Caries experience, obesity and demographic factors in school children: A cluster analysis.

IF 0.9 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
M Hilasaca-Mamani, J N Amato, E Eskenazi, M B Gavião, E O Ribeiro, D S Araujo, P M Castelo
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引用次数: 0

Abstract

Objective: To determine the association between caries experience, obesity, and socioeconomic and environmental factors in 2, 5 and 12 years-old schoolchildren. Secondarily, the influence of school infrastructure was assessed.

Methods: Primary data from 1762 schoolchildren from the municipality of Cajamar (SP, Brazil) and socioeconomic and environmental secondary data (Brazilian Census 2010, School Census, Prova Brasil/2017) were used. Caries and treatment experience (dmft/DMFT indices), dental occlusion, visible biofilm, weight and height were assessed.

Results: Caries experience was found in 6.5%, 40.2% and 46.5% of children at 2, 5 and 12 years, respectively. At 12y, greater caries experience was observed among children financially assisted by the Bolsa Família governmental program. Excess weight was found in 30%, 35% and 34% at 2, 5 and 12 years. At 2 and 5 years, the highest dental caries indices were associated with disadvantageous socioeconomic indicators (households water supply and sewage system, garbage collection, literate head and income), while overweight was associated with female sex and better socioeconomic aspects. At 12y, the group with obesity was characterized by low dmf+DMFT index and better household aspects, while the group with greater dmf+DMFT index comprised normal-weight children. A correlation between the percentage of caries experience and student/employee ratio of the school was observed.

Conclusion: An association between disadvantageous socioeconomic and environmental aspects and dental caries was observed, while obesity was associated with better socioeconomic status of the schoolchildren. While no direct association was found between obesity and dental caries, the results emphasize the influence of socioeconomic/environmental variables on health outcomes.

学龄儿童的龋齿经历、肥胖和人口因素:聚类分析
目的确定 2 岁、5 岁和 12 岁学龄儿童的龋齿经历、肥胖与社会经济和环境因素之间的关系。其次,评估学校基础设施的影响:方法:使用了来自卡亚马尔市(巴西南太平洋州)1762名学童的原始数据,以及社会经济和环境方面的二手数据(2010年巴西人口普查、学校普查、Prova Brasil/2017)。对龋病和治疗经历(dmft/DMFT指数)、牙齿咬合、可见生物膜、体重和身高进行了评估:结果:在 2 岁、5 岁和 12 岁时,分别有 6.5%、40.2% 和 46.5% 的儿童患过龋病。在 12 岁时,受政府家庭补助计划资助的儿童患龋率更高。在 2 岁、5 岁和 12 岁时,分别有 30%、35% 和 34% 的儿童体重超标。在 2 岁和 5 岁时,龋齿指数最高与不利的社会经济指标(家庭供水和排污系统、垃圾收集、识字率和收入)有关,而超重则与女性和较好的社会经济指标有关。12 岁时,肥胖组的特征是 dmf+DMFT 指数较低和家庭条件较好,而 dmf+DMFT 指数较高的一组是体重正常的儿童。龋齿发生率与学校的学生/员工比例之间存在相关性:结论:研究发现,不利的社会经济和环境因素与龋齿之间存在关联,而肥胖与学龄儿童较好的社会经济状况有关。虽然肥胖与龋齿之间没有直接联系,但研究结果强调了社会经济/环境变量对健康结果的影响。
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来源期刊
Community dental health
Community dental health 医学-牙科与口腔外科
CiteScore
2.20
自引率
11.80%
发文量
75
审稿时长
6-12 weeks
期刊介绍: The journal is concerned with dental public health and related subjects. Dental public health is the science and the art of preventing oral disease, promoting oral health, and improving the quality of life through the organised efforts of society. The discipline covers a wide range and includes such topics as: -oral epidemiology- oral health services research- preventive dentistry - especially in relation to communities- oral health education and promotion- clinical research - with particular emphasis on the care of special groups- behavioural sciences related to dentistry- decision theory- quality of life- risk analysis- ethics and oral health economics- quality assessment. The journal publishes scientific articles on the relevant fields, review articles, discussion papers, news items, and editorials. It is of interest to dentists working in dental public health and to other professionals concerned with disease prevention, health service planning, and health promotion throughout the world. In the case of epidemiology of oral diseases the Journal prioritises national studies unless local studies have major methodological innovations or information of particular interest.
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