Revista brasileira de epidemiologia = Brazilian journal of epidemiology最新文献

{"title":"Age at menarche and blood pressure in late adolescence: the role of body adiposity in a Brazilian birth cohort.","authors":"Juliana Jansen Santos, Janielle Ferreira de Brito Lima, Maria Luziene de Sousa Gomes, Kayo Elmano Costa da Ponte Galvão, Dannyel Rogger Almeida Teixeira, Lua Beatriz Nascimento Soares, Rita da Graça Carvalhal Frazão Corrêa, Rosângela Fernandes Lucena Batista","doi":"10.1590/1980-549720260038","DOIUrl":"10.1590/1980-549720260038","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the association between age at menarche and blood pressure in adolescence, and to examine the role of body adiposity in this relationship.</p><p><strong>Methods: </strong>This was a cross-sectional analysis nested within a population-based birth cohort conducted in São Luís, Maranhão, Brazil. The study included 885 female adolescents aged 18-19 years. Age at menarche was self-reported. Systolic and diastolic blood pressure were measured using a validated digital device, and body adiposity was assessed by air displacement plethysmography. Pearson correlation coefficients were estimated, and linear regression models were used to evaluate the association between age at menarche and blood pressure, with sequential adjustment for socioeconomic, behavioral, family, and perinatal factors, followed by additional adjustment for body adiposity.</p><p><strong>Results: </strong>Age at menarche showed weak inverse correlations with systolic and diastolic blood pressure and a negative correlation with body adiposity. Body adiposity, in turn, was positively correlated with both systolic and diastolic blood pressure. In adjusted models, age at menarche remained significantly associated with blood pressure after controlling for socioeconomic, behavioral, family, and perinatal factors; however, these associations were attenuated and lost statistical significance after additional adjustment for body adiposity.</p><p><strong>Conclusion: </strong>The association between age at menarche and blood pressure in adolescence appears to be largely influenced by body adiposity, highlighting the importance of considering body composition when evaluating cardiovascular risk related to pubertal timing.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"29 ","pages":"e260038"},"PeriodicalIF":2.0,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13427218/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Electronic cigarettes: isolated and combined use among Brazilian adolescents in PeNSE 2019.","authors":"Paulo César Rodrigues Pinto Corrêa, Juliana Bottoni de Souza, Déborah Carvalho Malta","doi":"10.1590/1980-549720260024","DOIUrl":"10.1590/1980-549720260024","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the prevalence and factors associated with e-cigarette (EC) use among adolescents aged 13-17 in Brazil, and to describe the pattern of polytobacco/nicotine product use.</p><p><strong>Methods: </strong>This is a cross-sectional study using data from 159,245 students from the 2019 National School Health Survey (PeNSE). The prevalence of EC use and combined use with other products (conventional cigarettes, hookah, and others) was estimated. The association with sociodemographic variables, mental health, and other substance use was analyzed through multivariate logistic regression, calculating adjusted Odds Ratios (aOR) and their 95% confidence intervals (95% CI).</p><p><strong>Results: </strong>The prevalence of EC use in the last 30 days was 2.82% (95%CI 2.62-3.04). Polytobacco use was significant, with dual use (EC + conventional cigarette) found in 8.56%. The combined use of all smoked products was 14.83%, and quadruple use (EC + conventional + hookah + straw) reached 14.04%. After adjustment, the factors associated with higher odds of EC use were: alcohol consumption (aOR=3.94), having friends who smoke in their presence (aOR=2.53), regular tobacco use (aOR=2.22), other drug use (aOR=2.04), feeling lonely (aOR=1.25), feeling sad (aOR=1.24), and having parents who smoke (aOR=1.17).</p><p><strong>Conclusions: </strong>E-cigarette use among Brazilian adolescents is associated with mental health factors, social influences, and the concomitant use of alcohol and other drugs. The polytobacco use is a worrying reality among these adolescents. The findings highlight the need for public policies that articulate tobacco control with mental health initiatives and strategies for preventing alcohol/other drug use.