scholarly journals Contextual and individual determinants of tooth loss in adults: a multilevel study

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 ◽  
Cross Sectional Study ◽  
Social Characteristics ◽  
Dental Services ◽  
Cross Sectional ◽  
Individual Level ◽  
The Individual

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.

scholarly journals Contextual and individual determinants of tooth loss in adults: a multilevel study

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 ◽  
Cross Sectional Study ◽  
Social Characteristics ◽  
Dental Services ◽  
Cross Sectional ◽  
Individual Level ◽  
The Individual

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.

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

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.

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

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.

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

2019 ◽  
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 ◽  
Population Based ◽  
Cross Sectional Study ◽  
Social Characteristics ◽  
Dental Services ◽  
Cross Sectional ◽  
Individual Level ◽  
Individual Variables ◽  
The Individual

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 8,837 adult participants from the National Oral Health Survey - SBBrasil 2010. The dependent variable was the number of lost teeth and the independent variables were grouped according to the theoretical model of Watt & Sheiham (2012). Negative Multilevel Hierarchical Binomial Regression was conducted and the Mean Ratio (MR) was estimated. Results: Brazilian adults lost a mean of 7.31 (95% CI 6.9-7.8) teeth. Among the contextual variables, the number of teeth lost was lower among residents of municipalities with higher Municipal Human Development Index (MHDI), and was higher 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 reported pain, who had not used dental services for more than a year and those whose reason for the consultation was due to oral health problems. On the other hand, dental loss was lower among adults with higher education levels, higher income 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.

scholarly journals Locked Mouths: Tooth Loss in a Women’s Prison in Northeastern Brazil

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Iris Sant’ Anna Araújo Rodrigues ◽  
Ingrid Thays de Melo Silveira ◽  
Magaly Suênya de Almeida Pinto ◽  
Alidianne Fabia Cabral Xavier ◽  
Thaliny Batista Sarmento de Oliveira ◽  
...  
Keyword(s):  
Oral Health ◽  
Tooth Loss ◽  
Statistical Tests ◽  
Cross Sectional Study ◽  
Health Condition ◽  
Northeastern Brazil ◽  
Prosthetic Rehabilitation ◽  
Dental Services ◽  
Cross Sectional ◽  
Women's Prison

Background. Prisoners, in general, exhibit unsatisfactory oral conditions, especially with regard to the large number of missing teeth and with untreated caries. The aim of this study was to assess tooth loss, use of and need for prosthetic rehabilitation, and use of dental services among inmates. A cross-sectional study involving 65 inmates was developed at the Regional Women’s Prison of Campina Grande, Brazil. Data regarding sociodemographic and sentencing profile, use of dental services, dental morbidity, and self-perceived oral health impacts were investigated. Chi-square, Pearson, and Kruskal-Wallis (P<0.05) statistical tests were used. The mean tooth loss was 11.3 teeth. Significant association between tooth loss and oral health satisfaction (P=0.049), self-perceived need for dental prosthesis (P<0.001), uncomfortable teeth brushing (P=0.005), difficult speaking (P=0.002), and difficulty in performing routine tasks (P=0.025) was observed. It was observed that 29.2% of inmates were using some type of prosthesis, all deemed unsuitable for use, and 78.5% of inmates needed prosthetic rehabilitation. The oral health condition of the population studied was found to be poor, and prisoners showed significant tooth loss and need for dentures, with the aggravation of having tooth extraction as the major reason for seeking dental care.

scholarly journals Salivary metabolites associated with a 5-year tooth loss identified in a population-based setting

BMC Medicine ◽  
2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Leonie Andörfer ◽  
Birte Holtfreter ◽  
Stefan Weiss ◽  
Rutger Matthes ◽  
Vinay Pitchika ◽  
...  
Keyword(s):  
Oral Health ◽  
Regression Models ◽  
Tooth Loss ◽  
Negative Binomial ◽  
Negative Binomial Regression ◽  
Independent Study ◽  
Variable Cross ◽  
Linear Regression Models ◽  
Tissue Destruction ◽  
Cross Sectional

