Education and income-based inequality in tooth loss among brazilian adults: does the place you live make a difference?

Página do item simplificado
dc.creatorRaquel Conceição Ferreira
dc.creatorMaria Inês Barreiros Senna
dc.creatorLorrany Gabriela Rodrigues
dc.creatorFernanda Lamounier Campos
dc.creatorAndrea Maria Eleuterio de Barros Lima Martins
dc.creatorIchiro Kawachi
dc.date.accessioned2025-08-29T22:16:54Z
dc.date.accessioned2025-09-09T00:26:28Z
dc.date.available2025-08-29T22:16:54Z
dc.date.issued2020
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.format.mimetypepdf
dc.identifier.doihttps://doi.org/10.1186/s12903-020-01238-9
dc.identifier.issn1472-6831
dc.identifier.urihttps://hdl.handle.net/1843/84744
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofBMC Oral Health
dc.rightsAcesso Aberto
dc.subjectTooth Loss
dc.subjectSocioeconomic Factors
dc.subjectMultilevel Analysis
dc.subjectHealth status disparities
dc.subjectAdult
dc.subject.otherAdult
dc.subject.otherHealth status disparities
dc.subject.otherMultilevel analysis
dc.subject.otherSocioeconomic factors
dc.subject.otherTooth loss
dc.titleEducation and income-based inequality in tooth loss among brazilian adults: does the place you live make a difference?
dc.typeArtigo de periódico
local.citation.epage13
local.citation.issue1
local.citation.spage1
local.citation.volume20
local.description.resumoBackground: Socioeconomic inequalities in tooth loss might be minimized or potentialized by the characteristics of the context where people live. We examined whether there is contextual variation in socioeconomic inequalities in tooth loss across Brazilian municipalities. Methods: Data from the 2010 National Oral Health Survey of 9633 adults living in 157 Brazilian municipalities were used. The individual socioeconomic indicators were education and household income. At the municipal level, we used the Municipal Human Development Index (HDI) as our contextual indicator of socioeconomic status (low:< 0.699 versus high: > 0.70). The Relative (RII) and Slope (SII) Indexes of Inequality, Relative (RCI), and Absolute (ACI) Concentration Indexes were calculated to compare the magnitude of education and income-based inequalities among municipalities with low versus high HDI. Multilevel Poisson regression models with random intercepts and slopes were developed. Results: At the individual level, adults with lower education & income reported more tooth loss. The mean number of missing teeth was 9.52 (95% CI: 7.93-11.13) and 6.95 (95% CI: 6.43-7.49) in municipalities with low and high HDI, respectively. Municipalities with high HDI showed higher relative and absolute education-based inequality. For income-based inequalities, higher SII and RCI was observed in municipalities with lower HDI. A significant cross-level interaction indicated that high-education adults reported fewer missing teeth when they lived in municipalities with high HDI compared to adults with the same education level living in low HDI municipalities. For individuals with the lowest education level, there was no difference in the number of teeth between those from municipalities with high and low HDI. Conclusions: There was a social gradient in tooth loss by education and income. Living in disadvantaged municipalities cannot overcome the risk associated with low schooling. The protective effect of higher education can be reduced when people live in disadvantaged areas.
local.identifier.orcidhttps://orcid.org/0000-0001-8897-9345
local.identifier.orcidhttps://orcid.org/0000-0002-0578-8744
local.identifier.orcidhttps://orcid.org/0000-0002-9531-5392
local.identifier.orcidhttps://orcid.org/0000-0002-4772-8088
local.identifier.orcidhttps://orcid.org/0000-0001-7865-1733
local.publisher.countryBrasil
local.publisher.departmentFAO - DEPARTAMENTO DE CLÍNICA
local.publisher.departmentFAO - DEPARTAMENTO DE ODONTOLOGIA SOCIAL E PREVENTIVA
local.publisher.initialsUFMG
local.url.externahttps://bmcoralhealth.biomedcentral.com/articles/10.1186/s12903-020-01238-9

Arquivos

Pacote original

Agora exibindo 1 - 1 de 1
Imagem de Miniatura
Nome:
Education and income-based inequality in tooth loss among brazilian adults does the place you live make a difference.pdf
Tamanho:
546.64 KB
Formato:
Adobe Portable Document Format
Baixar

Licença do pacote

Agora exibindo 1 - 1 de 1
Imagem de Miniatura
Nome:
License.txt
Tamanho:
1.99 KB
Formato:
Plain Text
Descrição:
Baixar

Coleções

Artigo de Periódico

Logo UFMG