Severity of malocclusion in adolescents: populational-based study in the north of Minas Gerais, Brazil

ABSTRACT OBJECTIVE To identify the factors associated with severity of malocclusion in a population of adolescents. METHODS In this cross-sectional population-based study, the sample size (n = 761) was calculated considering a prevalence of malocclusion of 50.0%, with a 95% confidence level and a 5.0% precision level. The study adopted correction for the effect of delineation (deff = 2), and a 20.0% increase to offset losses and refusals. Multistage probability cluster sampling was adopted. Trained and calibrated professionals performed the intraoral examinations and interviews in households. The dependent variable (severity of malocclusion) was assessed using the Dental Aesthetic Index (DAI). The independent variables were grouped into five blocks: demographic characteristics, socioeconomic condition, use of dental services, health-related behavior and oral health subjective conditions. The ordinal logistic regression model was used to identify the factors associated with severity of malocclusion. RESULTS We interviewed and examined 736 adolescents (91.5% response rate), 69.9% of whom showed no abnormalities or slight malocclusion. Defined malocclusion was observed in 17.8% of the adolescents, being severe or very severe in 12.6%, with pressing or essential need of orthodontic treatment. The probabilities of greater severity of malocclusion were higher among adolescents who self-reported as black, indigenous, pardo or yellow, with lower per capita income, having harmful oral habits, negative perception of their appearance and perception of social relationship affected by oral health. CONCLUSIONS Severe or very severe malocclusion was more prevalent among socially disadvantaged adolescents, with reported harmful habits and perception of compromised esthetics and social relationships. Given that malocclusion can interfere with the self-esteem of adolescents, it is essential to improve public policy for the inclusion of orthodontic treatment among health care provided to this segment of the population, particularly among those of lower socioeconomic status.

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Falls among the elderly: risk factors in a population-based study

Revista Brasileira de Epidemiologia ◽

10.1590/1809-4503201400030011 ◽

2014 ◽

Vol 17 (3) ◽

pp. 705-718 ◽

Cited By ~ 9

Author(s):

Iara Guimarães Rodrigues ◽

Gustavo Pereira Fraga ◽

Marilisa Berti de Azevedo Barros

Keyword(s):

The Elderly ◽

Population Based ◽

Cross Sectional Study ◽

Cluster Sampling ◽

Elderly Adults ◽

Cross Sectional ◽

Population Based Study ◽

Factors Associated ◽

Gender And Age ◽

Policies And Programs

Purpose: The aim of the present study was to identify factors associated with the occurrence of falls among elderly adults in a population-based study (ISACamp 2008). Methods: A population-based cross-sectional study was carried out with two-stage cluster sampling. The sample was composed of 1,520 elderly adults living in the urban area of the city of Campinas, São Paulo, Brazil. The occurrence of falls was analyzed based on reports of the main accident occurred in the previous 12 months. Data on socioeconomic/demographic factors and adverse health conditions were tested for possible associations with the outcome. Prevalence ratios (PR) were estimated and adjusted for gender and age using the Poisson multiple regression analysis. Results: Falls were more frequent, after adjustment for gender and age, among female elderly participants (PR = 2.39; 95% confidence interval (95%CI) 1.47 - 3.87), elderly adults (80 years old and older) (PR = 2.50; 95%CI 1.61 - 3.88), widowed (PR = 1.74; 95%CI 1.04 - 2.89) and among elderly adults who had rheumatism/arthritis/arthrosis (PR = 1.58; 95%CI 1.00 - 2.48), osteoporosis (PR = 1.71; 95%CI 1.18 - 2.49), asthma/bronchitis/emphysema (PR = 1,73; 95%CI 1.09 - 2.74), headache (PR = 1.59; 95%CI 1.07 - 2.38), mental common disorder (PR = 1.72; 95%CI 1.12 - 2.64), dizziness (PR = 2.82; 95%CI 1.98 - 4.02), insomnia (PR = 1.75; 95%CI 1.16 - 2.65), use of multiple medications (five or more) (PR = 2.50; 95%CI 1.12 - 5.56) and use of cane/walker (PR = 2.16; 95%CI 1.19 - 3,93). Conclusion: The present study shows segments of the elderly population who are more prone to falls through the identification of factors associated with this outcome. The findings can contribute to the planning of public health policies and programs addressed to the prevention of falls.

