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[Social determinants and adult oral health in Brazilian state capitals]. / Determinantes sociais e saúde bucal de adultos nas capitais do Brasil.
Bueno, Roberto Eduardo; Moysés, Simone Tetu; Bueno, Paula Alexandra Reis; Moysés, Samuel Jorge.
Afiliação
  • Bueno RE; Escola de Saúde e Biociências, Pontifícia Universidade Católica do Paraná, , roberto.edu.bueno@gmail.com.
  • Moysés ST; Escola de Saúde e Biociências, Pontifícia Universidade Católica do Paraná, , roberto.edu.bueno@gmail.com.
  • Bueno PA; Faculdade de Educação, Universidade de São Paulo.
  • Moysés SJ; Escola de Saúde e Biociências, Pontifícia Universidade Católica do Paraná, , roberto.edu.bueno@gmail.com.
Rev Panam Salud Publica ; 36(1): 17-23, 2014 Jul.
Article em Pt | MEDLINE | ID: mdl-25211673
OBJECTIVE: To assess the correlation between the social determinants of oral health (SDOH) index and social indicators, indicators of oral health, and intermediary social determinants expressed by the indicators of the Government of Brazil's National Oral Health Policy. METHODS: This ecological study included 5 915 adults aged 35 to 44 years from 27 Brazilian capitals. Indicators of oral health outcomes-tooth loss, restored teeth, and dental care index (DCI)-were extracted from the 2010 National Oral Health Survey. Social indicators (structural social determinants) and indicators of the National Oral Health Policy were obtained from census data and from the Ministry of Health. RESULTS: A moderate Pearson correlation (r) was observed between SDOH and DCI (r = 0.580), restored teeth (r = 0.545), and tooth loss (r = - 0.490). The social equity component was strongly correlated to DCI (r = 0.856), restored teeth (r = 0.822), and tooth loss (r = - 0.665). These oral health outcomes were not statistically associated with the components related to primary and secondary oral health care. The social equity component explained 44% of the variance in tooth loss, 68% of the variance in the number of restored teeth, and 73% of the variance in DCI. CONCLUSIONS: A significant correlation was observed between SDOH and the social equity component with oral health outcomes in adults in Brazilian capitals. Therefore, equity policies should prioritize actions focused on the SDOH, such as increased sanitation coverage and water fluoridation, and on reducing poverty and regional inequities.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Saúde Bucal / Determinantes Sociais da Saúde Tipo de estudo: Observational_studies Aspecto: Determinantes_sociais_saude / Equity_inequality Limite: Adult / Humans País/Região como assunto: America do sul / Brasil Idioma: Pt Revista: Rev Panam Salud Publica Assunto da revista: SAUDE PUBLICA Ano de publicação: 2014 Tipo de documento: Article País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Saúde Bucal / Determinantes Sociais da Saúde Tipo de estudo: Observational_studies Aspecto: Determinantes_sociais_saude / Equity_inequality Limite: Adult / Humans País/Região como assunto: America do sul / Brasil Idioma: Pt Revista: Rev Panam Salud Publica Assunto da revista: SAUDE PUBLICA Ano de publicação: 2014 Tipo de documento: Article País de publicação: Estados Unidos