Self-reported tooth extractions and associated factors in quilombola communities in the semi-arid region of Bahia state, Brazil, 2016

Araújo, Roberta Lima Machado de Souza; Araújo, Edna Maria de; Miranda, Samilly Silva; Chaves, Janaína Nascimento Teixeira; Araújo, Josivene Antônio de

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Epidemiologia e Serviços de Saúde

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ORIGINAL ARTICLES • Epidemiol. Serv. Saúde 29 (2) • 2020 • https://doi.org/10.5123/S1679-49742020000200011 copy

Self-reported tooth extractions and associated factors in quilombola communities in the semi-arid region of Bahia state, Brazil, 2016^* * Article derived from the Master’s Degree thesis entitled ‘Social determinants of diseases and health conditions in the quilombola communities of Feira de Santana, Bahia’, defended by Roberta Lima Machado de Souza Araújo at the Feira de Santana State University (UEFS) Public Health Postgraduate Program in 2017. The study received financial support from the National Scientific and Technological Development Council/Ministry of Science, Technology, Innovation and Communications (CNPq/MCTIC), via Call for Proposals CNPq/MS/SCTIE/DECIT/SGEP/DAGEP No. 21/2014 - Black People’s Health in Brazil; Process No. 466874/2014-6, as per UEFS Teaching, Research and Extension Council (CONSEPE) Resolution No. 007/2015.

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective:

to estimate the prevalence of self-reported tooth extractions and analyze associated factors in quilombola communities in Feira de Santana, Bahia, Brazil.

Methods:

this was a cross-sectional study, with 864 quilombolas; association between self-reported tooth extractions (no experience of extraction; ≤5 extracted teeth; >5 extracted teeth), and possible associated factors was estimated using multinomial logistic regression, with a 95% confidence interval (95%CI).

Results:

tooth extractions were self-reported by 82.0% of quilombolas, 49.8% of whom had ≤5 teeth extracted and 32.2% of whom had >5 teeth extracted; greater likelihood of tooth extraction was associated with being male (adjusted OR = 1.7 - 95%CI1.1;2.7), working as an unregistered worker (adjusted OR = 2.7 - 95%CI1.3;5.7), being ≥60 years old (adjusted OR = 5.2 - 95%CI1.9;14.1) and reporting having dental caries (adjusted OR = 4.1 - 95%CI2.5;6.7).

Conclusion:

tooth extractions are associated with social vulnerability conditions experienced by the quilombolas of the semi-arid region of Bahia state.

Keywords:
African Continental Ancestry Group; Health Vulnerability; Oral Health; Rural Population; Ethnicity and Health

Variables	N	%	95%CI^a
Age (in years)
18-29	220	25.5	(22.6;28.5)
30-39	226	26.2	(23.2;29.2)
40-49	150	17.4	(14.9;20.0)
50-59	100	11.5	(9.5;13.9)
≥60	168	19.4	(16.8;22.2)
Sex
Female	544	63.0	(59.6;66.2)
Male	320	37.0	(33.8;40.3)
Marital status
With partner	443	51.3	(47.9;54.6)
Without partner	421	48.7	(45.3;52.1)
Years of schooling
≤8	667	77.2	(74.2;79.9)
>8	197	22.8	(20.0;25.7)
Has a job
Yes	520	60.2	(56.8;63.5)
No	344	39.8	(36.5;43.2)
Situation at work
Registered worker	139	26.7	(22.9;30.7)
Unregistered worker	382	73.3	(69.3;77.1)
Monthly per capita income^b
≥1 minimum wage	157	18.2	(15.6;20.9)
<1 minimum wage	707	81.8	(79.0;84.3)
Self-assessment of health
Good	439	50.8	(47.4;54.2)
Regular	385	44.6	(41.2;47.9)
Poor	40	4.6	(3.3;6.2)
Having had dental caries
Yes	502	58.1	(54.7;61.4)
No	362	41.9	(38.9;45.3)
Tooth extractions (in number of teeth extracted)
≤5	430	49.8	(46.4;53.1)
>5	278	32.2	(29.1;35.4)
No tooth loss	156	18.0	(15.5;20.8)

