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2002年巴西南部学龄儿童的牙痛患病率及其与龋齿和社会经济地位的关系

Dental pain prevalence and association with dental caries and socioeconomic status in schoolchildren, Southern Brazil, 2002.

作者信息

Nomura Lincon Hideo, Bastos João Luiz Dornelles, Peres Marco Aurélio

机构信息

Department of Public Health, Center of Health Sciences, Federal University of Santa Catarina.

出版信息

Braz Oral Res. 2004 Apr-Jun;18(2):134-40. doi: 10.1590/s1806-83242004000200008. Epub 2004 Aug 5.

Abstract

The objective of this study was to assess the relation between dental pain, dental caries and socioeconomic status among 12- and 13-year-old schoolchildren enrolled in a public school in Florianópolis, SC, Brazil in 2002. This study was a cross-sectional study involving 181 schoolchildren. Dental pain experience was the dependend variable analyzed. Socioeconomic data of the children's families were obtained through a questionnaire. Dental caries experience was registered according to the DMFT index (WHO, 1997). The field workteam consisted of an examiner and a recorder. The statistical analysis was performed using the chi-square test and the non-conditional multiple logistic regression. The response rate was 93.4%. The intraexaminer agreement measured on a tooth by tooth basis was high (kappa > 0.73). Dental pain prevalence was 33.7% (CI95% 26.0-42.0). The multiple regression analysis, adjusted by sex and other variables, showed that children with DMFT > 1 presented 2.9 (OR CI95% 1.4-6.1, p < 0.01) more chances of having dental pain when compared with those with DMFT < or = 1. Children whose mother's schooling level was equal or less than 4 years presented 2.5 (OR CI95% 1.2-5.6, p = 0.02) more chances of having dental pain when compared with others whose mothers had more than 5 years of schooling and, finally, children whose family income was up to U$ 67.00 showed 3.2 (OR CI95% 1.2-8.4, p = 0.02) more chances of having dental pain when compared with the ones whose families had higher income. High levels of caries attack, low mother schooling level and low family income were associated to dental pain.

摘要

本研究的目的是评估2002年就读于巴西圣卡塔琳娜州弗洛里亚诺波利斯市一所公立学校的12至13岁学童的牙痛、龋齿与社会经济地位之间的关系。本研究为横断面研究,涉及181名学童。分析的因变量是牙痛经历。通过问卷调查获取儿童家庭的社会经济数据。根据DMFT指数(世界卫生组织,1997年)记录龋齿经历。现场工作团队由一名检查人员和一名记录员组成。采用卡方检验和非条件多元逻辑回归进行统计分析。应答率为93.4%。逐颗牙齿测量的检查者内一致性较高(kappa>0.73)。牙痛患病率为33.7%(95%置信区间26.0 - 42.0)。经性别和其他变量调整的多元回归分析表明,与DMFT≤1的儿童相比,DMFT>1的儿童出现牙痛的几率高出2.9倍(优势比95%置信区间1.4 - 6.1,p<0.01)。与母亲受教育年限超过5年的儿童相比,母亲受教育年限等于或少于4年的儿童出现牙痛的几率高出2.5倍(优势比95%置信区间1.2 - 5.6,p = 0.02),最后,与家庭收入较高的儿童相比,家庭收入高达67.00美元的儿童出现牙痛的几率高出3.2倍(优势比95%置信区间1.2 - 8.4,p = 0.02)。高龋齿发病率、母亲低受教育水平和低家庭收入与牙痛有关。

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