Universidade Federal de Minas Gerais - UFMG, School of Dentistry, Graduate Program in Dentistry, Belo Horizonte, MG, Brazil.
Universidade Federal de Minas Gerais - UFMG, School of Dentistry, Department of Community and Preventive Dentistry, Belo Horizonte, MG, Brazil.
Braz Oral Res. 2021 Nov 19;35:e111. doi: 10.1590/1807-3107bor-2021.vol35.0111. eCollection 2021.
The aim of this study was to assess the factors associated with dental pain in adolescents from the state of Minas Gerais, Brazil. Individual data on adolescents aged 15 to 19 years were collected from the SB Minas survey secondary database. Dental pain over the past 6 months, assessed by a questionnaire, was used as the dependent variable. Sex, income, skin color, prevalence of untreated dental caries, periodontal health, dental treatment needs, and time of last dental appointment were analyzed as individual covariates. Allocation factor, Human Development Index (HDI), Gini coefficient, illiteracy rate, unemployment, 50% and 25% of the Brazilian monthly minimum wage, primary healthcare coverage, oral health team coverage, access to individual healthcare, and supervised toothbrushing average rate were the analyzed contextual variables. A multilevel analysis was conducted for the individual and contextual variables. Statistical analyses used hierarchical linear and nonlinear modeling to infer an association between the different levels. Male adolescents had a lower prevalence of dental pain (OR = 0.53; 95%CI = 0.37-0.75). There was an association between dental pain and low income (OR = 1.58; 95%CI = 1.07-2.33), prevalence of untreated dental caries (OR = 1.25; 95%CI = 1.11-1.40), periodontal health (OR = 1.80; 95%CI = 1.04-3.09), and dental treatment needs (OR = 6.93; 95%CI = 3.96-12.14). Sociodemographic and clinical factors at the individual level were associated with the outcome but not with contextual variables. These findings reinforce the need to address these factors for effective community health actions.
本研究旨在评估巴西米纳斯吉拉斯州青少年牙齿疼痛的相关因素。从 SB Minas 调查的二级数据库中收集了 15 至 19 岁青少年的个体数据。使用问卷调查评估过去 6 个月的牙齿疼痛情况作为因变量。性别、收入、肤色、未经治疗的龋齿患病率、牙周健康状况、牙齿治疗需求以及上次看牙医的时间作为个体协变量进行分析。分配因素、人类发展指数（HDI）、基尼系数、文盲率、失业率、巴西月最低工资的 50%和 25%、初级保健覆盖率、口腔卫生团队覆盖率、获得个人医疗保健的机会以及监督刷牙的平均率是分析的背景变量。对个体和背景变量进行了多层次分析。统计分析采用分层线性和非线性模型推断不同层次之间的关联。男性青少年牙齿疼痛的患病率较低（OR = 0.53；95%CI = 0.37-0.75）。牙齿疼痛与低收入（OR = 1.58；95%CI = 1.07-2.33）、未经治疗的龋齿患病率（OR = 1.25；95%CI = 1.11-1.40）、牙周健康状况（OR = 1.80；95%CI = 1.04-3.09）和牙齿治疗需求（OR = 6.93；95%CI = 3.96-12.14）有关。个体水平的社会人口统计学和临床因素与结果相关，但与背景变量无关。这些发现强调了需要解决这些因素，以采取有效的社区卫生行动。