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"29 ","pages":"e260024"},"PeriodicalIF":2.0,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13426523/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148687000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and associated factors of dental implant use in adults and older adults according to self-report and clinical examination: population-based study, SB Brasil 2023.","authors":"Gabriel Schmitt da Cruz, Luiza Souza Schmidt, Yasmim Guterres Bauer, Francisco Wilker Mustafa Gomes Muniz, Ana Lúcia Schaefer Ferreira de Mello","doi":"10.1590/1980-549720260024.supl.1","DOIUrl":"10.1590/1980-549720260024.supl.1","url":null,"abstract":"<p><strong>Objective: </strong>To identify factors associated with the use of dental implants in Brazilian adults and older adults.</p><p><strong>Methods: </strong>This cross-sectional analytical study utilized population-based data from the 2023 National Oral Health Survey. The sample comprised adults (35-44 years) and older adults (65-74 years). Two dichotomous outcomes were modeled: self-reported implant use (yes/no) and clinically observed presence of implants (none/one or more). Adjusted odds ratios (ORs) were estimated using multiple logistic regression for complex samples, with demographic and socioeconomic factors, type of dental service used, and number of missing teeth as independent variables.</p><p><strong>Results: </strong>The prevalence of dental implants ranged from approximately one-tenth to one-fifth of the sample, depending on the method of identification. In the adjusted analysis for self-reported use, older adults, individuals with higher income, those who used private dental services, and those who sought care for treatment or rehabilitation had significantly higher odds of reporting implant use. Conversely, when analyzing clinically observed implants, only the number of permanent teeth lost showed a significant association.</p><p><strong>Conclusion: </strong>The use of dental implants in the Brazilian population reflects both the accessibility of dental services and the clinical need for rehabilitation. Using different identification methods provides a more comprehensive understanding of the distribution of implants across the country. These findings can allow the refinement of clinical and organizational criteria for the provision of implant-supported oral rehabilitation within the public system, thereby promoting greater equity and sustainability.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"29 suppl 1","pages":"e260024supl1"},"PeriodicalIF":2.0,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13427312/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148727901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trends in mental health care in Brazilian Primary Health Care before, during, and after COVID-19: an ecological interrupted time-series study (2018-2023).","authors":"Lucas Oltramari, Milenne Souza de Lima, Eduardo Viegas da Silva","doi":"10.1590/1980-549720260037","DOIUrl":"10.1590/1980-549720260037","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the temporal evolution of mental disorder-related visits in Primary Health Care (PHC) within the Brazilian Unified Health System (SUS) and estimate the effects of social distancing, the Covid-19 pandemic, and the post-pandemic period.</p><p><strong>Methods: </strong>This is a national ecological interrupted time-series study using data from the Primary Health Care Information System (SISAB/DATASUS). Monthly proportional and population incidence rates of mental disorder-related visits (ICD-10 F00-F99) in PHC were analyzed. Segmented regression models with negative binomial distribution and autoregressive structure were fitted.</p><p><strong>Results: </strong>A total of 38.7 million PHC visits were analyzed. In the pre-pandemic period, the share of mental disorder-related visits increased (exp(β)Trend=1.011; 95%CI 1.008-1.014). During social distancing, the proportion of these visits increased abruptly (exp(β)Level=1.241; 95%CI 1.149-1.339), largely associated with a reduction in the total volume of PHC visits. During the rest of the pandemic, the proportional increase plateaued. We observed regional heterogeneity (p<0.001), with greater level increase in the Northeast. In the post-pandemic period, growth resumed in both the proportion and the population incidence of mental disorder-related visits; increases were notable for anxiety, neurodevelopmental and child and adolescent disorders.</p><p><strong>Conclusion: </strong>The share of mental disorder-related visits in Brazilian PHC increased over the study period. Social distancing resulted in an abrupt proportional increase in the context of reduced overall visits, followed by heterogeneous recomposition across regions and diagnostic groups. These findings indicate a recent increase in demand for mental health care in PHC.