TITLE

Prevalência de Cárie e Fatores Associados na Dentição Decídua em Escolares de Sete Anos de Idade da Rede Pública de Joinville, SC, Brasil

AUTHOR(S)
Neumann, Simone Regina Bessa; Torres De Freitas, Sérgio Fernando; De Lacerda, Josimari Telino
PUB. DATE
December 2010
SOURCE
Pesquisa Brasileira em Odontopediatria e Clinica Integrada;2010, Vol. 10 Issue 3, p405
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Objetivo: Conhecer a prevalência da cárie na denti ção decídua de crianças de 7 anos de idade e fatores associados, em insti tuições públicas de ensino no município de Joinville-SC. Método: Desenvolveu-se um estudo de prevalência a partir de uma amostra composta por 360 escolares, estratificada por grupo sócio-econômico do entorno escolar. Os parâmetros utilizados para composição da amostra foram: intervalo de confiança de 95%, prevalência estimada de 34% e erro amostral de 5%. Utilizaram-se os testes de proporções para avaliar as diferenças de prevalência de cárie dental entre sexos e grupos de escolas. Regressão logísti ca foi aplicada para analisar os fatores associados a prevalência de cárie. Resultados: Encontrou-se uma prevalência de 55%. Análises bivariadas com teste de qui-quadrado foram feitas para definir as variáveis do modelo multivariado, desenvolvido com regressão logística múltipla não condicional. Ao final, foram encontradas associações independentes e significativas para percepção da mãe sobre estado de saúde bucal de seu filho e grupos de escolas. A prevalência de cárie esteve associada com percepção de alguns problemas no estado de saúde bucal (RP= 4,69); ou graves problemas (RP= 8,21) e pertencer as escolas com entornos socioeconômicos de média renda (RP= 1,84) e baixa renda (RP= 1,98). A prevalência ainda é alta, embora a severidade para esta idade seja considerada baixa. Conclusão: Crianças cujas mães ti nham a percepção de que seus filhos apresentavam sérios problemas de cárie e que estudavam em bairros mais desprovidos sócio-economicamente apresentam maior prevalência de cárie e maior proporção de dentes cariados, o que reitera a importância de se priorizar este grupo mais vulnerável à doença e abre a possibilidade de identificação mais simples para grupos de risco. Objective: To determine the prevalence of dental caries in the primary dentition and associated factors in 7-year-old children attending public schools in the city of Joinville, SC, Brazil. Method: A prevalence study was developed from a sample composed of 360 schoolchildren, stratified by socioeconomic group of the school surroundings. The following parameters were used for composing the sample: 95% confidence interval, estimated prevalence of 34%, and 5% sample error. Proportion tests were used to evaluate the differences of dental caries prevalence between genders and among school groups. Logistic regression was applied to analyze the factors associated with caries prevalence. Results: A prevalence of 55% was found. Bivariate analyses with chi-square test were done to define the variables of multivariate model, developed with non-conditional multiple logistic regression. At the end, independent and significant associations were found for mothers' perception of the oral health of their children and school groups. Caries prevalence was associated with the perception of some problems in the oral health status (RP= 4.69) or serious problems (RP= 8.21), and belonging to the schools with medium (RP= 1.84) and low (RP= 1.98) socioeconomic income surroundings. The prevalence was still high, although the severity for this age was considered as low. Conclusion: Children whose mothers perceived that their children presented serious caries problems and who studied in more socioeconomically deprived neighborhoods showed higher caries prevalence and higher proportion of decayed teeth, which reinforces the importance of priorizing this more vulnerable group to caries disease, and offers the possibility of a more simplified identification for risk groups.
ACCESSION #
78311630

 

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