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Silveira Schuch H, Venâncio Fernandes Dantas R, Menezes Seerig L, S Santos I, Matijasevich A, J D Barros A, Glazer Peres K, Peres MA, Demarco FF. Socioeconomic inequalities explain the association between source of drinking water and dental caries in primary dentition. J Dent 2021; 106:103584. [PMID: 33465449 DOI: 10.1016/j.jdent.2021.103584] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2020] [Revised: 01/06/2021] [Accepted: 01/11/2021] [Indexed: 10/22/2022] Open
Abstract
OBJECTIVE To evaluate the association between source of drinking water and dental caries at age 5 and to test whether socioeconomic conditions act as confounding factors in such association. METHODS The study was carried out in a sub-sample of the 2004 Pelotas Birth Cohort, which comprised the application of a questionnaire and clinical oral examination. The exposure was source of drinking water, collected through a question to the primary caregiver. The outcome was dental caries in primary dentition, measured through several standardized indicators of the decayed, missing and filled teeth index (dmft), assessing past and present dental caries. Socioeconomic indicators (family income and maternal education) were identified as potential confounding factors. After descriptive analysis, the association between source of water and measures of dental caries was assessed by Regression models. RESULTS 1,084 children were evaluated and had complete information in all variables (83.2 % of the targeted sample). Dental caries experience was observed in 48.7 % of the children, with a mean of 1.9 decayed, missing or filled teeth. Most children consumed water from public water supply (76.0 %), and a socioeconomic pattern was observed, with children from lower income more likely to drink water from public supply. In crude analysis, children who consumed bottled water had a lower risk of decayed teeth, lower experience of dental caries and less severe disease. No associations were observed after adjustments for socioeconomic conditions. CONCLUSION Underlying socioeconomic inequalities explained the association between prevalence and severity of dental caries in primary dentition and source of drinking water. CLINICAL SIGNIFICANCE Drinking fluoridated tap water is as effective in dental caries prevention as bottled water with acceptable levels of fluoride, with the advantage of being accessible to all. Oral health prevention and treatment should be implemented as early in life as possible and should take into consideration the family's socioeconomic context.
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Affiliation(s)
- Helena Silveira Schuch
- Graduate Program in Dentistry, Federal University of Pelotas, Rua Gonçalves Chaves, 457 - Centro, CEP 96015-560, Pelotas, Rio Grande do Sul, Brazil.
| | - Raquel Venâncio Fernandes Dantas
- Operative Dentistry Department, Federal University of Paraíba, Campus I - Cidade Universitária, CEP 58051-900, João Pessoa, Paraíba, Brazil.
| | - Lenise Menezes Seerig
- Graduate Program in Epidemiology, Federal University of Pelotas, Rua Marechal Deodoro, 1160 - Centro, CEP 96020-220, Pelotas, Rio Grande do Sul, Brazil.
| | - Iná S Santos
- Graduate Program in Epidemiology, Federal University of Pelotas, Rua Marechal Deodoro, 1160 - Centro, CEP 96020-220, Pelotas, Rio Grande do Sul, Brazil.
| | - Alícia Matijasevich
- Departamento de Medicina Preventiva, Faculdade de Medicina FMUSP, Universidade de São Paulo, Av. Dr Arnaldo, 455, 2ºandar, CEP 01246-903, São Paulo, São Paulo, Brazil.
| | - Aluísio J D Barros
- Graduate Program in Epidemiology, Federal University of Pelotas, Rua Marechal Deodoro, 1160 - Centro, CEP 96020-220, Pelotas, Rio Grande do Sul, Brazil; International Center for Equity in Health, Federal University of Pelotas, Rua Marechal Deodoro, 1160 - Centro, CEP 96020-220, Pelotas, Rio Grande do Sul, Brazil.
| | - Karen Glazer Peres
- National Dental Research Institute Singapore, National Dental Centre Singapore, Oral Health ACP, Health Services and Systems Research Programme, Duke-NUS Medical School, 8 College Road, 169857, Singapore.
| | - Marco Aurélio Peres
- National Dental Research Institute Singapore, National Dental Centre Singapore, Oral Health ACP, Health Services and Systems Research Programme, Duke-NUS Medical School, 8 College Road, 169857, Singapore.
| | - Flávio Fernando Demarco
- Graduate Program in Dentistry, Federal University of Pelotas, Rua Gonçalves Chaves, 457 - Centro, CEP 96015-560, Pelotas, Rio Grande do Sul, Brazil; Graduate Program in Epidemiology, Federal University of Pelotas, Rua Marechal Deodoro, 1160 - Centro, CEP 96020-220, Pelotas, Rio Grande do Sul, Brazil.