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Periodontal condition of adolescents and associated factors

RGO - Revista Gaúcha de Odontologia ◽

10.1590/1981-86372019000043489 ◽

2019 ◽

Vol 67 ◽

Author(s):

Marise Fagundes SILVEIRA ◽

Rafael Silveira FREIRE ◽

Maria Fernanda Santos Figueiredo BRITO ◽

Andrea Maria Eleutério de Barros Lima MARTINS ◽

Luiz Francisco MARCOPITO

Keyword(s):

Public Schools ◽

Oral Health ◽

Sampling Method ◽

Population Based ◽

Dental Service ◽

Cluster Sampling ◽

Cross Sectional ◽

Population Based Study ◽

Periodontal Condition ◽

Type Of School

ABSTRACT Objective: This study aimed to describe the periodontal condition of adolescents and identify its potential determinants. Methods: This is a cross-sectional population-based study (n=763) conducted in a city in Northern Minas Gerais. Multistage probability cluster sampling method was used. Trained and calibrated professionals carried out the intraoral examinations and the interviews at the participants’ homes. Logistic regression model was used to identify the factors associated with the periodontal condition. Results: It was found that around 30% of the adolescents presented periodontal changes, being gingival bleeding (14.1%) and dental calculus (14.0%) the most prevalent impairments. Periodontal changes were associated in adolescents who did not attend school (OR=1,9; p=0.031), attended public schools (OR=2,0; p=0.005), never went to the dentist (OR=1,7; p=0,047), used public/philanthropic services (OR=1,7; p=0,002), smoked (OR=1,6; p=0,003), consumed alcohol (OR=1,6; p=0,016) and self-perceived their oral health as too bad/bad (OR=2,4; p=0,032) and regular (OR=1,5; p=0,023). Conclusion: About one-third of adolescents have periodontal changes, which were associated with the type of school and type of dental service they attend, smoking, alcohol consumption and self-perception of oral health.

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ADOLESCENT GLUTEN INTAKE: POPULATION-BASED STUDY IN A BRAZILIAN CITY

Revista Paulista de Pediatria ◽

10.1590/1984-0462/;2019;37;4;00014 ◽

2019 ◽

Vol 37 (4) ◽

pp. 419-427 ◽

Cited By ~ 1

Author(s):

Daniela de Assumpção ◽

Caroline Dario Capitani ◽

Ana Carolina Rocha ◽

Marilisa Berti de Azevedo Barros ◽

Antonio de Azevedo Barros Filho

Keyword(s):

Eating Habits ◽

Population Based ◽

Cross Sectional Study ◽

Food Sources ◽

Cluster Sampling ◽

Chicken Nuggets ◽

Cross Sectional ◽

Healthy Eating Habits ◽

Health Related ◽

Epidemiological Profile

ABSTRACT Objective: To estimate the prevalence of gluten intake according to demographic, socioeconomic, and health-related behavioral variables in adolescents. Methods: This is a population-based cross-sectional study with a two-stage cluster sampling, conducted in Campinas, São Paulo, in 2008-2009. Foods containing gluten were identified using a 24-hour Recall. We calculated the prevalence and adjusted prevalence ratios with multiple Poisson regression. Results: The study had a sample of 924 adolescents aged 10 to 19 years. Among the foods assessed, 26.9% (confidence interval of 95% - 95%CI 25.3-28.6) contained gluten. We found a higher prevalence of gluten intake in younger individuals (10 to 14 years), as well as in subgroups of adolescents who had a higher number of household appliances, attended school, consumed fewer beans and vegetables during the week (<4 times), and whose head of the family had better education level (≥12 years of schooling). The main food sources of gluten in their diet were: bread, cakes, and cereals (30.2%), chocolate milk (14%), chicken nuggets (12.3%), and cookies (11%). Conclusions: The results of the study show the epidemiological profile associated with gluten intake in adolescents and could support actions aimed at promoting healthy eating habits and preventing gluten-related diseases.

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Association between gingival parameters and Oral health–related quality of life in Caribbean adults: a population-based cross-sectional study

BMC Oral Health ◽

10.1186/s12903-019-0931-1 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 3

Author(s):

J R Collins ◽

A R Elías ◽

M Brache ◽

K Veras ◽

G Ogando ◽

...

