Association between social determinants of health and functional dentition in 35‐year‐old to 44‐year‐old Brazilian adults: a population‐based analytical study
Identifieur interne : 001E91 ( Istex/Corpus ); précédent : 001E90; suivant : 001E92Association between social determinants of health and functional dentition in 35‐year‐old to 44‐year‐old Brazilian adults: a population‐based analytical study
Auteurs : Loliza Luiz Figueiredo Houri Chalub ; Carolina Marques Borges ; Raquel Conceição Ferreira ; João Paulo Amaral Haddad ; Efigênia Ferreira E Ferreira ; Andréa Maria Duarte VargasSource :
- Community Dentistry and Oral Epidemiology [ 0301-5661 ] ; 2014-12.
Abstract
To verify the association between functional dentition and social determinants of health in 35‐year‐old to 44‐year‐old adults residing in the metropolitan municipalities of Minas Gerais, Brazil.
Url:
DOI: 10.1111/cdoe.12112
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ISTEX:3EEEAA6A95F94DCD078F92C2B3937171C5EA2CBELe document en format XML
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Antônio Carlos, 6.627 ‐ Pampulha, 31270‐901, Faculdade de Odontologia, Universidade Federal de Minas Gerais, Belo Horizonte, MG, BrazilTel.: +55 31 3409‐2470Fax: +55 31 3409‐2472e‐mail:</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: vargasnt@task.com.br</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:3EEEAA6A95F94DCD078F92C2B3937171C5EA2CBE</idno><date when="2014" year="2014">2014</date><idno type="doi">10.1111/cdoe.12112</idno><idno type="url">https://api.istex.fr/document/3EEEAA6A95F94DCD078F92C2B3937171C5EA2CBE/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">001E91</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">001E91</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main">Association between social determinants of health and functional dentition in 35‐year‐old to 44‐year‐old <hi rend="fc">B</hi>razilian adults: a population‐based analytical study</title><author><name sortKey="Chalub, Loliza Luiz Figueiredo Houri" sort="Chalub, Loliza Luiz Figueiredo Houri" uniqKey="Chalub L" first="Loliza Luiz Figueiredo Houri" last="Chalub">Loliza Luiz Figueiredo Houri Chalub</name><affiliation><mods:affiliation>Department of Community and Preventive Dentistry, School of Dentistry, Federal University of Minas Gerais (Universidade Federal de Minas Gerais), Belo Horizonte, Brazil</mods:affiliation></affiliation></author><author><name sortKey="Borges, Carolina Marques" sort="Borges, Carolina Marques" uniqKey="Borges C" first="Carolina Marques" last="Borges">Carolina Marques Borges</name><affiliation><mods:affiliation>Department of Community and Preventive Dentistry, School of Dentistry, Federal University of Minas Gerais (Universidade Federal de Minas Gerais), Belo Horizonte, Brazil</mods:affiliation></affiliation></author><author><name sortKey="Ferreira, Raquel Conceicao" sort="Ferreira, Raquel Conceicao" uniqKey="Ferreira R" first="Raquel Conceição" last="Ferreira">Raquel Conceição Ferreira</name><affiliation><mods:affiliation>Department of Community and Preventive Dentistry, School of Dentistry, Federal University of Minas Gerais (Universidade Federal de Minas Gerais), Belo Horizonte, Brazil</mods:affiliation></affiliation></author><author><name sortKey="Haddad, Joao Paulo Amaral" sort="Haddad, Joao Paulo Amaral" uniqKey="Haddad J" first="João Paulo Amaral" last="Haddad">João Paulo Amaral Haddad</name><affiliation><mods:affiliation>Department of Preventive Veterinary Medicine, School of Veterinary Medicine, Federal University of Minas Gerais, Belo Horizonte, Brazil</mods:affiliation></affiliation></author><author><name sortKey="Ferreira, Efigenia Ferreira E" sort="Ferreira, Efigenia Ferreira E" uniqKey="Ferreira E" first="Efigênia Ferreira E" last="Ferreira">Efigênia Ferreira E Ferreira</name><affiliation><mods:affiliation>Department of Community and Preventive Dentistry, School of Dentistry, Federal University of Minas Gerais (Universidade Federal de Minas Gerais), Belo Horizonte, Brazil</mods:affiliation></affiliation></author><author><name sortKey="Vargas, Andrea Maria Duarte" sort="Vargas, Andrea Maria Duarte" uniqKey="Vargas A" first="Andréa Maria Duarte" last="Vargas">Andréa Maria Duarte Vargas</name><affiliation><mods:affiliation>Department of Community and Preventive Dentistry, School of Dentistry, Federal University of Minas Gerais (Universidade Federal de Minas Gerais), Belo