Miranda Kênia Cristina de Oliveira, Souza Tiago Araújo Coelho de, Leal Soraya Coelho
Departamento de Odontologia, Universidade de Brasília, Brasília, DF, Brasil,
Cien Saude Colet. 2018 Apr;23(4):1313-1322. doi: 10.1590/1413-81232018234.18082016.
It is important to have an epidemiological understanding of oral diseases among indigenous persons, in order to contribute with the organization of health services for these populations. The SB Brasil 2010 database was used to compare the prevalence of dental caries among 308 self-identified indigenous and 37,211 non-indigenous individuals from urban areas, in the following age/age-groups: 5, 12, 15-19, 35-44, 65-74. The study also analyzed the effect of the complex sample design and the sample weight in the outcomes. Kruskal-Wallis, Wilcoxon Scores (Rank Sums), logistic and multiple linear regressions were used for statistical analysis. The mean dmft index for indigenous and non-indigenous children aged five were 4.02 ± 4.01 and 2.41 ± 3.35, respectively, and 46% of non-native and 30.8% of native children were caries-free. The mean DMFT for indigenous and non-indigenous were 10.90 ± 11.69 and 10.93 ± 11.58, respectively, for all age groups when not taking into account the sample weight effect. When considering the complex sample design and the sample weight effect, the study found a statistical significant difference. The results lend credence to suspicions that in Brazil there are disparities in the patterns of caries between self-identified indigenous and non-indigenous individuals.
为了更好地为这些人群组织卫生服务,了解原住民口腔疾病的流行病学情况非常重要。本研究使用了2010年巴西口腔健康调查(SB Brasil 2010)数据库,比较了308名自认为是原住民的个体与37211名城市非原住民个体在以下年龄/年龄组中的龋齿患病率:5岁、12岁、15 - 19岁、35 - 44岁、65 - 74岁。该研究还分析了复杂样本设计和样本权重对结果的影响。采用Kruskal - Wallis检验、Wilcoxon分数(秩和检验)、逻辑回归和多元线性回归进行统计分析。5岁原住民和非原住民儿童的平均乳牙龋失补牙面(dmft)指数分别为4.02±4.01和2.41±3.35,46%的非原住民儿童和30.8%的原住民儿童无龋齿。在不考虑样本权重效应的情况下,所有年龄组原住民和非原住民的平均恒牙龋失补牙面(DMFT)分别为10.90±11.69和10.93±11.58。在考虑复杂样本设计和样本权重效应后,研究发现存在统计学显著差异。这些结果证实了人们的怀疑,即在巴西,自认为是原住民和非原住民个体之间的龋齿模式存在差异。