Keyword(s):

Quality Of Life ◽

Oral Health ◽

General Health ◽

Population Based ◽

Health Related Quality ◽

Cross Sectional ◽

Dental Visits ◽

Related Quality ◽

Health Related

Abstract Background Good oral health has been associated with better quality of life and general health. In the Caribbean, there have been no studies regarding the association between oral health conditions and the quality of life of the population. The main purpose of this study was to investigate the association between gingival parameters and oral health–related quality of life (OHRQoL) in Caribbean adults. A secondary aim of the study was to gain more information on factors that impact OHRQoL in this population. Methods This cross-sectional, epidemiological, population-based study was conducted in community settings. After the participants with missing Oral Health Impact Profile (OHIP) data were excluded, the sample size was 1821 (weighted according to the age and gender distribution in each target population). OHIP-14 standardized questionnaires were used to collect information. In addition, a medical/oral health questionnaire including sociodemographics, general health, dental visits, oral hygiene habits and knowledge, the frequency of dental visits, prosthesis use/hygiene, and smoking was administered. A multivariate model included predictors that showed significant associations in the univariate models. Odds ratios (ORs) and 95% confidence intervals (CIs) were reported; statistical significance was set at 0.05. Results In the multivariate analysis, current smokers (OR = 2.34, 95% CI: 1.74–3.14 vs. never smokers), those who visited the dentist only when problems arose (OR = 1.65, 95% CI: 1.13–2.40 vs. those visiting once a year), and participants with any chronic disease/condition (OR = 1.38, 95% CI: 1.06–1.78) had higher odds of being in the highest tertile for OHIP score (poorer health). Conclusions The present multicenter study identified potential modifiable risk factors for poor OHRQoL among adults in three Caribbean cities.

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The relationship between oral health-related quality of life, the need for orthodontic treatment and bullying, among Brazilian teenagers

Dental Press Journal of Orthodontics ◽

10.1590/2177-6709.24.2.073-080.oar ◽

2019 ◽

Vol 24 (2) ◽

pp. 73-80 ◽

Cited By ~ 4

Author(s):

Renata Colturato Joaquim Gatto ◽

Artênio José Ísper Garbin ◽

José Eduardo Corrente ◽

Cléa Adas Saliba Garbin

Keyword(s):

Quality Of Life ◽

Oral Health ◽

Orthodontic Treatment ◽

Health Impact ◽

Negative Consequences ◽

Health Related Quality ◽

Cross Sectional ◽

Related Quality ◽

Health Related

ABSTRACT Introduction: Orthodontic treatment aims at oral health and restoration of function as main objectives, however, psychological and social effects end up being the main reason for the demand for treatment. Objective: To determine the association between the oral health-related quality of life (OHRQoL), the need for orthodontic treatment and bullying among Brazilian teenagers. Methods: This was a cross-sectional epidemiological study. To assess the malocclusion, the Dental Aesthetic Index was used. And the Oral Health Impact Profile-14 was used to analyze the OHRQoL. The Kidscape questionnaire was used to investigate cases of bullying. The following variables were also included: previous orthodontic treatment and a desire to fix the teeth to improve one’s appearance. Multivariate analysis was performed using logistic regression considering the poor OHRQoL as a response variable. Results: 815 teenagers participated in the study. There was a statistically significant association between oral health-related quality of life and the variables: previous orthodontic treatment (p= 0.0270), desire to fix the teeth (p< 0.0001), sex (p= 0.0309), history of being a victim of bullying (p< 0.0001), frequency of bullying episodes (p= 0.0170), and consequences of bullying (p< 0.0001). The following were considered as risk factors for poor OHRQoL: lack of previous orthodontic treatment (OR = 2.191) and negative consequences of bullying (OR = 3.042). Conclusion: The need for orthodontic treatment was not associated with the OHRQoL; however, bullying and previous orthodontic treatment had a statistically significant association with this variable.

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Contextual and individual determinants of tooth loss in adults: a population-based multilevel study

10.21203/rs.2.16033/v3 ◽

2020 ◽

Author(s):

Luana Leal Roberto ◽

Marise Fagundes Silveira ◽

Alfredo Mauricio Batista De Paula ◽

Efigênia Ferreira Ferreira ◽

Andréa Maria Eleutério De Barros Lima Martins ◽

...

