Cargando…

Increase in dental caries and change in the socioeconomic profile of families in a child cohort of the primary health care in Northeast Brazil

BACKGROUND: Factors associated with increases in dental caries and changes in the family socioeconomic profile were investigated in a paediatric primary health care (PHC) cohort in Northeast Brazil during the implementation of social and income transfer programmes. METHOD: A prospective analytical s...

Descripción completa

Detalles Bibliográficos
Autores principales: de Melo, Márcia Maria Dantas Cabral, de Souza, Wayner Vieira, de Goes, Paulo Sávio Angeiras
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6692952/
https://www.ncbi.nlm.nih.gov/pubmed/31412837
http://dx.doi.org/10.1186/s12903-019-0871-9
_version_ 1783443622304153600
author de Melo, Márcia Maria Dantas Cabral
de Souza, Wayner Vieira
de Goes, Paulo Sávio Angeiras
author_facet de Melo, Márcia Maria Dantas Cabral
de Souza, Wayner Vieira
de Goes, Paulo Sávio Angeiras
author_sort de Melo, Márcia Maria Dantas Cabral
collection PubMed
description BACKGROUND: Factors associated with increases in dental caries and changes in the family socioeconomic profile were investigated in a paediatric primary health care (PHC) cohort in Northeast Brazil during the implementation of social and income transfer programmes. METHOD: A prospective analytical study compared data from two surveys on caries in primary dentition conducted in 2006 (age: 18–36 months, n = 1045) and 2010 (age: 5–7 years). Data from the sample recruited and re-examined in 2010 (n = 469) were analysed. Prevalences (P) and the mean primary decayed, missing and filled teeth (dmft) index, cumulative incidence and mean increase were calculated. Differences (p ≤ 0.05 and 95% CI) in dmft ≥1 were identified via McNemar’s test. Differences in the mean dmft were evaluated according to socioeconomic variables (Kruskal-Wallis test and p ≤ 0.05). Multivariate analysis with a negative binomial model was used for the risk factors associated with increasing dmft. In the univariate analyses, nonparametric methods (Kruskal-Wallis test) were used to compare subsamples. Variables with p ≤ 0.20 were included in the multivariate model and retained when p ≤ 0.05. RESULTS: The prevalence and mean dmft (18–36 months and 5–7 years: p = 28.6 and 68.9%, mean = 1.01 and 3.46, respectively) and variation in mean dmft changed significantly (p < 0.005) with the education level and occupation of the mother; the prevalence and mean dmft were lower for higher maternal education level and maternal participation in the labour market. The cumulative incidence and mean increase in dmft were 8.71% and 2.45, respectively. Common risk predictors for increases in caries were consumption of sweets (RR = 1.53, 95% CI 1.09–2.14) and attendance at public schools (RR = 1.49, 95% CI: 1.81–1.89). Use of private clinical services was a protective factor (RR = 0.68, 95% CI 0.54–0.87). CONCLUSION: Increases in caries were observed despite positive changes in the distribution of socioeconomic indicators for the analysed children’s families. The risk factors identified for the increase in caries suggest ongoing problems regarding the effectiveness of intersectoral and health measures for controlling caries in populations exposed to PHC programmes.
format Online
Article
Text
id pubmed-6692952
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-66929522019-08-16 Increase in dental caries and change in the socioeconomic profile of families in a child cohort of the primary health care in Northeast Brazil de Melo, Márcia Maria Dantas Cabral de Souza, Wayner Vieira de Goes, Paulo Sávio Angeiras BMC Oral Health Research Article BACKGROUND: Factors associated with increases in dental caries and changes in the family socioeconomic profile were investigated in a paediatric primary health care (PHC) cohort in Northeast Brazil during the implementation of social and income transfer programmes. METHOD: A prospective analytical study compared data from two surveys on caries in primary dentition conducted in 2006 (age: 18–36 months, n = 1045) and 2010 (age: 5–7 years). Data from the sample recruited and re-examined in 2010 (n = 469) were analysed. Prevalences (P) and the mean primary decayed, missing and filled teeth (dmft) index, cumulative incidence and mean increase were calculated. Differences (p ≤ 0.05 and 95% CI) in dmft ≥1 were identified via McNemar’s test. Differences in the mean dmft were evaluated according to socioeconomic variables (Kruskal-Wallis test and p ≤ 0.05). Multivariate analysis with a negative binomial model was used for the risk factors associated with increasing dmft. In the univariate analyses, nonparametric methods (Kruskal-Wallis test) were used to compare subsamples. Variables with p ≤ 0.20 were included in the multivariate model and retained when p ≤ 0.05. RESULTS: The prevalence and mean dmft (18–36 months and 5–7 years: p = 28.6 and 68.9%, mean = 1.01 and 3.46, respectively) and variation in mean dmft changed significantly (p < 0.005) with the education level and occupation of the mother; the prevalence and mean dmft were lower for higher maternal education level and maternal participation in the labour market. The cumulative incidence and mean increase in dmft were 8.71% and 2.45, respectively. Common risk predictors for increases in caries were consumption of sweets (RR = 1.53, 95% CI 1.09–2.14) and attendance at public schools (RR = 1.49, 95% CI: 1.81–1.89). Use of private clinical services was a protective factor (RR = 0.68, 95% CI 0.54–0.87). CONCLUSION: Increases in caries were observed despite positive changes in the distribution of socioeconomic indicators for the analysed children’s families. The risk factors identified for the increase in caries suggest ongoing problems regarding the effectiveness of intersectoral and health measures for controlling caries in populations exposed to PHC programmes. BioMed Central 2019-08-14 /pmc/articles/PMC6692952/ /pubmed/31412837 http://dx.doi.org/10.1186/s12903-019-0871-9 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
de Melo, Márcia Maria Dantas Cabral
de Souza, Wayner Vieira
de Goes, Paulo Sávio Angeiras
Increase in dental caries and change in the socioeconomic profile of families in a child cohort of the primary health care in Northeast Brazil
title Increase in dental caries and change in the socioeconomic profile of families in a child cohort of the primary health care in Northeast Brazil
title_full Increase in dental caries and change in the socioeconomic profile of families in a child cohort of the primary health care in Northeast Brazil
title_fullStr Increase in dental caries and change in the socioeconomic profile of families in a child cohort of the primary health care in Northeast Brazil
title_full_unstemmed Increase in dental caries and change in the socioeconomic profile of families in a child cohort of the primary health care in Northeast Brazil
title_short Increase in dental caries and change in the socioeconomic profile of families in a child cohort of the primary health care in Northeast Brazil
title_sort increase in dental caries and change in the socioeconomic profile of families in a child cohort of the primary health care in northeast brazil
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6692952/
https://www.ncbi.nlm.nih.gov/pubmed/31412837
http://dx.doi.org/10.1186/s12903-019-0871-9
work_keys_str_mv AT demelomarciamariadantascabral increaseindentalcariesandchangeinthesocioeconomicprofileoffamiliesinachildcohortoftheprimaryhealthcareinnortheastbrazil
AT desouzawaynervieira increaseindentalcariesandchangeinthesocioeconomicprofileoffamiliesinachildcohortoftheprimaryhealthcareinnortheastbrazil
AT degoespaulosavioangeiras increaseindentalcariesandchangeinthesocioeconomicprofileoffamiliesinachildcohortoftheprimaryhealthcareinnortheastbrazil