Desigualdades sociais nos indicadores de saúde bucal em adolescentes brasileiros: dados da Pesquisa Nacional de Saúde do Escolar, 2019

Abstract

ABSTRACT

Social inequalities represent a crucial determinant for the health of the population, being reflected of form significant us indicators of health oral between teenagers Brazilians. The aim of the study was to evaluate the influence of social inequalities on oral health indicators of Brazilian adolescents aged 13 to 17. This cross-sectional study used data from the Brazilian National from the Health of School (PeNSE) of 2019, carried out with teenagers of public and private schools in Brazil. The inequality stratifiers were the influence of maternal education, and its intersection in relation to gender, race/color, administrative dependency of the school and area of residence, on the oral health indicators present in this report with to the following questions: 1) frequency of number of brushings daily, 2 ) presence of toothaches in the last six months and 3) number of visits performed at the dental office in the last twelve months. Initially, the prevalence of the three indicators was described, according to you stratifiers of inequality. Later, they were estimated measures complex of inequality as the index angular of inequity (SII) and the index of concentration (CIX). THE SII stands for the difference absolute of the values predicted to one indicator of health between you less and more advantaged groups, while the CIX assesses the relative difference between them. The different educational levels were used to calculate the total SII and CIX. Subsequently, the SII and CIX data for educational level were stratified by sex and skin color. Statistical analyses were performed using STATA/SE® 17 software. Adolescents whose mothers had a lower level of education presented minor prevalence of brushing daily with adequate frequency and bigger report of pain dental, especially between you self-declared blacks, yellow, indigenous and rural residents. Children of less educated mothers reported greater access to oral health actions promoted in schools. Thus, the importance of developing research aimed at this age group and developing intersectoral programs that favor oral health indicators that promote an increase in the quality of life and self-esteem of adolescents was confirmed.

Keywords: social inequalities; adolescents; oral health