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"29 ","pages":"e260037"},"PeriodicalIF":2.0,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13427217/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dimensional structure and internal consistency of the Brazilian Portuguese version of the Mistreatment of Women during Childbirth Questionnaire.","authors":"Emanuele Souza Marques, Andreas Bauer, Marília Arndt Mesenburg, Thaiza Dutra Gomes E Carvalho, Maria do Carmo Leal, Tatiana Henriques Leite","doi":"10.1590/1980-549720260036","DOIUrl":"10.1590/1980-549720260036","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the configural and metric structure, as well as internal consistency, of the Brazilian Portuguese adaptation of an instrument designed to assess mistreatment during childbirth.</p><p><strong>Methods: </strong>Data were drawn from the \"Birth in Brazil\" II, carried out in 2023/2024, comprising 1,881 women hospitalized for childbirth in the state of Rio de Janeiro, Brazil. Initially, confirmatory factor analysis was conducted to test the original dimensional structure. Due to an inadequate model, exploratory factor analysis was performed to reassess the factorial structure. Applying predefined criteria, items presenting cross-loadings or possible residual correlations were removed. The remaining items were subsequently evaluated using confirmatory factor analysis, and reliability was assessed using Cronbach's α coefficients.</p><p><strong>Results: </strong>The final solution comprised 17 items distributed across four dimensions: verbal abuse; neglect and disrespect; stigma, discrimination and lack of privacy; and innappropriate vaginal examinations. The final model presented acceptable fit indices, satisfactory factorial definition, and no item redundancy. Most dimensions showed reasonable internal consistency, except the stigma, discrimination, and lack of privacydimension.</p><p><strong>Conclusion: </strong>The findings suggest that further psychometric evaluation is necessary to establish the instrument's validity and reliability. Its use for assessing mistreatment during childbirth or obstetric violence in Brazil should be done with caution. Future psychometric studies using this instrument are recommended.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"29 ","pages":"e260036"},"PeriodicalIF":2.0,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13427216/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dental caries in permanent first molars: implications for health surveillance.","authors":"Paulo Capel Narvai, Antonio Carlos Frias, Carlos Cesar da Silva Soares, Jose Leopoldo Ferreira Antunes","doi":"10.1590/1980-549720260026.supl.1","DOIUrl":"10.1590/1980-549720260026.supl.1","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the participation of the first permanent molars (M1) in the composition of the DMFT index, with or without exposure to fluoridated water (FW), its potential implications for health surveillance.</p><p><strong>Methods: </strong>its potential implications for health surveillance FW. Mean DMFT values and the percentage contributions of different tooth groups to these values were calculated.</p><p><strong>Results: </strong>Mean DMFT values were 2.66, 2.49, and 2.21 for capitals without FW in 2003, 2010, and 2023, respectively, and 1.58, 1.36, and 0.96 for capitals with FW. Between 2003 and 2023, mean DMFT values declined by 16.2% in capitals without FW and by 39.2% in capitals with FW. In 2003, the contribution of M1 to the DMFT index was 70.51% among those exposed to FW and 63.61% among those not exposed. In 2010 and 2023, these contributions were 67.95% and 57.68%, and 63.61% and 49.23%, respectively.</p><p><strong>Conclusion: </strong>The controlled presence of fluoride in water contributed to an increased percentage contribution of M1 to the composition of the DMFT index, whereas this proportion decreased in the absence of this preventive measure. However, this effect was not observed for premolars and second molars. This variation is relevant to oral health surveillance strategies, particularly activities aimed at the active detection of early caries lesions and their treatment.