Prevalência e severidade da cárie dentária e seu impacto na qualidade de vida de pré-escolares: uma análise de acordo com a avaliação da atenção primária à saúde
Ano de defesa: | 2020 |
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Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | , |
Tipo de documento: | Dissertação |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Universidade do Oeste Paulista
|
Programa de Pós-Graduação: |
Mestrado em Odontologia
|
Departamento: |
Mestrado em Odontologia
|
País: |
Brasil
|
Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://bdtd.unoeste.br:8080/jspui/handle/jspui/1277 |
Resumo: | Introduction. Dental caries in childhood, due to increases of this condition in pre-school children, is a disease of high prevalence and a problem that affects the quality of life. Objective. To evaluate the prevalence and severity of dental caries in pre-school children, its relationship with the perception of the service offered in primary health care (PHC), and the impact of oral health on the quality of life of children. Methods. This is a cross-sectional study, with a representative sample of pre-school children from 3 to 5 years of the public school in Presidente Prudente 2019, and parents or guardians of children who gave their consent to participate in the research and completed the information about their child and socioeconomic condition of their family. Questionnaires were applied to parents / guardians, which addressed the impact of quality of life associated with the child's oral health (B-ECOHIS), socioeconomic status of the families (family income, family size, occupation, educational level, situation and condition of housing, and social benefit), and the questionnaire on the perception of the quality of primary care services (PCATool) used by children (Family Health Strategy-FHS, Conventional Health Care-CHC and private services). In addition, the modalities of dental coverage in schools (FHS, prevention groups-PG and full-time dentist in school-DIS) was evaluated based on the child's oral condition. The child's oral examination was performed using the ICDAS index and the prevalence and severity of dental caries was evaluated. Poisson regression test was used to determinate models of the prevalence and severity of dental caries. The data were analyzed by Chi-square, Wilcoxon, Kruskal-Wallis and Spearman correlation tests (significance level 5%). Results. The prevalence of dental caries (dmft= 0.83±2.00) had correlation with quality of life (ρ=0.42; p<0.05), predominantly in the decayed component (92.97%), severity conditions were associated with quality of life, age and family income (p<0.05). The best quality of care was provided by FHS (p<0.05), the type of PHC was associated with socioeconomic class (p<0.05). The quality of PHC had correlation with the prevalence of dental caries (ρ = -0.19; p <0.05) and the severity was represented predominately by initial lesions and dentin lesions. Conclusions. Dental caries is related to quality of life and to the type and quality of PHC service. Therefore, it is necessary to strengthen the PHC of health systems in order to obtain a better quality of life for children, where models based on family care suppose an effective solution, fundamentally in unfavourable socioeconomic situations. |
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Prado, Rosana Leal dohttp://lattes.cnpq.br/1389609196369970Marsicano, Juliane Avansinihttp://lattes.cnpq.br/5114790604499061Zanon , Luciana Reichert Assunçãohttp://lattes.cnpq.br/12860513038141036954883226655995http://lattes.cnpq.br/6954883226655995Díaz Fabregat, Beatriz2020-07-24T15:13:31Z2020-02-20DÍAZ FABREGAT, Beatriz. Prevalência e severidade da cárie dentária e seu impacto na qualidade de vida de pré-escolares: uma análise de acordo com a avaliação da atenção primária à saúde. 2020. Dissertação (Mestrado em Odontologia) - Universidade do Oeste Paulista, Presidente Prudente, SP, 2020 .http://bdtd.unoeste.br:8080/jspui/handle/jspui/1277Introduction. Dental caries in childhood, due to increases of this condition in pre-school children, is a disease of high prevalence and a problem that affects the quality of life. Objective. To evaluate the prevalence and severity of dental caries in pre-school children, its relationship with the perception of the service offered in primary health care (PHC), and the impact of oral health on the quality of life of children. Methods. This is a cross-sectional study, with a representative sample of pre-school children from 3 to 5 years of the public school