Socioeconomic and Family Influences on Dental Treatment Needs Among Brazilian Underprivileged Schoolchildren Participating in a Dental Health Program

Overview

Journal BMC Oral Health

Publisher Biomed Central

Specialty Dentistry

Date 2013 Oct 22

PMID 24138683

Citations 10

Authors

Cristina Martins Lisboa

Janice Simpson de Paula

Glaucia Maria Bovi Ambrosano

Antonio Carlos Pereira

Marcelo de Castro Meneghim

Karine Laura Cortellazzi

Fabiana Lima Vazquez

Fabio Luiz Mialhe

Affiliations

Soon will be listed here.

Abstract

Background: The objective of this study was to compare the socioeconomic and family characteristics of underprivileged schoolchildren with and without curative dental needs participating in a dental health program.

Methods: A random sample of 1411 of 8-to-10 year-old Brazilian schoolchildren was examined and two sample groups were included in the cross-sectional study: 544 presented curative dental needs and the other 867 schoolchildren were without curative dental needs. The schoolchildren were examined for the presence of caries lesions using the DMFT index and their parents were asked to answer questions about socioenvironmental characteristics of their families. Logistic regression models were adjusted estimating the Odds Ratios (OR), their 95% confidence intervals (CI), and significance levels.

Results: After adjusting for potential confounders, it was found that families earning more than one Brazilian minimum wage, having fewer than four residents in the house, families living in homes owned by them, and children living with both biological parents were protective factors for the presence of dental caries, and consequently, curative dental needs.

Conclusions: Socioeconomic status and family structure influences the curative dental needs of children from underprivileged communities. In this sense, dental health programs should plan and implement strategic efforts to reduce inequities in oral health status and access to oral health services of vulnerable schoolchildren and their families.

Citing Articles

Traumatic dental injuries in permanent teeth among Arab children: prevalence, and associated risk factors-a systematic review and meta-analysis.

Hashim R, Luke A, Salah A, Mathew S PeerJ. 2024; 12:e18366.

PMID: 39735559 PMC: 11674148. DOI: 10.7717/peerj.18366.

Assessment of dental caries among a group of institutionalized orphan children compared to parented school children: case-control study.

Khattab N, Abd-Elsabour M BMC Oral Health. 2023; 23(1):202.

PMID: 37020200 PMC: 10074812. DOI: 10.1186/s12903-023-02915-1.

Traumatic Dental Injuries among 12-Year-Old Schoolchildren in the United Arab Emirates.

Hashim R, Alhammadi H, Varma S, Luke A Int J Environ Res Public Health. 2022; 19(20).

PMID: 36293604 PMC: 9603412. DOI: 10.3390/ijerph192013032.

Dental pain associated with untreated dental caries and sociodemographic factors in 5-year-old children.

Paredes S, da Nobrega R, Soares T, Bezerra M, de Abreu M, Forte F J Clin Exp Dent. 2021; 13(6):e552-e557.

PMID: 34188760 PMC: 8223151. DOI: 10.4317/jced.57827.

Oral Health Status and Patterns of Dental Service Utilization of Adolescents in Lesotho, Southern Africa.

Jessani A, Quadri M, Lefoka P, El-Rabbany A, Hooper K, Lim H Children (Basel). 2021; 8(2).

PMID: 33562218 PMC: 7915077. DOI: 10.3390/children8020120.

References

Grinstein-Weiss M, Shanks T, Manturuk K, Key C, Paik J, Greeson J . Homeownership and parenting practices: Evidence from the community advantage panel. Child Youth Serv Rev. 2014; 32(5):774-782. PMC: 4059680. DOI: 10.1016/j.childyouth.2010.01.016. View

Marcenes W, Murray S . Changes in prevalence and treatment need for traumatic dental injuries among 14-year-old children in Newham, London: a deprived area. Community Dent Health. 2002; 19(2):104-8. View

Hart J . The inverse care law. Lancet. 1971; 1(7696):405-12. DOI: 10.1016/s0140-6736(71)92410-x. View

Agou S, Locker D, Streiner D, Tompson B . Impact of self-esteem on the oral-health-related quality of life of children with malocclusion. Am J Orthod Dentofacial Orthop. 2008; 134(4):484-9. DOI: 10.1016/j.ajodo.2006.11.021. View

