scholarly journals Socioeconomic inequalities related to dental care needs among adolescents and adults living in the state of Minas Gerais, Brazil

Author(s):  
Fabíola Bof de Andrade ◽  
Flávia Cristina Drumond Andrade

Abstract Background There is significant evidence of inequalities in the need for dental treatment, and their monitoring is essential for public health planning. Objective To measure the extent of the association between socioeconomic inequality and need for dental care. Method This study used data from the 2011 Survey of Oral Health Conditions, including a representative sample of adolescents (n=2,310) and adults (n=1,188) from the state of Minas Gerais, Brazil. Need for dental treatment was evaluated according to criteria of the World Health Organization (WHO). Family income was used as a measure of socioeconomic status. The magnitude of socioeconomic inequalities related to the need for treatment was assessed using the slope index of inequality (SII) and the relative index of inequality (RII). Results Among adolescents, the SII was -22.9% (95% CI -34.8; -11.0) and the estimated RII was 0.61 (95% CI 0.47; 0.79). Among adults, the SII was -28.0% (95% CI -39.8; -16.3) and the RII was 0.58 (95% CI 0.45; 0.74). Conclusion There are socioeconomic inequalities regarding the need for dental treatment, and individuals with lower family income present a higher prevalence of need.

Pathogens ◽  
2019 ◽  
Vol 8 (4) ◽  
pp. 263
Author(s):  
Brito ◽  
Barbosa ◽  
Coelho de Andrade ◽  
Sá de Oliveira ◽  
Montarroyos ◽  
...  

This study analyzed the association between individual and household factors and the incidence of trachoma among a population aged between 1 and 9 years in the state of Pernambuco. This was a population-based household study conducted using a population-based sample of residents from 96 census sectors of the 1778 sectors considered to be at social risk in the state. The estimated odds ratio of the univariate analysis presented a confidence interval of 95%. Weights and clusters were adjusted through the Generalized Linear and Latent Mixed Model (GLLAM) method. Trachoma cases were the dependent variable in the multivariate analysis. The independent variables were selected through the stepwise forward method, with an input criterion of 20% (p < 0.20) and an output criterion of 10% (p < 0.10). The prevalence was 6.65%. Trachoma was associated with a female sex, age of 5–9 years, either the absence of use or infrequent use of soap to wash the hands and face, the presence of nasal secretion, a lack of piped water from a public supply system, a greater number of rooms used for sleeping, a greater number of people living in the same household, and a family income of up to one minimum monthly wage. The prevalence of follicular trachoma in Pernambuco was higher than what is recommended by the World Health Organization (WHO).


2021 ◽  
Vol 10 (13) ◽  
pp. e88101321036
Author(s):  
Angelita Avi Pugliesi ◽  
Anabelle Retondario ◽  
Lize Stangarlin-Fiori ◽  
Lilian Mitsuko Tanikawa ◽  
Maria Eliana Madalozzo Schieferdecker ◽  
...  

Objective: To investigate the opinion of family farmers about the supply of organic food to the National School Feeding Program (PNAE) in the state of Paraná, Brazil. Method: The convenience sample consisted of 44 family farmers from nine cooperatives and associations located in eight different mesoregions of the state of Paraná that supplied organic food to the PNAE. An online survey was conducted to evaluate the farmers' opinion on possible changes in the cooperatives' revenue and organization; diversification and production increase; difficulties in commercialization; increase in income, and improvement in food consumption after supplying to the PNAE. Results: According to the farmers’ opinion, there was better organization (100%) and an increase in the cooperatives' revenue and production (86.36%), after supplying to the PNAE. 75% of the farmers diversified their crops and 52.3% reported an increase of up to 25% in their family income. In addition, it was reported a better acceptance of the school feeding, diversification in the family's diet, improved self-esteem, closeness between producers and consumers, and the return of family members to the rural property. Conclusion: In the opinion of family farmers, PNAE has been fulfilling its role as a promoter of Food and Nutritional Security in the development of healthy habits, besides contributing to the increase in family income and promoting local sustainable development, following the World Health Organization's agenda.


2011 ◽  
Vol 58 (4) ◽  
pp. 202-208 ◽  
Author(s):  
Aleksandra Zuza ◽  
Igor Radovic ◽  
Jelena Krunic ◽  
Nikola Stojanovic

Introduction. Dental caries has been one of the oldest but still one of the most common oral diseases in humans. Even though it has been almost eradicated in developed countries due to increased fluoride use, adoption of proper oral hygiene habits and systematic implementation of preventive programs, caries remained one of leading oral diseases in developing countries. Epidemiological data about the prevalence of caries is very important for prediction of need for dental care, number of dental care providers as well as financial aspect. The aim of this study was to determine dental status and indicate dental treatment need in adults of the municipality of Foca, Republika Srpska (Bosnia and Herzegovina). Material and Methods. The study included 244 randomly selected residents (131 males and 113 females) from the municipality of Foca which were divided into three age groups: 20-29, 30-39 and 40-49 years. Dental status and need for dental treatment were determined in accordance to the criteria and methodology of the World Health Organization. Results. Mean value of DMFT index was 12.7 for the first age group, 16.4 for the second and 20.5 for the third age group of respondents. Dominant components in the first group were restored and carious teeth while in the third age group number of extracted teeth dominated. Also, in the third age group of respondents need for one and two or more surfaces fillings was significantly lower (p<0.01), but need for removable dentures was significantly higher (p<0.01) as compared to other two groups. Conclusion. These results indicated high value of DMFT index in adult population of the municipality of Foca.


