Association between socioeconomic status and traumatic dental injury in permanent teeth: A systematic review with meta-analysis

IF 1.8 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Letícia Donato Comim, Patrícia Kolling Marquezan, Jessica Klöckner Knorst, Fabrício Batistin Zanatta, Julio Eduardo do Amaral Zenkner, Luana Severo Alves
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引用次数: 0

Abstract

Objective

The aim of this study was to systematically review observational studies assessing the association between socioeconomic status (SES) and traumatic dental injuries (TDI) in permanent dentition.

Methods

Electronic searches were performed in PubMed, EMBASE, Web of Science, LILACS, CINAHL, COCHANE Library and ScoINDEX databases for articles published up to February 2023. Two independent reviewers performed the search and critical appraisal of the studies. The inclusion criteria were observational studies that evaluated the association between individual-level socioeconomic indicators and TDI (clinically examined) in permanent teeth. Quality assessment of included articles was conducted using the Newcastle-Ottawa Scale. Global meta-analysis was performed with all studies and different subgroup analysis based on socioeconomic indicators (household income, educational level or any other indicator), age (children, early adolescents, late adolescents or young adults) and economic classification of the country (high, upper-middle or lower-middle). A random-effects model was used to estimate pooled prevalence ratios (PR) and respective 95% confidence intervals (CI) for each study.

Results

The search strategy retrieved 11 315 publications. According to eligibility criteria, 17 articles were included in the meta-analysis. Individuals with low SES were 17% more likely to have TDI (PR 1.17; 95% CI 1.05–1.30). The subgroup analysis also revealed that the indicator (household income, PR 1.16; 95% CI 1.00–1.34) and the economic classification of the country (upper-middle, PR 1.19; 95% CI 1.07–1.33) influenced the association of SES with TDI occurrence.

Conclusions

Individuals with lower SES were more likely to present with TDI in permanent dentition than those with higher SES.

社会经济地位与恒牙外伤之间的关系:系统回顾与荟萃分析
本研究旨在系统回顾评估社会经济地位(SES)与恒牙外伤(TDI)之间关系的观察性研究。
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来源期刊
Community dentistry and oral epidemiology
Community dentistry and oral epidemiology 医学-公共卫生、环境卫生与职业卫生
CiteScore
4.40
自引率
8.70%
发文量
82
审稿时长
6 months
期刊介绍: The aim of Community Dentistry and Oral Epidemiology is to serve as a forum for scientifically based information in community dentistry, with the intention of continually expanding the knowledge base in the field. The scope is therefore broad, ranging from original studies in epidemiology, behavioral sciences related to dentistry, and health services research through to methodological reports in program planning, implementation and evaluation. Reports dealing with people of all age groups are welcome. The journal encourages manuscripts which present methodologically detailed scientific research findings from original data collection or analysis of existing databases. Preference is given to new findings. Confirmations of previous findings can be of value, but the journal seeks to avoid needless repetition. It also encourages thoughtful, provocative commentaries on subjects ranging from research methods to public policies. Purely descriptive reports are not encouraged, nor are behavioral science reports with only marginal application to dentistry. The journal is published bimonthly.
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