ArticleBMC public health2014
Social determinants of dental treatment needs in Brazilian adults.
Article in BMC public health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 51 citations in OpenAlex.
- Association of Individual and Contextual Factors for Protection from Dental Caries.International journal of environmental research and public health · 2026Article
- Time-series trends and regional disparities in complete denture production in Brazil (2000-2023): an epidemiological analysis.Journal of applied oral science : revista FOB · 2026Article
- Factors associated with socioeconomic inequalities in the use of dental services among Brazilian older adults: an Oaxaca-Blinder decomposition analysis.BMC oral health · 2025Article
- Prevalence, incidence, and years-lived with disability due to oral disorders in Brazil: an analysis of the Global Burden of Disease Study 2019.Revista da Sociedade Brasileira de Medicina Tropical · 2022Article
- Subjective prosthodontic treatment need, tooth loss and associated factors among dental patients in Dar es salaam, Tanzania.African health sciences · 2021Article
- What makes inequality in the area of dental and oral health in developing countries? A scoping review.Cost effectiveness and resource allocation : C/E · 2021Article
- Contextual and individual determinants of tooth loss in adults: a multilevel study.BMC oral health · 2020Article
- Oral clinical status and oral health-related quality of life: is socioeconomic position a mediator or a moderator?International dental journal · 2019Article
- Individual and contextual factors associated to the self-perception of oral health in Brazilian adults.Revista de saude publica · 2018Article
- Contextual and individual factors associated with dental services utilisation by Brazilian adults: A multilevel analysis.PloS one · 2018Article
- Dental and Oral Problem Patterns and Treatment Seeking Behavior of Geriatric Population.The open dentistry journal · 2017Article
- Economic and sociodemographic inequalities in complete denture need among older Brazilian adults: a cross-sectional population-based study.BMC oral health · 2016Article
- The roles of contextual and individual social determinants of oral health-related quality of life in Brazilian adults.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2016Article
- A Multilevel Approach on Self-Reported Dental Caries in Subjects of Minority Ethnic Groups: A Cross-Sectional Study of 6440 Adults.Journal of immigrant and minority health · 2016Article
- Functional Dentition in Brazilian Adults: An Investigation of Social Determinants of Health (SDH) Using a Multilevel Approach.PloS one · 2016Article
- Article
- Relationship between Primary and Secondary Dental Care in Public Health Services in Brazil.PloS one · 2016Article
- Influence of the Socio-Economic Context on Self-Reported Gingival Bleeding in Individuals of Ethnic Minority Groups: A Multilevel Analysis.Global journal of health science · 2015Article
- Retrospective summary analysis on the results of oral health epidemiological investigations in China.Journal of oral biology and craniofacial researchArticle
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe chronic cumulative nature of caries makes treatment needs a severe problem in adults. Despite the fact that oral diseases occur in social contexts, there are few studies using multilevel analyses focusing on treatment needs. Thus, considering the importance of context in explaining oral health related inequalities, this study aims to evaluate the social determinants of dental treatment needs in 35-44 year old Brazilian adults, assessing whether inequalities in needs are expressed at individual and contextual levels.
methodsThe dependent variables were based on the prevalence of normative dental treatment needs in adults: (a) restorative treatment; (b) tooth extraction and (c) prosthetic treatment. The independent variables at first level were household income, formal education level, sex and race. At second level, income, sanitation, infrastructure and house conditions. The city-level variables were the Human Development Index (HDI) and indicators related to health services. Exploratory analysis was performed evaluating the effect of each level through calculating Prevalence Ratios (PR). In addition, a three-level multilevel modelling was constructed for all outcomes to verify the effect of individual characteristics and also the influence of context.
resultsIn relation to the need for restorative treatment, the main factors implicated were related to individual socioeconomic position, however the city-level contextual effect should also be considered. Regarding need for tooth extraction, the contextual effect does not seem to be important and, in relation to the needs for prosthetic treatment, the final model showed effect of individual-level and city-level. Variables related to health services did not show significant effects.
conclusionsDental treatment needs related to primary care (restoration and tooth extraction) and secondary care (prosthesis) were strongly associated with individual socioeconomic position, mainly income and education, in Brazilian adults. In addition to this individual effect, a city-level contextual effect, represented by HDI, was also observed for need for restorations and prosthesis, but not for tooth extractions. These findings have important implications for the health policy especially for financing and planning, since the distribution of oral health resources must consider the inequalities in availability and affordability of dental care for all.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.