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Community and individual socioeconomic inequalities and dental caries from childhood to adolescence: A 10-year cohort study.
Brondani, Bruna; Knorst, Jessica K; Ardenghi, Thiago M; Mendes, Fausto M; Brondani, Mário A.
Afiliação
  • Brondani B; Department of Pediatric Dentistry and Orthodontics, School of Dentistry, University of São Paulo, São Paulo, Brazil.
  • Knorst JK; Department of Stomatology, School of Dentistry, Federal University of Santa Maria, Santa Maria, Brazil.
  • Ardenghi TM; Department of Stomatology, School of Dentistry, Federal University of Santa Maria, Santa Maria, Brazil.
  • Mendes FM; Department of Pediatric Dentistry and Orthodontics, School of Dentistry, University of São Paulo, São Paulo, Brazil.
  • Brondani MA; Department of Dentistry, Research Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, The Netherlands.
Community Dent Oral Epidemiol ; 52(4): 540-549, 2024 Aug.
Article em En | MEDLINE | ID: mdl-38402550
ABSTRACT

PURPOSE:

To evaluate the effect of individual and contextual socioeconomic inequalities in the occurrence of untreated dental caries during the transition from childhood to adolescence.

METHODS:

This 10-year prospective cohort study followed up an initial sample of 639 1-5 years old schoolchildren from southern Brazil. After 7 and 10 years from the baseline (T1), two other reassessments were conducted (T2 and T3), respectively. Untreated dental caries was measured through the International Caries Detection and Assessment System (ICDAS- scores 3, 5 and 6) at T1 and T3. Socioeconomic status (SES) at the contextual and individual level was assessed at T1. At T2, socioeconomic, behavioural and psychosocial characteristics were evaluated as possible pathways of explanation. Structural equation modelling was used to estimate the direct and indirect effects among the variables over 10 years.

RESULTS:

A total of 429 adolescents were reevaluated at 10-year follow-up (cohort retention rate of 67.1%). About 30.6% presented untreated dental caries at T3. Low individual SES at T1 directly impacted a higher occurrence of dental caries at T3. Non-white skin colour at T1 also indirectly impacted a higher occurrence of dental caries at T3 through low individual SES at T1 and lower household income at T2. Contextual SES did not predict, directly or indirectly, dental caries at T3.

CONCLUSION:

There is strong evidence that socioeconomic inequalities at the individual level play an important role on the occurrence of dental caries from childhood to adolescence. On the other hand, there was no evidence that contextual SES influences the occurrence of dental caries over time.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fatores Socioeconômicos / Cárie Dentária Limite: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male País/Região como assunto: America do sul / Brasil Idioma: En Revista: Community Dent Oral Epidemiol Ano de publicação: 2024 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: Fatores Socioeconômicos / Cárie Dentária Limite: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male País/Região como assunto: America do sul / Brasil Idioma: En Revista: Community Dent Oral Epidemiol Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Dinamarca