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巴西青少年不良口腔健康结局与社会经济不平等及口腔需求的关联

Association of adverse oral health outcomes with socioeconomic inequalities and dental needs in Brazilian adolescents.

作者信息

Figueiredo Daniela de Rossi, Bastos João Luiz, Peres Karen Glazer

机构信息

Universidade Federal de Santa Catarina, Florianópolis, Brasil.

Australian Research Centre for Population Oral Health, University of Adelaide, Adelaide, Australia.

出版信息

Cad Saude Publica. 2017 Jun 5;33(5):e00165415. doi: 10.1590/0102-311X00165415.

DOI:10.1590/0102-311X00165415
PMID:28640329
Abstract

This study aimed to explore the relations between adverse oral outcomes and socioeconomic, demographic, and self-rated oral health variables and to describe their distribution. Principal component analysis was conducted on data from adolescents in the Brazilian National Oral Health Survey (N = 5,445). Higher loadings were found for crowding (0.6), maxillary and mandibular irregularities (0.5), and count of communitary periodontal index (CPI) sextants with bleeding and dental calculus (0.5). The mean rates for periodontal and occlusal disorders were at least two times higher in adolescents from lower income families and those reporting the need for dental prostheses, as well as those dissatisfied with their dental and overall oral health. Increased mean rates of occlusal disorders were associated with schooling delay and history of toothache in the previous six months. The mean scores suggested accumulation of at least one of the negative oral health indicators in the lower income strata, among adolescents with schooling delay, and in those reporting dental needs. The results suggest priorities for planning and monitoring as a function of oral health requirements.

摘要

本研究旨在探讨不良口腔结局与社会经济、人口统计学及自评口腔健康变量之间的关系,并描述其分布情况。对巴西全国口腔健康调查中青少年的数据(N = 5445)进行了主成分分析。发现拥挤(0.6)、上颌和下颌不整齐(0.5)以及社区牙周指数(CPI)中伴有出血和牙石的区段计数(0.5)的负荷较高。来自低收入家庭、报告需要假牙以及对其牙齿和整体口腔健康不满意的青少年,牙周和咬合紊乱的平均发生率至少高出两倍。咬合紊乱平均发生率的增加与上学延迟以及过去六个月内的牙痛史有关。平均得分表明,在低收入阶层、上学延迟的青少年以及报告有牙齿需求的青少年中,至少积累了一项负面口腔健康指标。结果表明了根据口腔健康需求进行规划和监测的重点。

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