Influence of the oral health care model and of economic and geographical factors on the high risk of dental caries in school children: Spatial analysis

Authors

DOI:

https://doi.org/10.33448/rsd-v11i3.24683

Keywords:

Dental caries; Family Health Strategy; Dental Health Services; School Health Services; Spatial analysis.

Abstract

The aim of this study was to analyze the spatial pattern of the distribution of dental caries in schoolchildren according to the high risk to this disease and to verify the presence of spatial dependence and its correlation with socioeconomic and geographic factors. The descriptive analysis was performed from the distribution of data in thematic maps and to identify spatial dependence, the Moran Global and Local indexes were used. The multivariate linear regression technique was performed with the oral health care model, distance to the nearest Health Unit and possession of social benefit, to verify which of the independent variables best describe the occurrence of the disease. The high risk of dental caries did not show spatial autocorrelation. However, it can be seen that large concentrations were randomly distributed throughout the municipality. In the regression analysis, a statistically significant difference was observed, conditioned by the distance in meters from the central point of the census sector to the nearest Health Unit (p = 0,003). It was not possible to establish a spatial autocorrelation of the high risk of dental caries. However, the presence of a statistically significant difference related to distance, demonstrates the importance of a good allocation of the health care point, to improve access and offer equitable assistance to citizens.

References

Amaral, R. C., Fonseca, E., Lepri, C., Assis, L., Rocha, C., & Tennant, M. (2019). Cárie dentária em adolescentes do Estado de São Paulo, Brasil: uma análise espacial, 2015 Dental. Adolescência & Saúde, 16(4), 25–35.

Antunes, J. L. F., Frazão, P., Narvai, P. C., Bispo, C. M., & Pegoretti, T. (2002). Spatial analysis to identify differentials in dental needs by area-based measures. Community Dentistry and Oral Epidemiology, 30(2), 133–142. https://doi.org/10.1034/j.1600-0528.2002.300207.x

Baldani, M. H., Mendes, Y. B. E., Lawder, J. A. de C., de Lara, A. P. I., Rodrigues, M. M. A. da S., & Antunes, J. L. F. (2011). Inequalities in dental services utilization among Brazilian low-income children: the role of individual determinants. Journal of Public Health Dentistry, 71(1), 46–53. https://doi.org/10.1111/j.1752-7325.2010.00201.x

Bastos Filho, R. A., Almeida Pinto, N. M. de, Fiúza, A. L. de C., & Rezende, D. F. de A. (2019). A elaboração de um índice de segregação socioespacial como ferramenta de gestão e análise do espaço urbano de Viçosa, MG. Interações (Campo Grande), 707–723. https://doi.org/10.20435/inter.v20i3.1961

Brasil. IBGE - Instituto Brasileiro de Geografia e Estatística. (2021). Censo escolar - sinopse. https://cidades.ibge.gov.br/brasil/sp/presidente-prudente/pesquisa/13/78117

Brasil. Ministério da Cidadania. (2020). Guia para acompanhamento das condicionalidades do Programa Bolsa Família.

Câmara, G., Monteiro, M., Fucks, S., & Carvalho, M. (2004). Análise Espacial e Geoprocessamento. In S. Fucks, M. Carvalho, G. Câmara, & A. Monteiro (Eds.), Análise Espacial de Dados Geográficos. Embrapa.

Carreira, L., & Rodrigues, R. A. P. (2010). Difficulties faced by family members of elderly with chronic diseases to access Basic Health Unit. Revista brasileira de enfermagem, 63(6), 933–999. https://doi.org/10.1590/s0034-71672010000600010

Cunha, A. B. O., & Vieira-da-Silva, L. M. (2010). Health services accessibility in a city of Northeast Brazil. Cadernos de saude publica, 26(4), 725–737. https://doi.org/10.1590/s0102-311x2010000400015

De Paula, C. C., Silva, C. B. da, Tassinari, T. T., & Padoin, S. M. de M. (2016). Factors that affect first contact access in the primary health care: integrative review. Revista de Pesquisa Cuidado é Fundamental Online, 8(1), 4056–4078. https://doi.org/10.9789/2175-5361.2016.v8i1.4056-4078

Freire, M. do C. M., Reis, S. C. G. B., Figueiredo, N., Peres, K. G., Moreira, R. da S., & Antunes, J. L. F. (2014). Individual and contextual determinants of dental caries in Brazilian 12-year-olds in 2010. Revista de Saude Publica, 47(SUPPL.3), 40–49. https://doi.org/10.1590/S0034-8910.2013047004322

Goedert, F. W. (2019). Perfil de saúde bucal em beneficiários e não beneficiários do programa bolsa família. Universidade de Brasília.

Locker, D., Maggirias, J., & Quiñonez, C. (2011). Income, dental insurance coverage, and financial barriers to dental care among Canadian adults. Journal of Public Health Dentistry, 71(4), 327–334. https://doi.org/10.1111/j.1752-7325.2011.00277.x

Moreira, R. D. S., Nico, L. S., & Tomita, N. E. (2007). A relação entre o espaço e a saúde bucal coletiva: Por uma epidemiologia georreferenciada. Ciencia e Saude Coletiva, 12(1), 275–284. https://doi.org/10.1590/S1413-81232007000100032

Paganelli, A. P. D., Constante, H. M., Sala, F. S., Bainha, C. C., Borges, Á. L. S. J., Bastos, J. L., & Peres, M. A. (2018). Trends in dental caries rates over 45 years (1971-2016) among schoolchildren in Florianópolis, southern Brazil. International Dental Journal, 68(1), 47–53. https://doi.org/10.1111/idj.12327

Peres, J. N., Mendes, K. L. C., Wada, R. S., & Sousa, M. da L. R. de. (2017). Relationship between risk classifications used to organize the demand for oral health in a small city of São Paulo, Brazil. Ciencia & saude coletiva, 22(6), 1905–1911. https://doi.org/10.1590/1413-81232017226.00702016

Reis, C. dos, Martelli-Júnior, H., Franco, B. M., Santos, A. A., & Ramalho, L. M. P. (2009). Avaliação do serviço de saúde bucal no município de Grão Mogol, Minas Gerais, Brasil: “a voz do usuário.” Ciência & Saúde Coletiva, 14(4), 1287–1295. https://doi.org/10.1590/s1413-81232009000400035

Santos, A. E., Rodrigues, A. L., & Lopes, D. L. (2005). Aplicações de estimadores bayesianos empíricos para análise espacial de taxas de mortalidade. GEOINFO 2005 - 7th Brazilian Symposium on GeoInformatics, 300–309.

Secretaria de Estado da Saúde. Resolução SS - 12, de 11 de janeiro de 2020. Diretrizes da Política Estadual de Saúde Bucal, 1 (2020).

Thompson, B., Cooney, P., Lawrence, H., Ravaghi, V., & Quiñonez, C. (2014). Cost as a barrier to accessing dental care: findings from a Canadian population-based study. Journal of Public Health Dentistry, 74(3), 210–218. https://doi.org/10.1111/jphd.12048

Published

06/03/2022

How to Cite

BASTIANINI, M. E.; FERREIRA, R. G.; MARSICANO, J. A.; PRADO, R. L. do . Influence of the oral health care model and of economic and geographical factors on the high risk of dental caries in school children: Spatial analysis. Research, Society and Development, [S. l.], v. 11, n. 3, p. e51711324683, 2022. DOI: 10.33448/rsd-v11i3.24683. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/24683. Acesso em: 22 nov. 2024.

Issue

Section

Health Sciences