Emmanuelle de Fátima Noberto Bezerra, Ana Paula Corrêa de Queiroz Herkrath, Fernando José Herkrath, Luiza Garnelo, Sully de Souza Sampaio, Mario Vianna Vettore
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引用次数: 0
Abstract
Objectives: To examine the extent to which socioeconomic and environmental characteristics are associated with oral health outcomes among adults and elderly people living in rural riverside communities in the Brazilian Amazon. The study also examined the mediating role of self-reported dental status and reason for the last dental visit in these associations.
Methods: A household-based cross-sectional study included 569 residents from seven riverside communities along the Negro River, Manaus, Brazil. Data on age, sex, family income, conditional and unconditional social cash transfer programmes, housing conditions and sanitation, self-reported dental status, reason for the last dental visit, dental pain and satisfaction with oral health were collected through structured interviews. Structural equation modelling was used in the data analysis.
Results: Poorer self-reported dental status was directly associated with non-enrolment in conditional cash transfer programme, lower income, greater age and female sex. Non-enrolment in conditional cash transfer programme and problem-oriented dental care-seeking behaviour was linked to dental pain. Worse self-reported dental status and inadequate household sanitation were directly associated with problem-oriented dental care-seeking behaviour. Poor satisfaction with oral health was linked to dental pain and problem-oriented dental care-seeking behaviour. Several indirect relationships were detected. Family income, self-reported dental status, reason for the last dental visit and dental pain mediated the relationships between demographics, cash transfer programmes and satisfaction with oral health.
Conclusions: Participation in income transfer programmes and family income emerged as relevant factors in reducing inequalities in oral health among adults and elderly people living in rural riverside communities. Improving the regularity and frequency of dental services can have a direct impact on satisfaction with oral health. Inter-sectoral actions targeting social and financial protection should be on the political agenda to improve the oral health of people living in rural riverside communities.
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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