Human Development and Dental Caries in 12-Year-Old Brazilian Schoolchildren
Keywords:Dental Caries, Oral Health, Epidemiology, Prevalence
Objective: To investigate the correlation between human development and dental caries in 12-year-old schoolchildren from the twenty-seven Brazilian states and to analyze the spatial distribution of these variables. Material and Methods: This was an ecological study using secondary data from the National Epidemiological Oral Health Survey 2010 and from the United Nations Development Program. Human development was measured by the Human Development Index (HDI) and dental caries by the Decayed, Missing and Filled Teeth index (DMFT). Dental caries prevalence and experience at the age of 12, and state HDI were entered into Google Sheets® and Google My Maps® for map creation. Data were analyzed by Pearson’s correlation (HDI and DMFT, DMFT individual components, prevalence of dental caries and prevalence of dental pain) (p<0.05). Results: Prevalence of dental caries ranged from 37.3% to 78.2% among the states. Dental caries was more prevalent in Rondônia (78.2%) and less prevalent in Santa Catarina (37.3%). Mean DMFT ranged from 1.06 to 4.81, with the highest value in Rondônia (4.81) and the lowest in Distrito Federal (1.06). HDI ranged from 0.631 (Alagoas) to 0.863 (Distrito Federal). There were negative correlations between HDI and dental caries (r=-0.504), dental caries experience (r=-0.459), decayed (r=-0.441) and missing (r=-0.441) components of the DMFT (p<0.05). Conclusion: Higher human development of the region lower dental caries experience and prevalence in 12-year-old Brazilian schoolchildren.
Brasil. Ministério da Saúde. Banco de Dados da Pesquisa Nacional de Saúde Bucal – Projeto SB Brasil 2010. Available from: http://dab.saude.gov.br/CNSB/sbbrasil/arquivos/projeto_sb2010_relatorio_final.pdf. [Accessed on March 24, 2018]. [In Portuguese]
Silveira MF, Freire RS, Nepomuceno MO, Martins AMEBL, Marcopito LF. Tooth decay and associated factors among adolescents in the north of the State of Minas Gerais, Brazil: a hierarchical analysis. Cien Saude Coletiva 2015; 20(11):3351-64. https://doi.org/10.1590/1413-812320152011.12262014
Krisdapong S, Prasertsom P, Rattanarangsima K, Sheiham A. Impacts on quality of life related to dental caries in national representative sample of Thai 12-and 15-year-olds. Caries Res 2013; 47(1):9-17. https://doi.org/10.1159/000342893
Roncalli AG, Sheiham A, Tsakos G, Araújo-Costa GC, Watt RG. Social factors associated with the decline in caries in Brazilian children between 1996 and 2010. Caries Res 2016; 50(6):551-9. https://doi.org/10.1159/000442899
Vettore MV, Aqeeli A. The roles of contextual and individual social determinants of oral health-related quality of life in Brazilian adults. Qual Life Res 2015; 25(4):1029-42. https://doi.org/10.1007/s11136-015-1118-0
Brito ACM, Bezerra IM, Cavalcante DFB, Pereira AC, Vieira V, Montezuma MF et al. Dental caries experience and associated factors in 12-year-old-children: a population based-study. Braz Oral Res 2020; 34:e010. https://doi.org/10.1590/1807-3107bor-2020.vol34.0010
Martins MT, Sardenberg F, Abreu MH, Vale MP, Paiva SM, Pordeus IA. Factors associated with dental caries in Brazilian children: a multilevel approach. Community Dent Oral Epidemiol 2014; 42(4):289-99. https://doi.org/10.1111/cdoe.12087
World Health Organization. Oral Health Surveys: Basic Methods. 4 ed. Geneva: ORH/EPID; 1997.
Roncalli AG, Silva NN, Nascimento AC, Freitas CHSM, Casotti E, Peres KG, et al. Relevant methodological issues from the SB Brasil 2010: Project for national health surveys. Cad Saúde Pública 2012; 28(Suppl):S40-S57. https://doi.org/10.1590/S0102-311X2012001300006
PNUD. Programa das Nações Unidas para o Desenvolvimento. Available from: http://www.pnud.org.br/IDH/DH.aspx?indiceAccordion=0&li=li_DHHome. [Accessed on September, 15 2018]. [In Portuguese]
Hobdell MH, Oliveira ER, Bautista R, Myburgh NG, Lalloo R, Narendran S, et al. Oral diseases and socio-economic status (SES). Br Dent J 2003; 194(2):91-6. https://doi.org/10.1038/sj.bdj.4809882
Baldani MH, Vasconcelos AGG, Antunes JL. Association of the DMFT index with scioeconomic and dental services indicators in the state of Paraná, Brazil. Cad Saúde Pública 2004; 20(1):143-52. https://doi.org/10.1590/s0102-311x2004000100030
Nadanovsky P, Sheiham A. Relative contribution of dental services to the changes in caries levels of 12-year-old children in 18 industrialized countries in the 1970s and early 1980s. Community Dem Oral Epidemiol 1995; 23(6):331-9. https://doi.org/10.1111/j.1600-0528.1995.tb00258.x
Peres KGA, Bastos JRM, Latorre MRDO. Relationship between severity of dental caries and social and behavioral factors in children. Rev Saúde Pública 2000; 34(4):402-8. https://doi.org/10.1590/S0034-89102000000400014
Panttussi MP, Marcenes W, Croucher R, Sheiham A. Social deprivation, income inequality, social cohesion and dental caries in Brazilian school children. Soc Sci Med 2001; 53(7):915-25. https://doi.org/10.1016/s0277-9536(00)00391-9
Antunes JLF, Frazão P, Narvai PC, Bispo CM, Pegoretti T. Spatial analysis to identify differentials in dental needs by área-based measures. Community Dent Oral Epidemiol 2002; 30(2):133-42. https://doi.org/10.1034/j.1600-0528.2002.300207.x
World Health Organization. Calibration of Examiners for Oral Health Epidemiological Surveys. Geneva: ORH/EPID; 1993.
