Details

Autor(en) / Beteiligte

• Gomes, Monalisa Cesarino
• Neves, Érick Tássio Barbosa
• Perazzo, Matheus França
• Paiva, Saul Martins
• Ferreira, Fernanda Morais
• Granville‐Garcia, Ana Flávia

Titel

Importance of contextual variables related to cavitated lesions in 5‐year‐old children

Ist Teil von

• International journal of paediatric dentistry, 2018-09, Vol.28 (5), p.504-513

Ort / Verlag

England

Erscheinungsjahr

2018

Quelle

Wiley Online Library - AutoHoldings Journals

Beschreibungen/Notizen

• Background Dental caries have a high prevalence in children and need to evaluate their individual and contextual determinants. Aim To evaluate the importance of individual and contextual determinants on the occurrence of cavitated lesions in 5‐year‐old children. Design A cross‐sectional study was conducted with 769 preschoolers in a city in northeastern Brazil. Parents/caregivers answered questionnaires addressing psychological aspects, socio‐demographic characteristics and the child's oral health. The diagnosis of dental caries (cavitated lesion) was performed using the ICDAS‐II. Variables related to the context were collected at the preschools and official municipal publications. Unadjusted and adjusted multilevel Poisson regression models with robust variance correction were used. Results The prevalence of cavitated lesions was 58.8%. In the analysis adjusted by individual determinants, low household income (PR = 1.61; 95%CI:1.27–2.05), lower parent's/caregiver's schooling (PR = 1.57; 95%CI:1.20–2.05), not visited to the dentist (PR = 0.77; 95%CI:0.62–0.94), brushing frequency under 2 times per day (PR = 2.17; 95%CI:1.35–3.51) and weak parent's/caregiver's SOC (PR = 1.30; 95%CI:1.09–1.56) were associated with cavitated lesions. However, after the incorporation of the contextual determinants, parent's/caregiver's schooling and SOC lost their association. Considering contextual factors, children attending public preschools (PR = 1.66; 95%CI:1.34–2.05) and/or smaller preschools (PR = 1.001; 95%CI:1.001–1.002) had a greater probability of exhibiting cavitated lesions. Conclusion Contextual variables were more important to the occurrence cavitated lesions than individual socioeconomic variables.