in Presidente Prudente 2019, and parents or guardians of children who gave their consent to participate in the research and completed the information about their child and socioeconomic condition of their family. Questionnaires were applied to parents / guardians, which addressed the impact of quality of life associated with the child's oral health (B-ECOHIS), socioeconomic status of the families (family income, family size, occupation, educational level, situation and condition of housing, and social benefit), and the questionnaire on the perception of the quality of primary care services (PCATool) used by children (Family Health Strategy-FHS, Conventional Health Care-CHC and private services). In addition, the modalities of dental coverage in schools (FHS, prevention groups-PG and full-time dentist in school-DIS) was evaluated based on the child's oral condition. The child's oral examination was performed using the ICDAS index and the prevalence and severity of dental caries was evaluated. Poisson regression test was used to determinate models of the prevalence and severity of dental caries. The data were analyzed by Chi-square, Wilcoxon, Kruskal-Wallis and Spearman correlation tests (significance level 5%). Results. The prevalence of dental caries (dmft= 0.83±2.00) had correlation with quality of life (ρ=0.42; p<0.05), predominantly in the decayed component (92.97%), severity conditions were associated with quality of life, age and family income (p<0.05). The best quality of care was provided by FHS (p<0.05), the type of PHC was associated with socioeconomic class (p<0.05). The quality of PHC had correlation with the prevalence of dental caries (ρ = -0.19; p <0.05) and the severity was represented predominately by initial lesions and dentin lesions. Conclusions. Dental caries is related to quality of life and to the type and quality of PHC service. Therefore, it is necessary to strengthen the PHC of health systems in order to obtain a better quality of life for children, where models based on family care suppose an effective solution, fundamentally in unfavourable socioeconomic situations.Introdução. A cárie na infância, devido a incrementos da condição em crianças pré-escolares, é uma doen¬ça de alta prevalência, afetando sua qualidade de vida. Objetivo. Avaliar a prevalência e severidade da cárie dentária em pré-escolares, sua relação com a percepção do serviço oferecido na atenção primária à saúde (APS) e o impacto da saúde bucal na qualidade de vida das crianças. Material e método. Trata-se de um estudo transversal, com uma amostra representativa de crianças de 3 a 5 anos de escolas públicas em Presidente Prudente no 2019, e pais ou responsáveis pelas crianças que deram seu consentimento na participação da pesquisa e completaram as informações abordadas. Foram aplicados questionários aos pais/responsáveis sobre o impacto da qualidade de vida associada à saúde bucal da criança (B-ECOHIS), condição socioeconômica das famílias (renda familiar, tamanho da família, ocupação e nível de escolaridade do principal responsável pela família, situação e condição da moradia, e presencia de benefício social), e o questionário da percepção da qualidade dos serviços de atenção primária (PCATool) usados pelas crianças (Estratégia de Saúde da Família-ESF, Unidades Básicas de Saúde-UBS e serviços privados). Ademais, foi avaliada a modalidade de cobertura odontológica nas escolas (ESF, grupos da prevenção-PG e dentista na escola-DIS) a partir da condição bucal da criança. Foi feito o exame bucal da criança usando o índice ICDAS e avaliada a prevalência e severidade da cárie dentária. Os dados foram analisados no modelo de Regressão de Poisson, e aplicados os testes Qui-quadrado, Wilcoxon, Kruskal Wallis e correlação de Spearman com um nível de confiança de 95%. Resultados. A prevalência da cárie dentária (ceod= 0,83±2,00) teve correlação com a qualidade de vida (ρ=0,42; p<0,05), predominando o componente cariado (92,97%), as condiciones mais severas foram associadas à qualidade de vida, idade da criança e renda familiar (p<0,05). O serviço de maior qualidade foi a ESF (p<0,05), tendo associação o serviço usado pelas crianças com a classe socioeconômica das famílias (p<0,05). A qualidade da APS apresentou correlação estatística com a prevalência de cárie dentária (ρ = -0,19; p <0,05) e associou-se à modalidade do serviço de APS (p <0,05), a severidade foi maiormente representada pelas lesões nos estágios iniciais e lesões de dentina. Conclusões. A cárie dentária está relacionada com a qualidade de vida e com a modalidade e