Racial and regional inequalities of dental pain in adolescents: Brazilian National Survey of School Health (PeNSE), 2009 to 2015

Abstract: The aim of the study is: (a) investigate the racial inequalities as one specific dimension that affects dental pain in Brazilian adolescents; and (b) investigate the regional variations of dental pain. This cross-sectional study used data from Brazilian National Survey of School Health (Pe...

Full description

Bibliographic Details
Main Authors: Francine Costa, Andrea Wendt, Caroline Costa, Luiz Alexandre Chisini, Bernardo Agostini, Rosália Neves, Thaynã Flores, Marcos Britto Correa, Flávio Demarco
Format: Article
Language:English
Published: Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz 2021-06-01
Series:Cadernos de Saúde Pública
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2021000605013&tlng=en
_version_ 1818988932753260544
author Francine Costa
Andrea Wendt
Caroline Costa
Luiz Alexandre Chisini
Bernardo Agostini
Rosália Neves
Thaynã Flores
Marcos Britto Correa
Flávio Demarco
author_facet Francine Costa
Andrea Wendt
Caroline Costa
Luiz Alexandre Chisini
Bernardo Agostini
Rosália Neves
Thaynã Flores
Marcos Britto Correa
Flávio Demarco
author_sort Francine Costa
collection DOAJ
description Abstract: The aim of the study is: (a) investigate the racial inequalities as one specific dimension that affects dental pain in Brazilian adolescents; and (b) investigate the regional variations of dental pain. This cross-sectional study used data from Brazilian National Survey of School Health (PeNSE), carried out with adolescents in 2009, 2012 and 2015. Dental pain was evaluated through the question: “Did you have dental pain in the last six months?”. The main exposures were race and Brazilian regions, used to evaluate inequalities related to the outcome. Sex, age, school type and maternal education were used as covariables. The statistical significance of the trends in dental pain was tested using linear regression. The analysis was conducted in Stata 13.0 statistical package using the svy command. The standard prevalence of dental pain was 18.8%, 21.1% and 23.7%, showing an increasing trend over time (p < 0.001). We observed absolute inequalities in dental pain related to race and regions. A higher prevalence was found in non-white girls of public schools and in the Northern Region. The indexes of inequalities increased in the group of black girls, related to an increase of dental pain predominantly in girls whose mothers had lower educational level. It was observed that the prevalence of dental pain in Brazilian adolescents increased over time as well as its inequalities, which remained in marginalized populations and linked to Brazilian regions.
first_indexed 2024-12-20T19:30:26Z
format Article
id doaj.art-130578c86a99429ca13bfb1052b5b49a
institution Directory Open Access Journal
issn 1678-4464
language English
last_indexed 2024-12-20T19:30:26Z
publishDate 2021-06-01
publisher Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz
record_format Article
series Cadernos de Saúde Pública
spelling doaj.art-130578c86a99429ca13bfb1052b5b49a2022-12-21T19:28:47ZengEscola Nacional de Saúde Pública, Fundação Oswaldo CruzCadernos de Saúde Pública1678-44642021-06-0137610.1590/0102-311x00108620Racial and regional inequalities of dental pain in adolescents: Brazilian National Survey of School Health (PeNSE), 2009 to 2015Francine Costahttps://orcid.org/0000-0001-9558-937XAndrea Wendthttps://orcid.org/0000-0002-4640-2254Caroline Costahttps://orcid.org/0000-0003-0281-6890Luiz Alexandre Chisinihttps://orcid.org/0000-0002-3695-0361Bernardo Agostinihttps://orcid.org/0000-0003-4480-1873Rosália Neveshttps://orcid.org/0000-0001-6798-9130Thaynã Floreshttps://orcid.org/0000-0003-0098-1681Marcos Britto Correahttps://orcid.org/0000-0002-1797-3541Flávio Demarcohttps://orcid.org/0000-0003-2276-491XAbstract: The aim of the study is: (a) investigate the racial inequalities as one specific dimension that affects dental pain in Brazilian adolescents; and (b) investigate the regional variations of dental pain. This cross-sectional study used data from Brazilian National Survey of School Health (PeNSE), carried out with adolescents in 2009, 2012 and 2015. Dental pain was evaluated through the question: “Did you have dental pain in the last six months?”