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  • 1
    In: Journal of Public Health Dentistry, Wiley, Vol. 77, No. 1 ( 2017-12), p. 21-29
    Kurzfassung: The aim of this study was to assess the associations of gingival bleeding with individual and community social variables among schoolchildren. Methods This cross‐sectional study evaluated a representative, multistage, random sample of 1,134 12‐year‐old schoolchildren from Santa Maria, a city in southern Brazil. The participants were examined clinically, and full‐mouth gingival bleeding was recorded according to the Community Periodontal Index criteria (scored as healthy or bleeding). The children's parents or guardians answered questions regarding their socioeconomic status and social capital, and an assessment of the associations was performed using multilevel Poisson regression models. Results The prevalence of gingival bleeding was 96.21 percent. The multilevel adjusted assessment revealed that socioeconomic, clinical, and social capital variables at the individual level were associated with higher levels of gingival bleeding. Children whose fathers had a low educational level, children who had dental plaque and dental crowding, and children who never/almost never attended religious meetings exhibited significantly higher levels of gingival bleeding than their counterparts. This social gradient remained significant even after adjusting for contextual‐level covariates. Conclusion The results indicate that the socioeconomic status and features of social capital are associated with the levels of gingival bleeding among schoolchildren.
    Materialart: Online-Ressource
    ISSN: 0022-4006 , 1752-7325
    URL: Issue
    Sprache: Englisch
    Verlag: Wiley
    Publikationsdatum: 2017
    ZDB Id: 2267887-6
    Standort Signatur Einschränkungen Verfügbarkeit
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  • 2
    In: Journal of Clinical Periodontology, Wiley, Vol. 48, No. 7 ( 2021-07), p. 886-895
    Kurzfassung: To investigate the agreement between the 2018 EFP/AAP periodontitis case classification and the 2012 CDC/AAP criteria. Materials and Methods This cross‐sectional study assessed a population‐based sample from a rural area in southern Brazil. A complete periodontal examination was performed at six sites/tooth. The periodontitis case definition was estimated and compared according to the 2018 EFP/AAP classification and the 2012 CDC/AAP criteria (reference). Diagnostic tests included sensitivity (SN), specificity (SP), positive predictive value (PPV), negative predictive value (NPV), and area under ROC curve (AUC). Results Five hundred and eighty‐eight subjects with ≥6 teeth each were included. Based on the 2018 EFP/AAP classification, 71.1% of the subjects were classified as stage III/IV showing 100% agreement with 2012 CDC/AAP criteria for the severe category. For the moderate and severe classification, the 2018 EFP/AAP SN was 99.8% and 100%, SP 13.6% and 43.6%, PPV 83.4% and 47.4%, and NPV 93.7% and 100%, respectively. The AUC was 0.9059 (95% CI = 0.879–0.933) and the optimal cut‐off based on the curve was stage III. Conclusions The 2018 EFP/AAP periodontitis case classification showed high agreement with the 2012 CDC/AAP criteria in a rural sample with high periodontitis occurrence.
    Materialart: Online-Ressource
    ISSN: 0303-6979 , 1600-051X
    URL: Issue
    Sprache: Englisch
    Verlag: Wiley
    Publikationsdatum: 2021
    ZDB Id: 2026349-1
    Standort Signatur Einschränkungen Verfügbarkeit
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  • 3
    In: Oral Diseases, Wiley, Vol. 29, No. 7 ( 2023-10), p. 2971-2978
    Kurzfassung: To investigate whether the association between alcohol consumption and tooth loss is modified across socioeconomic positions (SEPs) in Brazilian older adults. Methods We conducted a secondary analysis using data of The Brazilian Longitudinal Study of Ageing (ELSI‐Brazil 2015–2016). Effect Measure Modification (EMM) analyses using multivariable Poisson regression models tested whether the association between heavy drinking and lack of functional dentition (FD) varies in magnitude and direction according to levels of Household Wealth index (HWI) and educational attainment, assessed by the Relative Excess Risk due to Interaction (RERI). Sensitivity analyses using lifetime exposure to alcohol were performed. Results The analytical sample comprised 8078 participants. Heavy drinkers living in low‐wealth households and with lower education presented 7% (95% CI: 1.01–1.14) and 36% (95% CI: 1.28–1.44) higher prevalence of lack of FD, respectively, than their counterparts, and super‐additive associations were detected [RERI for HWI: 0.12 (95% CI: 0.02–0.21); RERI for educational attainment: 0.20 (95% CI: 0.09–0.30)]. The associations were also super‐additive in the sensitivity analyses when controlling for abstainer reference group bias. Conclusion We suggest that alcohol consumption disproportionately impacts the prevalence of tooth loss in Brazilian older adults from lower SEP groups.
    Materialart: Online-Ressource
    ISSN: 1354-523X , 1601-0825
    URL: Issue
    Sprache: Englisch
    Verlag: Wiley
    Publikationsdatum: 2023
    ZDB Id: 2008428-6
    Standort Signatur Einschränkungen Verfügbarkeit
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