Keyword(s):

Oral Health ◽

Tooth Loss ◽

Negative Binomial ◽

Negative Binomial Regression ◽

Population Based ◽

Cross Sectional Study ◽

Social Characteristics ◽

Dental Services ◽

Cross Sectional ◽

Individual Level

Abstract Background: Tooth loss represents a known marker of health inequality. The association between tooth loss and unfavorable socioeconomic conditions is evident when analyzed at an individual level. However, the effects of contextual characteristics on tooth loss need to be better investigated and understood. The objective of this study was to analyze tooth loss among Brazilian adults (35-44 years of age), in accordance with individual and contextual social characteristics. Methods: This was a multilevel cross-sectional study with data from 9,564 adult participants from the Brazilian Oral Health Survey - SBBrasil 2010. The dependent variable was the number of lost teeth and the independent variables were grouped into structural (socioeconomic & political context) and intermediary (socioeconomic position, behavioral & biological factors, and health services) determinants. Multilevel Hierarchical Negative Binomial Regression was conducted and the Mean Ratio (MR) was estimated. Results: Brazilian adults lost a mean of 7.57 (95% CI 7.1-8.1) teeth. Among the contextual variables, the number of teeth lost was higher among residents of municipalities with high and medium/low Municipal Human Development Index (MHDI) and in municipalities that did not have public water fluoridation. Among the individual variables, dental loss was higher among those who declared themselves yellow/black/brown/indigenous, were older, who had lower income, who had never visited a dentist, who had used dental services for more than a year and those whose most recent visit to the dentist was due to oral health problems. On the other hand, dental loss was lower among adults with higher education levels and males. Conclusions: The number of missing teeth was associated with unfavorable contextual and individual conditions, which reinforces the need to reduce social inequality and guarantee regular, lifetime access to dental services.

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Alcohol use and its associated factors during pregnancy in Ethiopia: a population-based survey

10.21203/rs.3.rs-52915/v1 ◽

2020 ◽

Author(s):

Nitsu Addis ◽

Muluken Azage ◽

Dabere Nigatu ◽

Kristen Kirksey

Keyword(s):

Alcohol Use ◽

Pregnant Women ◽

Associated Factors ◽

Population Based ◽

Cluster Sampling ◽

Cross Sectional Survey ◽

Multivariable Logistic Regression Model ◽

Cross Sectional ◽

Factors Associated ◽

Population Based Survey

Abstract Background: Alcohol use during pregnancy is a modifiable health behavior that causes a range of health problems in infants, including impaired growth, stillbirth, and fetal alcohol spectrum disorder. However, there is lack of comprehensive information on alcohol use and associated factors during pregnancy using a population-based dataset in Ethiopia. Therefore, this study aimed to assess the prevalence of alcohol use during pregnancy and associated factors using a national, population-based survey.Methods: The study utilized data from the 2011 and 2016 Ethiopian Demographic and Health Survey, a cross-sectional survey conducted on a nationally representative sample. The survey employed a multistage cluster sampling method to generate representative national and sub-national health and health related indicators. A total of 2,341 pregnant women were included in the analysis. Factors associated with alcohol use were identified using multivariable logistic regression model. Adjusted odds ratios (AOR) with 95% confidence interval (CI) were computed to quantify the degree of association between independent variables and alcohol use.Results: In Ethiopia, the prevalence of alcohol use among pregnant women was 30.2% (95% CI: 28.4%-32.2%). The study identified that being employed (AOR: 2.07; 95%CI: 1.55-2.77), ever attempted termination of pregnancy (AOR: 2.21; 95% CI: 1.60-3.05), having two (AOR: 2.56; 95% CI: 1.76-3.72), or three (AOR: 2.98; 95% CI: 1.40-6.35) sexual partners in lifetime and chat chewing (AOR: 8.91; 95% CI: 4.61-17.23) had increased the odds of alcohol use during pregnancy.Conclusion: In this study, the prevalence of alcohol use during pregnancy among Ethiopian mothers was high. Working status, ever used something to terminate the pregnancy, more than one lifetime partner, and chat chewing were factors associated with alcohol use during pregnancy. Thus, prevention interventions and strategies can draw on the identified modifiable health behaviors.

