Análise da tendência da cárie e influência de fatores individuais e contextuais em escolares de 12 anos em Goiânia-GO, no período de 1988 a 2010
Ano de defesa: | 2013 |
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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 Federal de Goiás
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Programa de Pós-Graduação: |
Programa de Pós-graduação em Saúde Coletiva (PRPG)
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Departamento: |
Pró-Reitoria de Pós-graduação (PRPG)
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País: |
Brasil
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Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://repositorio.bc.ufg.br/tede/handle/tede/3444 |
Resumo: | The monitoring of oral health and its determinants are of utmost importance for the planning and evaluation of health programs at the local level and to expand knowledge about this issue in Brazil. The aim of this study was to analyze the trend of dental caries and its association with individual and contextual factors in 12 years-old in the city of Goiânia. We conducted a cross-sectional study using data from epidemiological surveys of oral health conducted in the county from 1988 to 2010 and data from local information systems on contextual factors related to schools. For trend analysis of caries from 1988 to 2010 the Spearman correlation coefficient was used. Comparisons among Health Districts (HD) were made for the years 1994 and 2010. To analyze the association of the disease with individual and contextual factors in 2010 a multilevel analysis and log-linear regression negative binomial ratio averages were conducted, considering the complex sampling design. The dependent variable was the DMFT index and the independent variables were individual (sex, race and maternal education) and contextual related to schools (type of school, health district and the presence of oral health programs). The mean DMFT decreased 78.5% in the period, from 8.26 in 1988 to 1.78 in 2010 (r = -1.0, p ≤ 0.01) and there was a decrease of 86.8% in the decayed component, 73.3% in the missing due to caries and 41.7% in the filled teeth. There was an increase of 86.8% in the number of caries-free schoolchildren from 1994 to 2010 (r = 1.0, p ≤ .01). Children attending schools located in the HD with the worst socioeconomic indicators showed higher caries prevalence and lower percentage reductions compared with those with better indicators. In the multilevel model, female students and those whose mothers had less education, attending public schools located in districts with the worst socioeconomic indicators, and covered by the Family Heath Strategy had a higher DMFT in 2010. We concluded that there was a decrease in the prevalence of caries in Goiania from 1988 to 2010 and inequalities in the disease distribution in relation to sociodemographic factors related to individuals and school environment, which indicate the need for more effective actions seeking to reduce the inequalities, with emphasis on the school population less economically favored. |
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Freire , Maria do Carmo Matiashttp://lattes.cnpq.br/6056344372250078Bahia, Sandra Cristina GuimarãesFreire, Maria do Carmo MatiasMohn Neto, Carlos RodolfoQueiroz, Maria GorettiNunes, Maria de FátimaLemos, Cristiane Lopes Simãohttp://lattes.cnpq.br/5548158837316976Oliveira , Lorena Batista de2014-10-23T14:33:35Z2013-08-29OLIVEIRA, Lorena Batista de. Análise da tendência da cárie e influência de fatores individuais e contextuais em escolares de 12 anos em Goiânia-GO, no período de 1988 a 2010. 2013. 