ArticleBMC oral health2015
Individual and contextual factors related to dental caries in underprivileged Brazilian adolescents.
Article in BMC oral health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.
- Are Area-Level Socioeconomic Factors Associated with Dental Caries and Tooth Loss? A Systematic Review.Caries research · 2025Pooled it
- Untreated dental caries in Brazilian adolescents: analysis by the PUFA index.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2026Article
- The Association between Oral Health-Related Quality of Life, Loneliness, Perceived and Objective Social Isolation-Results of a Nationally Representative Survey.International journal of environmental research and public health · 2021Article
- Article
- A WHO Pathfinder Survey of Dental Caries in 6 and 12-Year Old Transylvanian Children and the Possible Correlation with Their Family Background, Oral-Health Behavior, and the Intake of Sweets.International journal of environmental research and public health · 2020Article
- Contextual income inequality and adolescents' oral-health-related quality of life: A multi-level analysis.International dental journal · 2019Article
- Relations of drug use and socioeconomic factors with adherence to dental treatment among adolescents.BMC oral health · 2018Article
- Traumatic Dental Injuries Prevalence and their Impact on Self-esteem among Adolescents in India: A Comparative Study.Journal of clinical and diagnostic research : JCDR · 2017Article
- Association between untreated carious lesions and asthma in adults at Rabat University Hospital, Morocco: a cross sectional study.BMC research notes · 2017Article
- Prevalence and severity of dental caries among public school students aged 16-l8 in Hai'l, Kingdom of Saudi Arabia.International journal of health sciencesArticle
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Authors and funding
10 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundInvestigate the individual and contextual variables related to caries in underprivileged adolescents, and the disparity in distribution of the disease.
methodsCross-sectional analytical study, conducted in the city of Piracicaba, SP, Brazil, in 2012. The probabilistic sample was composed of 1,179 adolescents from 15-19 years of age, randomly selected from 21 state schools and 34 Primary Health Units--Family Health (PHU-FH). The dependent variables studied were number of decayed teeth and caries experience (DMFT). The independent variables were classified into individual (clinical, sociodemographic, psychosocial, self-perception, impact on oral health, access to services, and quality of life) and contextual (social exclusion index, total number of residents in suburb, literacy rate, and the following variables given in percentages: residences in the home ownership category, provision of domestic sewerage, trash collection, families with income of over 1 minimum wage per month, and families without monthly income) variables. The multilevel regression model was estimated by the PROC GLIMMIX (Generalized Linear Models-Mixed) procedure, considering the individual variables as Level 1 and the contextual variables of the suburbs as Level 2. Adjustment of the model was evaluated by -2 Res Log Likelihood with α = 0.05.
resultsAs regards the individual variables, adolescents who declared having a prison inmate in the Family and resided in homes with a larger number of persons, showed a higher number of decayed teeth. There were a larger number of decayed teeth, a higher DMFT value, and worse self-perception as regards the health of their teeth and mouth. Other variables, such as being of the female gender, age and time since last visit to the dentist were related to the DMFT index. As regards the contextual variables, the DMFT was lower in suburbs with greater access to domestic sewage, and the number of decayed teeth was higher in suburbs with the worst social exclusion indices.
conclusionIndividual and contextual variables were associated with the presence of caries and DMFT index in underprivileged adolescents, indicating that they must be taken into consideration in the formulation of policies directed towards oral health promotion and prevention activities in this group.
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