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

{"title":"Pregnant women as a reference population to estimate dengue under-reporting: methodological proposal and application in São Paulo State, Brazil.","authors":"Leandro Cesar Pompeu, Fredi Alexander Diaz-Quijano","doi":"10.1590/1980-549720260023","DOIUrl":"10.1590/1980-549720260023","url":null,"abstract":"<p><strong>Objective: </strong>To propose and apply a methodology to estimate the under-reporting of probable dengue cases among non-pregnant women, using the incidence in pregnant women as a reference.</p><p><strong>Methods: </strong>Ecological study using data on probable dengue cases reported in the state of São Paulo, Brazil, between January and June 2024. Assuming that pregnant women have a higher likelihood of diagnosis and notification due to prenatal follow-up, this group was taken as a reference to calculate the under-reporting of dengue incidence among non-pregnant women aged 18 to 45 years. The association between under-reporting and factors such as Family Health Strategy coverage, number of Primary Health Care Units per thousand women at reproductive age, and degree of urbanization was assessed using logistic regression. Spatial autocorrelation analysis of under-reporting was also performed.</p><p><strong>Results: </strong>Of the 645 municipalities analyzed, 108 (16.7%) showed evidence of under-reporting, ranging from 1% to 95%. It was estimated that 8,624 dengue cases were not detected among non-pregnant women during the study period. No statistically significant associations were found between the analyzed factors and under-reporting. Spatial analysis identified significant clusters of municipalities with underreporting in the northwestern region of the state.</p><p><strong>Conclusion: </strong>The proposed methodology may identify areas with probable underreporting and support analyses of determinants of surveillance system sensitivity, thereby helping to guide interventions. Although potentially applicable to other notifiable diseases, comparisons between pregnant and non-pregnant women should be interpreted with caution due to differences in risk, vulnerability, and diagnostic criteria.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"29 ","pages":"e260023"},"PeriodicalIF":2.0,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13405553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148623122","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":"Risk and Protective Factor Indicators Management Committee: methodological approach in the construction of indicators of the interagency health information network (Ripsa), 2023.","authors":"Deborah Carvalho Malta, Max Moura de Oliveira, Mariana Gonçalves de Freitas, Anna Beatriz Souza Antunes, Letícia Mendes Ricardo, Vera Lucia Tierling, Debora França Dos Santos, Paula Carvalho de Freitas, Flora Vitória Serena Oliveira Baldi, Bárbara Aguiar Carrato, Ana Lorena Lima Ferreira, Thanise Sabrina Souza Santos, Gabriela Oliveira, Isabela da Costa Gaspar da Silva, Luiz Antônio Alves de Menezes-Júnior, Luci Fabiane Scheffer Moraes","doi":"10.1590/1980-549720260026","DOIUrl":"10.1590/1980-549720260026","url":null,"abstract":"<p><strong>Objective: </strong>To describe the role of the Risk and Protective Factors Indicator Management Committee (RPF CGI) in the resumption and update of the Interagency Health Information Network (Rede Interagencial de Informações para a Saúde - Ripsa) indicator matrix in 2023, highlighting the sustainability of data sources and validation processes.</p><p><strong>Methods and results: </strong>Interinstitutional technical meetings were held between 2023 and 2025, involving 36 institutions, to review, define, and validate the indicators using a standardized indicator qualification form. A consensus was reached to use data from the Surveillance System for Risk and Protective Factors for Chronic Diseases by Telephone Survey (Sistema de Vigilância de Fatores de Risco e Proteção para Doenças Crônicas por Inquérito Telefônico - Vigitel), National Study of Infant Feeding and Nutrition (Estudo Nacional de Alimentação e Nutrição Infantil - Enani), Live Birth Information System (Sistema de Informações sobre Nascidos Vivos - Sinasc), National Health Survey (Pesquisa Nacional de Saúde - PNS), Household Budget Survey (Pesquisa de Orçamentos Familiares - POF), National School Health Survey (Pesquisa Nacional de Saúde do Escolar - PeNSE), National Demographic and Health Survey (Pesquisa Nacional de Demografia e Saúde - PNDS), Annual Industrial Survey - Product (Pesquisa Industrial Anual - Produto - PIA-Produto), National Survey on Health and Nutrition (Pesquisa Nacional sobre Saúde e Nutrição - PNSN), and National Oral Health Survey (Pesquisa Nacional de Saúde Bucal - SB Brasil). The matrix was expanded to 39 indicators, distributed across nine dimensions: noncommunicable chronic diseases, alcohol consumption, smoking, physical activity, nutritional status, dietary intake, childbirth, violence, and oral health.