |
series |
Revista Panamericana de Salud Pública |
issn |
1020-4989 |
publishDate |
2003-09-01 |
description |
OBJECTIVE: To investigate the association between dental caries among children in the state of São Paulo, Brazil, and town-level indices of socioeconomic development. METHODS: We examined 15 385 oral-examination records from children aged 5 or 6 years old from 129 towns and cities in the state of São Paulo. We studied two outcomes: (1) the mean number of decayed, missing, and filled deciduous teeth (dmft index) and (2) the care index, which is the proportion of decayed teeth that have already been filled. The explanatory variables were the child development index, human development index, illiteracy rate among subjects older than 20 years, household income, Gini coefficient, insufficient income, fluoridated water supply, number of dentists per 10 000 inhabitants, number of dentists in the public service per 10 000 inhabitants, and number of weekly hours of dentist work in the public service per 10 000 inhabitants. Multiple linear regression models were fitted to the two outcome variables (dmft index and care index). RESULTS: The multiple linear regression analysis showed that a higher dmft index was associated with a low child development index, a high illiteracy rate, and an unfluoridated water supply. The child development index was significantly associated with the care index, and the number of dentists in the public service per 10 000 inhabitants showed borderline statistical significance. CONCLUSIONS: Our results indicate that town-level indices of socioeconomic status are significantly correlated with caries indices. Our results also emphasize the beneficial effect that fluoridating water has on reducing the prevalence of dental caries and the fact that strategies for treating and preventing oral diseases should be emphasized within the context of overall health promotion for children. |
topic |
Dental caries dental care socioeconomic factors Brazil |
url |
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892003000800001&lng=en&tlng=en |
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