Made available in DSpace on 2014-12-17T15:43:51Z (GMT). No. of bitstreams: 1
JanmilleVS_DISSERT.pdf: 924305 bytes, checksum: f63a120cee4f02a246910cfb885de7a3 (MD5)
Previous issue date: 2012-12-07 / Despite the improvement of Brazilian s living conditions in recent decades, this improvement
occurred in a polarized way between groups of better social position. Then, there is still a
health inequity?s panorama in Brazil which encompasses the oral health state. This panorama
instigated the attainment of this ecological study that aimed to evaluate the relationship of
socioeconomic conditions, and public health policies with oral health status in Brazilian
capitals. Thus, we performed factor analysis and linear regression using oral health indicators
collected from SB Brasil 2010, of socioeconomic conditions from Brazilian Census 2010 and
related to water?s supply fluoridation from SISAGUA. Factor analysis with indicators of
living conditions revealed two common factors, economic deprivation and socio-sanitary
condition. Economic deprivation showed statistically significant positive correlation with
DMFT 12 years (p= 0,03) and mean missing teeth (p = 0,002) and negative correlation with
caries-free population (p=0,012). Socio-sanitary negatively correlated with DMFT (p
<0,0001) and a positive correlation with caries-free population (p = 0.002). Fluoridated water
had a significant association with DMFT (p <0,0001), mean missing teeth (p <0,0001) and
caries free population (p <0.0001). Multiple linear regression analysis for the DMFT of
capital was estimated by socio-sanitary condition and fluoridation, adjusted by economic
deprivation, whereas the model for the mean missing teeth was estimated only by fluoridation
and economic deprivation, and finally the model the rate for the population free of caries in
Brazilian capitals was estimated by economic and socio-sanitary status adjusted fluoridated
water supply. Therefore, factors related to living conditions and public policies are
intrinsically linked to tooth decay issues. Thus, actions, beyond dental care assistance, must
be development to impact positively in social and economic conditions, especially, between
the most vulnerable populations / Apesar da melhoria das condi??es de vida dos brasileiros nas ?ltimas d?cadas, esta ocorreu de
forma polarizada entre grupos de melhor posi??o social. Assim, persiste um panorama de
iniquidades em sa?de no Brasil que abrange, inclusive, a situa??o de sa?de bucal. Tal
panorama instigou a realiza??o deste estudo ecol?gico que visou avaliar a rela??o das
condi??es socioecon?micas (SE), bem como de pol?ticas de sa?de p?blica com as condi??es
de sa?de bucal nas capitais brasileiras. Para tanto, foram realizadas an?lise fatorial e de
regress?o linear utilizando indicadores de sa?de bucal coletados do SB Brasil 2010, de
condi??es socioecon?micas do Censo Brasileiro 2010 e relativos ? fluoreta??o das ?guas de
abastecimento do Sisagua. A An?lise fatorial com os indicadores de condi??es de vida
revelou dois fatores comuns; depriva??o econ?mica e condi??o s?cio-sanit?ria. Depriva??o
econ?mica apresentou correla??o positiva estatisticamente significativa com o CPO-D 12
anos (p=0,03) e m?dia de dentes perdidos (p=0,002) e correla??o negativa com popula??o
livre de c?rie (p=0,012). Condi??o s?cio-sanit?ria mostrou correla??o negativa com CPO-D
(p<0,0001) e correla??o positiva com popula??o livre de c?rie (p=0,002). ?gua de
abastecimento fluoretada teve associa??o significativa com CPO-D (p<0,0001), m?dia de
dentes perdidos (p<0,0001) e popula??o livre de c?rie (p<0,0001). An?lise de regress?o linear
m?ltipla para o CPO-D das capitais foi estimado pelas condi??es s?cio-sanit?rias e
fluoreta??o, ajustado pela depriva??o econ?mica; enquanto que o modelo para a m?dia de
dentes perdidos foi estimado apenas pela fluoreta??o e depriva??o econ?mica, e por fim, o
modelo para a taxa da popula??o livre de c?rie nas capitais brasileiras foi estimado pela
condi??o econ?mica e s?cio-sanit?ria ajustadas pelo abastecimento de ?gua fluoretada.
Portanto, quest?es relativas ?s condi??es de vida e ?s pol?ticas p?blicas est?o intrinsecamente
associadas ? c?rie dent?ria. Assim, ? preciso desenvolver a??es, para al?m da assist?ncia
odontol?gica, para impactar positivamente nas condi??es econ?micas e sociais, sobretudo, das
popula??es mais vulner?veis
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/17818 |
| Date | 07 December 2012 |
| Creators | Silva, Janmille Valdivino da |
| Contributors | CPF:39817270459, http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4767285D3, Oliveira, Angelo Giuseppe Roncalli da Costa, CPF:42313384420, http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4794935P9&dataRevisao=null, Fraz?o, Paulo, CPF:04709664838, http://lattes.cnpq.br/0336022787699316, Ferreira, Maria ?ngela Fernandes |
| Publisher | Universidade Federal do Rio Grande do Norte, Programa de P?s-Gradua??o em Sa?de Coletiva, UFRN, BR, Sa?de P?blica |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
Page generated in 0.0022 seconds