Horizonte, Brazil</mods:affiliation></affiliation><affiliation><mods:affiliation>Andréa Maria Duarte Vargas, Av. Antônio Carlos, 6.627 ‐ Pampulha, 31270‐901, Faculdade de Odontologia, Universidade Federal de Minas Gerais, Belo Horizonte, MG, BrazilTel.: +55 31 3409‐2470Fax: +55 31 3409‐2472e‐mail:</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: vargasnt@task.com.br</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Community Dentistry and Oral Epidemiology</title><title level="j" type="alt">COMMUNITY DENTISTRY AND ORAL EPIDEMIOLOGY</title><idno type="ISSN">0301-5661</idno><idno type="eISSN">1600-0528</idno><imprint><biblScope unit="vol">42</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="503">503</biblScope><biblScope unit="page" to="516">516</biblScope><biblScope unit="page-count">14</biblScope><date type="published" when="2014-12">2014-12</date></imprint><idno type="ISSN">0301-5661</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0301-5661</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract">To verify the association between functional dentition and social determinants of health in 35‐year‐old to 44‐year‐old adults residing in the metropolitan municipalities of Minas Gerais, Brazil.</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Loliza Luiz Figueiredo Houri Chalub</name><affiliations><json:string>Department of Community and Preventive Dentistry, School of Dentistry, Federal University of Minas Gerais (Universidade Federal de Minas Gerais), Belo Horizonte, Brazil</json:string></affiliations></json:item><json:item><name>Carolina Marques Borges</name><affiliations><json:string>Department of Community and Preventive Dentistry, School of Dentistry, Federal University of Minas Gerais (Universidade Federal de Minas Gerais), Belo Horizonte, Brazil</json:string></affiliations></json:item><json:item><name>Raquel Conceição Ferreira</name><affiliations><json:string>Department of Community and Preventive Dentistry, School of Dentistry, Federal University of Minas Gerais (Universidade Federal de Minas Gerais), Belo Horizonte, Brazil</json:string></affiliations></json:item><json:item><name>João Paulo Amaral Haddad</name><affiliations><json:string>Department of Preventive Veterinary Medicine, School of Veterinary Medicine, Federal University of Minas Gerais, Belo Horizonte, Brazil</json:string></affiliations></json:item><json:item><name>Efigênia Ferreira e Ferreira</name><affiliations><json:string>Department of Community and Preventive Dentistry, School of Dentistry, Federal University of Minas Gerais (Universidade Federal de Minas Gerais), Belo Horizonte, Brazil</json:string></affiliations></json:item><json:item><name>Andréa Maria Duarte Vargas</name><affiliations><json:string>Department of Community and Preventive Dentistry, School of Dentistry, Federal University of Minas Gerais (Universidade Federal de Minas Gerais), Belo Horizonte, Brazil</json:string><json:string>Andréa Maria Duarte Vargas, Av. Antônio Carlos, 6.627 ‐ Pampulha, 31270‐901, Faculdade de Odontologia, Universidade Federal de Minas Gerais, Belo Horizonte, MG, BrazilTel.: +55 31 3409‐2470Fax: +55 31 3409‐2472e‐mail:</json:string><json:string>E-mail: vargasnt@task.com.br</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>epidemiology</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>health promotion</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>oral health</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>tooth loss</value></json:item></subject><articleId><json:string>CDOE12112</json:string></articleId><arkIstex>ark:/67375/WNG-XG0K552J-F</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>To verify the association between functional dentition and social determinants of health in 35‐year‐old to 44‐year‐old adults residing in the metropolitan municipalities of Minas Gerais, Brazil.