Universidade Federal de Minas Gerais - UFMG, School of 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. 2022 May 2;36:e057. doi: 10.1590/1807-3107bor-2022.vol36.0057. eCollection 2022.
This cross-sectional study evaluated factors associated with toothache in 12-year-old adolescents from the state of Minas Gerais in Brazil. Secondary data were collected from the SB Minas Gerais 2012 epidemiological survey. The dependent variable was toothache in the past 6 months. The independent variables were grouped into two levels: individual (sex, ethnic group, family income, periodontal condition, dental caries, dental treatment needs, and type of service used) and contextual (allocation factor, Human Development Index, Gini coefficient, gross domestic product, unemployment, illiteracy, basic sanitation, garbage collection, family income, half or a quarter of a minimum wage, primary healthcare coverage, primary oral healthcare team coverage, oral health technician, access to individual dental care, and supervised tooth brushing). A multilevel analysis was performed using the Hierarchical Linear and Nonlinear Modeling Software Program to assess the association of individual and contextual variables with toothache in the last 6 months. The prevalence of toothache in the last six months among the adolescents of this study was 19.1%. An association was found with family income (p <0.001), dental caries (p <0.001), primary oral healthcare team coverage (p = 0.015) and oral health technician (p = 0.008). Socioeconomic conditions and the most prevalent oral diseases, such as dental caries, as well as the use of public services, were related to toothache in adolescents aged 12 years. These findings reinforce the need to develop and implement public policies to address the oral health problems of this population.
这项横断面研究评估了巴西米纳斯吉拉斯州 12 岁青少年牙痛的相关因素。次级数据来自于 SB Minas Gerais 2012 年的流行病学调查。因变量为过去 6 个月的牙痛。自变量分为两个层次：个体（性别、种族、家庭收入、牙周状况、龋齿、牙齿治疗需求和使用的服务类型）和环境（分配因素、人类发展指数、基尼系数、国内生产总值、失业率、文盲率、基本卫生设施、垃圾收集、家庭收入、半薪或四分之一最低工资、初级保健覆盖率、初级口腔保健团队覆盖率、口腔卫生技术员、个体牙科护理的可及性和监督刷牙）。使用分层线性和非线性建模软件程序进行多水平分析，以评估个体和环境变量与过去 6 个月牙痛的关联。本研究中青少年过去 6 个月牙痛的患病率为 19.1%。与家庭收入（p<0.001）、龋齿（p<0.001）、初级口腔保健团队覆盖率（p=0.015）和口腔卫生技术员（p=0.008）有关。社会经济状况和最常见的口腔疾病，如龋齿，以及公共服务的使用，与 12 岁青少年的牙痛有关。这些发现强调了需要制定和实施公共政策，以解决这一人群的口腔健康问题。
