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Tooth loss in Brazilian middle-aged adults: multilevel effects.
- Source :
-
Acta odontologica Scandinavica [Acta Odontol Scand] 2010 Sep; Vol. 68 (5), pp. 269-77. - Publication Year :
- 2010
-
Abstract
- Objective: To examine the link between tooth loss and multilevel factors in a national sample of middle-aged adults in Brazil.<br />Material and Methods: Analyses were based on the 2003 cross-sectional national epidemiological survey of the oral health of the Brazilian population, which covered 13 431 individuals (age 35-44 years). Multistage cluster sampling was used. The dependent variable was tooth loss and the independent variables were classified according to the individual or contextual level. A multilevel negative binomial regression model was adopted.<br />Results: The average tooth loss was 14 (standard deviation 9.5) teeth. Half of the individuals had lost 12 teeth. The contextual variables showed independent effects on tooth loss. It was found that having 9 years or more of schooling was associated with protection against tooth loss (means ratio range 0.68-0.76). Not having visited the dentist and not having visited in the last > or =3 years accounted for increases of 33.5% and 21.3%, respectively, in the risk of tooth loss (P < 0.05). The increase in tooth extraction ratio showed a strong contextual effect on increased risk of tooth loss, besides changing the effect of protective variables.<br />Conclusions: Tooth loss in middle-aged adults has important associations with social determinants of health. This study points to the importance of the social context as the main cause of oral health injuries suffered by most middle-aged Brazilian adults.
- Subjects :
- Adult
Age Factors
Automobiles statistics & numerical data
Brazil epidemiology
Cross-Sectional Studies
Dental Care statistics & numerical data
Educational Status
Epidemiologic Studies
Ethnicity statistics & numerical data
Female
Health Education, Dental statistics & numerical data
Housing statistics & numerical data
Humans
Male
Middle Aged
Risk Factors
Rural Health statistics & numerical data
Sex Factors
Social Class
Tooth Extraction statistics & numerical data
Urban Health statistics & numerical data
Tooth Loss epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1502-3850
- Volume :
- 68
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Acta odontologica Scandinavica
- Publication Type :
- Academic Journal
- Accession number :
- 20524789
- Full Text :
- https://doi.org/10.3109/00016357.2010.494617