</abstract><qualityIndicators><score>7.312</score><pdfWordCount>7559</pdfWordCount><pdfCharCount>50885</pdfCharCount><pdfVersion>1.6</pdfVersion><pdfPageCount>14</pdfPageCount><pdfPageSize>595.276 x 782.362 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractWordCount>26</abstractWordCount><abstractCharCount>194</abstractCharCount><keywordCount>4</keywordCount></qualityIndicators><title>Association between social determinants of health and functional dentition in 35‐year‐old to 44‐year‐old Brazilian adults: a population‐based analytical study</title><genre><json:string>article</json:string></genre><host><title>Community Dentistry and Oral Epidemiology</title><language><json:string>unknown</json:string></language><doi><json:string>10.1111/(ISSN)1600-0528</json:string></doi><issn><json:string>0301-5661</json:string></issn><eissn><json:string>1600-0528</json:string></eissn><publisherId><json:string>CDOE</json:string></publisherId><volume>42</volume><issue>6</issue><pages><first>503</first><last>516</last><total>14</total></pages><genre><json:string>journal</json:string></genre><subject><json:item><value>Original Article</value></json:item></subject></host><ark><json:string>ark:/67375/WNG-XG0K552J-F</json:string></ark><publicationDate>2014</publicationDate><copyrightDate>2014</copyrightDate><doi><json:string>10.1111/cdoe.12112</json:string></doi><id>3EEEAA6A95F94DCD078F92C2B3937171C5EA2CBE</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/3EEEAA6A95F94DCD078F92C2B3937171C5EA2CBE/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/3EEEAA6A95F94DCD078F92C2B3937171C5EA2CBE/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/3EEEAA6A95F94DCD078F92C2B3937171C5EA2CBE/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main">Association between social determinants of health and functional dentition in 35‐year‐old to 44‐year‐old <hi rend="fc">B</hi>razilian adults: a population‐based analytical study</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Wiley Publishing Ltd</publisher><availability><licence>© 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd</licence></availability><date type="published" when="2014-12"></date></publicationStmt><notesStmt><note type="content-type" subtype="article" source="article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="article"><analytic><title level="a" type="main">Association between social determinants of health and functional dentition in 35‐year‐old to 44‐year‐old <hi rend="fc">B</hi>razilian adults: a population‐based analytical study</title><author xml:id="author-0000"><persName><forename type="first">Loliza Luiz Figueiredo Houri</forename><surname>Chalub</surname></persName><affiliation><orgName>Department of Community and Preventive Dentistry</orgName><orgName>School of Dentistry</orgName><orgName>Federal University of Minas Gerais (Universidade Federal de Minas Gerais)</orgName><address><settlement type="city">Belo Horizonte</settlement><country key="BR">Brazil</country></address></affiliation></author><author xml:id="author-0001"><persName><forename type="first">Carolina Marques</forename><surname>Borges</surname></persName><affiliation><orgName>Department of Community and Preventive Dentistry</orgName><orgName>School of Dentistry</orgName><orgName>Federal University of Minas Gerais (Universidade Federal de Minas Gerais)</orgName><address><settlement type="city">Belo Horizonte</settlement><country key="BR">Brazil</country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">Raquel Conceição</forename><surname>Ferreira</surname></persName><affiliation><orgName>Department of Community and Preventive Dentistry</orgName><orgName>School of Dentistry</orgName><orgName>Federal University of Minas Gerais (Universidade Federal de Minas Gerais)</orgName><address><settlement type="city">Belo Horizonte</settlement><country key="BR">Brazil</country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">João Paulo Amaral</forename><surname>Haddad</surname></persName><affiliation><orgName>Department of Preventive Veterinary Medicine</orgName><orgName>School of Veterinary Medicine</orgName><orgName>Federal University of Minas Gerais</orgName><address><settlement type="city">Belo Horizonte</settlement><country key="BR">Brazil</country></address></affiliation></author><author xml:id="author-0004"><persName><forename type="first">Efigênia Ferreira e</forename><surname>Ferreira</surname></persName><affiliation><orgName>Department of Community and Preventive Dentistry</orgName><orgName>School of Dentistry</orgName><orgName>Federal University of Minas Gerais (Universidade Federal de Minas Gerais)</orgName><address><settlement type="city">Belo Horizonte</settlement><country key="BR">Brazil</country></address></affiliation></author><author xml:id="author-0005" role="corresp"><persName><forename type="first">Andréa Maria Duarte</forename><surname>Vargas</surname></persName><affiliation><orgName>Department of Community and Preventive Dentistry</orgName><orgName>School of Dentistry</orgName><orgName>Federal University of