98 f. Dissertação (Mestrado em Saúde Coletiva) - Universidade Federal de Goiás, Goiânia, 2013.http://repositorio.bc.ufg.br/tede/handle/tede/3444The monitoring of oral health and its determinants are of utmost importance for the planning and evaluation of health programs at the local level and to expand knowledge about this issue in Brazil. The aim of this study was to analyze the trend of dental caries and its association with individual and contextual factors in 12 years-old in the city of Goiânia. We conducted a cross-sectional study using data from epidemiological surveys of oral health conducted in the county from 1988 to 2010 and data from local information systems on contextual factors related to schools. For trend analysis of caries from 1988 to 2010 the Spearman correlation coefficient was used. Comparisons among Health Districts (HD) were made for the years 1994 and 2010. To analyze the association of the disease with individual and contextual factors in 2010 a multilevel analysis and log-linear regression negative binomial ratio averages were conducted, considering the complex sampling design. The dependent variable was the DMFT index and the independent variables were individual (sex, race and maternal education) and contextual related to schools (type of school, health district and the presence of oral health programs). The mean DMFT decreased 78.5% in the period, from 8.26 in 1988 to 1.78 in 2010 (r = -1.0, p ≤ 0.01) and there was a decrease of 86.8% in the decayed component, 73.3% in the missing due to caries and 41.7% in the filled teeth. There was an increase of 86.8% in the number of caries-free schoolchildren from 1994 to 2010 (r = 1.0, p ≤ .01). Children attending schools located in the HD with the worst socioeconomic indicators showed higher caries prevalence and lower percentage reductions compared with those with better indicators. In the multilevel model, female students and those whose mothers had less education, attending public schools located in districts with the worst socioeconomic indicators, and covered by the Family Heath Strategy had a higher DMFT in 2010. We concluded that there was a decrease in the prevalence of caries in Goiania from 1988 to 2010 and inequalities in the disease distribution in relation to sociodemographic factors related to individuals and school environment, which indicate the need for more effective actions seeking to reduce the inequalities, with emphasis on the school population less economically favored.O monitoramento da condição de saúde bucal e seus determinantes são de extrema importância para o planejamento e avaliação das ações de saúde no nível local e para ampliar o conhecimento sobre esta questão no Brasil. O objetivo do presente estudo foi analisar a tendência da cárie dentária e sua associação com fatores individuais e contextuais em escolares de 12 anos do município de Goiânia. Foi realizado um estudo transversal utilizando os dados dos levantamentos epidemiológicos de saúde bucal realizados no município de 1988 a 2010 e dados dos sistemas locais de informação sobre aspectos contextuais relacionados às escolas. Para análise da tendência da cárie de 1988 a 2010 utilizou-se o coeficiente de correlação de Spearman. Comparações entre os Distritos Sanitários (DS) foram feitas para os anos de 1994 e 2010. Para análise da associação da doença com fatores individuais e contextuais em 2010 foi realizada análise multinível e regressão log-linear binomial negativa de razão de médias, considerando o plano complexo de amostragem. A variável dependente foi o índice CPOD e as independentes foram individuais (sexo, raça e escolaridade da mãe) e contextuais relacionadas às escolas (natureza administrativa, distrito sanitário e presença de programas de saúde bucal). O CPOD médio diminuiu 78,5% no período analisado, de 8,26 em 1988 para 1,78 em 2010 (r= -1,0; p≤ 0,01) e houve queda de 86,8% na média do componente cariado, 73,3% do perdido e 41,7% do obturado. Houve também aumento de 86,8% no número de escolares livres de cárie de 1994 a 2010 (r= 1,0; p≤ 0,01). Escolares das instituições localizadas nos DS com piores indicadores socioeconômicos apresentaram maior prevalência de cárie e menor percentual de redução em comparação com aqueles com melhores indicadores. No modelo multinível, escolares do sexo feminino e aqueles cujas mães tinham menor escolaridade, que frequentavam escolas públicas, localizadas nos distritos com os piores indicadores socioeconômicos, e com cobertura pela ESF apresentaram maiores médias de CPOD em 2010. Conclui-se que houve declínio da prevalência de cárie em Goiânia de 1988 a 2010 e desigualdades na distribuição da doença em relação a fatores sociodemográficos individuais e relacionados ao ambiente escolar, que indicam a necessidade de ações mais efetivas buscando reduzir as iniquidades encontradas, com ênfase na população escolar