The individual and contextual pathways between oral health and income inequality in Brazilian adolescents and adults

Celeste, Roger Keller; Nadanovsky, Paulo; Leon, Antônio Ponce de; Fritzell, Johan

doi:10.1016/j.socscimed.2009.08.005

Cited by 77 publications

(102 citation statements)

References 54 publications

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“…All of the studies were published between 1975 and 2016 [21,22,23,24,25,26,27,28,29,30,31,32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58,59,60,61,62,63,64,65,66,67,68,69,70,71,72,73,74,75,76,77,78,79,80,81]. Twenty new studies were included in this update [26,27,28,29,31,38,39,40,44,45,…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Socioeconomic Factors and Caries in People between 19 and 60 Years of Age: An Update of a Systematic Review and Meta-Analysis of Observational Studies

Costa

Martins

Pinto

et al. 2018

IJERPH

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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]).

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Section: Resultsmentioning

confidence: 99%

“…The 35–44 years age group was observed in 22 studies (36.0%). Different studies (22.0%) reported the data analysis from a single epidemiological survey, such as: Brennan et al [21,22,23], Celeste et al [24,25], Costa et al [26,27], Zini et al [28,29], and Holst and Schuller [30,31], however variables differed with regard to categorization.…”

Section: Resultsmentioning

confidence: 99%

Socioeconomic Factors and Caries in People between 19 and 60 Years of Age: An Update of a Systematic Review and Meta-Analysis of Observational Studies

Costa

Martins

Pinto

et al. 2018

IJERPH

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“…19 Recent research suggests that health may also be affected by the distribution of income within society. 20,21 Although we did not assess the potential multilevel effect of income distribution and individual income, the relationship between income and health at the individual level is a sufficient condition to produce health differences between populations.…”

Section: Variables With Dental Caries (Dmf-t > 0) Dmf-t N (%) Pr (95%mentioning

confidence: 99%

Inequalities in the distribution of dental caries among 12-year-old Brazilian schoolchildren

et al. 2011

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Abstract:We assessed the inequality in the distribution of dental caries and the association between indicators of socioeconomic status and caries experience in a representative sample of schoolchildren. This study followed a cross-sectional design, with a sample of 792 schoolchildren aged 12 years, representative of this age group in Santa Maria, RS, Brazil. Guardians answered questions on socioeconomic status and a dental examination provided information on the dental caries experience (DMF-T). Inequality in dental caries distribution was measured by the Gini coefficient and the Significant Caries Index (SiC). The assessment of association used Poisson regression models. Socioeconomic factors were associated with prevalence of dental caries for the whole sample and also for individuals with a high-caries level. Children from low-income households had the highest prevalence of dental caries. The Gini coefficient was 0.7 and the SiC Index 2.5. The percentage of caries prevalence was 39.3% (95% CI: 35.8%-42.8%) and the mean for DMF-T was 0.9 (± SD 1.5). Inequalities in the distribution of dental caries were observed and socioeconomic factors were found to be strong predictors of the prevalence of oral disease in children of this age group.

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“…The relation between public dental services (public policy) and oral health appears to be small but there is some evidence regarding preventive services [24]. There is also empirical evidence in Brazil and elsewhere linking dental caries and income inequality [25][26][27].…”

Section: Relationship Between Oral Health Income Inequality and Publmentioning

confidence: 99%

How much of the income inequality effect can be explained by public policy? Evidence from oral health in Brazil

Celeste

Nadanovsky

2010

Health Policy

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The individual and contextual pathways between oral health and income inequality in Brazilian adolescents and adults

Cited by 77 publications

References 54 publications

Socioeconomic Factors and Caries in People between 19 and 60 Years of Age: An Update of a Systematic Review and Meta-Analysis of Observational Studies

Socioeconomic Factors and Caries in People between 19 and 60 Years of Age: An Update of a Systematic Review and Meta-Analysis of Observational Studies

Inequalities in the distribution of dental caries among 12-year-old Brazilian schoolchildren

How much of the income inequality effect can be explained by public policy? Evidence from oral health in Brazil

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