Minas Gerais (Universidade Federal de Minas Gerais)</orgName><address><settlement type="city">Belo Horizonte</settlement><country key="BR">Brazil</country></address></affiliation><affiliation>Andréa Maria Duarte Vargas, Av. Antônio Carlos, 6.627 ‐ Pampulha, 31270‐901, Faculdade de Odontologia, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil Tel.: +55 31 3409‐2470 Fax: +55 31 3409‐2472 e‐mail: vargasnt@task.com.br</affiliation></author><idno type="istex">3EEEAA6A95F94DCD078F92C2B3937171C5EA2CBE</idno><idno type="ark">ark:/67375/WNG-XG0K552J-F</idno><idno type="DOI">10.1111/cdoe.12112</idno><idno type="unit">CDOE12112</idno><idno type="toTypesetVersion">file:CDOE.CDOE12112.pdf</idno></analytic><monogr><title level="j" type="main">Community Dentistry and Oral Epidemiology</title><title level="j" type="alt">COMMUNITY DENTISTRY AND ORAL EPIDEMIOLOGY</title><idno type="pISSN">0301-5661</idno><idno type="eISSN">1600-0528</idno><idno type="book-DOI">10.1111/(ISSN)1600-0528</idno><idno type="book-part-DOI">10.1111/cdoe.2014.42.issue-6</idno><idno type="product">CDOE</idno><imprint><biblScope unit="vol">42</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="503">503</biblScope><biblScope unit="page" to="516">516</biblScope><biblScope unit="page-count">14</biblScope><date type="published" when="2014-12"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract style="main" xml:id="cdoe12112-abs-0001"><head>Abstract</head>
Objectives
<p>To verify the association between functional dentition and social determinants of health in 35‐year‐old to 44‐year‐old adults residing in the metropolitan municipalities of Minas Gerais, Brazil.</p>
Methods
<p>This cross‐sectional study assessed a sample of 850 adults obtained using a cluster sampling scheme. Five of 33 municipalities were randomly selected, followed by the random selection of census tracts and neighborhood blocks. Every household in the randomly selected blocks was visited and every resident adult was interviewed and examined by five previously calibrated researchers (κ<hi rend="subscript">inter</hi>, 0.8–0.9; κ<hi rend="subscript">intra</hi>, 0.8–1.0) between May and December 2010. The condition of the dental crown was recorded using the <hi rend="fc">W</hi>orld <hi rend="fc">H</hi>ealth <hi rend="fc">O</hi>rganization (<hi rend="fc">WHO</hi>) criteria, with the exception of the third molars. The dependent variable functional dentition was defined as the presence of 20 or more teeth in the mouth and obtained by counting the number of teeth lost due to any reason, followed by subtraction of this number from the total of 28 teeth. Independent variables were grouped, according to a theoretical model adapted from those proposed by <hi rend="fc">D</hi>ahlgren and <hi rend="fc">W</hi>hitehead and Petersen, into distal factors (contextual, socioeconomic, and housing conditions), intermediate factors (availability and use of oral health services), and proximal factors (lifestyle, risk behaviors, and demographic conditions). The association between functional dentition and the independent variables was investigated using simple and multiple <hi rend="fc">P</hi>oisson regression with robust variance, which followed a modeling strategy in accordance with the hierarchy outlined by the theoretical model. The analyses were processed on <hi rend="fc">SPSS</hi> 17.0.</p>
Results
<p>The average age of the participants was 39.4 ± 3.2 years, and the average per capita monthly family income was <hi rend="fc">US</hi>$214.52 ± 261.11. Most adults presented functional dentition (80.6%; 95% <hi rend="fc">CI</hi>: 77.3–83.5). Independently of marital status, age group and sex, the prevalence ratio (<hi rend="fc">PR</hi>) of subjects with a per capita monthly family income ≥<hi rend="fc">US</hi>$168.54 was 1.09 (<hi rend="italic">P</hi> = 0.048); the <hi rend="fc">PR</hi> of adults with at least an undergraduate degree was 1.14 (<hi rend="italic">P</hi> = 0.001), and the <hi rend="fc">PR</hi> of the participants who most often used a dental service other than a public service supplementary healthcare plan or private service was 1.13 (<hi rend="italic">P</hi> = 0.021). The prevalence of functional dentition was 17% higher among nonsmokers (<hi rend="italic">P</hi> = 0.012) and 16% higher among those who used dental floss (<hi rend="italic">P</hi> = 0.006).</p>
Conclusions
