Factors associated with need for dental treatment: a cross-sectional study at Fluminense Federal University, Rio de Janeiro, Brazil, 2013

Novaes, Luiz Carlos Maciel; Alves Filho, Pedro; Novaes, Tatiana Alves; Corvino, Marcos Paulo Fonseca

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Epidemiologia e Serviços de Saúde

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ORIGINAL ARTICLES • Epidemiol. Serv. Saúde 27 (4) • 2018 • https://doi.org/10.5123/S1679-49742018000400017 copy

Factors associated with need for dental treatment: a cross-sectional study at Fluminense Federal University, Rio de Janeiro, Brazil, 2013^* * This article is derived from the master´s dissertation entitled 'Socioeconomic profile of patients treated in undergraduate course clinics at the Fluminense Federal University School of Dentistry", defended by Luiz Carlos Maciel Novaes at the Postgraduate Program in Dentistry, Fluminense Federal University in 2014.

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective:

to analyze factors associated with the need for dental treatment in adults due to dental caries and tooth loss.

Methods:

this was a cross-sectional study with a random sample of adults attending Fluminense Federal University School of Dentistry outpatient clinics, in Niterói, RJ, between July and December 2013; we used data collected from clinical records; a questionnaire was administered in interviews; logistic regression analysis was performed to obtain crude and adjusted odds ratios (OR).

Results:

212 individuals participated, 71.7% were women; the prevalence of need for dental treatment was 56.1% (95%CI 49.4;62.7); need for treatment was lower in individuals with higher family income (OR=0.53 - 95%CI 0.28;0.98), and higher in women (OR=2.28 - 95%CI 1.21;4.32).

Conclusion:

prevalence of need for treatment in adults was high, especially in women and people with lower family income.

Keywords:
Dental Caries; Socioeconomic Factors; Cross-Sectional Studies; Tooth Loss; Dental Care.

Variables	Need for treatment		Does not need of treatment		P-value^a
Variables	n	(%)	n	(%)	P-value^a
Level 1
Average family income (in monthly minimum wages)
≤2	77	59.7	52	40.3	0.091
>2	31	47.0	35	53.0	0.091
Household Density
Up to 3 people	62	57.9	45	43.1	0.743
4 and more people	54	55.7	43	44.3	0.743
Number of appliances
≤6	56	59.6	38	40.4	0.419
>6	61	54.0	52	46.0	0.419
Level 2
Health Plan
Private Plan	36	59.0	25	41.0	0.612
Only Brazilian National Health System (SUS)	80	55.2	65	44.8	0.612
Reason for appointment
Free of charge	50	50.5	49	49.5	0.059
Specialized Treatment	34	66.7	17	33.3	0.059
Education level (in years of schooling)
≤11	53	57.0	40	43.0	0.667
>11	61	54.0	52	46.0	0.667
Level 3
Sex
Male	26	43.3	34	56.7	0.018
Female	93	61.2	59	38.8	0.018
Age group (in years)
18-40	59	60.2	39	39.8	0.127
41-59	43	47.8	47	52.2
≥60	14	66.7	7	33.3

Variables	Crude OR (95% CI)	P -value	Adjusted OR^a (95% CI)	P -value	Adjusted OR^b (95% CI)	P -value
Level 1
Family income (in monthly minimum wages)
≤2	1.00	-	1.00		1.00	0.045
>2	0.52 (0.26;1.00)	0.051	0.61 (0.27;1.33)	0.055	0.53 (0.28;0.98)	0.045
Household Density	-		-
Up to 3 people	1.00	-
4 and more people	1.07 (0.56;2.01)	0.833
Number of appliances	-		-
≤6	1.00	-
>6	0.89 (0.46;1.73)	0.747
Level 2
Health Plan			-		-
Private	1.00	-
Only The Brazilian National Health System (SUS)	0.95 (0.48;2.29)	0.899
Reason for appointment	-		-
Free of charge	1.00	-
Specialized Treatment	0.53 (0.25;1.14)	0.303
Education level (in years of schooling )	-		-
≤11	1.00	-
>11	0.90 (0.45;1.82)	0.779
Level 3
Sex
Male	1.00	-	-	-	1.00	0.011
Female	2.06 (1.12;3.78)	0.019	2.06 (1.11;3.82)	0.021	2.28 (1.21;4.32)	0.011
Age group (in years)
18-40	1.00	-			-
41-59	1.74 (0.96;3.13)	0.065
≥60	0.79 (0.29;2.18)	0.659

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[1] Correspondence: Pedro Alves Filho - Rua Dr. Nelson de Sá Earp, No. 210, Centro, Petrópolis, RJ, Brasil. CEP: 25680-195 E-mails: pafilho@msn.com; pedro.filho@saude.rj.gov.br