menos favorecida economicamente.Submitted by Luciana Ferreira (lucgeral@gmail.com) on 2014-10-23T13:47:40Z No. of bitstreams: 2 Dissertação - Lorena Batista de Oliveira - 2013.pdf: 1517901 bytes, checksum: 1e28726f99fa77c0215cf6933ac343da (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5)Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2014-10-23T14:33:35Z (GMT) No. of bitstreams: 2 Dissertação - Lorena Batista de Oliveira - 2013.pdf: 1517901 bytes, checksum: 1e28726f99fa77c0215cf6933ac343da (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5)Made available in DSpace on 2014-10-23T14:33:35Z (GMT). No. of bitstreams: 2 Dissertação - Lorena Batista de Oliveira - 2013.pdf: 1517901 bytes, checksum: 1e28726f99fa77c0215cf6933ac343da (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) Previous issue date: 2013-08-29application/pdfhttp://repositorio.bc.ufg.br/tede/retrieve/11023/Disserta%c3%a7%c3%a3o%20-%20Lorena%20Batista%20de%20Oliveira%20-%202013.pdf.jpgporUniversidade Federal de GoiásPrograma de Pós-graduação em Saúde Coletiva (PRPG)UFGBrasilPró-Reitoria de Pós-graduação (PRPG)http://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessEpidemiologiaSaúde escolarÍndice CPODFatores socioeconômicosServiços de saúde localEpidemiologySchool healthDMFT indexSocioeconomic factorsHealth services locationCIENCIAS DA SAUDE::SAUDE COLETIVAAnálise da tendência da cárie e influência de fatores individuais e contextuais em escolares de 12 anos em Goiânia-GO, no período de 1988 a 2010Trends analysis of caries and influence of individual and contextual factors in schoolchildren in 12 years in Goiânia-GO, in the period 1988-2010info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis-5225680170177467598600600600-264539188392646063-6173167103754495199reponame:Repositório Institucional da UFGinstname:Universidade Federal de Goiás (UFG)instacron:UFGLICENSElicense.txtlicense.txttext/plain; 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dc.title.por.fl_str_mv |
Análise da tendência da cárie e influência de fatores individuais e contextuais em escolares de 12 anos em Goiânia-GO, no período de 1988 a 2010 |
dc.title.alternative.eng.fl_str_mv |
Trends analysis of caries and influence of individual and contextual factors in schoolchildren in 12 years in Goiânia-GO, in the period 1988-2010 |
title |
Análise da tendência da cárie e influência de fatores individuais e contextuais em escolares de 12 anos em Goiânia-GO, no período de 1988 a 2010 |
spellingShingle |
Análise da tendência da cárie e influência de fatores individuais e contextuais em escolares de 12 anos em Goiânia-GO, no período de 1988 a 2010 Oliveira , Lorena Batista de Epidemiologia Saúde escolar Índice CPOD Fatores socioeconômicos Serviços de saúde local Epidemiology School health DMFT index Socioeconomic factors Health services location CIENCIAS DA SAUDE::SAUDE COLETIVA |
title_short |
Análise da tendência da cárie e influência de fatores individuais e contextuais em escolares de 12 anos em Goiânia-GO, no período de 1988 a 2010 |
title_full |
Análise da tendência da cárie e influência de fatores individuais e contextuais em escolares de 12 anos em Goiânia-GO, no período de 1988 a 2010 |
title_fullStr |
Análise da tendência da cárie e influência de fatores individuais e contextuais em escolares de 12 anos em Goiânia-GO, no período de 1988 a 2010 |
title_full_unstemmed |
Análise da tendência da cárie e influência de fatores individuais e contextuais em escolares de 12 anos em Goiânia-GO, no período de 1988 a 2010 |
title_sort |
Análise da tendência da cárie e influência de fatores individuais e contextuais em escolares de 12 anos em Goiânia-GO, no período de 1988 a 2010 |
author |
Oliveira , Lorena Batista de |
author_facet |
Oliveira , Lorena Batista de |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Freire , Maria do Carmo Matias |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/6056344372250078 |
dc.contributor.advisor-co1.fl_str_mv |
Bahia, Sandra Cristina Guimarães |
dc.contributor.referee1.fl_str_mv |
Freire, Maria do Carmo Matias |
dc.contributor.referee2.fl_str_mv |
Mohn Neto, Carlos Rodolfo |
dc.contributor.referee3.fl_str_mv |
Queiroz, Maria Goretti |
dc.contributor.referee4.fl_str_mv |
Nunes, Maria de Fátima |
dc.contributor.referee5.fl_str_mv |