<p>Income, education, type of dental service most often used, lifestyle, risk behaviors and demographic conditions are distal, intermediate and proximal social determinants of health associated with functional dentition in adults, demonstrating the need for public policies aimed to promoting oral health including intersectoral actions.</p></abstract><textClass><keywords><term xml:id="cdoe12112-kwd-0001">epidemiology</term><term xml:id="cdoe12112-kwd-0002">health promotion</term><term xml:id="cdoe12112-kwd-0003">oral health</term><term xml:id="cdoe12112-kwd-0004">tooth loss</term></keywords><keywords rend="articleCategory"><term>Original Article</term></keywords><keywords rend="tocHeading1"><term>Original articles</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component type="serialArticle" version="2.0" xml:id="cdoe12112" xml:lang="en"><header><publicationMeta level="product"><doi origin="wiley" registered="yes">10.1111/(ISSN)1600-0528</doi><issn type="print">0301-5661</issn><issn type="electronic">1600-0528</issn><idGroup><id type="product" value="CDOE"></id></idGroup><titleGroup><title sort="COMMUNITY DENTISTRY AND ORAL EPIDEMIOLOGY" type="main">Community Dentistry and Oral Epidemiology</title><title type="short">Community Dent Oral Epidemiol</title></titleGroup></publicationMeta><publicationMeta level="part" position="60"><doi origin="wiley">10.1111/cdoe.2014.42.issue-6</doi><copyright ownership="publisher">Copyright © 2014 John Wiley & Sons A/S</copyright><numberingGroup><numbering type="journalVolume" number="42">42</numbering><numbering type="journalIssue">6</numbering></numberingGroup><coverDate startDate="2014-12">December 2014</coverDate></publicationMeta><publicationMeta level="unit" position="30" status="forIssue" type="article"><doi>10.1111/cdoe.12112</doi><idGroup><id type="unit" value="CDOE12112"></id></idGroup><countGroup><count number="14" type="pageTotal"></count></countGroup><titleGroup><title type="articleCategory">Original Article</title><title type="tocHeading1">Original articles</title></titleGroup><copyright ownership="publisher">© 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd</copyright><eventGroup><event date="2013-03-19" type="manuscriptReceived"></event><event date="2014-05-07" type="manuscriptAccepted"></event><event agent="SPS" date="2014-05-17" type="xmlCreated"></event><event agent="SPS" date="2014-06-20" type="xmlCorrected"></event><event type="publishedOnlineEarlyUnpaginated" date="2014-06-07"></event><event type="firstOnline" date="2014-06-07"></event><event type="publishedOnlineFinalForm" date="2014-11-25"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.6.4 mode:FullText" date="2015-10-07"></event></eventGroup><numberingGroup><numbering type="pageFirst">503</numbering><numbering type="pageLast">516</numbering></numberingGroup><correspondenceTo><lineatedText><line>Andréa Maria Duarte Vargas, Av. Antônio Carlos, 6.627 ‐ Pampulha, 31270‐901, Faculdade de Odontologia, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil</line><line>Tel.: +55 31 3409‐2470</line><line>Fax: +55 31 3409‐2472</line><line>e‐mail: <email>vargasnt@task.com.br</email></line></lineatedText></correspondenceTo><selfCitationGroup><citation type="self" xml:id="cdoe12112-cit-1001"><author><familyName>Chalub</familyName> <givenNames>LLFH</givenNames></author>, <author><familyName>Borges</familyName> <givenNames>CM</givenNames></author>, <author><familyName>Ferreira</familyName> <givenNames>RC</givenNames></author>, <author><familyName>Haddad</familyName> <givenNames>JPA</givenNames></author>, <author><familyName>Ferreira</familyName> <givenNames>EF</givenNames></author>, <author><familyName>Vargas</familyName> <givenNames>AMD</givenNames></author>. <articleTitle>Association between social determinants of health and functional dentition in 35‐year‐old to 44‐year‐old Brazilian adults: a population‐based analytical study</articleTitle>. <journalTitle>Community Dent Oral Epidemiol</journalTitle> <pubYear year="2014">2014</pubYear>; <vol>42</vol>: <pageFirst>503</pageFirst>–<pageLast>516</pageLast>. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd</citation></selfCitationGroup><linkGroup><link type="toTypesetVersion" href="file:CDOE.CDOE12112.pdf"></link></linkGroup></publicationMeta><contentMeta><titleGroup><title type="main">Association between social determinants of health and functional dentition in 35‐year‐old to 44‐year‐old <fc>B</fc>razilian adults: a population‐based analytical study</title><title type="shortAuthors">Chalub et al.