Social capital and dental pain in Brazilian northeast: a multilevel cross-sectional study

BMC Oral Health

Mario Vianna Vettore¹  Ana Maria Gondim Valença³  Bianca Marques Santiago² 

[1] Institute of Studies in Public Health, Federal University of Rio de Janeiro, Av. Brigadeiro Trompowski, s/nº.Praca da Prefeitura, Rio de Janeiro/RJ, CEP 21949-900, Brazil;Department of Clinic and Social Dentistry, Federal University of Paraíba, Rua Silvino Chaves, 1061 (ap.1401), Manaíra, João Pessoa, PB, CEP: 58.038-420, Brazil;Department of Clinic and Social Dentistry, Federal University of Paraíba, Rua Jacinto Dantas, 94 (ap. 206), Manaíra, João Pessoa, PB, CEP: 58038-270, Brazil

关键词: Socioeconomic factors;    Social capital;    Oral health;    Epidemiology;    Dental pain;   

Others  :  1126226
DOI  :  10.1186/1472-6831-13-2

 received in 2012-08-11, accepted in 2013-01-02,  发布年份 2013

【 摘 要 】

Background

There is limited evidence on possible associations between social determinants and dental pain. This study investigated the relationship of neighborhood and individual social capital with dental pain in adolescents, adults and the elderly.

Methods

A population-based multilevel study was conducted involving 624 subjects from 3 age groups: 15–19, 35–44 and 65–74 years. They were randomly selected from 30 census tracts in three cities in the State of Paraíba, Brazil. A two-stage cluster sampling was used considering census tracts and households as sampling units. The outcome of study was the presence of dental pain in the last 6 months. Information on dental pain, demographic, socio-economic, health-related behaviors, use of dental services, self-perceived oral health and social capital measures was collected through interviews. Participants underwent a clinical examination for assessment of dental caries. Neighborhood social capital was evaluated using aggregated measures of social trust, social control, empowerment, political efficacy and neighborhood safety. Individual social capital assessment included bonding and bridging social capital. Multilevel logistic regression was used to test the relationship of neighborhood and individual social capital with dental pain after sequential adjustment for covariates.

Results

Individuals living in neighborhoods with high social capital were 52% less likely to report dental pain than those living in neighborhoods with low social capital (OR = 0.48, 95% CI = 0.27-0.85). Bonding social capital (positive interaction) was independently associated with dental pain (OR = 0.88, 95% CI = 0.80-0.91). Last dental visit, self-perceived oral health and number of decayed teeth were also significantly associated with dental pain.

Conclusions

Our findings suggest that contextual and individual social capital are independently associated with dental pain.

