This study is aimed to perform an update of a systematic review and meta-regression to evaluate the effect modification of the socioeconomic indicators on caries in adults. We included studies that associated social determinants with caries, with no restriction of year and language. The Newcastle-Ottawa Scale was used to evaluate the risk of bias. With regard to the meta-analysis, statistical heterogeneity was evaluated by I2, and the random effect model was used when it was high. A subgroup analysis was conducted for socioeconomic indicators, and a meta-regression was performed. Publication bias was assessed through Egger’s test. Sixty-one studies were included in the systematic review and 25 were included in the meta-analysis. All of the studies were published between 1975 and 2016. The most frequent socioeconomic indicators were schooling, income, and socioeconomic status (SES). In the quantitative analysis, the DMFT (decayed, missing, filled teeth) variation was attributed to the studies’ heterogeneity. The increase of 10.35 units in the proportion of people with lower SES was associated with an increase of one unit in DMFT, p = 0.050. The findings provide evidence that populations with the highest proportions of people with low SES are associated with a greater severity of caries. The results suggest the need for actions to reduce the inequalities in oral health (PROSPERO [CRD42017074434]).
RESUMO -O adoecimento pelo HIV traz consigo um histórico de valores sociais e morais que incluem questões religiosas. Buscando compreender o significado de saúde das pessoas vivendo com HIV/aids, é que se delimitou o objetivo desta pesquisa em um estudo de abordagem qualitativa de natureza fenomenológica, que se propõe a compreender experiências vivenciadas. Os participantes da pesquisa destacaram a importância do uso do medicamento, da alimentação adequada e também de atividade física para se ter uma boa saúde. Declararam adesão à terapia antirretroviral devido seus benefícios. A espiritualidade é vivenciada pelos participantes como meio de se obter forças para superar as dificuldades causadas pelo adoecimento. A análise fenomenológica desvelou que para a pessoa com HIV/aids o significado de saúde está relacionado ao cotidiano de cuidado, à percepção sobre seu tratamento, à sua experiência com a religião e ao estigma desse adoecimento.
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