Multilevel modeling for dental caries among adolescents in a Brazilian large city

Author:

Pecharki Giovana Daniela,Brancher João Armando,Olandoski Márcia,Doetzer Andrea Duarte,Moyses Samuel Jorge,Trevilatto Paula Cristina

Abstract

Dental caries is a complex disease, which needs an approach that considers caries influencing factors at different levels and their integration. Multilevel Modeling is a clustered analysis of variables from the individual to the community level. The aim of this study was to investigate the association of social and biological factors grouped into hierarchical levels, in students with caries. A sample of 687 students was evaluated from public and private schools of Curitiba. The parameters evaluated were: individual level, school level and district level. Individual variables had a highly significant association with caries experience, also in the presence of school and district levels. Male sex negatively associated with caries experience. However, the interaction between male sex and no fluoride use was positively associated with caries. Lower socioeconomic status, dental biofilm, and fluorosis were associated with caries. Nevertheless, the interaction between dental biofilm and fluorosis was negatively associated with caries experience. The interaction between no flossing and use of public dental services were also associated with caries outcome. Individual factors were associated with caries experience even with the inclusion of contextual variables in the study population.

Publisher

University Library System, University of Pittsburgh

Subject

General Dentistry

Cited by 1 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Prevalence of Caries among Schoolchildren in the Interior of Suriname;The American Journal of Tropical Medicine and Hygiene;2018-12-05

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