Pinho-França JR, Chein MBC, Thuler LCS. Patterns of cervical cytological abnormalities accordinig to the human development index in the northeast region of Brazil. BMC Womens Health 2016; 16:54. https://doi.org/ 10.1186/s12905-016-0334-2
IBGE. Instituto Brasileiro de Geografia e Estatística. Available from: http://censo2010.ibge.gov.br/. [Accessed on March 15, 2018]. [In Portuguese]
Mansor AZ. Google Docs as a collaborating tool for academicians. Procedia Soc Behav Sci 2012; 59:411-9. https://doi.org/10.1016/j.sbspro.2012.09.295
Graser A, Olaya V. Processing: A Python framework for the seamless integration of geoprocessing tools in QGIS. ISPRS Int J Geo-Inf 2015; 4(4):2219-45. https://doi.org/10.3390/ijgi4042219
Kitamura ES, Leite ICG. Correlation between human development index and dental caries in a sample of cities of Minas Gerais state: implications for the inclusion of oral health in the family health strategy. Rev APS 2009; 12(2):140-9.
Catalán MA, Scott-Anne K, Klein MI, Koo H, Bowen WH, Melvin JE. Elevated incidence of dental caries in a mouse model of cystic fibrosis. Plos One 2011; 6(1):e16459. https://doi.org/10.1371/journal.pone.0016549
Schwendicke F, Dörfer CE, Schlattmann P, Page LF, Thomson WM, Paris S. Socioeconomic inequality and caries: a systematic review and meta-analysis. J Dent Res 2015; 94(1):10-8. https://doi.org/10.1177/0022034514557546
Priesnitz MC, Celeste RK, Pereira MJ, Pires CA, Feldens CA, Kramer PF. Neighbourhood determinants of caries experience in preschool children: a multilevel study. Caries Res 2016; 50(5):455-61. https://doi.org/10.1159/000447307
Lalloo R, Myburgh NG, Hobdell MH. Dental caries, socio-economic development and national oral health policies. Int Dent J 1999; 49(4):196-202. https://doi.org/10.1111/j.1875-595x.1999.tb00522.x
Antunes JLF, Peres MA, Mello TRC, Waldman EA. Multilevel assessment of determinants of dental caries experience in Brazil. Community Dent Oral Epidemiol 2006; 34(2):146-52. https://doi.org/10.1111/j.1600-0528.2006.00274.x
Celeste RK, Nadanovsky P, Leon AP, Fritzell J. The individual and contextual pathways between oral health and income inequality in Brazilian adolescents and adults. Soc Sci Med 2009; 69(10):1468-75. https://doi.org/10.1016/j.socscimed.2009.08.005
Frias AC, Antunes JLF, Junqueira SR, Narvai PC. Determinantes individuais e contextuais da prevalência de cárie dentária não tratada no Brasil. Rev Panam Salud Publica 2007; 22(4):279-85.
Firmino RT, Xavier-Bueno A, Martins CC, Ferreira AM, Granville-Garcia AF, Paiva SM. Dental caries and dental fluorosis according to water fluoridation among 12-year-old Brazilian schoolchildren: a national-wide study comparing different municipalities. J Public Health 2018; 26:501-7. https://doi.org/10.1007/s10389-018-0901-0
Neumark, Y. What can ecological studies tell us about death? Isr J Health Policy Res 2017; 6(1):52. https://doi.org/10.1186/s13584-017-0176-x
Stevenson M, McClure R. Use of ecological study designs for injury prevention. Inj Prev 2005; 11(1):2-4. https://doi.org/10.1136/ip.2003.003384
Guimarães MAMB, Oliveira VK, Oliveira AMG, Flório FM. Association among actions from oral health services, the Human Development Index, the presence of fluoridated water, and dental caries in five-year-old children. Arq Odontol 2011; 47(3):135-45.
Godoi H, Singh A, Mello ALSF, Brennan DS, Peres MA. Area-level social development and indicators of public dental services in Southern Brazil. Community Dent Oral Epidemiol 2019; 47(3):274-80. https://doi.org/10.1111/cdoe.12455
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