Abstract Background Periodontitis is among the most common chronic diseases worldwide, and it is one of the main reasons for tooth loss. Comprehensive profiling of the metabolite content of the saliva can enable the identification of novel pathways associated with periodontitis and highlight non-invasive markers to facilitate time and cost-effective screening efforts for the presence of periodontitis and the prediction of tooth loss. Methods We first investigated cross-sectional associations of 13 oral health variables with saliva levels of 562 metabolites, measured by untargeted mass spectrometry among a sub-sample (n = 938) of the Study of Health in Pomerania (SHIP-2) using linear regression models adjusting for common confounders. We took forward any candidate metabolite associated with at least two oral variables, to test for an association with a 5-year tooth loss over and above baseline oral health status using negative binomial regression models. Results We identified 84 saliva metabolites that were associated with at least one oral variable cross-sectionally, for a subset of which we observed robust replication in an independent study. Out of 34 metabolites associated with more than two oral variables, baseline saliva levels of nine metabolites were positively associated with a 5-year tooth loss. Across all analyses, the metabolites 2-pyrrolidineacetic acid and butyrylputrescine were the most consistent candidate metabolites, likely reflecting oral dysbiosis. Other candidate metabolites likely reflected tissue destruction and cell proliferation. Conclusions Untargeted metabolic profiling of saliva replicated metabolic signatures of periodontal status and revealed novel metabolites associated with periodontitis and future tooth loss.

scholarly journals Scheduling delay in suspected cases of oral cancer

2011 ◽  
Vol 14 (4) ◽  
pp. 642-650 ◽  
Author(s):  
Luciana Meneses Souza ◽  
Edgard Michel-Crosato ◽  
Maria Gabriela Haye Biazevic ◽  
José Leopoldo Ferreira Antunes
Keyword(s):  
Oral Cancer ◽  
Negative Binomial ◽  
Statistical Significance ◽  
Negative Binomial Regression ◽  
Cross Sectional Study ◽  
Dental Services ◽  
Cross Sectional ◽  
Presenting Symptoms ◽  
The Mean ◽  
Dental Offices

The objective of the study was to evaluate scheduling delay of dental exams in the city of São Paulo of patients suspected of having oral cancer. A cross-sectional study was performed in which telephone conversations simulated clinical situations that represented two types of patients: one presenting symptoms suggestive of oral cancer (CA), and another one suggesting the need for prostheses (PR). The scheduling delay was evaluated by the days until an appointment for care; and among public offices, by type of schedule (emergency or routine). Negative binomial regression was used (95% statistical significance). Five hundred and seventy-five public and private dental offices participated in the study. The mean scheduling delay for the CA group was 2.88 days, and for the PR group, 4.34 days (p = 0.01). The mean scheduling delay was shorter in private dental offices (2.59 days) than in offices that accepted health insurance (2.74 days) (p = 0.01); the delay was shorter when performed by the dentist rather than by the dental assistant, 2.45 versus 4.21 days (p = 0.01). In public services, 69% of patients in the cancer group were sent to the emergency service. Dental services were accessible for scheduling clinical examinations among patients suspected of having oral cancer.

scholarly journals Factors Associated with Perceived Trust of False Abortion Websites: A Cross-Sectional Online Survey (Preprint)

2020 ◽  
Author(s):  
Sarina Rebecca Chaiken ◽  
Lisa Han ◽  
Blair G Darney ◽  
Leo Han
Keyword(s):  
Online Survey ◽  
Demographic Data ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Correlation Matrices ◽  
Individual Level ◽  
Perceived Trust ◽  
Neutral Site ◽  
Design Characteristics ◽  
The Individual

BACKGROUND The majority of patients use the internet to search for health information. While there is a vast repository of searchable information online, much of the content is unregulated and therefore potentially incorrect, conflicting, or confusing. Abortion information online is particularly prone to being inaccurate as anti-choice websites publish purposefully misleading information in formats that appear as neutral resources. To understand how anti-choice websites appear neutral, we need to understand the specific website features of anti-choice features that impart trust to viewers. OBJECTIVE We sought to identify characteristics of false or misleading abortion websites that make these websites appear trustworthy to the public. METHODS We conducted a cross-sectional study using Amazon.com Inc’s Mechanical Turk platform. We used validated questionnaires to ask participants to rate eleven anti-choice sites and one neutral site identified by experts, focusing on site content, creators, and design. We collected socio-demographic data and participant views on abortion. We used a composite measure of “mean overall trust” as our primary outcome. Using correlation matrices, we determined which website characteristics were most associated with overall trust. Finally, we used linear regression to identify participant characteristics associated with overall trust. RESULTS Our analytic sample included 498 participants ranging from ages 22 to 70, 50.1% of whom identified as female. Across eleven anti-choice sites, creator trust (“I believe that the creators of this site are honest and trustworthy”) had the highest correlation coefficient with overall trust (0.70). Professional appearance (0.59), look and feel (0.59), perception that the information is created by experts (0.59), association with a trustworthy organization (0.58), valued features and functionalities (0.54), and interactive capabilities (0.52) all demonstrated strong relationships with overall trust. At the individual level, pro-choice leaning was associated with higher overall trust of the neutral site (B: -0.43, CI: -0.87, 0.01) and lower overall trust of the anti-choice sites (B: 0.52, CI: 0.05, .99). CONCLUSIONS The overall trustworthiness of anti-choice websites is most associated with design characteristics and perceived trustworthiness of the site creator. Those who believe that access to abortion should be limited are more likely to trust anti-choice websites.

