Multilevel modeling for dental caries among adolescents in a Brazilian large city

Auteurs-es

  • Giovana Daniela Pecharki School of Health and Biosciences, Pontifícia Universidade Católica do Paraná (PUCPR), Rua Imaculada Conceição, Curitiba, PR, Brazil
  • João Armando Brancher School of Health and Biosciences, Pontifícia Universidade Católica do Paraná (PUCPR), Rua Imaculada Conceição, Curitiba, PR, Brazil
  • Márcia Olandoski School of Health and Biosciences, Pontifícia Universidade Católica do Paraná (PUCPR), Rua Imaculada Conceição, Curitiba, PR, Brazil
  • Andrea Duarte Doetzer School of Health and Biosciences, Pontifícia Universidade Católica do Paraná (PUCPR), Rua Imaculada Conceição, Curitiba, PR, Brazil
  • Samuel Jorge Moyses School of Health and Biosciences, Pontifícia Universidade Católica do Paraná (PUCPR), Rua Imaculada Conceição, Curitiba, PR, Brazil
  • Paula Cristina Trevilatto School of Health and Biosciences, Pontifícia Universidade Católica do Paraná (PUCPR), Rua Imaculada Conceição, Curitiba, PR, Brazil

DOI :

https://doi.org/10.5195/d3000.2016.58

Mots-clés :

Oral health, Risk indicators, Caries Experience

Résumé

Dental caries is a complex disease, which needs an approach that considers caries influencing factors at different levels and their integration. Multilevel Modeling is a clustered analysis of variables from the individual to the community level. The aim of this study was to investigate the association of social and biological factors grouped into hierarchical levels, in students with caries. A sample of 687 students was evaluated from public and private schools of Curitiba. The parameters evaluated were: individual level, school level and district level. Individual variables had a highly significant association with caries experience, also in the presence of school and district levels. Male sex negatively associated with caries experience. However, the interaction between male sex and no fluoride use was positively associated with caries. Lower socioeconomic status, dental biofilm, and fluorosis were associated with caries. Nevertheless, the interaction between dental biofilm and fluorosis was negatively associated with caries experience. The interaction between no flossing and use of public dental services were also associated with caries outcome. Individual factors were associated with caries experience even with the inclusion of contextual variables in the study population.

Bibliographies de l'auteur-e

Giovana Daniela Pecharki, School of Health and Biosciences, Pontifícia Universidade Católica do Paraná (PUCPR), Rua Imaculada Conceição, Curitiba, PR, Brazil

 

School of Health and Biosciences

João Armando Brancher, School of Health and Biosciences, Pontifícia Universidade Católica do Paraná (PUCPR), Rua Imaculada Conceição, Curitiba, PR, Brazil

School of Health and Biosciences

Márcia Olandoski, School of Health and Biosciences, Pontifícia Universidade Católica do Paraná (PUCPR), Rua Imaculada Conceição, Curitiba, PR, Brazil

School of Health and Biosciences

Andrea Duarte Doetzer, School of Health and Biosciences, Pontifícia Universidade Católica do Paraná (PUCPR), Rua Imaculada Conceição, Curitiba, PR, Brazil

 

School of Health and Biosciences

Samuel Jorge Moyses, School of Health and Biosciences, Pontifícia Universidade Católica do Paraná (PUCPR), Rua Imaculada Conceição, Curitiba, PR, Brazil

School of Health and Biosciences

Paula Cristina Trevilatto, School of Health and Biosciences, Pontifícia Universidade Católica do Paraná (PUCPR), Rua Imaculada Conceição, Curitiba, PR, Brazil

School of Health and Biosciences

Références

Brasil. Ministery of Health. Oral Health Brasil 2010 (SB Brasil 2010). National Oral Health Research: main results. 2012. available at: http://dab.saude.gov.br/CNSB/sbbrasil/ arquivos/ projeto_sb2010_relatorio_final.pdf (last acess 12 February 2015).

