Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-02-03T22:33:28Z No. of bitstreams: 1 AnaKarineMacedoTeixeira_TESE.pdf: 1004456 bytes, checksum: 72965874210be85665f508d9fa19aca4 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-02-04T23:28:08Z (GMT) No. of bitstreams: 1 AnaKarineMacedoTeixeira_TESE.pdf: 1004456 bytes, checksum: 72965874210be85665f508d9fa19aca4 (MD5) / Made available in DSpace on 2016-02-04T23:28:08Z (GMT). No. of bitstreams: 1 AnaKarineMacedoTeixeira_TESE.pdf: 1004456 bytes, checksum: 72965874210be85665f508d9fa19aca4 (MD5) Previous issue date: 2015-03-03 / A trajet?ria de vida percorrida pelo indiv?duo determina sua forma de adoecer e manter-se saud?vel; al?m disso, os determinantes sociais da sa?de influenciam a sa?de da popula??o ao longo do seu curso de vida. O objetivo deste trabalho foi investigar a sa?de bucal e seus fatores determinantes ao longo do curso de vida dos jovens no munic?pio de Sobral, Cear?. Tratou-se de um estudo de coorte, com tr?s ondas: 2000, 2006 e 2012. Foram examinados e entrevistados 482 indiv?duos nas tr?s ondas, atualmente, na faixa et?ria de 17 a 21 anos. Investigaram-se a c?rie dent?ria, m? oclus?o, doen?a periodontal, edentulismo e traumatismo dent?rio. As vari?veis independentes coletadas na ?ltima onda foram as caracter?sticas sociodemogr?ficas, utiliza??o de servi?os e a??es de sa?de bucal, autopercep??o de sa?de bucal e h?bitos e comportamentos de sa?de bucal. Foi analisada a incid?ncia de c?rie de 2006 para 2012, a trajet?ria da c?rie dent?ria, a trajet?ria da assist?ncia odontol?gica e a trajet?ria da condi??o socioecon?mica familiar. Os dados foram analisados no programa SPSS vers?o 20, no qual foram utilizados os testes t de student, ANOVA e regress?o de Poisson. A incid?ncia m?dia de c?rie de 2006 para 2012 foi de 2,95 dentes. As condi??es socioecon?micas apresentaram-se como fatores de risco para todos os desfechos investigados nas diferentes ondas. A participa??o em grupos de adolescentes apresentou-se como fator de prote??o para sa?de bucal, enquanto a utiliza??o dos servi?os de sa?de bucal implicou no aumento da recidiva de c?rie e mutila??o dent?ria. As teorias explicativas do life course (per?odo cr?tico, mobilidade socioecon?mica e acumula??o de risco) foram comprovadas neste estudo. Aqueles que nunca foram pobres apresentaram melhores condi??es de sa?de bucal, enquanto empobrecer acarretou uma piora no quadro de sa?de bucal. Por?m, o risco foi maior para aqueles que permaneceram sempre pobres e com maior experi?ncia de pobreza ao longo da vida. Verificou-se a presen?a de iniquidades em sa?de bucal e de assist?ncia odontol?gica na popula??o investigada. / The life pathway determines the way of getting sick and staying healthy and the social determinants of health influence population health throughout their life course. The aim of this study was to investigate the oral health and its determinants throughout the life course of young people in Sobral, Cear?. This was a cohort study with three waves: 2000, 2006 and 2012. 482 individuals aged 17-21 years were examined and interviewed in the three waves. Were investigated tooth decay, malocclusion, periodontal disease, tooth loss and dental trauma. The independent variables collected in the last wave were: sociodemographics factors, use of dental services and actions, self-perceived oral health and habits and oral health behaviors. Caries incidence from 2006 to 2012, the trend of dental caries, the trajectory of dental care and the trajectory of family socioeconomic status was analyzed. Data were analyzed using SPSS version 20, where the student t test, ANOVA and Poisson regression were used. The average incidence of caries from 2006 to 2012 was 2.95 teeth. Socioeconomic conditions presented themselves as risk factors for all outcomes investigated in different waves. The social capital is presented as a protective factor for oral health, while the use of oral health services implied an increase of recurrent caries and mutilation. Explanatory theories of life course (critical period, socioeconomic mobility and accumulation of risk) were proven in this study. Those who were never poor had better oral health conditions, while downwardly mobile entails a worsening in the context of oral health. However, the risk was higher for those who have always remained poor and have had most experienced poverty throughout life. There was the presence of inequalities in oral health and at the utilization of dental services.