Federal University of Paraiba, João Pessoa, Brazil.
University of Campinas, Campinas, Brazil.
BMC Oral Health. 2021 Nov 30;21(1):608. doi: 10.1186/s12903-021-01970-w.
Dental caries is associated with Biological, behavioral, socioeconomic, and environmental factors; however, socioeconomic status is a distal determinant of dental caries development that modulates exposure to risk and protective factors. This study aimed to analyze the socioeconomic factors associated with the concentration of oral diseases in a population-based study in Brazil.
This is a quantitative, analytical, cross-sectional study based on secondary data from the SB São Paulo 2015 epidemiological survey. A total of 17,560 subjects were included. The concentration of oral disease in the population was estimated by the oral disease burden (ODB) variable. The ODB consists of four components: dental caries; tooth loss; need for dental prosthesis and periodontal condition. Thus, the total score on the ODB could vary between 0 and 4, with the highest score indicating the worst possible situation. ODB was analyzed in multivariate negative binomial regression, and multivariate binary logistic regression analysis. The following factors were included as independent variables: age group, skin color, socioeconomic factors, family income and Oral Impact on Daily Performance (OIDP).
In the sample, 86.9% had no minimum ODP component. Negative multivariate binomial regression showed a statistically significant relationship (p < 0.005) between ODB and all variables analyzed (skin color, family income, education, OIDP results and age range). The adjusted multivariate binary logistic regression showed that the individuals most likely to have at least one component of ODB were nonwhite (25.5%), had a family income of up to R$ 1500.00/month (19.6%), had only completed primary education (19.1%), and reported that their oral health had an impact on their daily activities (57.6%). Older adults individuals were two times more likely than adolescents to have an ODB component.
ODB is associated with factors related to social inequality. Adults and older adults individuals had the highest cumulative number of ODB components.
龋齿与生物、行为、社会经济和环境因素有关；然而，社会经济地位是龋齿发展的远程决定因素，它调节了对风险和保护因素的暴露。本研究旨在分析与巴西人群为基础研究中口腔疾病集中相关的社会经济因素。
这是一项基于 SB 圣保罗 2015 年流行病学调查的二次数据的定量、分析、横断面研究。共纳入 17560 名受试者。人群中口腔疾病的集中程度通过口腔疾病负担（ODB）变量来估计。ODB 由四个部分组成：龋齿；牙齿缺失；需要牙修复体和牙周状况。因此，ODB 的总得分可在 0 到 4 之间变化，得分越高表示情况越差。在多元负二项回归和多元二项逻辑回归分析中分析了 ODB。将以下因素作为自变量包括在内：年龄组、肤色、社会经济因素、家庭收入和日常口腔活动影响（OIDP）。
在样本中，86.9%的人没有最低的 ODP 组成部分。多元负二项回归显示，ODB 与所有分析变量（肤色、家庭收入、教育、OIDP 结果和年龄范围）之间存在统计学显著关系（p<0.005）。调整后的多元二项逻辑回归显示，最有可能至少有一个 ODB 组成部分的个体是非白色（25.5%），家庭收入每月不超过 1500.00 雷亚尔（19.6%），只完成了小学教育（19.1%），并且报告他们的口腔健康对他们的日常活动有影响（57.6%）。与青少年相比，老年人发生 ODB 组成部分的可能性高两倍。
ODB 与社会不平等相关因素有关。成年人和老年人的 ODB 组成部分数量最多。
