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巴西儿童的口腔经历与社会地位相关。

The social status associated with dental experience among Brazilian children.

机构信息

Department of Pediatric Dentistry, School of Dentistry, University of Pernambuco. Av. General Newton Cavalcanti 1650, Tabatinga. 54756-220 Camaragibe PE Brazil.

出版信息

Cien Saude Colet. 2020 Oct;25(10):3913-3919. doi: 10.1590/1413-812320202510.32312018. Epub 2019 Apr 14.

Abstract

Dentists should be alert not only to clinical variables, but also to socioeconomic, psychological and cultural factors, which have all been associated with the experience of dental caries. The aim of this study of was to assess social status and dental experience among Brazilian children. A cross-sectional study was conducted involving 1367 male and female children aged six and seven years enrolled at public and private schools in the city of Recife (Brazil) in 2013. The children at tending public schools were socioeconomically less privileged than those attending private schools. Data were collected through interviews and intraoral examinations. Caries experience was high (53.3%) in the overall sample, but less privileged children had larger percentages of decayed teeth and teeth that required extraction (p < 0.001). Children from less privileged social class had a greater chance of having a low (OR = 1.77 [95%CI 1.33 - 2.35]), moderate (OR = 4.41 [95%CI: 3.18 - 6,14]) and high (OR = 9.55 [95%CI 6.01 - 15.16]) caries experience. They also had a greater chance of never visiting a dentist (OR= 2.90 [95% CI 2.25 - 3.74]) and had dental anxiety (OR = 1.70 [95%CI 1.34-2, 16]). Socioeconomic status influences the dental caries experience, the visits to the dentist and the dental anxiety of the children analyzed.

摘要

牙医不仅要注意临床变量,还要注意社会经济、心理和文化因素,这些因素都与龋齿的发生有关。本研究旨在评估巴西儿童的社会地位和口腔健康状况。这是一项横断面研究,共纳入了 2013 年在巴西累西腓市公立和私立学校就读的 1367 名 6-7 岁男童和女童。与就读私立学校的儿童相比,就读公立学校的儿童社会经济地位较低。通过访谈和口腔内检查收集数据。总体样本的龋齿发生率较高(53.3%),但社会地位较低的儿童龋齿和需要拔牙的牙齿比例更高(p < 0.001)。社会经济地位较低的儿童发生低(OR = 1.77 [95%CI 1.33-2.35])、中(OR = 4.41 [95%CI: 3.18-6.14])和高(OR = 9.55 [95%CI 6.01-15.16])龋齿的几率更大。他们也更有可能从未看过牙医(OR= 2.90 [95% CI 2.25-3.74])和有牙科焦虑症(OR = 1.70 [95%CI 1.34-2.16])。社会经济地位影响儿童的龋齿发生、看牙医的情况和牙科焦虑症。

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