0299/2022 - MÁ OCLUSÃO EM ADOLESCENTES DO ESTADO DE SÃO PAULO: ANÁLISE ESPACIAL E HIERÁRQUICA MALOCCLUSION IN ADOLESCENTS IN THE STATE OF SÃO PAULO: SPATIAL AND HIERARCHICAL ANALYSIS
O objetivo foi analisar a distribuição espacial da má oclusão (MO) em adolescentes, estimar a prevalência e avaliar os fatores associados. Estudo com dados de 5.558 adolescentes entre 15 a 19 anos de idade do inquérito - SB São Paulo 2015. O desfecho foi a MO. As variáveis independentes foram os aspectos sociodemográficos, acesso aos serviços odontológicos, cárie e perdas dentárias. Foram incluídos 162 municípios do estado de São Paulo e aplicadas técnicas de estatística espacial. Foram realizados modelos de regressão logística hierarquizada. A prevalência de MO foi de 29,3%. Houve um padrão de espalhamento entre os tipos de MO e correlação espacial positiva (p<0,05). Adolescentes não brancos (OR=1,32, IC95%:1,24-1,42), com menor tempo de estudo (OR=1,30, IC95%:1,22-1,42) e com dentes extraídos por cárie (OR=1,40, IC95%: 1,03-1,88) tiveram mais chances de apresentarem MO. O acesso dos adolescentes à consulta odontológica não contribuiu para reduzir a chance de apresentar a MO, independentemente de a consulta ao dentista ter ocorrido há menos (OR= 2,02I, C95%: 1,65-2,47) ou há mais de um ano (OR=1,63, IC95%: 1,31-2,03). Assim, a ocorrência de MO é desi¬gualmente distribuída no estado de São Paulo, e associada a condições sociodemográficas de acesso à consulta e perda dentária por cárie.
Palavras-chave:
Má Oclusão. Epidemiologia. Acesso aos Serviços de Saúde.
Abstract:
The objective was to analyze the spatial distribution of malocclusion (OM) in adolescents, estimate the prevalence and evaluate the factors associated. Study with results of 5.55 adolescents, 15 to 19 years of age from the survey - SB São Paulo 2015. The result was data on MO. As independent variables were sociodemographic aspects, access to dental services, dental caries and tooth loss. 162 municipalities in the state of São Paulo were included and applied spatial statistics techniques were included. Hierarchical logistics models were performed. The prevalence of MO was 29.3%. There was a pattern of spread between the types of MO and positive detachment (p<0.05). Non-white adolescents (OR=1.32, 95%CI:1.24-1.42), with less time of study (OR=1.30, 95%CI:1.22-1.42), with teeth extracted by caries (OR=1.40, 95%CI: 1.03-1.88) were more likely to have OM. Adolescents' access to dental consultation did not contribute to reducing the chance of presenting with BM, regardless of whether the dental consultation occurred less (OR= 2.02I, 95%CI: 1.65-2.47) or more than one year ago (OR=1.63, 95%CI: 1.31-2.03). So, the occurrence of OM is normally distributed in the state of São Paulo and associated with sociodemographic conditions, access to consultations and tooth loss due to caries.
Keywords:
Malocclusion. Epidemiology. Access to Health Services.
MALOCCLUSION IN ADOLESCENTS IN THE STATE OF SÃO PAULO: SPATIAL AND HIERARCHICAL ANALYSIS
Resumo (abstract):
The objective was to analyze the spatial distribution of malocclusion (OM) in adolescents, estimate the prevalence and evaluate the factors associated. Study with results of 5.55 adolescents, 15 to 19 years of age from the survey - SB São Paulo 2015. The result was data on MO. As independent variables were sociodemographic aspects, access to dental services, dental caries and tooth loss. 162 municipalities in the state of São Paulo were included and applied spatial statistics techniques were included. Hierarchical logistics models were performed. The prevalence of MO was 29.3%. There was a pattern of spread between the types of MO and positive detachment (p<0.05). Non-white adolescents (OR=1.32, 95%CI:1.24-1.42), with less time of study (OR=1.30, 95%CI:1.22-1.42), with teeth extracted by caries (OR=1.40, 95%CI: 1.03-1.88) were more likely to have OM. Adolescents' access to dental consultation did not contribute to reducing the chance of presenting with BM, regardless of whether the dental consultation occurred less (OR= 2.02I, 95%CI: 1.65-2.47) or more than one year ago (OR=1.63, 95%CI: 1.31-2.03). So, the occurrence of OM is normally distributed in the state of São Paulo and associated with sociodemographic conditions, access to consultations and tooth loss due to caries.
Palavras-chave (keywords):
Malocclusion. Epidemiology. Access to Health Services.
Battaglia, G., Fonseca, E.P., Oliveira Júnior, A.J., Cunha, I.P., Meneghim, M.C.. MÁ OCLUSÃO EM ADOLESCENTES DO ESTADO DE SÃO PAULO: ANÁLISE ESPACIAL E HIERÁRQUICA. Cien Saude Colet [periódico na internet] (2022/out). [Citado em 22/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/ma-oclusao-em-adolescentes-do-estado-de-sao-paulo-analise-espacial-e-hierarquica/18555?id=18555
