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Racial Inequalities in Oral Health: A Population-Based Study
Race and Social Problems ( IF 2.8 ) Pub Date : 2020-09-13 , DOI: 10.1007/s12552-020-09299-9
Lívia Helena Terra e Souza , Sílvia Maria Santiago , Marilisa Berti de Azevedo Barros , Margareth Guimarães Lima

The aim of the present study was to determine associations between race/skin color and the use of dental services and self-rated oral health. A cross-sectional population study analyzing data on adults who participated in the 2013/2014 Campinas Health Survey. Sociodemographic characteristics, variables related to dental visits, access to dental care, and subjective oral health conditions were evaluated in relation to race/color. The association between each variable and color/race was investigated using the χ2 test with the Rao–Scott correction (p-value = 0.05). Multivariate Poisson regression analysis was performed to estimate crude and adjusted prevalence ratios for age, schooling, income, and living conditions. The results revealed that assessments of one's oral health status as poor (PR = 1.26), assessments of the dental care received as poor (PR = 1.68), and dental appointments for the purposes of extraction (PR = 1.13) were more prevalent in the black population, demonstrating independent associations with race. Associations between race and dental appointments for routine checkups, appointments for urgent care, the last appointment more than two years earlier, difficult access to dental care, difficulty eating, and being ashamed of smiling due to one’s dental condition were explained by socioeconomic status. The results point to inequality in oral health and the need to eliminate racism in oral health, which remains pronounced. It is hoped that bringing this situation to light will help our society move forward in the fight against racism in Brazil.



中文翻译:

口腔健康中的种族不平等:基于人群的研究

本研究的目的是确定种族/肤色,牙科服务的使用和自我评估的口腔健康之间的关联。一项横断面人口研究,分析了参与2013/2014坎皮纳斯健康调查的成年人的数据。根据种族/肤色评估了社会人口统计学特征,与就诊牙齿有关的变量,获得牙齿护理的机会以及主观口腔健康状况。使用每个变量和颜色/种族之间的关联进行了研究χ 2测试与饶斯科特校正(p-值= 0.05)。进行了多元Poisson回归分析,以估计粗略和调整后的患病率,以区分年龄,教育程度,收入和生活条件。结果显示,口腔健康状况评估为差(PR = 1.26),评估的口腔护理评估为差(PR = 1.68)和出于拔牙目的而进行的牙科预约(PR = 1.13)。黑人人口,表明与种族的独立联系。社会经济状况解释了种族与定期体检的牙齿约会,紧急护理的约会,两年多前的最后一次约会,难以获得牙齿护理,进食困难以及因自己的牙齿状况而感到羞愧之间的联系。结果表明口腔健康方面的不平等以及消除口腔健康中种族主义的必要性,这一点仍然很明显。希望揭露这种情况将有助于我们的社会在巴西反对种族主义的斗争中前进。

更新日期:2020-09-13
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