</p><p><strong>Conclusion: </strong>The RPF CGI contributed to the qualification and sustainability of Ripsa indicators, which are essential for monitoring public policies, supporting evidence-based decision-making, and addressing health inequalities, aligning with national and international agendas such as the Sustainable Development Goals.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"29 ","pages":"e260026"},"PeriodicalIF":2.0,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13405555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622510","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":"Epidemiological investigation of a confirmed case of West Nile virus in Campo Novo do Parecis, Mato Grosso, Brazil, 2025-2026.","authors":"João Pedro Rocha Nogueira, Cecilia Cintra Dos Reis, Alba Valeria Gomes de Melo, Janaina Pauli, Ruberlei Godinho de Oliveira","doi":"10.1590/1980-549720260029","DOIUrl":"10.1590/1980-549720260029","url":null,"abstract":"<p><strong>Objective: </strong>To describe the epidemiological investigation following laboratory confirmation of West Nile virus in an infant residing in Mato Grosso, Brazil.</p><p><strong>Methods: </strong>Descriptive study conducted between February 11 and 13, 2026, following notification and diagnostic confirmation by molecular biology. Passive and active surveillance were implemented.</p><p><strong>Results: </strong>The index case had symptom onset on December 18, 2025, confirmed by molecular biology in a cerebrospinal fluid sample collected on December 20, 2025. In the active investigation, 112 residents were interviewed, identifying 29 symptomatic individuals (25.9%), of whom eight reported neurological manifestations. Environmental conditions favorable to vector proliferation were observed.</p><p><strong>Conclusion: </strong>The findings suggest possible viral circulation and reinforce the need to intensify integrated human-animal-environmental surveillance, with expanded laboratory and entomological investigation in our territory.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"29 ","pages":"e260029"},"PeriodicalIF":2.0,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13440505/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148623131","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":"Female homicides in the state of São Paulo, Brazil: a time series analysis from 1980 to 2022.","authors":"Edson Zangiacomi Martinez, Claudia Benedita Dos Santos, Elisangela Aparecida da Silva Lizzi, Miriane Lucindo Zucoloto","doi":"10.1590/1980-549720260031","DOIUrl":"10.1590/1980-549720260031","url":null,"abstract":"<p><strong>Objective: </strong>This ecological study analyzes the temporal evolution of female homicide rates in the state of São Paulo, Brazil, from 1980 to 2022, using data from the Mortality Information System (SIM).</p><p><strong>Methods: </strong>Possible change points in the trend of these rates were identified using the Bayesian Estimator of Abrupt Change, Seasonality, and Trend (BEAST) model.</p><p><strong>Results: </strong>A total of 29,234 female homicide cases were recorded during the period, including 3,914 among young women aged 15 to 19. The analysis detected two major change points in 1995 and 2004, dividing the time series into three segments: an increasing trend until 1994, a stable period from 1995 to 2003, and a decreasing trend from 2004 onward. Among young women, three change points were identified, with a significant and consistent decline in homicide rates from 2004 to 2022.</p><p><strong>Conclusion: </strong>The number of female homicides in São Paulo has declined significantly since 2004, particularly among young women aged 15-19. Although this is linked to policy changes, the decline is likely due to multiple factors. The study highlights the importance of ongoing gender-focused policies and robust analytical tools in guiding public safety efforts.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"29 ","pages":"e260031"},"PeriodicalIF":2.0,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13440504/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148623075","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":"Psychometric properties of a self-administered oral health literacy questionnaire for Brazilian adolescents.","authors":"Helene Soares Moura, Rafael Aiello Bomfim, Paulo Frazao","doi":"10.1590/1980-549720260032","DOIUrl":"10.1590/1980-549720260032","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the psychometric properties of a self-administered oral health literacy (OHL) questionnaire for adolescents, titled the Brazilian Oral Health Literacy-Youngs Questionnaire (BOHL-YQ).