Abstract
ABSTRACT Objective: This study aimed to evaluate the association of familial social risk and caries risk in 5-year-old school students from the municipality of Coari. Methods: The sample consisted of 361 students from 3 schools in the city. Data were collected from file A of the Basic Attention Information System and from records of families enrolled in Family Health Units for the classification of families according to Family Social risk and caries risk was classified according to the Secretary of Health of São Paulo. A descriptive data analysis and a multiple logistic regression were performed to verify the possible association of family social risk with family social risk and demographic variables. Results: The results showed that 51% of the sample were female, the prevalence of caries was 67.6%; and dmf-t 3.16. There was an association of high social risk with prevalence, and high risk of caries. Conclusion: Therefore, children at high risk of caries were more likely to belong to families with higher social risk. Thus, this research indicates that the present tool for assessing family social risk can be used in other studies related to planning, organization and access to oral health services.
Highlights
The Family Health Program, currently denominated Family Health Strategy (ESF), emerged as an important strategy to reorganize primary attention in the context of health surveillance
Knowledge of the reality of the families which the teams are responsible for, with focus on social, economical, cultural, demographic and epidemiological characteristics, it is fundamental for families and individuals with greater vulnerability to be identified and admitted with priority while planning health actions [1], seen that social vulnerability is related to risks, towards general health and oral health [2]
Specific instruments are being utilized by ESF teams to classify family risk with base on data collected by community health agents (CHA) [7], aiming to organization of demand in order for families with greater risk to be called with priority for consults
Summary
The Family Health Program, currently denominated Family Health Strategy (ESF), emerged as an important strategy to reorganize primary attention in the context of health surveillance. According to the Coelho scale, Cheachire et al [1] presented the “Family Risk Score”, an instrument developed by the technical group from the city of Santo André and other than the information collected by the CHA, many variables extracted from file A, SIAB and from the health pact indicators were incorporated, aiming to assure that the establishment of priorities for the service and attention to the assigned population would not be determined in a subjective form The application of these scales have presented controversial results with regards to oral health, where some studies show that the risk of caries and the prevalence of the disease were associated to elevated familial social risk [3,8] while other studies, this association was not found [1]. The students were drawn in a proportional manner to the number of students enrolled in each school
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