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Seerig LM, Nascimento GG, Peres MA, Horta BL, Demarco FF. [Accumulated risk from poverty and tooth loss at 31 years of age: the 1982 live birth cohort in Pelotas, Rio Grande do Sul State, Brazil]. CAD SAUDE PUBLICA 2020; 36:e00167619. [PMID: 32813794 DOI: 10.1590/0102-311x00167619] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2019] [Accepted: 12/20/2019] [Indexed: 12/13/2022] Open
Abstract
The objective was to estimate the effect of accumulated risk from poverty and tooth loss at 31 years, using longitudinal data from the 1982 live birth cohort in Pelotas, Rio Grande do Sul State, Brazil. The income trajectory variables were built with four time points: birth and 15, 24, and 30 years of age. Potential confounding factors were sex, maternal schooling, maternal skin color, and smoking at 24 years. Potential mediators used the history of dentistry services use and caries based on the Significant Index Caries (SIC). The trajectory variable in the accumulated risk model was created with group-based trajectory modeling. The target outcome was the number of missing teeth at 31 years. Mean number of missing teeth at 31 years was 1.25. In the accumulated risk model after adjusting for confounders and mediators, individuals that were poor at one or two time points showed risk ratio - RR = 1.92 (95%CI: 1.40-2.63), and those with three or four episodes of poverty showed RR = 1.97 (95%CI: 1.24-3.13) for tooth loss. The results highlight the effect of lifetime poverty on tooth loss. The effect was expanded in individuals that were exposed to poverty longer. Public policies aimed at improving income conditions also help reduce tooth loss.
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Affiliation(s)
| | | | - Marco Aurelio Peres
- National Dental Research Institute Singapore, National Dental Centre Singapore, Singapore
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Ribeiro CG, Cascaes AM, Silva AER, Seerig LM, Nascimento GG, Demarco FF. Edentulism, Severe Tooth Loss and Lack of Functional Dentition in Elders: A Study in Southern Brazil. Braz Dent J 2017; 27:345-52. [PMID: 27224572 DOI: 10.1590/0103-6440201600670] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2015] [Accepted: 03/28/2016] [Indexed: 11/22/2022] Open
Abstract
The aim of this study was to estimate self-reported prevalence of edentulism, severe tooth loss and lack of functional dentition in elders, and to identify potential associated factors. A population based cross-sectional study was carried out with 1,451 elders (≥60 years), in Pelotas, RS, Brazil. Crude and adjusted prevalence ratios were estimated using Poisson regressions. The prevalence of edentulism, severe tooth loss and lack of functional dentition was 39.3%, 60.9% and 82.7%, respectively. The factors positively associated with tooth loss in the three-degree severity were sex (females), older individuals, low familial income, low level of schooling and having the last dental visit longer than 24 months ago. The high prevalence of tooth loss in its different degrees of severity and the association with preventable factors highlight the need of programs focused on elders, emphasizing the prevention of tooth loss and need for prosthetic rehabilitation.
