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Socially unequal improvements in dental caries levels in Brazilian adolescents between 2003 and 2010.
Roncalli, Angelo G; Sheiham, Aubrey; Tsakos, Georgios; Watt, Richard G.
Afiliação
  • Roncalli AG; Department of Dentistry, Federal University of Rio Grande do Norte, Natal, RN, Brazil.
  • Sheiham A; Department of Epidemiology and Public Health, University College London, London, UK.
  • Tsakos G; Department of Epidemiology and Public Health, University College London, London, UK.
  • Watt RG; Department of Epidemiology and Public Health, University College London, London, UK.
Community Dent Oral Epidemiol ; 43(4): 317-24, 2015 Aug.
Article em En | MEDLINE | ID: mdl-25660728
OBJECTIVES: Although there are numerous reports on socioeconomic inequalities in dental caries, few studies have focused on whether improvements in dental status have been accompanied by changes in socioeconomic inequalities in caries. The objective of this study was to assess whether declines in caries between 2003 and 2010 were associated with reductions in inequalities in dental caries in adolescents. METHODS: Data on dental caries in adolescents aged 15-19 were used from the Brazilian National Oral Health surveys conducted in 2003 (n = 16 833) and 2010 (n = 5445). The dependent variables were Decayed, Missing and Filled Teeth (DMFT) index and the percentage caries free. Household income and educational level were independent variables. Differences between surveys for DMFT and caries free were calculated, and measurement of inequality was performed using the Slope Index of Inequality (SII) and Relative Index of Inequality (RII). RESULTS: Both DMFT and percentage caries free showed significant differences in absolute (SII) and relative (RII) inequalities between the two surveys for both education and income. The SII for DMFT rose from 0.54 to 2.01 and from 1.44 to 3.67 for income and education, respectively. For caries free, these values were 3.64-19.40 and 5.06-22.93. Regarding to RII, a similar trend has been found. CONCLUSIONS: Despite the overall reduction in DMFT and an increase in caries free, there were increases in both income and education-related inequalities in caries in Brazilian adolescents. The findings on caries differ from those for other health conditions in Brazil, where there have been reductions in inequalities.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cárie Dentária / Disparidades nos Níveis de Saúde Aspecto: Determinantes_sociais_saude / Equity_inequality / Patient_preference Limite: Adolescent / Adult / Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: Community Dent Oral Epidemiol Ano de publicação: 2015 Tipo de documento: Article País de afiliação: Brasil País de publicação: Dinamarca
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cárie Dentária / Disparidades nos Níveis de Saúde Aspecto: Determinantes_sociais_saude / Equity_inequality / Patient_preference Limite: Adolescent / Adult / Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: Community Dent Oral Epidemiol Ano de publicação: 2015 Tipo de documento: Article País de afiliação: Brasil País de publicação: Dinamarca