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巴西东北部一个土著居民的口腔健康:富尔诺族群的横断面研究。

Oral health of an indigenous population in northeastern Brazil: a cross-sectional Study of the Fulni-ô ethnic group.

机构信息

PhD. Biomedical and Adjunct Professor, Medical Course, College of Medicine, Universidade Federal do Vale do São Francisco (UNIVASF), Petrolina (PE), Brazil.

MSc. Dental Surgeon, Department of Family Health Strategy, Municipality of Mirandiba, Mirandiba (PE), Brazil.

出版信息

Sao Paulo Med J. 2023 Jul 31;142(1):e2022355. doi: 10.1590/1516-3180.2022.0355.R1.10042023. eCollection 2023.

DOI:10.1590/1516-3180.2022.0355.R1.10042023
PMID:37531491
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10393376/
Abstract

BACKGROUND

There is a lack of studies evaluating the oral health of traditional indigenous communities in Brazil.

OBJECTIVES

Thus, the objective of this study was to describe the oral health characteristics of the indigenous Fulni-ô ethnic group in Northeast Brazil.

DESIGN AND SETTING

A cross-sectional observational investigation was conducted within the Project on Atherosclerosis among Indigenous Populations.

METHODS

This study included participants of both sexes from the Fulni-ô ethnic group. The participants included in this investigation underwent a comprehensive oral health evaluation by a registered and experienced dentist to assess oral health and identify potentially malignant oral lesions. Participants with suspicious lesions were referred for biopsy. Shapiro-Wilk, Mann-Whitney, and Student's t-tests were used, and measures of central tendency and dispersion were described. Statistical significance was 5%.

RESULTS

A total of 104 individuals were included in this study. The prevalence of the use of tobacco derivatives was 94.0%, with similarities between sexes. The prevalence of oral changes in this study population was 84.4%. Fifty-one individuals who underwent oral reassessment were referred for oral lesion biopsy.

CONCLUSIONS

This study demonstrated a high prevalence of oral alterations in the Fulni-ô population. Histopathological analyses indicated the presence of mild oral epithelial dysplasia in five cases.

摘要

背景

巴西缺乏针对传统土著社区口腔健康的研究。

目的

因此,本研究旨在描述巴西东北部富尔诺族群的口腔健康特征。

设计和设置

这是一项在土著人群动脉粥样硬化项目内进行的横断面观察性研究。

方法

本研究纳入了富尔诺族群的男女参与者。由注册且经验丰富的牙医对所有参与者进行全面的口腔健康评估,以评估口腔健康状况并识别可能的恶性口腔病变。对疑似病变的患者进行活检。采用 Shapiro-Wilk、Mann-Whitney 和 Student's t 检验,并描述集中趋势和离散度的度量。统计显著性水平为 5%。

结果

本研究共纳入了 104 名个体。使用烟草衍生物的患病率为 94.0%,性别间无差异。该研究人群的口腔变化患病率为 84.4%。51 名接受口腔重新评估的患者被转诊进行口腔病变活检。

结论

本研究表明富尔诺族群存在较高的口腔改变患病率。组织病理学分析显示 5 例存在轻度口腔上皮异型增生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cc6/10393376/c69f74119b1c/1806-9460-spmj-142-01-e2022355-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cc6/10393376/826e75a5e0c9/1806-9460-spmj-142-01-e2022355-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cc6/10393376/c69f74119b1c/1806-9460-spmj-142-01-e2022355-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cc6/10393376/826e75a5e0c9/1806-9460-spmj-142-01-e2022355-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cc6/10393376/c69f74119b1c/1806-9460-spmj-142-01-e2022355-gf02.jpg

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The work of a Brazilian nursing team of collective health in the special indigenous health district.巴西集体卫生护理团队在特别原住民卫生区的工作。
Rev Bras Enferm. 2021 May 28;74(2):e20200116. doi: 10.1590/0034-7167-2020-0116. eCollection 2021.
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Dental caries prevalence, prospects, and challenges for Latin America and Caribbean countries: a summary and final recommendations from a Regional Consensus.
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Braz Oral Res. 2021 May 28;35(suppl 01):e056. doi: 10.1590/1807-3107bor-2021.vol35.0056. eCollection 2021.
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Household food insecurity, dental caries and oral-health-related quality of life in Brazilian Indigenous adults.巴西原住民成年人的家庭食物不安全、龋齿和口腔健康相关生活质量。
Cien Saude Colet. 2021 Apr;26(4):1489-1500. doi: 10.1590/1413-81232021264.06472019. Epub 2019 Jun 7.
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Oral health work process: disparity between teams in Brazil, 2014.口腔卫生工作流程:巴西各团队之间的差异,2014 年。
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Relationships between scientific production and public policies: the case of indigenous people's health in the field of collective health.科学产出与公共政策之间的关系:以集体卫生领域的土著人民健康为例。
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