Caries experience in children under 5 years old in the Xingu indigenous park in Brazil
Keywords:Indians, South American, Dental caries, Breast feeding, Oral health
Aim: The present study sought to investigate dental caries experience and its association with sociodemographic, postnatal and breastfeeding variables in children in the agerange from 6 to 71 months of age, in the Xingu Indigenous Park, Mato Grosso, Brazil. Methods: This was an analytical cross-sectional study that used secondary data pertaining to 402 indigenous children of the Low, Middle and Eastern Xingu regions, who participated in the Oral Health Epidemiological Survey in 2013. The dependent variable was dental caries, dichotomized by the median (dmf-t≤1 and dmf-t>1). The data of independent variables were obtained by means of instruments of the Local Health Information System of the Xingu Indigenous Special Sanitary District (DSEI). Raw analyses were performed to test the association of the independent variables with the dependent variable. The variables were tested in the multiple logistic regression model. Results: The mean value of the dmf-t index was 2.60 and the prevalence of affected children was 51%. In the multiple analysis, only children older than 36 months (OR: 6.64; CI95%: 4.11 to 10.73) and those that were breastfed for a longer period of time (OR: 1.88; CI95%: 1.16 to 3.02) showed significant association with the dmf-t>1 index. Conclusion: Childhood dental caries among indigenous children was associated with age and breastfeeding prolonged for over 26 months, therefore, pointing out the need to offer dental follow-up care at earlier ages.
Ministry of Planning, Budget and Management of Brazil. Brazilian Institute of Geography and Statistics - IBGE. 2010 [Population Census: General Characteristics of Indigenous People - results of the universe]. Rio de Janeiro: IBGE; 2012 [cited 2019 Jun 27]. Available from: http://www.ipea.gov.br/redeipea/images/pdfs/base_de_informacoess_por_setor_censitario_universo_censo_2010.pdf. Portuguese.
United Nations Children's Fund (UNICEF). [30 years of the Convention on the Rights of the Child: advances and challenges for girls and boys in Brazil]. São Paulo: UNICEF; 2019 [cited 2020 Jan 15]. Available from: https://www.unicef.org/brazil/relatorios/30-anos-da-convencao-sobre-os-direitos-da-crianca. Portuguese.
Miranda KCO, Souza TAC, Leal SC. Caries prevalence among Brazilian indigenous population of urban areas based on the 2010 National Oral Health Survey. Cienc Saude Colet. 2018 Apr;23(4):1313-22. doi: 10.1590/1413-81232018234.18082016.
Drury TF, Horowitz AM, Ismail AI, Msertens MP, Rozier RG, Selwitz RH. Diagnosing and reporting early childhood caries for research purposes. J Public Health Dent. 1999;59(3):192-7. doi: 10.1111/j.1752-7325.1999.tb03268.x.
Anil S, Anand PS. Early childhood caries: prevalence, risk factors, and prevention. Front Pediatr. 2017 Jul;5:157. doi: 10.3389/fped.2017.00157.
Peltzer K, Mongkolchati A. Severe early childhood caries and social determinants in three-year-old children from Northern Thailand: a birth cohort study. BMC Oral Health. 2015 Sep;15:108. doi: 10.1186/s12903-015-0093-8.
Arantes R, Santos RV, Frazão P. Between-group differences in dental caries in Xavante Indians from Central Brazil. Rev Bras Epidemiol. 2010;13(2):223-36. Portuguese. doi: 10.1590/S1415-790X2010000200005.
Sampaio FC, Freitas CHSM, Cabral MBF, Machado ATAB. Dental caries and treatment needs among indigenous people of the Potiguara Indian reservation in Brazil. Rev Panam Salud Publica. 2010 Apr;27(4):246-51. doi: 10.1590/s1020-49892010000400002.
Alves Filho P, Santos RV, Vettore MV. [Factors associated with dental caries and periodontal disease in indigenous people of Latin America: systematic review]. Rev Panam Salud Publica. 2014;35(1):67-77. Portuguese.
Chaffee BW, Feldens CA, Vítolo MR. Association of Long-Duration Breastfeeding and Dental Caries Estimated with Marginal Structural Models. Ann Epidemiol. 2014 Jun;24(6):448-54. doi: 10.1016/j.annepidem.2014.01.013.
Tham R, Bowatte G, Dharmage SC, Tan DJ, Lau MXZ, Dai X, et al. Breastfeeding and the risk of dental caries: a systematic review and meta-analysis. Acta Paediatr. 2015 Dec;104(467):62-84. doi: 10.1111/apa.13118.
Victora CG, Barros AJD, França GVA, Bahl R, Rollins NC, Horton S, et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet. 2016 Jan;387(10017):475-90. doi: 10.1016/S0140-6736(15)01024-7.
Peres KG, Nascimento GG, Peres MA, Mittinty MN, Demarco FF, Santos IS, et al. Impact of prolonged breastfeeding on dental caries: a population-based birth cohort study. Pediatrics. 2017 Jul;140(1):e20162943. doi: 10.1542/peds.2016-2943.