</p><p><strong>Methods: </strong>The study included adolescents aged 15 to 19 years enrolled in public schools in the municipality of Araruna, Paraíba, Brazil. Data on demographic, socioeconomic characteristics, and oral health-related behaviors were collected from 360 participants. The internal consistency of the BOHL-YQ was evaluated. To examine the dimensional structure of the instrument, exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were conducted. Convergent validity was investigated through associations between BOHL-YQ scores and demographic, socioeconomic, and oral health-related behavioral variables.</p><p><strong>Results: </strong>A total of 348 questionnaires were analyzed. One item showed inadequate loading in the EFA of the 15-item version. The EFA of the 14-item version demonstrated good internal consistency (Cronbach's alpha=0.71; McDonald's omega=0.72), a Kaiser-Meyer-Olkin value of 0.77, and adequate fit for two domains: Cognitive and Comprehension/Decision-Making. The CFA indicated the model explained 84% of the variance. Higher OHL scores were found among female adolescents (p=0.006), urban residents (p<0.001), and those whose mothers had >9 years of schooling (p=0.014), did not receive government benefits (p<0.001), had a dental visit within the last year (p<0.001), and in private dental services (p=0.043).</p><p><strong>Conclusion: </strong>In this context, the BOHL-YQ demonstrated good internal consistency and convergent validity, indicating that it is a valid and easily applicable instrument for measuring oral health literacy among Brazilian adolescents.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"29 ","pages":"e260032"},"PeriodicalIF":2.0,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13440506/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148623137","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":"Suicide and occupation: spatial patterns in Chapecó (SC) and contextualization of the temporal trend in the national scenario, 2006-2024.","authors":"Gabriela Rebeschini, Paulo Roberto Barbato, Jane Kelly Oliveira Friestino, Daniel Hideki Bando, Joanna d'Arc Lyra Batista","doi":"10.1590/1980-549720260030","DOIUrl":"10.1590/1980-549720260030","url":null,"abstract":"<p><strong>Objective: </strong>To analyze suicide in Chapecó (SC) in terms of temporal trends, occupation, and spatial patterns by neighborhood, comparing local data with national data.</p><p><strong>Methods: </strong>This is an ecological study conducted in Chapecó (SC), based on deaths by suicide reported between 2006 and 2024. Suicide rates in Chapecó (SC) were standardized by age. The joinpoint regression technique was used for the temporal trend analysis. In the spatial analysis, the local empirical Bayesian suicide rate was calculated by neighborhood.</p><p><strong>Results: </strong>A total of 392 deaths were recorded during the period in Chapecó (SC). The average standardized annual rate was 8.8 per 100,000 inhabitants. There was a significant increase over the period studied in Brazil and in Chapecó (SC) (p<0.001), with more pronounced growth in this municipality. The profession of bricklayer/construction worker was the most reported one (13.6%), followed by agricultural workers (11.0%). The extreme south and north regions of the municipality had the highest suicide rates, above 9.6 deaths per 100,000 inhabitants.</p><p><strong>Conclusion: </strong>There was an upward trend in suicide in the municipality during the analyzed period. The results suggest a direct association between suicide and social deprivation and point to the need for intensified prevention efforts targeting construction workers and farmers, as well as the outlying areas of the city.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"29 ","pages":"e260030"},"PeriodicalIF":2.0,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13404845/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622619","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":"The silence of lost smiles: multilevel analysis of edentulism among older adults in contextual and individual interfaces in Brazil (SB Brasil 2023).","authors":"Rafael da Silveira Moreira, Camila Caroline da Silva, Lucas Fernando Rodrigues Dos Santos, Tainá Faustino Mafra, Herika de Arruda Mauricio","doi":"10.1590/1980-549720260028.supl.1","DOIUrl":"10.1590/1980-549720260028.supl.1","url":null,"abstract":"<p><strong>Objective: </strong>To analyze contextual and individual factors associated with edentulism among older adults aged 65-74 years in Brazil, based on data from the SB Brasil 2023 national survey.