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Published on: June 10, 2013
Contextual and individual determinants of dental pain in preschool children
Osmar Martins Ferreira-Júnior1, Maria do Carmo Matias Freire2, Rafael da Silveira Moreira3
1Dentistry Graduate Program, Universidade Federal de Goias, Goiania, Brazil.
Insights
Dental pain is common in Brazilian preschoolers, affecting 22%. Factors like low socioeconomic status, indigenous ethnicity, poor housing, and caries significantly increase pain prevalence in children.
Area of Science:
- Pediatric Dentistry
- Public Health
- Epidemiology
Background:
- Dental pain in children is understudied, especially in preschool populations.
- Understanding prevalence and determinants is crucial for targeted interventions.
Purpose of the Study:
- To assess the prevalence of dental pain in 5-year-old Brazilian children.
- To identify individual and contextual factors associated with dental pain in this age group.
Main Methods:
- Cross-sectional study utilizing data from the 2010 National Survey of Oral Health.
- Involved 7280 five-year-olds examined at home with parental questionnaires.
- Hierarchized Poisson regression with a multilevel approach was used for data analysis.
Main Results:
- Prevalence of dental pain was 22.0%.
- Higher prevalence was observed in children from lower Human Development Index cities, indigenous children, and those from lower-income families.
- Factors like increased dwellers per bedroom and caries experience significantly elevated pain prevalence.
Conclusions:
- Dental pain is highly prevalent among Brazilian preschool children.
- Both contextual (e.g., city-level socioeconomic factors) and individual (e.g., ethnicity, income, oral health status) factors significantly influence dental pain.
Objectives:
Despite growing interest on dental pain in children, there are very few studies on its prevalence and determinants among preschool children. The objective of this study was to assess prevalence of dental pain and associated individual and contextual factors in 5 year-old Brazilian children.
Methods:
This cross-sectional study used primary data from the 2010 National Survey of Oral Health, carried out in capital cities and a sample of country towns. Participants were 7280 5-year-olds, who were examined in their homes and whose parents answered a questionnaire. Dependent variable was report of dental pain in the last 6 months. Independent variables were contextual (city level) socioeconomic factors, and individual (child) sociodemographic and oral health-related variables. Data analysis included hierarchized Poisson regression models, using a multilevel approach and prevalence rate (PR) estimates.
Results:
The prevalence of dental pain was 22.0% (95% CI 19.1-25.2). It was higher among those living in cities with lower human development index (PR 0.07; 95% CI 0.02-0.22) and with a higher percentage of their population with an incomplete primary education (PR 1.03; 95% CI 1.01-1.06). Indigenous children had prevalence of dental pain 1.97 times higher (95% CI 1.19-3.26) than those of white colour. Families with monthly incomes of U$ 218.00 or less and between U$ 219.00 and U$ 656.00 had, respectively, a prevalence of dental pain 2.67 (95% CI 1.33-5.32) and 2.11 (95% CI 1.03-4.32) times higher than families with highest income level. For each unit increase in the number of dwellers per bedroom, there was a 14% increase in the probability of having pain. Children with caries experience had a 3.45 (95% CI 2.58-4.62) higher prevalence of pain than caries-free individuals.
Conclusion:
Dental pain prevalence in Brazilian preschool children was high and influenced by contextual and individual factors.
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