</title></titleGroup><creators><creator affiliationRef="#cdoe12112-aff-0001" creatorRole="author" xml:id="cdoe12112-cr-0001"><personName><givenNames>Loliza Luiz Figueiredo Houri</givenNames> <familyName>Chalub</familyName></personName></creator><creator affiliationRef="#cdoe12112-aff-0001" creatorRole="author" xml:id="cdoe12112-cr-0002"><personName><givenNames>Carolina Marques</givenNames> <familyName>Borges</familyName></personName></creator><creator affiliationRef="#cdoe12112-aff-0001" creatorRole="author" xml:id="cdoe12112-cr-0003"><personName><givenNames>Raquel Conceição</givenNames> <familyName>Ferreira</familyName></personName></creator><creator affiliationRef="#cdoe12112-aff-0002" creatorRole="author" xml:id="cdoe12112-cr-0004"><personName><givenNames>João Paulo Amaral</givenNames> <familyName>Haddad</familyName></personName></creator><creator affiliationRef="#cdoe12112-aff-0001" creatorRole="author" xml:id="cdoe12112-cr-0005"><personName><givenNames>Efigênia Ferreira e</givenNames> <familyName>Ferreira</familyName></personName></creator><creator affiliationRef="#cdoe12112-aff-0001" corresponding="yes" creatorRole="author" xml:id="cdoe12112-cr-0006"><personName><givenNames>Andréa Maria Duarte</givenNames> <familyName>Vargas</familyName></personName></creator></creators><affiliationGroup><affiliation countryCode="BR" type="organization" xml:id="cdoe12112-aff-0001"><orgDiv>Department of Community and Preventive Dentistry</orgDiv> <orgDiv>School of Dentistry</orgDiv> <orgName>Federal University of Minas Gerais (Universidade Federal de Minas Gerais)</orgName> <address><city>Belo Horizonte</city> <country>Brazil</country></address></affiliation><affiliation countryCode="BR" type="organization" xml:id="cdoe12112-aff-0002"><orgDiv>Department of Preventive Veterinary Medicine</orgDiv> <orgDiv>School of Veterinary Medicine</orgDiv> <orgName>Federal University of Minas Gerais</orgName> <address><city>Belo Horizonte</city> <country>Brazil</country></address></affiliation></affiliationGroup><keywordGroup type="author"><keyword xml:id="cdoe12112-kwd-0001">epidemiology</keyword><keyword xml:id="cdoe12112-kwd-0002">health promotion</keyword><keyword xml:id="cdoe12112-kwd-0003">oral health</keyword><keyword xml:id="cdoe12112-kwd-0004">tooth loss</keyword></keywordGroup><fundingInfo><fundingAgency>FAPEMIG</fundingAgency></fundingInfo><fundingInfo><fundingAgency>PRPq/UFMG</fundingAgency></fundingInfo><abstractGroup><abstract type="main" xml:id="cdoe12112-abs-0001"><title type="main">Abstract</title><section xml:id="cdoe12112-sec-0001"><title type="main">Objectives</title><p>To verify the association between functional dentition and social determinants of health in 35‐year‐old to 44‐year‐old adults residing in the metropolitan municipalities of Minas Gerais, Brazil.</p></section><section xml:id="cdoe12112-sec-0002"><title type="main">Methods</title><p>This cross‐sectional study assessed a sample of 850 adults obtained using a cluster sampling scheme. Five of 33 municipalities were randomly selected, followed by the random selection of census tracts and neighborhood blocks. Every household in the randomly selected blocks was visited and every resident adult was interviewed and examined by five previously calibrated researchers (κ<sub>inter</sub>, 0.8–0.9; κ<sub>intra</sub>, 0.8–1.0) between May and December 2010. The condition of the dental crown was recorded using the <fc>W</fc>orld <fc>H</fc>ealth <fc>O</fc>rganization (<fc>WHO</fc>) criteria, with the exception of the third molars. The dependent variable functional dentition was defined as the presence of 20 or more teeth in the mouth and obtained by counting the number of teeth lost due to any reason, followed by subtraction of this number from the total of 28 teeth. Independent variables were grouped, according to a theoretical model adapted from those proposed by <fc>D</fc>ahlgren and <fc>W</fc>hitehead and Petersen, into distal factors (contextual, socioeconomic, and housing conditions), intermediate factors (availability and use of oral health services), and proximal factors (lifestyle, risk behaviors, and demographic conditions). The association between functional dentition and the independent variables was investigated using simple and multiple <fc>P</fc>oisson regression with robust variance, which followed a modeling strategy in accordance with the hierarchy outlined by the theoretical model. The analyses were processed on <fc>SPSS</fc> 17.0.