qualidade do serviço de APS. Por isso, é necessário o fortalecimento da APS dos sistemas de saúde com o fim de obter uma maior qualidade de vida das crianças, onde os modelos baseados na atenção à família supõem uma solução efetiva, fundamentalmente em situações socioeconômicas desfavoráveisSubmitted by Jakeline Ortega (jakortega@unoeste.br) on 2020-07-24T15:13:31Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Beatriz Díaz Fabregat.pdf: 1264022 bytes, checksum: 486c3cca288fdb8e67a2d238243affbf (MD5)Made available in DSpace on 2020-07-24T15:13:31Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Beatriz Díaz Fabregat.pdf: 1264022 bytes, checksum: 486c3cca288fdb8e67a2d238243affbf (MD5) Previous issue date: 2020-02-20Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPESapplication/pdfhttp://bdtd.unoeste.br:8080/jspui/retrieve/3851/Beatriz%20D%c3%adaz%20Fabregat.pdf.jpgporUniversidade do Oeste PaulistaMestrado em OdontologiaUNOESTEBrasilMestrado em Odontologiahttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessCárie DentáriaQualidade de VidaAtenção Primária à SaúdeFatores SocioeconômicosQualidade da Assistência à SaúdeDental CariesQuality of lifePrimary Health CareSocioeconomic FactorsQuality of Health CareCIENCIAS DA SAUDE::ODONTOLOGIAPrevalência e severidade da cárie dentária e seu impacto na qualidade de vida de pré-escolares: uma análise de acordo com a avaliação da atenção primária à saúdePrevalence and severity of dental caries and its impact on the quality of life of preschool children: an analyze according to the evaluation of primary health careinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis523676991529274659500500600600523676991529274659-20704984698792443492075167498588264571reponame:Biblioteca Digital de Teses e Dissertações da UNOESTEinstname:Universidade do Oeste Paulista (UNOESTE)instacron:UNOESTETHUMBNAILBeatriz Díaz Fabregat.pdf.jpgBeatriz Díaz Fabregat.pdf.jpgimage/jpeg3805http://bdtd.unoeste.br:8080/tede/bitstream/jspui/1277/10/Beatriz+D%C3%ADaz+Fabregat.pdf.jpg92b679bf6ab7f1157a586fc6f0184e07MD510CC-LICENSElicense_urllicense_urltext/plain; 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dc.title.por.fl_str_mv |
Prevalência e severidade da cárie dentária e seu impacto na qualidade de vida de pré-escolares: uma análise de acordo com a avaliação da atenção primária à saúde |
dc.title.alternative.eng.fl_str_mv |
Prevalence and severity of dental caries and its impact on the quality of life of preschool children: an analyze according to the evaluation of primary health care |
title |
Prevalência e severidade da cárie dentária e seu impacto na qualidade de vida de pré-escolares: uma análise de acordo com a avaliação da atenção primária à saúde |
spellingShingle |
Prevalência e severidade da cárie dentária e seu impacto na qualidade de vida de pré-escolares: uma análise de acordo com a avaliação da atenção primária à saúde Díaz Fabregat, Beatriz Cárie Dentária Qualidade de Vida Atenção Primária à Saúde Fatores Socioeconômicos Qualidade da Assistência à Saúde Dental Caries Quality of life Primary Health Care Socioeconomic Factors Quality of Health Care CIENCIAS DA SAUDE::ODONTOLOGIA |
title_short |
Prevalência e severidade da cárie dentária e seu impacto na qualidade de vida de pré-escolares: uma análise de acordo com a avaliação da atenção primária à saúde |
title_full |
Prevalência e severidade da cárie dentária e seu impacto na qualidade de vida de pré-escolares: uma análise de acordo com a avaliação da atenção primária à saúde |
title_fullStr |
Prevalência e severidade da cárie dentária e seu impacto na qualidade de vida de pré-escolares: uma análise de acordo com a avaliação da atenção primária à saúde |
title_full_unstemmed |
Prevalência e severidade da cárie dentária e seu impacto na qualidade de vida de pré-escolares: uma análise de acordo com a avaliação da atenção primária à saúde |
title_sort |
Prevalência e severidade da cárie dentária e seu impacto na qualidade de vida de pré-escolares: uma análise de acordo com a avaliação da atenção primária à saúde |
author |
Díaz Fabregat, Beatriz |
author_facet |
Díaz Fabregat, Beatriz |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Prado, Rosana Leal do |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/1389609196369970 |
dc.contributor.referee1.fl_str_mv |
Marsicano, Juliane Avansini |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/5114790604499061 |
dc.contributor.referee2.fl_str_mv |
Zanon , Luciana Reichert Assunção |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/1286051303814103 |