. The main exposures were race and Brazilian regions, used to evaluate inequalities related to the outcome. Sex, age, school type and maternal education were used as covariables. The statistical significance of the trends in dental pain was tested using linear regression. The analysis was conducted in Stata 13.0 statistical package using the svy command. The standard prevalence of dental pain was 18.8%, 21.1% and 23.7%, showing an increasing trend over time (p < 0.001). We observed absolute inequalities in dental pain related to race and regions. A higher prevalence was found in non-white girls of public schools and in the Northern Region. The indexes of inequalities increased in the group of black girls, related to an increase of dental pain predominantly in girls whose mothers had lower educational level. It was observed that the prevalence of dental pain in Brazilian adolescents increased over time as well as its inequalities, which remained in marginalized populations and linked to Brazilian regions.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2021000605013&tlng=enToothacheAdolescentHealth Inequality MonitoringOral Health
spellingShingle Francine Costa
Andrea Wendt
Caroline Costa
Luiz Alexandre Chisini
Bernardo Agostini
Rosália Neves
Thaynã Flores
Marcos Britto Correa
Flávio Demarco
Racial and regional inequalities of dental pain in adolescents: Brazilian National Survey of School Health (PeNSE), 2009 to 2015
Cadernos de Saúde Pública
Toothache
Adolescent
Health Inequality Monitoring
Oral Health
title Racial and regional inequalities of dental pain in adolescents: Brazilian National Survey of School Health (PeNSE), 2009 to 2015
title_full Racial and regional inequalities of dental pain in adolescents: Brazilian National Survey of School Health (PeNSE), 2009 to 2015
title_fullStr Racial and regional inequalities of dental pain in adolescents: Brazilian National Survey of School Health (PeNSE), 2009 to 2015
title_full_unstemmed Racial and regional inequalities of dental pain in adolescents: Brazilian National Survey of School Health (PeNSE), 2009 to 2015
title_short Racial and regional inequalities of dental pain in adolescents: Brazilian National Survey of School Health (PeNSE), 2009 to 2015
title_sort racial and regional inequalities of dental pain in adolescents brazilian national survey of school health pense 2009 to 2015
topic Toothache
Adolescent
Health Inequality Monitoring
Oral Health
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2021000605013&tlng=en
work_keys_str_mv AT francinecosta racialandregionalinequalitiesofdentalpaininadolescentsbraziliannationalsurveyofschoolhealthpense2009to2015
AT andreawendt racialandregionalinequalitiesofdentalpaininadolescentsbraziliannationalsurveyofschoolhealthpense2009to2015
AT carolinecosta racialandregionalinequalitiesofdentalpaininadolescentsbraziliannationalsurveyofschoolhealthpense2009to2015
AT luizalexandrechisini racialandregionalinequalitiesofdentalpaininadolescentsbraziliannationalsurveyofschoolhealthpense2009to2015
AT bernardoagostini racialandregionalinequalitiesofdentalpaininadolescentsbraziliannationalsurveyofschoolhealthpense2009to2015
AT rosalianeves racialandregionalinequalitiesofdentalpaininadolescentsbraziliannationalsurveyofschoolhealthpense2009to2015
AT thaynaflores racialandregionalinequalitiesofdentalpaininadolescentsbraziliannationalsurveyofschoolhealthpense2009to2015
AT marcosbrittocorrea racialandregionalinequalitiesofdentalpaininadolescentsbraziliannationalsurveyofschoolhealthpense2009to2015
AT flaviodemarco racialandregionalinequalitiesofdentalpaininadolescentsbraziliannationalsurveyofschoolhealthpense2009to2015