scholarly journals Individual-level and community-level factors associated with the family planning use among pastoralist community of Ethiopia: a community-based cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e036519 ◽  
Author(s):  
Mussie Alemayehu ◽  
Araya Abrha Medhanyie ◽  
Elizabeth Reed ◽  
Afework Mulugeta
Keyword(s):  
Family Planning ◽  
Cross Sectional Study ◽  
Married Women ◽  
Community Level ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Individual Level ◽  
Pastoralist Community ◽  
The Individual

ObjectiveThe study aimed to identify the effects of the individual-level and community-level factors on the use of family planning (FP) among married women in the pastoralist community of Ethiopia.DesignA community-based cross-sectional study was conducted in September 2018. Data were analysed using R software. To determine the fixed effect of individual-level and community-level factors of FP use, a two-level mixed-effects logistic regression was used. The result was described using the Adjusted OR (AOR), and the variance partition coefficient.Setting and participantsAfar, Ethiopia (2018; n=891) married women of reproductive age (15–49) years.Primary outcome measuresFP use or non-use.ResultsThe current use of FP was 18.7% (16.31%–21.43%). Women who need to walk 1 hour and more to the nearest health facility (AOR 0.14, 95% CI 0.05 to 0.3), have ANC visit of 4 and above (AOR 6.02, 95% CI 1.74 to 20.8), had their last birth at a health facility (AOR 2.71 95% CI 1.27 to 5.81), have five and more children (AOR 4.71, 95% CI 1.86 to 11.9), have high knowledge on FP (AOR 2.74, 95% CI 1.11 to 6.74) and had high intentions to use FP (AOR 10.3, 95% CI 3.85 to 27.6) were more likely to report FP use. The magnitude of the effect of for FP use was smaller than that of 9 of the 13 individual factors. Apart from this 19.4% of the total variance in the odds of using FP attributed to between community difference (intraclass correlation coefficient=0.194). Regarding the community-level characteristics, clusters of having higher electronic media possession (AOR 2.84, 95% CI 1.2 to 6.72) and higher women decision making on FP (AOR 8.35, 95% CI 2.7 to 27.1) were significantly associated with increased FP use compared with clusters with lower reports of these aspects.ConclusionFP use among the pastoralist community is influenced by both individual cluster/community-level characteristics or factors. Even though the effect of clustering in FP use was large in comparison with the unexplained between-cluster variation, it was lower than the individual-level factors.Trail registrtion numberNCT03450564

scholarly journals Factors associated with COVID-19 infections and mortality in Africa: a cross-sectional study using publicly available data

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e042750
Author(s):  
Charles Okeahalam ◽  
Victor Williams ◽  
Kennedy Otwombe
Keyword(s):  
Risk Factors ◽  
Negative Binomial ◽  
Negative Binomial Regression ◽  
Cross Sectional Study ◽  
Sub Saharan Africa ◽  
Sectional Study ◽  
African Countries ◽  
Cross Sectional ◽  
Life Expectancy At Birth ◽  
Services Delivery

IntroductionThe current COVID-19 pandemic is a global threat. This elicits questions on the level of preparedness and capacity of health systems to respond to emergencies relative to other parts of the world.MethodsThis cross-sectional study uses publicly available core health data for 53 African countries to determine risk factors for cumulative COVID-19 deaths and cases per million in all countries in the continent. Descriptive statistics were determined for the indicators, and a negative binomial regression was used for modelling the risk factors.ResultsIn sub-Saharan Africa, an increase in the number of nursing and midwifery personnel decreased the risk of COVID-19 deaths (p=0.0178), while a unit increase in universal healthcare (UHC) index of service coverage and prevalence of insufficient physical activity among adults increased the risk of COVID-19 deaths (p=0.0432 and p=0.0127). An increase in the proportion of infants initiating breast feeding reduced the number of cases per million (p<0.0001), while an increase in higher healthy life expectancy at birth increased the number of cases per million (p=0.0340).ConclusionDespite its limited resources, Africa’s preparedness and response to the COVID-19 pandemic can be improved by identifying and addressing specific gaps in the funding of health services delivery. These gaps impact negatively on service delivery in Africa, which requires more nursing personnel and increased UHC coverage to mitigate the effects of COVID-19.

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