Tickle M, Moulding G, Milsom K, Blinkhorn A . Socioeconomic and geographical influences on primary dental care preferences in a population of young children. Br Dent J. 2000; 188(10):559-62. DOI: 10.1038/sj.bdj.4800539. View

Paula J, Leite I, Barbosa de Almeida A, Ambrosano G, Mialhe F . The impact of socioenvironmental characteristics on domains of oral health-related quality of life in Brazilian schoolchildren. BMC Oral Health. 2013; 13:10. PMC: 3573924. DOI: 10.1186/1472-6831-13-10. View

Nicolau B, Marcenes W, Bartley M, Sheiham A . A life course approach to assessing causes of dental caries experience: the relationship between biological, behavioural, socio-economic and psychological conditions and caries in adolescents. Caries Res. 2003; 37(5):319-26. DOI: 10.1159/000072162. View

Paula J, Leite I, Almeida A, Ambrosano G, Pereira A, Mialhe F . The influence of oral health conditions, socioeconomic status and home environment factors on schoolchildren's self-perception of quality of life. Health Qual Life Outcomes. 2012; 10:6. PMC: 3285522. DOI: 10.1186/1477-7525-10-6. View

Alkarimi H, Watt R, Pikhart H, Jawadi A, Sheiham A, Tsakos G . Impact of treating dental caries on schoolchildren's anthropometric, dental, satisfaction and appetite outcomes: a randomized controlled trial. BMC Public Health. 2012; 12:706. PMC: 3497873. DOI: 10.1186/1471-2458-12-706. View

10.

McNeill T . Family as a social determinant of health: implications for governments and institutions to promote the health and well-being of families. Healthc Q. 2010; 14 Spec No 1:60-7. DOI: 10.12927/hcq.2010.21984. View

11.

Zhang M, McGrath C, Hagg U . Patients' expectations and experiences of fixed orthodontic appliance therapy. Impact on quality of life. Angle Orthod. 2007; 77(2):318-22. DOI: 10.2319/0003-3219(2007)077[0318:PEAEOF]2.0.CO;2. View

12.

Taylor K, Kiyak A, Huang G, Greenlee G, Jolley C, King G . Effects of malocclusion and its treatment on the quality of life of adolescents. Am J Orthod Dentofacial Orthop. 2009; 136(3):382-92. DOI: 10.1016/j.ajodo.2008.04.022. View

13.

Azuma S, Kohzuki M, Saeki S, Tajima M, Igarashi K, Sugawara J . Beneficial effects of orthodontic treatment on quality of life in patients with malocclusion. Tohoku J Exp Med. 2008; 214(1):39-50. DOI: 10.1620/tjem.214.39. View

14.

Simoyan O, Badner V . Implementing a school-based dental health program: the Montefiore model. J Sch Health. 2002; 72(6):262-3. DOI: 10.1111/j.1746-1561.2002.tb07341.x. View

15.

de Castilho A, Mialhe F, Barbosa T, Puppin-Rontani R . Influence of family environment on children's oral health: a systematic review. J Pediatr (Rio J). 2013; 89(2):116-23. DOI: 10.1016/j.jped.2013.03.014. View

16.

Sheiham A, Alexander D, Cohen L, Marinho V, Moyses S, Petersen P . Global oral health inequalities: task group--implementation and delivery of oral health strategies. Adv Dent Res. 2011; 23(2):259-67. DOI: 10.1177/0022034511402084. View

17.

Alves E Luna A, Rodrigues M, Menezes V, Marques K, Santos F . Caries prevalence and socioeconomic factors in children with sickle cell anemia. Braz Oral Res. 2012; 26(1):43-9. DOI: 10.1590/s1806-83242012000100008. View

18.

Fisher-Owens S, Gansky S, Platt L, Weintraub J, Soobader M, Bramlett M . Influences on children's oral health: a conceptual model. Pediatrics. 2007; 120(3):e510-20. DOI: 10.1542/peds.2006-3084. View

19.

Watt R . Social determinants of oral health inequalities: implications for action. Community Dent Oral Epidemiol. 2012; 40 Suppl 2:44-8. DOI: 10.1111/j.1600-0528.2012.00719.x. View

20.

Donaldson M, Kinirons M . Effectiveness of the school dental screening programme in stimulating dental attendance for children in need of treatment in Northern Ireland. Community Dent Oral Epidemiol. 2001; 29(2):143-9. DOI: 10.1034/j.1600-0528.2001.290209.x. View