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"29 suppl 1","pages":"e260026supl1"},"PeriodicalIF":2.0,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13427311/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148723770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Persistent inequities in complete denture rehabilitation among older adults in Brazil between 2010 and 2023.","authors":"Herbert Lucas Nascimento Gomes, Sophia Queiroz Marques Dos Santos, Angelo Giuseppe Roncalli, Tamires Carneiro de Oliveira Mendes","doi":"10.1590/1980-549720260029.supl.1","DOIUrl":"10.1590/1980-549720260029.supl.1","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the evolution of inequalities in the distribution of complete denture use and need among older adults in Brazil, considering socioeconomic factors in 2010 and 2023.</p><p><strong>Methods: </strong>An analytical study was conducted using data from the Brazilian National Oral Health Surveys SB Brasil 2010 and 2023, with representative samples of individuals aged 65 to 74 years. The outcome integrated information on complete denture use and need, distinguishing need due to edentulism or replacement. Independent variables included sociodemographic and socioeconomic characteristics, with emphasis on the intersectional analysis of gender, race/skin color, and education. Descriptive analyses and the Concentration Index (CI) were performed to measure inequalities, accounting for the complex sampling design.</p><p><strong>Results: </strong>A slight increase was observed in the proportion of individuals who do not use and do not need dentures, particularly in the South (from 3.8%; 95% confidence interval - 95%CI 2.1-6.8 to 9.1%; 95%CI 5.7-14.3) and Southeast (from 2.3%; 95%CI 1.2-4.2 to 13.9%; 95%CI 9.1-20.7) regions. Nevertheless, around 90% of older adults still required complete dentures, either due to edentulism or replacement needs. Black men with low education concentrated the highest frequencies of need due to edentulism and showed the smallest reduction over the period. Concentration curves revealed the persistence of inequalities according to gender, race/skin color, education, and income.</p><p><strong>Conclusion: </strong>Despite advances in public oral health policies, improvements in denture use and need occurred unevenly, favoring socially advantaged groups and maintaining gaps in oral health care among older adults in situations of greater vulnerability.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"29 suppl 1","pages":"e260029supl1"},"PeriodicalIF":2.0,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13427309/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148725591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Completeness and timeliness of records of SARS due to COVID-19 in the SIVEP-Gripe System, Brazil 2020-2023.","authors":"Taina Barbie do Espírito Santo, Alexandra Crispim Boing","doi":"10.1590/1980-549720260034","DOIUrl":"10.1590/1980-549720260034","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the completeness and timeliness of records of severe acute respiratory syndrome (SARS) due to COVID-19 in the SIVEP-Gripe system in Brazil, from 2020 to 2023.</p><p><strong>Methods: </strong>This was a descriptive study based on secondary, public, and anonymized data from SIVEP-Gripe, comprising 2,200,796 SARS due to Covid-19 records. Sixty-six sociodemographic, clinical, hospitalization, outcome, and treatment variables were analyzed. Completeness was classified according to Romero and Cunha (2006). Timeliness was assessed through the intervals between symptom onset and notification, notification and data entry, and notification and case closure, considering historical surveillance parameters (7, 30, and 60 days, respectively).</p><p><strong>Results: </strong>There was a predominance of variables classified as having very poor completeness throughout the analyzed period, despite a slight improvement in the good and excellent completeness classifications between 2020 and 2023. Regional heterogeneity was observed; Amapá, Mato Grosso do Sul, Santa Catarina, and Paraná achieved higher proportions of satisfactory completion, whereas Tocantins, Pernambuco, Mato Grosso, Rondônia, and Alagoas had the worst performance. Between 2020 and 2023, the average notification time decreased from 13 to 7 days. Data entry was performed on time in over 90% of records in most states, while case closure remained around 86%. Nevertheless, the 90% target for timely notification was not achieved.</p><p><strong>Conclusion: </strong>Despite improvements in the timeliness of records, completeness remained unsatisfactory and uneven across states. These findings highlight the need to strengthen data entry practices and invest in continuous training and systematic monitoring to ensure more consistent data for surveillance and public health planning.