Departamento de Clínica Odontológica, Universidade Federal do Ceará, Fortaleza, Brazil,
Departamento de Odontologia, Universidade Federal do Rio Grande do Norte, Natal, Brazil.
Caries Res. 2019;53(3):347-356. doi: 10.1159/000495038. Epub 2019 Jan 16.
To investigate the impact of the family's socioeconomic trajectory on the oral health status of young people in the city of Sobral, Ceará, Brazil, and test the hypotheses of the life course theory.
This is a cohort study conducted in 2000, 2006, and 2012. In the third wave, 482 individuals between 17 and 21 years of age were examined and interviewed. The outcomes analyzed were the trajectory of tooth decay (decayed teeth in 2012 and cavity reoccurrence) and the trajectory of dental assistance (immediate dental assistance and untreated caries). The socioeconomic trajectory was measured by the mobility of the family's income between childhood and youth and the number of episodes of poverty throughout life.
The risk of developing decayed teeth in 2012 was greater for those who had always remained poor. Young people who were never poor had fewer decayed teeth in 2012, but more cavity reoccurrence. Downward mobility resulted in less access to immediate dental assistance. More experience of poverty throughout life implied more decayed teeth in 2012 and less immediate dental assistance.
The life course hypotheses regarding an influence of socioeconomic mobility and cumulative risk on oral health outcomes in youth were confirmed.
探讨巴西塞阿拉州索布拉尔市家庭社会经济轨迹对年轻人口腔健康状况的影响，并检验生命历程理论的假设。
这是一项在 2000 年、2006 年和 2012 年进行的队列研究。在第三波研究中，对 482 名年龄在 17 至 21 岁之间的个体进行了检查和访谈。分析的结果包括龋齿轨迹（2012 年龋齿和龋齿复发）和牙科治疗轨迹（立即牙科治疗和未经治疗的龋齿）。家庭收入的流动性和一生中贫困的次数来衡量社会经济轨迹。
在 2012 年患有龋齿的风险更大的是那些一直处于贫困状态的人。从未贫困的年轻人在 2012 年的龋齿较少，但龋齿复发较多。向下流动导致获得即时牙科治疗的机会减少。一生中更多的贫困经历意味着 2012 年有更多的龋齿和更少的即时牙科治疗。
关于社会经济流动性和累积风险对年轻人口腔健康结果的影响的生命历程假设得到了证实。