Decline, polarization, inequality and social exclusion. Narvai PC, Frazao P, Roncalli AG, Antunes JL. Dental caries in brazil: Rev Panam Salud Publica. 2006; 19:385-93. PMID: 16968593.

Ethnic disparities in the prevalence of dental caries and restorative dental treatment in brazilian children. Antunes JL, Pegoretti T, de Andrade FP, Junqueira SR, Frazao P, Narvai PC. Int Dent J. 2003; 53:7-12. PMID: 12653333.

Prevalence and polarization of dental caries among young, healthy adults: Cross-sectional epidemiological study. Tanner T1, Kämppi A, Päkkilä J, Patinen P, Rosberg J, Karjalainen K. Acta Odontol Scand. 2013; 71(6):1436-42. doi: 10.3109/00016357.2013.767932. Epub 2013 Apr 30. PMID: 23627898.

Factors associated with dental caries experience and oral health status among New South Wales adolescents. Skinner J1, Johnson G, Blinkhorn A, Byun R. Aust N Z J Public Health. 2014: Oct; 38(5):485-9. doi: 10.1111/1753-6405.12245. Epub 2014 Aug 28. PMID: 25169434.

The relation between family socioeconomic trajectories from childhood to adolescence and dental caries and associated oral behaviours. Peres MA, Peres KG, de Barros AJ, Victora CG. J Epidemiol Community Health. 2007; 61:141-5. PMID: 17234873.

Contributions of social context to inequality in dental caries: A multilevel analysis of japanese 3-year-old children. Aida J, Ando Y, Oosaka M, Niimi K, Morita M. Community Dent Oral Epidemiol. 2008; 36:149-56. PMID: 18333879.

Risk indicators of dental caries in 5-year-old brazilian children. Cortellazzi KL, Pereira SM, Tagliaferro EP, Tengan C, Ambrosano GM, Meneghim Mde C, et al. Community Dent Health. 2008; 25:253-6. PMID: 21367823.

Dental Caries. Selwitz RH, Ismail AI, Pitts NB. Lancet. 2007; 369:51-9. PMID: 17208642.

Area characteristics, individual-level socioeconomic indicators, and smoking in young adults: The coronary artery disease risk development in young adults study. Diez Roux AV, Merkin SS, Hannan P, Jacobs DR, Kiefe CI. Am J Epidemiol. 2003; 157:315-26. PMID: 12578802.

Measuring inequalities in the distribution of dental caries. Antunes JL, Narvai PC, Nugent ZJ. Community Dent Oral Epidemiol. 2004; 32:41-8. PMID: 14961839.

The potential impact of neighborhood empowerment on dental caries among adolescents. Pattussi MP, Hardy R, Sheiham A. Community Dent Oral Epidemiol. 2006; 34:344-50. PMID: 16948673.

Women's health: beyond reproductive years. Vibha, Laskar AR. Indian J Public Health. 2011; 55(4):247-51. PMID: 22298132.

Influence of initial carious lesions on oral health planning. Assaf AV, Tengan C, Tagliaferro EPS, Meneghim ZP, Meneghim MC, Pereira AC, Ambrosano GMB. Braz J Oral Sci. 2006; 5(19):1217-1222.

WHO. Oral health survey. Basic methods. Fourth edition. Geneva: World Health Organization. 1997;66.

Risk assessment in dental caries. In: Risk assessment in dentistry. Fejerskov O, Manji F. Bader JD. Chapel Hill: University of North Carolina Dental Ecology. 1990; 215–217.

The gingival index, the plaque index and the retention index systems. Loe H. J Periodontol. 1967; 38 suppl:610-6. PMID: 5237684.

Effects of antidepressants and benzodiazepines on stimulated salivary flow rate and biochemistry composition of the saliva. de Almeida Pdel V, Gregio AM, Brancher JA, Ignacio SA, Machado MA, de Lima AA, et al. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008; 106:58-65. PMID: 18329910.

