Universidade Federal de Minas Gerais - UFMG, School of Dentistry, Postgraduate Program in Dentistry, Belo Horizonte, Minas Gerais, Brasil.
Universidade Federal de Minas Gerais - UFMG, School of Dentistry, Department of Community and Preventive Dentistry, Belo Horizonte, Minas Gerais, Brasil.
Braz Oral Res. 2020 Apr 17;34:e036. doi: 10.1590/1807-3107bor-2020.vol34.0036. eCollection 2020.
The aim of this study was to evaluate the factors associated with toothache in the adult population of Minas Gerais, Brazil. Individual data from a population sample (age 35 to 44 years) were collected from a secondary database of the SB Minas survey. Sampling was carried out by clusters and with multiple drawing stages. The eligibility criteria were to reside in areas chosen for the research, be within the age group, and accept to participate in the research. The individual variables assessed by a questionnaire and dental exams were sex, income, race/skin color, root caries, periodontal condition, need for dental treatment, and last dental appointment. The contextual variables, assessed by municipal indexes, were Human Development Index (HDI), illiteracy, unemployment, half minimum wage, quarter minimum wage, oral health team coverage, access to individual health care, and supervised tooth brushing average. The dependent variable was toothache in the past six months. A descriptive analysis was made using the Statistical Package for the Social Sciences and Hierarchical Linear and Nonlinear Modeling Software was used to perform the multilevel analyses for individual and contextual levels. An association was found between toothache and low income (OR = 2.00; 95%CI = 1.32-3.13), dental caries (OR = 1.86; 95%CI = 1.22-2.86), periodontal condition, and living on a quarter of the minimum wage or less (OR = 1.03; 95%CI = 1.00-1.08). Clinical and social factors were associated with toothache, reinforcing the need to improve public polices in oral health focused on the adult population.
本研究旨在评估巴西米纳斯吉拉斯州成年人牙痛的相关因素。个体数据来自 SB Minas 调查的二级数据库中的人口样本（35 至 44 岁）。采用聚类和多阶段抽样方法进行抽样。入选标准为居住在选定研究区域、年龄在该组内且同意参与研究。通过问卷和口腔检查评估的个体变量为性别、收入、种族/肤色、根龋、牙周状况、牙齿治疗需求和最近的牙科就诊时间。通过市级指数评估的情境变量包括人类发展指数（HDI）、文盲率、失业率、半最低工资、四分之一最低工资、口腔卫生团队覆盖范围、个人医疗保健可及性和监督刷牙平均水平。因变量为过去六个月的牙痛情况。使用社会科学统计软件包进行描述性分析，并使用分层线性和非线性建模软件对个体和情境水平进行多水平分析。结果发现，低收入（OR=2.00；95%CI=1.32-3.13）、龋齿（OR=1.86；95%CI=1.22-2.86）、牙周状况以及收入低于最低工资四分之一（OR=1.03；95%CI=1.00-1.08）与牙痛存在关联。临床和社会因素与牙痛有关，这加强了需要改善以成年人为重点的口腔健康公共政策。