Author(s):  
Rosângela Ramos Veloso Silva ◽  
Vítor Fonseca Bastos ◽  
Geane Hellen Leal Mota ◽  
Gabriel Oliveira Mota ◽  
Nayra Suze Souza e Silva ◽  
...  

Abstract - The aim of the study was to verify the prevalence and factors associated with active transport to work among public basic education teachers in the state of Minas Gerais. An epidemiological survey of the websurvey type was carried out with teachers from the state public system of basic education in Minas Gerais. The collection took place from August to September 2020 via digital form. The dependent variable was active transport to work and the crude; and adjusted Poisson Regression was used. 15,641 teachers participated in the study, of which, 26.1% were actively commuting to work. There was a higher prevalence among women (PR=1.08; 95%CI 1.01; 1.17), aged 41 to 59 years (PR=1.20; 95%CI 1.12;1.28), from the urban area (PR=1.51; 95%CI 1.37;1.66), with lower family income (PR=1.75; 95%CI 1.48;1.93), those with working time higher than 20 years (PR=1.27; 95%CI 1.19;1.35), who work as teachers for up to 39 hours per week (PR=1.15; 95%CI 1.06;1.25), with eutrophic weight (PR=1.09; 95%CI 1.02;1.17) and those who practiced physical activity 5 times or more a week (PR=1.25; 95%CI 1.15;1.36). The results showed that there is a significant prevalence of teachers who do not carry out active transport to work. The highest prevalence of active transport to work was significantly associated with several variables, among which the census area and family income. Incentives are needed to promote active transportation among teachers.


Author(s):  
Yasser Alsayed Tolibah ◽  
Chaza Kouchaji ◽  
Thuraya Lazkani ◽  
Mohammad Tamer Abbara ◽  
Saffana Jbara ◽  
...  

Hydrocephalus affects the central nervous system as a result of progressive ventricular dilatation from the accumulation of cerebrospinal fluid in the brain’s lateral ventricles. This paper reports on the oral characteristics of a child with congenital hydrocephalus, discusses her complex dental care needs, and presents dental management of this case. Despite the complex and challenging dental needs, this child received dental treatment in a chairside approach without general anesthesia. A thorough knowledge of the patient’s medical condition, together with expert clinical skills, was indispensable for managing the child and improving the quality and length of her life.


Geriatrics ◽  
2021 ◽  
Vol 6 (3) ◽  
pp. 76
Author(s):  
Alice Kit Ying Chan ◽  
Manisha Tamrakar ◽  
Chloe Meng Jiang ◽  
Edward Chin Man Lo ◽  
Katherine Chiu Man Leung ◽  
...  

The advancement of medicine has reduced the rate of mortality and older adult population is increasing. Among the 7,700,000,000 world population in 2019, 1 in 11 people were at the age of 65 or more. The population is expected to increase to 1 in 6 people by 2050. Older adults have degenerative changes that become more severe with age. This study used the World Health Organization’s websites and PubMed and Google Scholar databases to review current global oral and systemic health issues. Studies generally reported that many older adults have no regular dental checkup. Common oral diseases such as dental caries particularly root caries and periodontal disease are highly prevalent among them. These oral diseases are often interrelated with their systemic problems. A meta-analysis reported diabetes increases the incidence and progression of periodontitis by 86%. A decrease in salivary output is common among older adults having polypharmacy. A review reported the caries risk in older adults increases by 60% with low resting pH and low stimulated salivary flow rate. Many older adults suffer from dementia and depression which complicates the delivery of dental treatment. Proper oral hygiene practice and dental care at supine position are often difficult to be carried out if they have rheumatoid arthritis. With the increasing need of elderly dental care, dentists and other dental personnel should understand interlaced oral and general health in order to provide a successful dental care plan for older adults. The aim of this study is to give an overview of the common medical conditions and dental problems and their impacts on older adults.


