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Asociacion del nivel de riesgo familiar total y caries dental en escolares de La Boquilla, Cartagena
Association of risk and family dental caries in Boquilla school, Cartagena
Relação do nível de risco familiar total e cáries em estudantes da Boquilla, Cartagena
Keywords:
caries dental, preescolar, medicina familiar y comunitaria, riesgo (es)dental caries, pre-school, family practice, risk (en)
cárie dentária, pré-escolar, medicina de família e comunidade, risco (pt)
Objetivo: Asociar caries dental con el nivel de riesgo familiar total en escolares de la Boquilla, Cartagena.
Metodología: Estudio de corte transversal, en 202 escolares. Se evaluó clínicamente la prevalencia, experiencia y severidad de las lesiones de caries dental (índice COP, ICDAS II) en escolares y a través de un cuestionario aplicado a las familias de los niños se evaluaron los factores socio demográficos y familiares (estructura, rol y autoridad de los padres, antecedentes médicos familiares), el nivel de riesgo familiar total (RFT 5-33) y la funcionalidad familiar (Apgar Familiar). Se realizó estadística descriptiva y estimación de razones de disparidad (OR).
Resultados: La prevalencia de caries dental fue del 95% (IC 95%; 92-98). El 55% (IC 95%; 48 – 61,9) de las familias se encuentran en el nivel de riesgo familiar de amenaza. Para el nivel de riesgo familiar total no se encontró asociado con la presencia de caries dental pero al asociar los factores de riesgo de manera individual se encontró asociación entre ingresos < de 1 Salario Mínimo Legal Vigente (SMMLV) (OR: 3,83; IC 95%: 1,04-14; p = 0,04), presencia de antecedentes médicos familiares (OR: 5,14; IC 95% 1,06-24,8; p = 0,04), rol no ejercido por el padre (OR: 0,25; IC 95%: 0,06-0,94; p = 0,04) y la presencia de caries dental en niños.
Conclusiones. Las familias con ausencia de figuras paternas, escasos recursos económicos y con presencia de antecedentes médicos familiares comprometen la salud bucal de los niños.
Objective: To associate dental caries with total family risk level of the school from Boquilla, Cartagena.
Methods: Cross-sectional study in 202 schools. Prevalence was evaluated clinically, experience and severity of dental caries (COP index, ICDAS II) in school and through a questionnaire given to the families of the children were assessed socio-demographic and family factors (structure, role and authority of parents, family medical history), the total family risk level (RFT 5-33) and family functioning (family Apgar). Descriptive statistics and estimated odds ratios (OR).
Results: The prevalence of dental caries was 95% (95% CI 92-98). 55% (95% CI 48- 61.9) of families are on the level of familial risk of threat. The total family risk level are not associated with the presence of tooth decay but to associate risk factors individually was found between income <1 legal minimum wage (SMMLV) (OR: 3.83, 95%: 1.04–14; p = 0.04), presence of family medical history (OR: 5.14, 95% CI 1.06-24.8; p = 0.04), no role exercised by the parent (OR: 0.25, 95% CI 0.06–0.94, p = 0.04) and the presence of dental caries in children.
Conclusions: Families with no father figures, low income and the presence of family medical history compromise children’s oral health.
Objetivo: associar o nível de risco de cárie dental familiar total da escola, Boquilla, Cartagena.
Métodos: Estudo transversal em 202 escolas. A prevalência foi avaliada clinicamente, experiência e severidade da cárie dentária (COP índice, ICDAS II) na escola e através de um questionário às famílias das crianças foram avaliadas fatores sociodemográficos e familiares (papel, estrutura e autoridade dos pais, história médica familiar), o nível de risco total da família (RFT 5-33) e funcionamento da família (Apgar familiar). Estatística descritiva e cerca de odds ratio (OR).
Resultados: A prevalência de cárie foi de 95% (95% CI 92-98). 55% (95% CI 48-61,9) das famílias são sobre o nível de risco familiar de ameaça. O nível de risco total da família não está associado com a presença de cárie dentária, mas a associar fatores de risco individualmente foi encontrada entre a renda <1 salário mínimo legal (SMMLV) (OR: 3,83, 95 % de 1,04 a 14 p = 0,04), presença de histórico médico familiar (OR: 5,14, IC 95% 1,06-24,8, P = 0,04), nenhum papel exercido pelo pai (OR: 0,25, 95% CI 0,06-0,94, P = 0,04) e a presença de cárie dentária em crianças.
Conclusões: Famílias sem figuras paternas, baixa renda e a presença de crianças de Saúde da Família de histórico médico de compromisso da oral.
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