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

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dc.creatorMonalisa Cesarino Gomes
dc.creatorÉrick Tássio Barbosa Neves
dc.creatorMatheus França Perazzo
dc.creatorSaul Martins de Paiva
dc.creatorFernanda Morais Ferreira
dc.creatorAna Flávia Granville-Garcia
dc.date.accessioned2023-07-12T22:22:32Z
dc.date.accessioned2025-09-08T23:16:12Z
dc.date.available2023-07-12T22:22:32Z
dc.date.issued2018-09
dc.description.sponsorshipCNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológico
dc.description.sponsorshipFAPEMIG - Fundação de Amparo à Pesquisa do Estado de Minas Gerais
dc.description.sponsorshipCAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
dc.description.sponsorshipOutra Agência
dc.identifier.doihttps://doi.org/10.1111/ipd.12400
dc.identifier.issn09607439
dc.identifier.urihttps://hdl.handle.net/1843/56154
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofInternational Journal of Paediatric Dentistry
dc.rightsAcesso Restrito
dc.subjectSocial determinants of health
dc.subjectDental caries
dc.subjectOral health
dc.subjectChild
dc.titleImportance of contextual variables related to cavitated lesions in 5-year-old children
dc.typeArtigo de periódico
local.citation.epage513
local.citation.issue5
local.citation.spage504
local.citation.volume28
local.description.resumoBackground: 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.
local.publisher.countryBrasil
local.publisher.departmentFAO - DEPARTAMENTO DE ODONTOPEDIATRIA E ORTODONTIA
local.publisher.initialsUFMG
local.url.externahttps://onlinelibrary.wiley.com/doi/10.1111/ipd.12400

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