Sírio MAO, Freitas SN, Figueiredo AM, Gouvêa GDR, Pena JL, Machado-Coelho GLL. [Duration of breastfeeding among the indigenous Xakriabá people living in the Minas Gerais state, Southeast Brazil]. Rev Nutr. 2015;28(3):241-52. Portuguese. doi: 10.1590/1415-52732015000300002.
Parizotto SPCOL. [Prevalence of dental caries in primary dentition of children from the Kaiowá - Guarani indigenous community of Mato Grosso do Sul and association with risk factors] [thesis]. São Paulo: Faculty of Dentistry, University of São Paulo; 2004.
Lemos PN, Rodrigues DA, Frazão P, Coelho CC, Campos JNS, Narvai PC. Dental caries in peoples of Xingu Indigenous Park, Brazil, 2007 and 2013. Epidemiol Serv Saude. 2018 Feb;27(1):e20171725. doi: 10.5123/S1679-49742018000100005.
DSEI XINGU. [Demographic Census and Forms of the Local Health Information System of the Xingu Indigenous Sanitary District]. Canarana, Mato Grosso; 2013. Portuguese.
Lemos PN, Rodrigues DA, Frazão P, Hirooka LB, Guisilini AC, Narvai PC. [Oral health care in the Xingu Indigenous Park, Brazil, from 2004 to 2013: an analysis based on evaluation indicators]. Cad Saude Publica 2018;34(4), e00079317. Portuguese. doi: 10.1590/0102-311x00079317.
Carneiro MCG, Santos RV, Garnelo L, Rebelo MAB, Coimbra Jr CEA. [Dental caries and need for dental care among the Baniwa Indians, Rio Negro, Amazonas]. Cienc Saude Colet. 2008;13(6):1985-92. Portuguese. doi: 10.1590/s1413-81232008000600034.
Côrtes G. [Dental caries and associated factors in indigenous Kotiria do Alto Rio Uaupés, AM, Brazil] [dissertation]. Manaus: Federal University of Amazonas; 2013. Portuguese.
Pacagnella, RC. [Epidemiological Profile of Oral Health of the Population of the Xingu Indigenous Park, between 2001 and 2006] [dissertation]. Ribeirão Preto: Ribeirão Preto School of Medicine, University of São Paulo; 2007.
Ministry of Health of Brazil. Health Care Secretariat. Health Surveillance Secretariat. [SB BRAZIL 2010: national research on oral health: main results]. Brasília: Ministry of Health of Brazil; 2012 [cited 2020 Sep 23]. Available from: http://bvsms.saude.gov.br/bvs/publicacoes/pesquisa_nacional_saude_bucal.pdf. Portuguese.
Barros SG, Alves AC, Pugliese LS, Reis SR. [Contribution to the study of dental caries in 0-30-month-old infants]. Pesqui Odontol Bras. 2001 Jul-Sep;15(3):215-22. Portuguese. doi: 10.1590/s1517-74912001000300007.
Alves Filho P, Santos RV, Vettore MV. Social and environmental inequities in dental caries among indigenous population in Brazil: evidence from 2000 to 2007. Rev Bras Epidemiol. 2013;16(3):692-704. doi: 10.1590/S1415-790X2013000300013.
Ministry of Health of Brazil. Secretariat for Management of Work and Education in Health. Department of Management of Education in Health. [Qualification Program for Indigenous Health Agents (AIS) and Indigenous Sanitation Agents (AISAN)]. Brasília: Ministry of Health; 2016. Portuguese.
Arantes R; Frazão P. Income as a Protective Factor for Dental Caries among Indigenous People from Central Brazil. J Health Care Poor Underserved. 2016;27(1A):81-9. doi: 10.1353/hpu.2016.0043.
Mattos A, Morais MB, Rodrigues DA, Baruzzi RG. Nutritional status and dietary habits of Indian children from Alto Xingu (Central Brazil) according to age. J Am Coll Nutr. 1999 Feb;18(1):88-94. doi: 10.1080/07315724.1999.10718832.
Fagundes-Neto U, Baruzzi RG, Wehba J, Silvestrini WS, Morais MB, Cainelli M. Observations of the Alto Xingu Indians (Central Brazil) with special reference to nutritional evaluation in children. Am J Clin Nutr. 1981 Oct;34(10):2229-35. doi: 10.1093/ajcn/34.10.2229.
Holgerson PL, Vestman NR, Claesson R, Öhman C, Domellöf M, Tanner ACR et al. Oral Microbial Profile Discriminates Breastfed from Formula-Fed Infants. J Pediatr Gastroenterol Nutr. 2013 Feb;56(2):127-36. doi: 10.1097/MPG.0b013e31826f2bc6.
Neves PA, Ribeiro CC, Tenuta LM, Leitão TJ, Monteiro-Neto V, Nunes AM, et al. Breastfeeding, dental biofilm acidogenicity, and early childhood caries. Caries Res. 2016;50(3):319-24. doi: 10.1159/000445910.
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