0254/2015 - O potencial impacto financeiro dos problemas bucais em pré-escolares The potential financial impact of oral health problems in preschool children
• Carolina Martins - Martins, Carolina - Universidade Federal de Minas Gerais, Pediatric Dentistry and Orthodontics - <carolcm10@hotmail.com>
• Saul Paiva - Paiva, Saul - Universidade Federal de Minas Gerais, Pediatric Dentistry and Orthodontics - <smpaiva@uol.com.br>
Área Temática:
Saúde Bucal
Resumo:
Objetivo: O objetivo do estudo foi avaliar a percepção dos pais sobre impacto financeiro dos problemas de saúde bucal na família de pré-escolares. Métodos: Um estudo transversal foi realizado com 834 pré-escolares, em Campina Grande, Brasil. Os pais responderam a Early Childhood Oral Health Impact Scale (B-ECOHIS). O item “impacto financeiro” foi a variável dependente. Questionários de variáveis sociodemográficas, histórico de dor de dente e percepções de saúde foram administrados. Os exames clínicos foram realizados por três dentistas calibrados (Kappa: 0.85-0.90). Estatísticas descritiva e regressão logística para amostras complexas foram realizadas (α= 5%). Resultados: A frequência de impacto financeiro foi de 11.2%. As seguintes variáveis foram significativamente associadas com o impacto financeiro: percepção dos pais sobre saúde bucal (OR=2.025; 95%IC: 1.016-4.034), interação entre histórico de dor de dente e ausência de cárie dentária (OR= 22.587; 95%IC: 4.838-105.448) e interação entre histórico de dor de dente e presença de cárie dentária (OR=15.256; 95%IC: 3.167-73.482). Conclusão: Os pais relataram impacto financeiro devido a procura por tratamento tardio, em especial na presença de dor e complicações no quadro clínico, reforçando a necessidade da prevenção da saúde bucal em crianças.
Palavras-chave:
Pais
Pré-Escolar
Cárie dentária
Traumatismos dentários
Abstract:
Objective: The aim of the study was to evaluate the perception of parents regarding the financial impact of oral health problems on the families of preschoolers. Methods: A cross-sectional study was conducted with 834 preschool children in Campina Grande, Brazil. Parents answered the Early Childhood Oral Health Impact Scale. “Financial impact” was the dependent variable. Questionnaires addressing socio-demographic variables, history of toothache and health perceptions were administered. Clinical exams were performed by three dentists calibrated (Kappa: 0.85-0.90). Descriptive statistics and logistic regression for complex samples were performed (α = 5%). Results: The frequency of financial impact was 11.2%. The following variables were significantly associated with financial impact: parental perception of child’s oral health (OR=2.025; 95%CI: 1.016-4.034), interaction between history of toothache and absence of dental caries (OR=22.587; 95%CI: 4.838-105.448) and interaction between history of toothache and presence of dental caries (OR=15.256; 95%CI: 3.167-73.482). Conclusion: Parents reported experiencing a financial impact due to seeking treatment late, mainly by the presence of toothache and complications of the clinical condition, which reinforces the need to prevention oral health in children.
The potential financial impact of oral health problems in preschool children
Resumo (abstract):
Objective: The aim of the study was to evaluate the perception of parents regarding the financial impact of oral health problems on the families of preschoolers. Methods: A cross-sectional study was conducted with 834 preschool children in Campina Grande, Brazil. Parents answered the Early Childhood Oral Health Impact Scale. “Financial impact” was the dependent variable. Questionnaires addressing socio-demographic variables, history of toothache and health perceptions were administered. Clinical exams were performed by three dentists calibrated (Kappa: 0.85-0.90). Descriptive statistics and logistic regression for complex samples were performed (α = 5%). Results: The frequency of financial impact was 11.2%. The following variables were significantly associated with financial impact: parental perception of child’s oral health (OR=2.025; 95%CI: 1.016-4.034), interaction between history of toothache and absence of dental caries (OR=22.587; 95%CI: 4.838-105.448) and interaction between history of toothache and presence of dental caries (OR=15.256; 95%CI: 3.167-73.482). Conclusion: Parents reported experiencing a financial impact due to seeking treatment late, mainly by the presence of toothache and complications of the clinical condition, which reinforces the need to prevention oral health in children.
