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Prof. Dr. Mauro Henrique Nogueira Guimaraes de Abreu
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Department of Community and Preventive Dentistry, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte - Minas Gerais, 31270, Brazil
Interests: oral health epidemiology; quantitative methodology; dental public health

Special Issue Information

Dear Colleagues,

The oral health status of populations involves a complex network of determination. The most recent definition of the World Dental Federation pointed out that social environment and physical environment are determinants of oral health. There is evidence in the scientific literature on the importance of social determinants of health and specifically in oral health. The investigation of environmental factors on oral health needs to progress further. Knowledge of these determinants allows us to propose strategies for overcoming inequalities in oral health. This is one of the challenges of today’s world. This Special Issue will examine studies of social and environmental determinants of oral health.

Prof. Dr. Mauro Henrique Nogueira Guimaraes de Abreu
Guest Editor

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Keywords

Socioeconomic factors
Oral health
Environmental health

Published Papers (2 papers)

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Research

Open AccessArticle

Sociodemographic, Behavioral and Oral Health Factors in Maternal and Child Health: An Interventional and Associative Study from the Network Perspective

Juliana Ribeiro Francelino Sampaio

Suely Arruda Vidal

Paulo Savio Angeiras de Goes

Paulo Felipe R. Bandeira

and

José Eulálio Cabral Filho

Int. J. Environ. Res. Public Health 2021, 18(8), 3895; https://doi.org/10.3390/ijerph18083895 - 08 Apr 2021

Viewed by 416

Abstract

Oral healthcare during pregnancy needs to be part of the assistance routine given to pregnant women by health professionals as a way to encourage self-care and strengthen the general health of the mother and the baby. The aim of this study was to evaluate the effectiveness of an integrated oral healthcare intervention for pregnant women and to analyze the association of sociodemographic, behavioral, oral health and general maternal and child health factors in prenatal care at usual risk in primary care in a city in the northeast of Brazil, in 2018–2019. A controlled, randomized, single-blinded community trial was conducted. The intervention group (IG) received dental assistance and collective health education actions in conversation circles, while the control group (CG) received the usual assistance. All pregnant women (146 in total, 58 from IG and 88 from CG) that took part in the trial answered a questionnaire and underwent a dental examination at the beginning of prenatal care and at the puerperal visit. To assess the effect of the intervention, a network analysis was used. The results have shown that being in the control group was associated with neonatal complications (0.89) and prematurity (0.54); the use of tobacco and alcohol are associated with high risk in initial and final oral health; lower educational level of the pregnant women implicates high risk for initial oral health (−0.19), final oral health (−0.26), pregnancy complications (−0.13), low birth weight (−0.23), prematurity (−0.19) and complications in the newborn (−0.14). Having a low family income (≤261.36 USD) has shown a high risk for initial oral health (−0.14), final oral health (−0.20) and prematurity (−0.15). The intervention based on integrated oral healthcare for pregnant women indicated that socioeconomic and behavioral factors must be considered as determinants for the quality of women and children’s health and that multi-professional performance during prenatal care contributes to the positive outcomes of pregnancy. Full article

(This article belongs to the Special Issue Perspectives on Social and Environmental Determinants of Oral Health)

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Open AccessArticle

The Role of Organizational Factors and Human Resources in the Provision of Dental Prosthesis in Primary Dental Care in Brazil

Maria Aparecida Cunha

Mario Vianna Vettore

Thiago Resende dos Santos

Antônio Thomaz Matta-Machado

Simone Dutra Lucas

and

Mauro Henrique Nogueira Guimarães Abreu

Int. J. Environ. Res. Public Health 2020, 17(5), 1646; https://doi.org/10.3390/ijerph17051646 - 03 Mar 2020

Viewed by 879

Abstract

This study aimed to investigate factors associated with dental prosthesis procedures by oral health teams (OHTs) in the Brazilian primary health care in 2013–2014, who participated in the National Program for Improving Access and Quality of Primary Health Care (PMAQ-AB). This is an analytical cross-sectional study using a questionnaire with dichotomous questions applied in 18,114 OHTs. The dependent variable studied was making any type of prosthesis (removable or fixed). Independent variables involved issues related to human resources and health service management. Data were submitted to simple and multiple binary logistic regression with odds ratio calculation, 95% confidence intervals, and p-values. Most OHTs (57%) do not perform any dental prosthesis. The teams that are more likely to perform dental prostheses have human resources-related characteristics, such as professionals admitted through public examinations (OR 1.25, 95% CI 1.14–1.36) and those involved in permanent education (OR 1.13, 95% CI 1.02–1.26). Moreover, OHTs with a more organized work process and that receive more significant support from municipal management are more likely to perform dental prostheses (p < 0.05). The oral health teams which tended to provide the most dental prostheses to benefit patients were; hired as civil servants, had a municipal career plan, involved all members of the oral health team, and trained undergraduate dental students from outreach programs. Better organizational support and improved work incentives may be needed to get the majority of oral health teams to start providing dental prostheses to their patients. Full article

(This article belongs to the Special Issue Perspectives on Social and Environmental Determinants of Oral Health)

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