</p></section><section xml:id="cdoe12112-sec-0003"><title type="main">Results</title><p>The average age of the participants was 39.4 ± 3.2 years, and the average per capita monthly family income was <fc>US</fc>$214.52 ± 261.11. Most adults presented functional dentition (80.6%; 95% <fc>CI</fc>: 77.3–83.5). Independently of marital status, age group and sex, the prevalence ratio (<fc>PR</fc>) of subjects with a per capita monthly family income ≥<fc>US</fc>$168.54 was 1.09 (<i>P</i> = 0.048); the <fc>PR</fc> of adults with at least an undergraduate degree was 1.14 (<i>P</i> = 0.001), and the <fc>PR</fc> of the participants who most often used a dental service other than a public service supplementary healthcare plan or private service was 1.13 (<i>P</i> = 0.021). The prevalence of functional dentition was 17% higher among nonsmokers (<i>P</i> = 0.012) and 16% higher among those who used dental floss (<i>P</i> = 0.006).</p></section><section xml:id="cdoe12112-sec-0004"><title type="main">Conclusions</title><p>Income, education, type of dental service most often used, lifestyle, risk behaviors and demographic conditions are distal, intermediate and proximal social determinants of health associated with functional dentition in adults, demonstrating the need for public policies aimed to promoting oral health including intersectoral actions.</p></section></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Association between social determinants of health and functional dentition in 35‐year‐old to 44‐year‐old Brazilian adults: a population‐based analytical study</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Association between social determinants of health and functional dentition in 35‐year‐old to 44‐year‐old Brazilian adults: a population‐based analytical study</title></titleInfo><name type="personal"><namePart type="given">Loliza Luiz Figueiredo Houri</namePart><namePart type="family">Chalub</namePart><affiliation>Department of Community and Preventive Dentistry, School of Dentistry, Federal University of Minas Gerais (Universidade Federal de Minas Gerais), Belo Horizonte, Brazil</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Carolina Marques</namePart><namePart type="family">Borges</namePart><affiliation>Department of Community and Preventive Dentistry, School of Dentistry, Federal University of Minas Gerais (Universidade Federal de Minas Gerais), Belo Horizonte, Brazil</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Raquel Conceição</namePart><namePart type="family">Ferreira</namePart><affiliation>Department of Community and Preventive Dentistry, School of Dentistry, Federal University of Minas Gerais (Universidade Federal de Minas Gerais), Belo Horizonte, Brazil</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">João Paulo Amaral</namePart><namePart type="family">Haddad</namePart><affiliation>Department of Preventive Veterinary Medicine, School of Veterinary Medicine, Federal University of Minas Gerais, Belo Horizonte, Brazil</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Efigênia Ferreira e</namePart><namePart type="family">Ferreira</namePart><affiliation>Department of Community and Preventive Dentistry, School of Dentistry, Federal University of Minas Gerais (Universidade Federal de Minas Gerais), Belo Horizonte, Brazil</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Andréa Maria Duarte</namePart><namePart type="family">Vargas</namePart><affiliation>Department of Community and Preventive Dentistry, School of Dentistry, Federal University of Minas Gerais (Universidade Federal de Minas Gerais), Belo Horizonte, Brazil</affiliation><affiliation>Andréa Maria Duarte Vargas, Av. Antônio Carlos, 6.627 ‐ Pampulha, 31270‐901, Faculdade de Odontologia, Universidade Federal de Minas Gerais, Belo Horizonte, MG, BrazilTel.: +55 31 3409‐2470Fax: +55 31 3409‐2472e‐mail:</affiliation><affiliation>E-mail: vargasnt@task.com.br</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><dateIssued encoding="w3cdtf">2014-12</dateIssued><dateCreated encoding="w3cdtf">2014-05-17</dateCreated><dateCaptured encoding="w3cdtf">2013-03-19</dateCaptured><dateValid encoding="w3cdtf">2014-05-07</dateValid><edition>Chalub LLFH, Borges CM, Ferreira RC, Haddad JPA, Ferreira EF, Vargas AMD. Association between social determinants of health and functional dentition in 35‐year‐old to 44‐year‐old Brazilian adults: a population‐based analytical study. Community Dent Oral Epidemiol 2014; 42: 503–516. