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Factors underlying the polarization of early childhood caries within a high-risk population

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Factors underlying the polarization of early childhood caries within a high-risk population

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Título Factors underlying the polarization of early childhood caries within a high-risk population
Autor Nunes, Ana Margarida Melo
Silva, Antônio Augusto Moura da
Alves, Cláudia Maria Coelho
Hugo, Fernando Neves
Ribeiro, Cecília Cláudia Costa
Abstract Background: Early childhood caries (ECC) are particularly prevalent in disadvantaged populations, and socioeconomic factors are associated with the polarization of disease. A previous study showed that even within a homogenous low-income population disease is polarized, indicating that other factors apart from income may contribute to disease susceptibility. Methods: This study used a hierarchical approach to identify factors associated with polarization of ECC in low-income subjects. This cross-sectional study was conducted retrospectively using a cohort of 244 children (aged 48–72 months) with family incomes not exceeding double the minimum wage (U.S. $8,208.00/year), living in neighborhoods on the outskirts of São Luís, Maranhão, Brazil. The sample was divided into three groups based on the Significant Caries (SiC) Index: no caries group, few caries group (mean 1.38 lesions), and a high caries group (mean 3.82 lesions). Hierarchical multinomial logistic regression analyses were performed based on a theoretical model. Results: Twenty-eight (11.5%) of the 244 children presented with high caries. Age (p = 0.026; prevalence ratio (PR) = 1.10; 95% confidence interval (CI) 1.01–1.20) and frequency of sucrose consumption - p = 0.001; PR 4.65 (95% CI 1.83–11.84) were associated with increased risk of ECC. Conclusions: In the high caries group, greater consumption of sucrose between main meals may explain why, in a group of children with homogenous social and health conditions, some had more caries than others.
Contido em BMC oral health. London. Vol. 14 (2014), p. 1-9, article 988
Assunto Carie dentaria : Epidemiologia
Criança
Saúde bucal
Saúde pública
[en] Diet
[en] Early childhood caries
[en] Epidemiology
[en] Public dental health
Origem Estrangeiro
Tipo Artigo de periódico
URI http://hdl.handle.net/10183/168752
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