</p><p><strong>Methods: </strong>A cross-sectional study was conducted with 9,745 participants from the 27 Federative Units. Data collection was conducted using standardized questionnaires and clinical examinations. Contextual municipal variables and individual demographic, socioeconomic, service utilization variables were analyzed. Associations were estimated using the Rao-Scott test, adjusted residual analysis, and simple and multiple logistic regression, calculating Odds Ratios (OR) and 95% confidence intervals (95%CI).</p><p><strong>Results: </strong>The prevalence of edentulism was 36.5%. A higher number of dentists per 3,500 inhabitants showed a protective effect (OR 0.96; p<0.01). The Brazilian Deprivation Index remained positively associated with the outcome, with the highest odds observed in the fifth quintile (OR 1.92; p<0.01). The absence of Dental Specialty Centers (OR 1.25; p=0.03) and Regional Dental Prosthesis Laboratories (OR 1.24; p=0.03) increased the prevalence of edentulism. Women (OR 1.24; p<0.01), age≥median of 69 years (OR 1.74; p<0.01), and low level of education (OR 4.25; p<0.01) were independent odds factors.</p><p><strong>Conclusion: </strong>Edentulism reflects social and structural inequalities in oral health. Expanding access to care and strengthening the public dental service network are essential measures to reduce inequities.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"29 suppl 1","pages":"e260028supl1"},"PeriodicalIF":2.0,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13405552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622952","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":"Co-occurrence of health risk behaviors and depression in the Brazilian population: analysis of a population-based survey (Vigitel, 2023).","authors":"Bruna Carolina Rafael Barbosa, Laudicéia Ferreira Fróis, Mariana Cassemira Aparecida Vidigal, Melissa Ionara Ribeiro Sabbagh, Diovana Raspante de Oliveira Souza, Aline Silva de Aguiar, Ísis Eloah Machado, Adriana Lúcia Meireles","doi":"10.1590/1980-549720260028","DOIUrl":"10.1590/1980-549720260028","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the association between the co-occurrence of health risk behaviors and the presence of depression in Brazilians.</p><p><strong>Methods: </strong>This was a cross-sectional study using data from the 2023 population-based telephone survey Vigitel. Depression was assessed by self-reported medical diagnosis. The co-occurrence of health risk behaviors was measured based on the sum of five behaviors: consumption of ultra-processed foods (UPF), physical inactivity, sedentary behavior, smoking, and binge drinking. This variable was subsequently categorized as \"none,\" \"one,\" \"two,\" or \"three or more\" behaviors. Descriptive analyses, Pearson's χ2 test, and univariate and multiple logistic regression adjusted for sex, age, marital status, and level of education were carried out.</p><p><strong>Results: </strong>A total of 21,690 individuals participated in the survey, of whom 12.3% had depression, and approximately 79.8% reported at least one health risk behavior. Consumption of UPF (OR 1.35; 95%CI 1.08-1.68), physical inactivity (OR 1.29; 95%CI 1.04-1.60), and smoking (OR 1.76; 95%CI 1.36-2.27) were associated with depression. Individuals with two health risk behaviors had 1.36 times higher odds of depression (OR 1.36; 95%CI 1.08-1.73), while those with three or more had twice the odds (OR 2.01; 95%CI 1.49-2.71), compared to those with none.</p><p><strong>Conclusion: </strong>Individuals with the co-occurrence of two or more health risk behaviors are more likely to have depression. These findings highlight the importance of integrated strategies for mental health promotion and the prevention of unhealthy behaviors in the Brazilian population.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"29 ","pages":"e260028"},"PeriodicalIF":2.0,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13405554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148623117","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":"Childhood vaccination coverage and socioeconomic inequalities in the Northern region of Brazil.","authors":"Eduarda de Paulo Costa, Luiz Fernando Costa Nascimento","doi":"10.1590/1980-549720260027","DOIUrl":"10.1590/1980-549720260027","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the spatio-temporal variation of childhood immunobiological vaccine coverage in the municipalities of the Northern region of Brazil, comparing cross-sectional data from 2018 and 2022, and its association with socioeconomic and maternal variables.