0157/2015 - Association between untreated dental caries and household food insecurity in schoolchildren Associação entre cárie dentária não tratada e insegurança alimentar em escolares
• Tatiana Pegoretti Pintarelli - Pintarelli, Tatiana Pegoretti - Universidade Federal do Paraná, Departamento de Estomatologia - <tatipegoretti@hotmail.com>
Área Temática:
Saúde Bucal
Resumo:
O objetivo deste estudo foi avaliar a associação entre cárie dentária não tratada (CDNT) e insegurança alimentar (IA) em escolares de diferentes estratos de renda. Foi realizado um estudo de base populacional com uma amostra de 584 escolares de 12 anos de idade. Exames clínicos bucais foram realizados e IA foi determinada por meio de uma escala validada. Outras variáveis foram analisadas por serem de interesse para a estratificação dos resultados (renda domiciliar per capita) ou como variáveis de confusão. A prevalência de CDNT e IA foi de 45% e 39%, respectivamente. Os modelos multivariados demonstraram que a CDNT foi significativamente mais prevalente entre as crianças com IA alimentar e renda per capita de até US $ 70,71 do que entre aqueles no mesmo estrato de renda que estavam livres de IA [RP = 1,52 (IC 95% = 1,01 -2,29)]. A IA foi associada com uma maior frequência de CDNT em escolares de baixa renda, porém não teve impacto significativo sobre esta variável entre crianças de diferentes estratos de renda. Diante disso, garantir o acesso a uma alimentação de qualidade pode representar uma boa estratégia para minimizar as iniquidades em saúde bucal e reduzir a experiência de cárie dentária em escolares de baixa renda.
Palavras-chave:
Segurança alimentar e nutricional
Cárie dentária
Criança
Renda
Abstract:
The aim of the present study was to assess the association between untreated dental caries (UDC) and household food insecurity (HFI) among schoolchildren in different income strata. A population-based study was carried out with a sample of 584 12-y-old schoolchildren. Oral examinations were performed and HFI was determined using a validated scale. Other independent variables were analyzed for being of interest to the stratification of the results (per capita household income) or for acting as potential confounding variables. The prevalence of UDC and HFI was 45% and 39%, respectively. The multivariate models demonstrated that the UDC was significantly more prevalent among children in food-insecure households with per capita income of up to US$70.71 than among those in the same income stratum that were free of HFI [PR=1.52 (95%CI=1.01-2.29)]. HFI was associated with a greater frequency of UDC among low-income schoolchildren, but had no significant impact on this variable among children from other income strata. Thus, ensuring access to quality food may be a good strategy for minimizing inequities in oral health and reducing dental caries experience among schoolchildren from low-income families.
Associação entre cárie dentária não tratada e insegurança alimentar em escolares
Resumo (abstract):
The aim of the present study was to assess the association between untreated dental caries (UDC) and household food insecurity (HFI) among schoolchildren in different income strata. A population-based study was carried out with a sample of 584 12-y-old schoolchildren. Oral examinations were performed and HFI was determined using a validated scale. Other independent variables were analyzed for being of interest to the stratification of the results (per capita household income) or for acting as potential confounding variables. The prevalence of UDC and HFI was 45% and 39%, respectively. The multivariate models demonstrated that the UDC was significantly more prevalent among children in food-insecure households with per capita income of up to US$70.71 than among those in the same income stratum that were free of HFI [PR=1.52 (95%CI=1.01-2.29)]. HFI was associated with a greater frequency of UDC among low-income schoolchildren, but had no significant impact on this variable among children from other income strata. Thus, ensuring access to quality food may be a good strategy for minimizing inequities in oral health and reducing dental caries experience among schoolchildren from low-income families.
