Abstract
BackgroundDental caries is associated with Biological, behavioral, socioeconomic, and environmental factors; however, socioeconomic status is a distal determinant of dental caries development that modulates exposure to risk and protective factors. This study aimed to analyze the socioeconomic factors associated with the concentration of oral diseases in a population-based study in Brazil.MethodsThis is a quantitative, analytical, cross-sectional study based on secondary data from the SB São Paulo 2015 epidemiological survey. A total of 17,560 subjects were included. The concentration of oral disease in the population was estimated by the oral disease burden (ODB) variable. The ODB consists of four components: dental caries; tooth loss; need for dental prosthesis and periodontal condition. Thus, the total score on the ODB could vary between 0 and 4, with the highest score indicating the worst possible situation. ODB was analyzed in multivariate negative binomial regression, and multivariate binary logistic regression analysis. The following factors were included as independent variables: age group, skin color, socioeconomic factors, family income and Oral Impact on Daily Performance (OIDP).ResultsIn the sample, 86.9% had no minimum ODP component. Negative multivariate binomial regression showed a statistically significant relationship (p < 0.005) between ODB and all variables analyzed (skin color, family income, education, OIDP results and age range). The adjusted multivariate binary logistic regression showed that the individuals most likely to have at least one component of ODB were nonwhite (25.5%), had a family income of up to R$ 1500.00/month (19.6%), had only completed primary education (19.1%), and reported that their oral health had an impact on their daily activities (57.6%). Older adults individuals were two times more likely than adolescents to have an ODB component.ConclusionsODB is associated with factors related to social inequality. Adults and older adults individuals had the highest cumulative number of ODB components.
Highlights
Dental caries is associated with Biological, behavioral, socioeconomic, and environmental factors; socioeconomic status is a distal determinant of dental caries development that modulates exposure to risk and protective factors
oral disease burden (ODB) was present in 86.9% of the sample (n = 17,560), which consisted of 31.7% adolescents, 34.5% adults, and 33.9% older adults individuals
63.6% were self-reported as non-white, 45.5% had a family income greater than R$1501.00/month, 54.4% had completed primary education, and 56.6% of the sample indicated that their oral health had an impact on their daily activities, as evaluated by the Oral impact on daily performance (OIDP) (Table 1)
Summary
Dental caries is associated with Biological, behavioral, socioeconomic, and environmental factors; socioeconomic status is a distal determinant of dental caries development that modulates exposure to risk and protective factors. Socioeconomic status is a distal determinant of dental caries development that modulates exposure to risk and protective factors as well as access to oral health services [3]. These inequalities in the distribution of dental caries have been reported in de Lucena et al BMC Oral Health (2021) 21:608 different countries [4, 5]. To provide greater equity in dental care for socially disadvantaged groups, it is necessary to understand populations’ specific characteristics, their socioeconomic status, and, above all, the influence of these factors on their health-related behavior Such understanding will contribute to reducing disparities in oral health [7, 8].
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
