Faculdade de Odontologia, Universidade de São Paulo. Av. Prof. Lineu Prestes 2227, Butantã. 05508-000 São Paulo SP Brasil.
Faculdade de Odontologia de Piracicaba, Universidade de Campinas. Piracicaba SP Brasil.
Cien Saude Colet. 2021 Apr;26(4):1489-1500. doi: 10.1590/1413-81232021264.06472019. Epub 2019 Jun 7.
Food insecurity is a complex phenomenon that affects the health and wellbeing of vulnerable families. The aim of this study was to investigate the relationship between household food insecurity, dental caries, oral health-related quality of life, and social determinants of health among Indigenous adults. A cross-sectional study was conducted among Kaingang adults aged 35-44 years old from the Guarita Indigenous Land, Brazil. Food insecurity was assessed through the EBIA scale. Dental caries was assessed using the DMFT index. Participants answered the OHIP-14 questionnaire and a structured interview. Descriptive and multivariate analyzes using Poisson regression models were performed. The final sample included 107 adults from 97 households. Approximately 95% lived in food insecure families. Severe food insecurity was present in 58% of the households. The phenomenon was associated to the Bolsa Família benefit, household size, and greater perception of oral health impacts on quality of life. The high number of families affected by food insecurity reveals the social vulnerability of the Kaingang people. Food insecurity in Kaingangs adults is associated to oral health perception and social determinants of health.
食物不安全是一个复杂的现象，会影响弱势家庭的健康和幸福。本研究旨在探讨巴西瓜里塔原住民土地上 35-44 岁的金岗成年人中家庭食物不安全、龋齿、口腔健康相关生活质量和健康社会决定因素之间的关系。这项横断面研究调查了金岗成年人。通过 EBIA 量表评估食物不安全。使用 DMFT 指数评估龋齿。参与者回答了 OHIP-14 问卷和结构化访谈。使用泊松回归模型进行描述性和多变量分析。最终样本包括来自 97 户家庭的 107 名成年人。大约 95%的人生活在食物不安全的家庭中。58%的家庭存在严重的食物不安全现象。这种现象与 Bolsa Família 福利、家庭规模以及对口腔健康对生活质量的影响的更大认知有关。受食物不安全影响的家庭数量众多，揭示了金岗人的社会脆弱性。金岗成年人的食物不安全与口腔健康认知和健康的社会决定因素有关。