Clinical investigations of the salivary buffering action. Ericsson Y. Acta Odontol Scand. 1959; 17:133-65.

Social inequalities and vaccination coverage: Utilization of household surveys. Moraes JCD, Ribeiro MCSdA. Braz J Epidemiol. 2008; 11:113-24.

Introduction to multilevel analysis. Hox J: Multilevel analysis, techniques and applications. Hox J. Mahwah: Lawrence Erlbaum Associates. 2002; 1-36.

The social determinants of oral health: New approaches to conceptualizing and researching complex causal networks. Newton JT, Bower EJ. Community Dent Oral Epidemiol. 2005; 33:25-34. PMID: 15642044.

The world oral health report 2003: Continuous improvement of oral health in the 21st century--the approach of the who global oral health programme. Petersen PE. Community Dent Oral Epidemiol. 2003 ; 31 suppl 1:3-23. PMID: 15015736.

Inequalities in oral health: A review of the evidence and recommendations for action. Watt R, Sheiham A. Br Dent J. 1999; 187:6-12. PMID: 10452185.

Multilevel assessment of determinants of dental caries experience in Brazil. Antunes JL, Peres MA, de Campos Mello TR, Waldman EA. Community Dent Oral Epidemiol. 2006; 34:146-52. PMID: 16515679.

Evidence-based effectiveness of topical fluorides. Marinho VC. Adv Dent Res. 2008; 20:3-7. PMID: 18694869.

Factors associated with dental caries in Brazilian children: a multilevel approach. Martins MT, Sardenberg F, Abreu MH, Vale MP, Paiva SM, Pordeus IA. Community Dent Oral Epidemiol. 2014; 42: 289–299. PMID: 24354434.

The relationship between dental caries and dental fluorosis in areas with moderate- and high-fluoride drinking water in ethiopia. Wondwossen F, Astrom AN, Bjorvatn K, Bardsen A. Community Dent Oral Epidemiol. 2004; 32:337-44. PMID: 15341618.

Prevalence and severity of dental caries in adolescents aged 12 and 15 living in communities with various fluoride concentrations. Pontigo-Loyola AP, Medina-Solis CE, Borges-Yanez SA, Patino-Marin N, Islas-Marquez A, Maupome G. J Public Health Dent. 2007; 67:8-13. PMID: 17436973.

Caries and dental fluorosis in a western saharan population of refugee children. Almerich-Silla JM, Montiel-Company JM, Ruiz-Miravet A. Eur J Oral Sci. 2008; 116:512-7. PMID: 19049520.

Dental fluorosis increases caries risk. Cunha-Cruz J, Nadanovsky P. J Evid Based Dent Pract. 2005; 5:170-1. PMID: 26092033.

Biochemical composition and cariogenicity of dental plaque formed in the presence of sucrose or glucose and fructose. Cury JA, Rebelo MA, Del Bel Cury AA, Derbyshire MT, Tabchoury CP. Caries Res. 2000; 34:491-7. PMID: 11093024.

A light and scanning electron microscopic study of enamel decalcification in children living in a water-fluoridated area. Thylstrup A, Boyar RM, Holmen L, Bowden GH. J Dent Res. 1990; 69:1626-33. PMID: 2212207.

The independent contribution of neighborhood disadvantage and individual-level socioeconomic position to self-reported oral health: A multilevel analysis. Turrell G, Sanders AE, Slade GD, Spencer AJ, Marcenes W. Community Dent Oral Epidemiol. 2007; 35:195-206. PMID: 17518966.

Life course dental caries determinants and predictors in children aged 12 years: A population-based birth cohort. Peres MA, Barros AJ, Peres KG, Araujo CL, Menezes AM. Community Dent Oral Epidemiol. 2009; 37:123-33. PMID: 19250294.

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Publié-e

2016-10-03

Numéro

Vol. 4 No. 1 (2016)

Rubrique

Mechanisms of Oral Disease

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