</p><p><strong>Methods: </strong>This is a comparative ecological study with coverage data for seven immunobiologicals in the municipalities of the Northern region for the years 2018 and 2022. Data were obtained from the Department of Informatics of the Unified Health System. Spatial analysis (global, bivariate, and local Moran's Index) was used to verify the association between vaccine coverage and independent variables (GDP per capita, Brazilian Deprivation Index, maternal schooling, proportion of indigenous people, full-term births, and birth weight).</p><p><strong>Results: </strong>There was a widespread decline in vaccine coverage when comparing the two periods, except for the meningococcal C vaccine. Vaccination was positively associated with GDP per capita and maternal schooling, and negatively associated with the Deprivation Index, with these associations intensifying over the period. The spatial correlation between immunization and the proportion of the indigenous population, previously not significant, became strongly negative in 2022. Clusters of low immunization and socioeconomic vulnerability were identified mostly in the states of Pará and Amazonas, and clusters of high immunization and better indicators in Tocantins and Rondônia.</p><p><strong>Conclusion: </strong>The decline in childhood vaccination in the Northern region is a spatially structured phenomenon that reflects and deepens socioeconomic inequalities. The formation of vulnerability clusters, especially in areas near the Brazilian border, represents a risk for the re-emergence of vaccine-preventable diseases and demands territorially focused public health policies.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"29 ","pages":"e260027"},"PeriodicalIF":2.0,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13405557/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148623139","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":"Advances and challenges in periodontal disease inequalities in Brazil: a population-based comparative analysis, 2010-2023.","authors":"Lívia Valéria Lins E Silva, Bruno Ferraz Barbosa da Costa, Edson Hilan Gomes de Lucena, Yuri Wanderley Cavalcanti, Sabrina Garcia de Aquino","doi":"10.1590/1980-549720260019.supl.1","DOIUrl":"10.1590/1980-549720260019.supl.1","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the prevalence of gingival bleeding, dental calculus, and shallow and deep periodontal pockets in the Brazilian National Oral Health Survey (SB Brasil) 2010 and 2023, and to examine their association with socioeconomic determinants.</p><p><strong>Methods: </strong>Cross-sectional comparative study based on secondary analysis of nationally representative weighted data from SB Brasil. The sample included adolescents (15-19 years), adults (35-44 years), and older adults (65-74 years). The outcomes were gingival bleeding, dental calculus, and shallow and deep periodontal pockets, analyzed as dichotomous variables (presence/absence). Independent variables were sex, income, schooling, and self-reported race/skin color. Multilevel logistic regression models estimated odds ratios and 95% confidence intervals.</p><p><strong>Results: </strong>Among adolescents, periodontal indicators remained stable between 2010 and 2023. Among adults, lower prevalences of dental calculus and shallow periodontal pockets were observed, with higher odds among men and black and brown individuals for some outcomes in 2023. Among older adults, the prevalence of gingival bleeding and dental calculus was higher in 2023, with higher odds among men and individuals with lower schooling and black race/skin color.</p><p><strong>Conclusion: </strong>The comparison between SB Brasil 2010 and 2023 reveals heterogeneous changes in periodontal indicators, with stability among adolescents, lower prevalences of dental calculus and shallow periodontal pockets among adults, and higher prevalences of gingival bleeding and dental calculus among older adults in 2023. Differences associated with socioeconomic determinants remained evident, reinforcing the need for continuous monitoring and care strategies throughout life to address persistent inequalities in periodontal health.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"29Suppl 1 Suppl 1","pages":"e260019supl1"},"PeriodicalIF":2.0,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13403698/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622930","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}