Variables	Tooth extractions
	Up to 5 extractions				More than 5 extractions
	Crude OR (95%CI^c)	p-value^b	Adjusted OR^a (95%CI)^c	p-value^b	Crude OR (95%CI)^c	p-value^b	Adjusted OR^a (95%CI)^c	p-value^b
Age (in years)		<0.001		<0.001		<0.001		<0.001
18-29	1.0		1.0	-	1.0	-	1.0	-
30-39	3.2 (2.0;5.0)		3.2 (2.0;5.0)		7.0 (3.2;15.2)		7.0 (3.2;15.2)
40-49	5.7 (3.0;10.8)		5.5 (2.9;10.5)		30.2 (12.5;72.6)		29.8 (12.4;71.8)
50-59	5.8 (2.2;15.5)		5.9 (2.2;15.9)		100.8 (33.3;304.7)		101.5 (33.5;307.0)
≥60	5.3 (2.0;14.3)		5.2 (1.9;14.1)		222.1 (74.7;660.7)		220.4 (74.1;655.7)
Sex
Female	1.0	-	1.0	-	1.0	-	1.0	-
Male	1.8 (1.2;2.7)	0.003	1.7 (1.1;2.7)	0.006	1.3 (0.9;2.1)	0.177	1.3 (0.7;2.1)	0.369
Marital status
With partner	1.0	-	1.0	-	1.0	-	1.0	-
Without partner	1.5 (1.1;2.2)	0.034	1.1 (0.7;1.6)	0.693	1.3 (0.9;1.9)	0.195	0.79 (0.5;1.3)	0.357
Years of schooling
>8	1.0	-	1.0	-	1.0	-	1.0	-
≤8	1.1 (0.7;1.8)	0.505	1.0 (0.7;1.6)	0.850	0.8 (0.5;1.3)	0.456	0.8 (0.5;1.5)	0.574
Has a job
Yes	1.0	-	1.0	-	1.0	-	1.0	-
No	0.5 (0.3;0.7)	0.002	0.6 (0.4;0.9)	0.008	1.6 (1.1;2.3)	0.019	0.8 (0.5;1.4)	0.498
Situation at work
Registered worker	1.0	-	1.0	-	1.0	-	1.0	-
Unregistered worker	1.5 (0.9;2.5)	0.072	1.7 (1.1;2.3)	0.050	3.5 (1.8;6.7)	<0.001	2.7 (1.3;5.7)	0.008
Monthly per capita income^d
≥1 minimum wage	1.0	-	1.0	-	1.0	-	1.0	-
<1 minimum wage	1.2 (0.7;2.0)	0.424	1.0 (0.6;1.7)	0.912	0.6 (0.3;1.0)	0.093	0.8 (0.4;1.5)	0.418
Self-rated health		0.660		0.897		<0.001		0.383
Good	1.0		1.0		1.0		1.0
Regular	1.0 (0.7;1.5)		0.9 (0.6;1.4)		1.8 (1.2;2.7)		1.0 (0.6;1.6)
Poor	1.2 (0.3;4.6)		0.9 (0.2;3.7)		7.4 (2.1;25.2)		2.3 (0.5;9.0)
Having had dental caries
No	1.0	-	1.0	-	1.0	-	1.0	-
Yes	3.0 (1.9;4.3)	<0.001	2.8 (1.8;4.1)	0.000	4.3 (2.8;6.4)	<0.001	4.1 (2.5;6.7)	<0.001

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[1] Correspondence: Roberta Lima Machado de Souza Araújo - Universidade Estadual de Feira de Santana, Núcleo Interdisciplinar de Estudos sobre Desigualdades em Saúde, Avenida Transnordestina, Novo Horizonte, Feira de Santana, BA, Brazil. Postcode: 44036-336. E-mail: robertamachado.psi@gmail.com