Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/83427
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Type: Journal article
Title: Contextual and individual assessment of dental pain period prevalence in adolescents: a multilevel approach
Author: De Anselmo Peres, M.
Glazer De Anselmo Peres, K.
Frias, A.
Antunes, J.
Citation: BMC Oral Health, 2010; 10(20):1-9
Publisher: BioMed Central Ltd.
Issue Date: 2010
ISSN: 1472-6831
1472-6831
Statement of
Responsibility: 
Marco A Peres, Karen G Peres, Antônio C Frias, José Leopoldo F Antunes
Abstract: BACKGROUND Despite evidence that health and disease occur in social contexts, the vast majority of studies addressing dental pain exclusively assessed information gathered at individual level. OBJECTIVES To assess the association between dental pain and contextual and individual characteristics in Brazilian adolescents. In addition, we aimed to test whether contextual Human Development Index is independently associated with dental pain after adjusting for individual level variables of socio-demographics and dental characteristics. METHODS The study used data from an oral health survey carried out in São Paulo, Brazil, which included dental pain, dental exams, individual socioeconomic and demographic conditions, and Human Development Index at area level of 4,249 12-year-old and 1,566 15-year-old schoolchildren. The Poisson multilevel analysis was performed. RESULTS Dental pain was found among 25.6% (95%CI = 24.5-26.7) of the adolescents and was 33% less prevalent among those living in more developed areas of the city than among those living in less developed areas. Girls, blacks, those whose parents earn low income and have low schooling, those studying at public schools, and those with dental treatment needs presented higher dental-pain prevalence than their counterparts. Area HDI remained associated with dental pain after adjusting for individual level variables of socio demographic and dental characteristics. CONCLUSIONS Girls, students whose parents have low schooling, those with low per capita income, those classified as having black skin color and those with dental treatment needs had higher dental pain prevalence than their counterparts. Students from areas with low Human Development Index had higher prevalence of dental pain than those from the more developed areas regardless of individual characteristics.
Keywords: dental pain; epidemiology; oral health; socioeconomic factors; multilevel analysis
Rights: © 2010 Peres et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
RMID: 0020125042
DOI: 10.1186/1472-6831-10-20
Appears in Collections:Dentistry publications

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