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Factors associated with the hospitalization of the elderly: a national study

Revista Brasileira de Geriatria e Gerontologia ◽

10.1590/1981-22562018021.180059 ◽

2018 ◽

Vol 21 (4) ◽

pp. 439-446

Author(s):

Danielle Bordin ◽

Luciane Patrícia Andreani Cabral ◽

Cristina Berger Fadel ◽

Celso Bilynkievycz dos Santos ◽

Clóris Regina Blanski Grden

Keyword(s):

The Elderly ◽

Population Based ◽

National Health Survey ◽

Outcome Variable ◽

National Study ◽

Cross Sectional ◽

Factors Associated ◽

Medical Visits ◽

Care For The Elderly ◽

Health Related

Abstract Objective :to analyze the factors associated with hospitalization among the Brazilian elderly based on multidimensional methodology. Method: a cross-sectional, quantitative study was performed with data from the National Health Survey (2013) population-based study. The sample was composed of 23,815 individuals over the age of 60 years. Hospitalization was considered the outcome variable and 53 independent variables were included, relating to: sociodemographic characteristics; limitations and illness; difficulties in performing basic and instrumental activities of daily living; use of health services and medical emergencies. Results: it was found that 10% of the elderly were hospitalized in the previous year. This event was related to: a negative self-perception of health (OR = 1.35); stopping performing any of their usual activities due to health reasons (OR = 2.14); difficulty going to the doctor (OR = 1.65) or walking alone (OR = 1.55); a recent search for a site, service or health professional for health-related care (OR = 1.47); increased frequency of annual medical visits (OR = 2.93) and household emergency (OR = 5.40). Conclusion: the results reinforce the fact that multiple factors are associated with the hospitalization of the elderly. The analysis of these associations has the potential to make health professionals and administrators aware of the need to improve health care for the elderly and to assist in the organization and planning of the actions of the entire health service network.

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Contextual and individual determinants of tooth loss in adults: a population-based multilevel study

10.21203/rs.2.16033/v2 ◽

2020 ◽

Author(s):

Luana Leal Roberto ◽

Marise Fagundes Silveira ◽

Alfredo Mauricio Batista De Paula ◽

Efigênia Ferreira Ferreira ◽

Andréa Maria Eleutério De Barros Lima Martins ◽

...

Keyword(s):

Oral Health ◽

Tooth Loss ◽

Negative Binomial ◽

Negative Binomial Regression ◽

Population Based ◽

Cross Sectional Study ◽

Social Characteristics ◽

Dental Services ◽

Cross Sectional ◽

Individual Level

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Prevalence and factors associated with the need for removable prostheses in brazilian elderly

Research Society and Development ◽

10.33448/rsd-v10i12.20796 ◽

2021 ◽

Vol 10 (12) ◽

pp. e499101220796

Author(s):

Nataska de Oliveira ◽

Laércio Almeida de Melo ◽

Ronaldo Luís Almeida de Carvalho ◽

Júlio César Brigolini de Faria ◽

Beatriz de Pedro Netto Mendonça ◽

...

Keyword(s):

Oral Health ◽

Negative Impact ◽

The Elderly ◽

Population Based ◽

National Health Survey ◽

Chi Square ◽

Cross Sectional ◽

Factors Associated ◽

Removable Prosthesis ◽

Chi Square Test

Objective: This study aimed to identify the prevalence and factors associated with the need for removable prostheses in the elderly Brazilian population. In addition, its impact on eating difficulties and self-perceived oral health was determined. Methodology: This cross-sectional, population-based study used data from the last National Health Survey (NHS) carried out in Brazil. Chi-square test was used to initially analyze the data, followed by multiple Poisson regression to obtain adjusted prevalence ratios. Results: A total of 11,697 elderly people were included, of whom 90.8% needed removable prostheses. Complete dentures were needed in 40.9% of participants, while partial dentures were needed by 49.9%. The elderly who were older (p=0.001), had grayish-brown complexion (p=0.004), a low level of education (p<0.001), and multiple chronic diseases (p<0.001) had a greater need for removable prostheses. Successively, this need had an impact on poor self-perceived oral health (p<0.001) and greater difficulties in eating (p<0.001). Conclusion: The need for a removable prosthesis is associated with worse socioeconomic and health conditions. In addition, it has a negative impact on self-perceived oral health and feeding.

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