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd</edition><copyrightDate encoding="w3cdtf">2014</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><abstract>To verify the association between functional dentition and social determinants of health in 35‐year‐old to 44‐year‐old adults residing in the metropolitan municipalities of Minas Gerais, Brazil.</abstract><abstract>This cross‐sectional study assessed a sample of 850 adults obtained using a cluster sampling scheme. Five of 33 municipalities were randomly selected, followed by the random selection of census tracts and neighborhood blocks. Every household in the randomly selected blocks was visited and every resident adult was interviewed and examined by five previously calibrated researchers (κinter, 0.8–0.9; κintra, 0.8–1.0) between May and December 2010. The condition of the dental crown was recorded using the World Health Organization (WHO) criteria, with the exception of the third molars. The dependent variable functional dentition was defined as the presence of 20 or more teeth in the mouth and obtained by counting the number of teeth lost due to any reason, followed by subtraction of this number from the total of 28 teeth. Independent variables were grouped, according to a theoretical model adapted from those proposed by Dahlgren and Whitehead and Petersen, into distal factors (contextual, socioeconomic, and housing conditions), intermediate factors (availability and use of oral health services), and proximal factors (lifestyle, risk behaviors, and demographic conditions). The association between functional dentition and the independent variables was investigated using simple and multiple Poisson regression with robust variance, which followed a modeling strategy in accordance with the hierarchy outlined by the theoretical model. The analyses were processed on SPSS 17.0.</abstract><abstract>The average age of the participants was 39.4 ± 3.2 years, and the average per capita monthly family income was US$214.52 ± 261.11. Most adults presented functional dentition (80.6%; 95% CI: 77.3–83.5). Independently of marital status, age group and sex, the prevalence ratio (PR) of subjects with a per capita monthly family income ≥US$168.54 was 1.09 (P = 0.048); the PR of adults with at least an undergraduate degree was 1.14 (P = 0.001), and the PR of the participants who most often used a dental service other than a public service supplementary healthcare plan or private service was 1.13 (P = 0.021). The prevalence of functional dentition was 17% higher among nonsmokers (P = 0.012) and 16% higher among those who used dental floss (P = 0.006).</abstract><abstract>Income, education, type of dental service most often used, lifestyle, risk behaviors and demographic conditions are distal, intermediate and proximal social determinants of health associated with functional dentition in adults, demonstrating the need for public policies aimed to promoting oral health including intersectoral actions.</abstract><note type="funding">FAPEMIG</note><note type="funding">PRPq/UFMG</note><subject><genre>keywords</genre><topic>epidemiology</topic><topic>health promotion</topic><topic>oral health</topic><topic>tooth loss</topic></subject><relatedItem type="host"><titleInfo><title>Community Dentistry and Oral Epidemiology</title></titleInfo><titleInfo type="abbreviated"><title>Community Dent Oral Epidemiol</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><subject><genre>article-category</genre><topic>Original Article</topic></subject><identifier type="ISSN">0301-5661</identifier><identifier type="eISSN">1600-0528</identifier><identifier type="DOI">10.1111/(ISSN)1600-0528</identifier><identifier type="PublisherID">CDOE</identifier><part><date>2014</date><detail type="volume"><caption>vol.</caption><number>42</number></detail><detail type="issue"><caption>no.</caption><number>6</number></detail><extent unit="pages"><start>503</start><end>516</end><total>14</total></extent></part></relatedItem><identifier type="istex">3EEEAA6A95F94DCD078F92C2B3937171C5EA2CBE</identifier><identifier type="ark">ark:/67375/WNG-XG0K552J-F</identifier><identifier type="DOI">10.1111/cdoe.12112</identifier><identifier type="ArticleID">CDOE12112</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2014 John Wiley & Sons A/S© 2014 John Wiley & Sons A/S. 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