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Affiliation(s)
- Camila Garcez Ribeiro
- Graduate Program in Epidemiology, UFPel - Universidade Federal de Pelotas, Pelotas, RS, Brazil, Universidade Federal de Pelotas, Graduate Program in Epidemiology, Universidade Federal de Pelotas, Pelotas , Brazil
| | - Andreia Morales Cascaes
- Graduate Program in Dentistry, UFPel - Universidade Federal de Pelotas, Pelotas, RS, Brazil, Universidade Federal de Pelotas, Graduate Program in Dentistry, Universidade Federal de Pelotas, Pelotas RS , Brazil
| | - Alexandre Emídio Ribeiro Silva
- Graduate Program in Dentistry, UFPel - Universidade Federal de Pelotas, Pelotas, RS, Brazil, Universidade Federal de Pelotas, Graduate Program in Dentistry, Universidade Federal de Pelotas, Pelotas RS , Brazil
| | - Lenise Menezes Seerig
- Graduate Program in Epidemiology, UFPel - Universidade Federal de Pelotas, Pelotas, RS, Brazil, Universidade Federal de Pelotas, Graduate Program in Epidemiology, Universidade Federal de Pelotas, Pelotas , Brazil
| | - Gustavo Giacomelli Nascimento
- Graduate Program in Dentistry, UFPel - Universidade Federal de Pelotas, Pelotas, RS, Brazil, Universidade Federal de Pelotas, Graduate Program in Dentistry, Universidade Federal de Pelotas, Pelotas RS , Brazil
| | - Flávio Fernando Demarco
- Graduate Program in Epidemiology, UFPel - Universidade Federal de Pelotas, Pelotas, RS, Brazil, Universidade Federal de Pelotas, Graduate Program in Epidemiology, Universidade Federal de Pelotas, Pelotas , Brazil.,Graduate Program in Dentistry, UFPel - Universidade Federal de Pelotas, Pelotas, RS, Brazil, Universidade Federal de Pelotas, Graduate Program in Dentistry, Universidade Federal de Pelotas, Pelotas RS , Brazil
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Seerig LM, Bacchieri G, Nascimento GG, Barros AJD, Demarco FF. Use of motorcycle in Brazil: users profile, prevalence of use and traffic accidents occurrence — a population-based study. Ciênc saúde coletiva 2016; 21:3703-3710. [PMID: 27925111 DOI: 10.1590/1413-812320152112.28212015] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2015] [Accepted: 03/16/2016] [Indexed: 11/22/2022] Open
Abstract
Abstract This study aimed to describe the profile of motorcycle users and determine the prevalence of use. Also, to evaluate the reason for using a motorcycle, users' perceived risk of traffic accident, pattern of helmet wearing and number of accidents related to motorcycle use in the last 12 months. This cross-sectional study was conducted in the city of Pelotas, Southern Brazil. Sampling process was carried out in two stages, with the primary unit being the census track and the secondary the house. The study included 3,004 individuals aged 10 to 59 years, which answered a structured questionnaire. The outcome of the study was the use of motorcycle. The prevalence of motorcycle use was 25%. The majority of the riders were composed by males (79%). Individuals aged from 18 to 35-years-old comprised 42% of the total number of users, mainly as riders (24%). Forty percent of the users were not using properly the helmet strap. The major part of the users (76%) had a perception of high risk for accidents. The prevalence of accidents was 8%; it was higher among males and among those individuals aged from 18 to 35 years. The use of motorcycle was widespread in the population. Users were aware of the risk of accident, even though they reported to not wear correctly the helmet.
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Silva BGCD, Lima NP, Silva SGD, Antúnez SF, Seerig LM, Restrepo-Méndez MC, Wehrmeister FC. Mortalidade materna no Brasil no período de 2001 a 2012: tendência temporal e diferenças regionais. Rev bras epidemiol 2016; 19:484-493. [DOI: 10.1590/1980-5497201600030002] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2015] [Accepted: 03/24/2016] [Indexed: 11/22/2022] Open
Abstract
RESUMO: Objetivo: Avaliar a tendência de mortalidade materna no Brasil e nas cinco regiões brasileiras, de 2001 a 2012, e descrever suas principais causas. Métodos: Trata-se de uma série temporal, a partir de dados obtidos no Sistema de Informação sobre Mortalidade e no Sistema de Informação sobre Nascidos Vivos. A razão de mortalidade materna e as causas de morte materna foram descritas conforme as categorias da 10ª revisão da Classificação Internacional de Doenças, nos anos de 2001, 2006 e 2011. Para estimar a tendência temporal foi utilizada a regressão linear. Resultados: A razão de mortalidade materna mais elevada no Brasil foi no ano de 2009 (77,31 por 100 mil nascidos vivos). Foi observada tendência significativa de diminuição da razão de mortalidade materna para as regiões Nordeste e Sul e de aumento na região Centro-Oeste. Houve incremento nas mortes por outras afecções obstétricas e uma queda nas mortes por edema, proteinúria e transtornos hipertensivos. Conclusão: Embora tenham sido observadas tendências de diminuição da razão de mortalidade materna para o Nordeste e o Sul, as elevadas taxas observadas para o Brasil evidenciam a necessidade de melhoria à assistência pré-natal, ao parto e ao puerpério.
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