Lemos, Cristiane Lopes Simão |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/5548158837316976 |
dc.contributor.author.fl_str_mv |
Oliveira , Lorena Batista de |
contributor_str_mv |
Freire , Maria do Carmo Matias Bahia, Sandra Cristina Guimarães Freire, Maria do Carmo Matias Mohn Neto, Carlos Rodolfo Queiroz, Maria Goretti Nunes, Maria de Fátima Lemos, Cristiane Lopes Simão |
dc.subject.por.fl_str_mv |
Epidemiologia Saúde escolar Índice CPOD Fatores socioeconômicos Serviços de saúde local |
topic |
Epidemiologia Saúde escolar Índice CPOD Fatores socioeconômicos Serviços de saúde local Epidemiology School health DMFT index Socioeconomic factors Health services location CIENCIAS DA SAUDE::SAUDE COLETIVA |
dc.subject.eng.fl_str_mv |
Epidemiology School health DMFT index Socioeconomic factors Health services location |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::SAUDE COLETIVA |
description |
The monitoring of oral health and its determinants are of utmost importance for the planning and evaluation of health programs at the local level and to expand knowledge about this issue in Brazil. The aim of this study was to analyze the trend of dental caries and its association with individual and contextual factors in 12 years-old in the city of Goiânia. We conducted a cross-sectional study using data from epidemiological surveys of oral health conducted in the county from 1988 to 2010 and data from local information systems on contextual factors related to schools. For trend analysis of caries from 1988 to 2010 the Spearman correlation coefficient was used. Comparisons among Health Districts (HD) were made for the years 1994 and 2010. To analyze the association of the disease with individual and contextual factors in 2010 a multilevel analysis and log-linear regression negative binomial ratio averages were conducted, considering the complex sampling design. The dependent variable was the DMFT index and the independent variables were individual (sex, race and maternal education) and contextual related to schools (type of school, health district and the presence of oral health programs). The mean DMFT decreased 78.5% in the period, from 8.26 in 1988 to 1.78 in 2010 (r = -1.0, p ≤ 0.01) and there was a decrease of 86.8% in the decayed component, 73.3% in the missing due to caries and 41.7% in the filled teeth. There was an increase of 86.8% in the number of caries-free schoolchildren from 1994 to 2010 (r = 1.0, p ≤ .01). Children attending schools located in the HD with the worst socioeconomic indicators showed higher caries prevalence and lower percentage reductions compared with those with better indicators. In the multilevel model, female students and those whose mothers had less education, attending public schools located in districts with the worst socioeconomic indicators, and covered by the Family Heath Strategy had a higher DMFT in 2010. We concluded that there was a decrease in the prevalence of caries in Goiania from 1988 to 2010 and inequalities in the disease distribution in relation to sociodemographic factors related to individuals and school environment, which indicate the need for more effective actions seeking to reduce the inequalities, with emphasis on the school population less economically favored. |
publishDate |
2013 |
dc.date.issued.fl_str_mv |
2013-08-29 |
dc.date.accessioned.fl_str_mv |
2014-10-23T14:33:35Z |
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 |
OLIVEIRA, Lorena Batista de. Análise da tendência da cárie e influência de fatores individuais e contextuais em escolares de 12 anos em Goiânia-GO, no período de 1988 a 2010. 2013. 98 f. Dissertação (Mestrado em Saúde Coletiva) - Universidade Federal de Goiás, Goiânia, 2013. |
dc.identifier.uri.fl_str_mv |
http://repositorio.bc.ufg.br/tede/handle/tede/3444 |
identifier_str_mv |
OLIVEIRA, Lorena Batista de. Análise da tendência da cárie e influência de fatores individuais e contextuais em escolares de 12 anos em Goiânia-GO, no período de 1988 a 2010. 2013. 98 f. Dissertação (Mestrado em Saúde Coletiva) - Universidade Federal de Goiás, Goiânia, 2013. |
url |
http://repositorio.bc.ufg.br/tede/handle/tede/3444 |
dc.language.iso.fl_str_mv |
por |
language |
por |
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