dc.contributor.authorID.fl_str_mv |
6954883226655995 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/6954883226655995 |
dc.contributor.author.fl_str_mv |
Díaz Fabregat, Beatriz |
contributor_str_mv |
Prado, Rosana Leal do Marsicano, Juliane Avansini Zanon , Luciana Reichert Assunção |
dc.subject.por.fl_str_mv |
Cárie Dentária Qualidade de Vida Atenção Primária à Saúde Fatores Socioeconômicos Qualidade da Assistência à Saúde |
topic |
Cárie Dentária Qualidade de Vida Atenção Primária à Saúde Fatores Socioeconômicos Qualidade da Assistência à Saúde Dental Caries Quality of life Primary Health Care Socioeconomic Factors Quality of Health Care CIENCIAS DA SAUDE::ODONTOLOGIA |
dc.subject.eng.fl_str_mv |
Dental Caries Quality of life Primary Health Care Socioeconomic Factors Quality of Health Care |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::ODONTOLOGIA |
description |
Introduction. Dental caries in childhood, due to increases of this condition in pre-school children, is a disease of high prevalence and a problem that affects the quality of life. Objective. To evaluate the prevalence and severity of dental caries in pre-school children, its relationship with the perception of the service offered in primary health care (PHC), and the impact of oral health on the quality of life of children. Methods. This is a cross-sectional study, with a representative sample of pre-school children from 3 to 5 years of the public school in Presidente Prudente 2019, and parents or guardians of children who gave their consent to participate in the research and completed the information about their child and socioeconomic condition of their family. Questionnaires were applied to parents / guardians, which addressed the impact of quality of life associated with the child's oral health (B-ECOHIS), socioeconomic status of the families (family income, family size, occupation, educational level, situation and condition of housing, and social benefit), and the questionnaire on the perception of the quality of primary care services (PCATool) used by children (Family Health Strategy-FHS, Conventional Health Care-CHC and private services). In addition, the modalities of dental coverage in schools (FHS, prevention groups-PG and full-time dentist in school-DIS) was evaluated based on the child's oral condition. The child's oral examination was performed using the ICDAS index and the prevalence and severity of dental caries was evaluated. Poisson regression test was used to determinate models of the prevalence and severity of dental caries. The data were analyzed by Chi-square, Wilcoxon, Kruskal-Wallis and Spearman correlation tests (significance level 5%). Results. The prevalence of dental caries (dmft= 0.83±2.00) had correlation with quality of life (ρ=0.42; p<0.05), predominantly in the decayed component (92.97%), severity conditions were associated with quality of life, age and family income (p<0.05). The best quality of care was provided by FHS (p<0.05), the type of PHC was associated with socioeconomic class (p<0.05). The quality of PHC had correlation with the prevalence of dental caries (ρ = -0.19; p <0.05) and the severity was represented predominately by initial lesions and dentin lesions. Conclusions. Dental caries is related to quality of life and to the type and quality of PHC service. Therefore, it is necessary to strengthen the PHC of health systems in order to obtain a better quality of life for children, where models based on family care suppose an effective solution, fundamentally in unfavourable socioeconomic situations. |
publishDate |
2020 |
dc.date.accessioned.fl_str_mv |
2020-07-24T15:13:31Z |
dc.date.issued.fl_str_mv |
2020-02-20 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
DÍAZ FABREGAT, Beatriz. Prevalência e severidade da cárie dentária e seu impacto na qualidade de vida de pré-escolares: uma análise de acordo com a avaliação da atenção primária à saúde. 2020. Dissertação (Mestrado em Odontologia) - Universidade do Oeste Paulista, Presidente Prudente, SP, 2020 . |
dc.identifier.uri.fl_str_mv |
http://bdtd.unoeste.br:8080/jspui/handle/jspui/1277 |
identifier_str_mv |
DÍAZ FABREGAT, Beatriz. Prevalência e severidade da cárie dentária e seu impacto na qualidade de vida de pré-escolares: uma análise de acordo com a avaliação da atenção primária à saúde. 2020. Dissertação (Mestrado em Odontologia) - Universidade do Oeste Paulista, Presidente Prudente, SP, 2020 . |
url |
http://bdtd.unoeste.br:8080/jspui/handle/jspui/1277 |
dc.language.iso.fl_str_mv |
por |
language |
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