2005 ◽  
Vol 19 (4) ◽  
pp. 249-255 ◽  
Author(s):  
Marcelo Augusto Amaral ◽  
Luiza Nakama ◽  
Carlos Alberto Conrado ◽  
Tiemi Matsuo

The aim of the present study was to determine the prevalence and severity of dental caries as well as the needs for dental treatment in 18-year-old males from Maringá, PR, Brazil. The association of dental caries experience with socioeconomic variables was also tested. A cross sectional study was conducted in a random sample of 241 conscripts of the Brazilian Army. The adopted diagnosis criteria were those proposed by the World Health Organization. A socioeconomic questionnaire was utilized to determine family income and the criterion of the Brazil Economic Classification of the National Association of Research Enterprises. Associations among caries prevalence, DMF-T index, treatment needs and socioeconomic variables were evaluated by means of the Chi-Square, Mann-Whitney and Kruskal-Wallis tests. Caries prevalence was 82.6% and the mean DMF-T index was 4.6. Only a mean of 0.8 tooth per individual presented treatment needs. Significant statistical differences were found in caries prevalence and severity (DMF-T). The worst results were observed in the groups of lower income and purchasing power, indicating a need for the implementation of social policies that address these populations aiming at diminishing the existing differences in the health-disease process indicators. On the other hand, treatment needs were only associated to the Brazil Economic Classification Criterion variable (p < 0.05).


2021 ◽  
Vol 17 (3) ◽  
pp. 29-34
Author(s):  
Alisa Nasibullina ◽  
Milyausha Kabirova ◽  
Il'dar Kabirov ◽  
Damir Valishin

At the end of 2019, an outbreak of a new coronavirus infection occurred in the People's Republic of China with an epicenter in the city of Wuhan [26]. The causative agent was given the temporary name 2019-nCoV. The World Health Organization officially named the infection-COVID-19 on February 11, 2020. The official name of the causative agent of infection SARS-CoV-2, was assigned by the international committee on the taxonomy of viruses [22]. A number of authors have established that the main role is played by receptors of angiotensin converting enzyme 2 (ACE2) in the penetration of the virus into target cells [19]. It is known that the transmission of SARS-CoV-2 occurs more often by airborne droplets during close contact with infected patients [15], as well as through direct contact with infected people and infected objects [17, 18, 20]. For healthcare professionals, SARS-CoV-2 has set tasks related to the rapid diagnosis and provision of medical care to patients. Currently, information on the clinical features, epidemiology, prevention and treatment of this disease is limited [13, 14]. To date, there is a limited amount of literature describing the dental status in patients diagnosed with SARS-CoV-2. Thus, the purpose of this study was to study the state of oral mucosa and substantiate its changes in patients with a laboratory-confirmed diagnosis of SARS-CoV-2 of mild to moderate severity, with or without concomitant oral coinfection. On the other hand, knowledge of the peculiarities of the dental status of Sars-CoV-2 patients and timely rational treatment of diseases of the oral cavity should constitute an important stage in the algorithm for their specialized therapy [2]. The work carried out a comprehensive assessment of the state of the oral cavity and the need for dental treatment in patients with Sars-CoV-2. The conclusions are based on the results of a simple observational clinical study, in which a comparative assessment of dental status indicators was carried out in 40 patients with Sars-CoV-2 and 20 somatically healthy individuals of the same sex and age.


2021 ◽  
Vol 2021 ◽  
pp. 1-3
Author(s):  
Leopoldo Lucio da Mata ◽  
Ana Maria Schroden Rodrigues da Cunha ◽  
Andrezza Morais Moronte

Patients with special health care needs (PSHCN) may have an increased risk of oral disease throughout the course of their life and require particular delivery of dental care due to their medical condition or limitations. The purpose is to report the dental management of a patient with Cornelia de Lange Syndrome (CdLS), which was classified as PSHCN due to physical, behavioural, cognitive, and emotional impairment. A 14-year-old female with a clinical diagnosis of CdLS and its common craniofacial features such as microcephaly, short neck, synophrys, arched eyebrows, downturned angle of the mouth, high arched palate, micrognathia, and microdontia was referred to the hospital where the dental treatment was performed under general anesthesia. Multiple tooth extraction, fillings, and coronary polishing were performed. During the follow-up, we observed that dental restorations were clinically satisfactory and there was an improvement in the patient’s behaviour during dental treatment. Managing and shaping behaviour of such patients are crucial to delivering quality dental care, as they require specialized care due to their behavioural and clinical conditions.


BMJ Open ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. e022436 ◽  
Author(s):  
Jae Woo Choi ◽  
Young Choi ◽  
Tae-Hoon Lee ◽  
Hyo Jung Lee ◽  
Yeong Jun Ju ◽  
...  

ObjectivesThis study was designed to evaluate whether employment status is associated with the experience of unmet dental care needs.MethodsA total of 4620 workers were retrieved from Korea Health Panel data (2010–2013), and potential relationships were explored among their income levels, changes in employment and unmet dental care needs.ResultsAmong the 4620 workers, 17.3% said they had failed at least once to get dental treatment or check-up, despite their needs. Precarious workers and those not in employment were more likely to experience unmet dental care needs due to economic burden compared with permanent workers (OR 1.36, 1.40, respectively). In addition, people in low-income group were 4.46 times more likely to experience unmet dental care needs caused by economic burden, compared with those with the highest income.ConclusionThis disparity means that precarious workers and those not in employment are more likely to face barriers in obtaining needed health services. Given the insecure employment status of low income people, meeting their healthcare needs is an important consideration.


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