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- Title
Contextual and individual factors associated with dental pain in adolescents from Southeastern Brazil.
- Authors
de Faria Fonseca MACEDO, Thaís; Guimarães de ABREU, Mauro Henrique Nogueira; de Castro MARTINS, Renata; da MATTA-MACHADO, Antônio Thomaz Gonzaga; da Silveira PINTO, Rafaela; de CASTILHO, Lia Silva; VARGAS-FERREIRA, Fabiana
- Abstract
The aim of this study was to assess the factors associated with dental pain in adolescents from the state of Minas Gerais, Brazil. Individual data on adolescents aged 15 to 19 years were collected from the SB Minas survey secondary database. Dental pain over the past 6 months, assessed by a questionnaire, was used as the dependent variable. Sex, income, skin color, prevalence of untreated dental caries, periodontal health, dental treatment needs, and time of last dental appointment were analyzed as individual covariates. Allocation factor, Human Development Index (HDI), Gini coefficient, illiteracy rate, unemployment, 50% and 25% of the Brazilian monthly minimum wage, primary healthcare coverage, oral health team coverage, access to individual healthcare, and supervised toothbrushing average rate were the analyzed contextual variables. A multilevel analysis was conducted for the individual and contextual variables. Statistical analyses used hierarchical linear and nonlinear modeling to infer an association between the different levels. Male adolescents had a lower prevalence of dental pain (OR = 0.53; 95%CI = 0.37-0.75). There was an association between dental pain and low income (OR = 1.58; 95%CI = 1.07-2.33), prevalence of untreated dental caries (OR = 1.25; 95%CI = 1.11-1.40), periodontal health (OR = 1.80; 95%CI = 1.04-3.09), and dental treatment needs (OR = 6.93; 95%CI = 3.96-12.14). Sociodemographic and clinical factors at the individual level were associated with the outcome but not with contextual variables. These findings reinforce the need to address these factors for effective community health actions.
- Subjects
BRAZIL; MINAS Gerais (Brazil); TOOTHACHE; DENTAL caries; TEENAGE boys; TEENAGERS; GINI coefficient; DENTAL records; HUMAN Development Index; HUMAN skin color; UNEMPLOYMENT
- Publication
Brazilian Oral Research, 2021, Vol 35, p1
- ISSN
1806-8324
- Publication type
Article
- DOI
10.1590/1807-3107bor-2021.vol35.0111