【 授权许可】

   
2013 Santiago et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

【 参考文献 】

• [1]Donaldson AN, Everitt B, Newton T, Steele J, Sherriff M, Bower E: The effects of social class and dental attendance on oral health. J Dent Res 2008, 87:60-64.
• [2]Watt RG: From victim blaming to upstream action: tackling the social determinants of oral health inequalities. Community Dent Oral Epidemiol 2007, 35:1-11.
• [3]Sanders AE, Turrel G, Slade GD: Affluent Neighborhoods Reduce Excess Risk of Tooth Loss among the Poor. J Dent Res 2008, 87:969-973.
• [4]Bernabé E, Marcenes W: Income inequality and tooth loss in the United States. J Dent Res 2011, 90:724-729.
• [5]Marmot M, Wilkinson R: Social determinants of health. Oxford: Oxford University Press; 2006.
• [6]Marmot M: Social determinants of health inequalities. Lancet 2005, 365:1099-1104.
• [7]Bastos JL, Peres MA, Peres KG, Araujo CLP, Menezes AMB: Toothache prevalence and associated factors: a life course study from birth to age 12 yr. Eur J Oral Sci 2008, 116:458-466.
• [8]Nomura LH, Bastos JLD, Peres MA: Dental pain prevalence and association with dental caries and socio-economic status in schoolchildren, Southern Brazil, 2002. Braz Oral Res 2004, 18:134-140.
• [9]Goes PS, Watt R, Hardy RG, Sheiham A: The prevalence and severity of dental pain in 14–15 year old Brazilian schoolchildren. Community Dent Oral Epidemiol 2007, 24:217-224.
• [10]Riley JL, Gilbert GH, Heft MW: Socioeconomic and demographic disparities in symptoms of orofacial pain. J Pub Health Dent 2003, 63:166-173.
• [11]Peres MA, Peres KG, Frias AC, Antunes JL: Contextual and individual assessment of dental pain period prevalence in adolescents: a multilevel approach. BMC Oral Health 2010, 13(10):20.
• [12]Kawachi I, Subramaniam SV, Kim D: Social Capital and Health. New York: Springer; 2008.
• [13]Coleman J: Foundations of Social Theory. Cambridge: Harvard University Press; 1990.
• [14]Kawachi I, Kennedy B, Lochner K, Prothrow-Stith D: Social capital, income inequality and mortality. Am J Public Health 1997, 87:1491-1498.
• [15]Pattussi MP, Hardy R, Sheiham A: Neighborhood social capital and dental injuries in Brazilian adolescents. Am J Public Health 2006, 96:1462-1468.
• [16]Pattussi MP, Hardy R, Sheiham A: The potential impact of neighborhood empowerment on dental caries among adolescents. Community Dent Oral Epidemiol 2006, 34:344-350.
• [17]Aida J, Kondo K, Kondo N, Watt R, Sheiham A, Tsakos G: Income inequality, social capital and self-rated and dental status in older Japanese. Soc Sci Med 2011, 73:1561-1568.
• [18]Aida J, Kuriyama S, Ohmori-Matsuda K, Hozawa A, Osaka K, Tsuji I: The association between neighborhood social capital and self-reported dentate status in elderly Japanese – The Ohsaki Cohort 2006 Study. Community Dent Oral Epidemiol 2011, 39:239-249.
• [19]Furuta M, Ekuni D, Takao S, Suzuki E, Morita M, Kawachi I: Social capital and self-rated oral health among young people. Community Dent Oral Epidemiol 2012, 40:97-104.
• [20]Aida J, Hanibuchi T, Nakade M, Hirai H, Osaka K, Kondo K: The different effects of vertical social capital and horizontal social capital on dental status: a multilevel analysis. Soc Sci Med 2009, 69:512-518.
• [21]Carpiano RM: Neighborhood social capital and adult health: an empirical test of Bourdieu-based model. Health Place 2007, 13:639-655.
• [22]Ministério da Saúde, Secretaria de Atenção à Saúde, Departamento de Atenção Básica, Coordenação Nacional de Saúde Bucal: Projeto Brasil 2003. Condições de saúde bucal da população brasileira 2002–2003, resultados principais, Brasília, DF (Brazil); 2004.
• [23]Sampson RJ, Raudenbush SW, Earls F: Neighborhoods and violent crime: a multilevel study of collective efficacy. Science 1997, 277:918-924.
• [24]Stafford M, Bartley M, Sacker A, Marmot M, Wilkinson RG, Boreham R, Thomas R: Measuring the social environment: social cohesion and material deprivation in English and Scottish neighbourhoods. Environment and Planning 2003, 35:1459-1475.
• [25]Baum FE, Bush RA, Modra CC, Murray CJ, Cox EM, Alexander KM, Potter R: Epidemiology of participation: an Australian community study. J Epidemiol Comm Health 2000, 54:414-423.
• [26]Muntaner C, Oates GL, Lynch JW: Social class and social cohesion: a content validity analysis using a nonrecursive structural equation model. Ann N Y Acad Sci 1999, 896:409-413.
• [27]Harpham T: The measurement of community social capital through surveys. In Social Capital and Health. Edited by Kawachi I, Subramaniam SV, Kim D. New York: Springer; 2008:51-62.
• [28]Sherbourne CD, Stewart AL: The MOS social support survey. Soc Sci Med 1991, 38:705-714.
• [29]Chor D, Griep RH, Lopes CS, Faerstein E: Social network and social support measures from the Pró-Saúde Study: pre-tests and pilot study. Cad Saude Publica 2001, 17:887-896.
• [30]Boehm A, Eisenberg E, Lampel S: The contribution of social capital and coping strategies to functioning and quality of life of patients with Fibromyalgia. Clin J Pain 2011, 27:233-239.
• [31]Ahnquist J, Wamala SP, Lindstrom M: Social determinants of health – a question of social or economic capital? Interaction effects of socioeconomic factors on health outcomes. Soc Sci Med 2012, 74:930-939.
• [32]Aslund C, Starrin B, Nilsson KW: Social capital in relation to depression, musculoskeletal pain, and psychosomatic symptoms: a cross-sectional study of a large population-based cohort of Swedish adolescents. BMC Public Health 2010, 10:715. BioMed Central Full Text
• [33]Turrel G, Sanders AE, Slade GD, Spencer AJ, Marcenes W: The independent contribution of neighborhood disadvantage and individual-level socioeconomic position to self-reported oral health: a multilevel analysis. Community Dent Oral Epidemiol 2001, 35:195-206.
• [34]Sisson KL: Theoretical explanations for social inequalities in oral health. Community Dent Oral Epidemiol 2007, 35:81-88.
• [35]Aida J, Ando Y, Oosaka M, Niimi K, Morita M: Contributions of social context to inequality in dental caries: a multilevel analysis of Japanese 3-year-old children. Community Dent Oral Epidemiol 2008, 36:149-156.
• [36]Bianco A, Fortunato L, Nobile CGA, Pavia M: Prevalence and determinants of oral impacts on daily performance: results from a survey among school children in Italy. European J Pub Heatlh 2009, 20:595-600.
• [37]Bower E, Gulliford M, Steele J, et al.: Area deprivation and oral health in Scottish adults: a multilevel study. Community Dent Oral Epidemiol 2007, 35:118-129.
• [38]Tellez M, Sohn W, Burt BA, Ismail AI: Assessment of the relationship between neighborhood characteristics and dental caries severity among low-income African-Americans: a multilevel approach. J Public Health Dent 2006, 66:30-36.
• [39]Vargas CM, Macek MD, Marcus SE: Sociodemographic correlates of tooth pain among adults: United States, 1989. Pain 2000, 85:87-92.
• [40]Freire MCM, Leles CR, Sardinha LMV, Paludetto J, Malta DC, Peres MAA: Dental pain and associated factors in Brazilian adolescents: the National Adolescent School-based Health Survey (PeNSE), Brazil, 2009. Cad Saude Publica 2012, 28:S133-S145.