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"29 ","pages":"e260034"},"PeriodicalIF":2.0,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13427215/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trends in Socioeconomic Inequalities in the Distribution of Dental Caries Among Brazilian Adolescents, 2003-2023.","authors":"Sophia Queiroz Marques Dos Santos, Angelo Giuseppe Roncalli","doi":"10.1590/1980-549720260017.supl.1","DOIUrl":"10.1590/1980-549720260017.supl.1","url":null,"abstract":"<p><strong>Objective: </strong>Analyze trends in socioeconomic inequalities in the distribution of dental caries among adolescents in the years 2003, 2010, and 2023.</p><p><strong>Methods: </strong>Longitudinal observational study using data from national oral health surveys. The Decayed, Missing and Filled Teeth (DMFT) index and the number of decayed teeth were analyzed, stratified by income and education. The analyses accounted for the complex sampling design and included measures of absolute inequality (Slope Index of Inequality - SII) and relative inequality (Relative Index of Inequality - RII). Statistical significance was assessed at the 95% confidence level (p < 0.05).</p><p><strong>Results: </strong>A global reduction in DMFT (Decayed, Missing, and Filled Teeth) and the number of decayed teeth was observed across all socioeconomic strata throughout the period, indicating a general improvement in oral health conditions. However, marked inequalities persisted between groups, maintaining the social gradient, in which adolescents with lower income and education levels presented worse indicators. The SII (Social Income Index) indicated stability in the absolute differences between the social extremes, while the RII (Inequality Index) showed variations over time, suggesting proportional changes in inequalities. For DMFT, an increase in inequalities was observed according to education level and a slight reduction in relation to income; for missing teeth, there was a reduction in inequalities in the most recent years.</p><p><strong>Conclusion: </strong>Despite the overall improvement in caries indicators, socioeconomic inequalities in oral health among adolescents persist, reflecting structural social determinants. The findings reinforce the need for public policies aimed at reducing inequities and promoting equity in oral health.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"29 suppl 1","pages":"e260017supl1"},"PeriodicalIF":2.0,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13427310/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148724001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"SB Brasil Project: brief history and perspectives for the 2030 edition.","authors":"Paulo Capel Narvai","doi":"10.1590/1980-549720260015.supl.1","DOIUrl":"10.1590/1980-549720260015.supl.1","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the evolution of population-based epidemiological surveys in oral health (saúde bucal) in Brazil, and implications for the 2030 edition of the SB Brasil project, of the Ministry of Health.</p><p><strong>Methods: </strong>This is an essay problematizing methodological and management aspects, and their implications for fieldwork, of population epidemiological surveys in oral health carried out in Brazil in different years, from 1986 to 2023.</p><p><strong>Results: </strong>Methodological and management decisions of the editions of the SB Brasil project, including 2023, are analyzed, focusing on the inclusion and exclusion of variables, such as dental fluorosis and the PUFA index, which registers the presence of seriously damaged teeth and which have visibly compromised pulp (P), ulcers caused by fragments of loose teeth (U), fistula (F) and abscess (A). The list of variables and the sampling plans of the nationwide oral health surveys carried out in 1986, 1996, 2003, 2010, and 2023 are problematized. The consequences of considering only clinical interest as a criterion for inclusion and exclusion of variables from epidemiological survey protocols are discussed, and the difficulties for the calibration of examiners are addressed, even when standardized methods are used.</p><p><strong>Conclusion: </strong>The next editions of the SB Brasil institutional project, of the Ministry of Health, will start from a relevant accumulation of knowledge and practices resulting from the Brazilian experience with oral health epidemiology, within the scope of SUS, developed in the second half of the 20th century and the first decades of the 21st century.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"29 suppl 1","pages":"e260015supl1"},"PeriodicalIF":2.0,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13427313/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148724051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}