Erosive Tooth Wear among 12-Year-Old Schoolchildren: A Population-Based Cross-Sectional Study in Montevideo, Uruguay

2015 ◽  
Vol 49 (3) ◽  
pp. 216-225 ◽  
Author(s):  
Licet Alvarez Loureiro ◽  
Anunzziatta Fabruccini Fager ◽  
Luana Severo Alves ◽  
Ramón Alvarez Vaz ◽  
Marisa Maltz

The aim of this study was to assess the prevalence, extent, severity, intraoral distribution and risk indicators for erosive tooth wear (ETW) among 12-year-old schoolchildren from Montevideo, Uruguay. A population-based, cross-sectional survey was conducted using a representative sample of 1,136 12-year-old schoolchildren attending public and private schools. Parents answered questions on socioeconomic status and general health. Schoolchildren answered questions on dietary and oral hygiene habits. Two calibrated examiners recorded ETW on permanent teeth according to the Basic Erosive Wear Examination (BEWE) score system. Logistic regression models were performed to assess the association between the predictor variables and the prevalence of ETW (overall and severe ETW). Odds ratios (OR) and the respective 95% confidence intervals (CI) were estimated. The prevalence of ETW was 52.9%, being mild erosion (BEWE = 1) in the vast majority of cases (48.5%). Severe erosion (BEWE ≥2) was detected in 4.4% of schoolchildren. The overall prevalence of ETW differed significantly between categories of gender and socioeconomic status, but only between gender in the severe ETW analysis. The overall extent of ETW was significantly different between categories of gender, socioeconomic status, and swish before swallow. The extent of severe ETW differed between categories of swish before swallow and brushing frequency. In the logistic regression analysis, no association was found between the studied variables and the overall prevalence of ETW. Males were more likely to have severe ETW than females (OR = 3.22, 95% CI = 1.50-6.89). ETW may be considered a public health problem among 12-year-old-Uruguayan schoolchildren.

2021 ◽  
Author(s):  
Débora Nunes de Oliveira Racki ◽  
Letícia Donato Comim ◽  
Ângela Dalla Nora ◽  
Julio Eduardo do Amaral Zenkner ◽  
Luana Severo Alves

2014 ◽  
Vol 17 (4) ◽  
pp. 989-1000 ◽  
Author(s):  
Patricia Merly Martinelli ◽  
Creso Machado Lopes ◽  
Pascoal Torres Muniz ◽  
Orivado Florencio de Souza

OBJECTIVE: To analyze the associations between smoking and socioeconomic status, and to analyze the profile of smokers in the city of Rio Branco, Acre. METHODS: A population-based cross-sectional study conducted with 1,512 adults living in urban and rural areas. Information about demographic aspects, socioeconomic status and smoking habits were collected through home interviews. Crude and adjusted prevalence ratios with their respective 95% confidence intervals were calculated by Poisson regression. RESULTS: The overall prevalence of smoking was of 19.9%. Males had a higher prevalence (22.7%) in contrast to females (17.6%). By age, a higher prevalence was observed at 50 - 59 years in males (30.9%) and at 40 - 49 years in females (23.8%). A linear trend was observed between the higher prevalence of smoking and the lower amount of years of education and income (p < 0.05). The profile of smokers indicated that the majority, in both genders, began smoking at age 15, smoked between 1 and 10 cigarettes per day, lit the first cigarette of the day 60 minutes after waking up and had tried to quit smoking at least twice. CONCLUSION: The high prevalence of smoking is a relevant public health problem in Rio Branco. Community actions must be implemented for the prevention and control of tobacco use.


2021 ◽  
Vol 15 (8) ◽  
pp. 2067-2069
Author(s):  
Fareed Ahmad ◽  
Ali Anwaar ◽  
Bilal Abdul Qayum Mirza ◽  
Mustafa Qadeer ◽  
Muhammad Afzal ◽  
...  

Background: The fluoride drug is mentioned as a double-edged weapon due to its positive and negative outcomes. Reducing dental caries in large population, cost effective and excess fluoride in teeth or body may lead to systemic diseases and even death. Dental erosion affects the hard tissues of the teeth rendering them vulnerable to decay. Methods & Materials: A school based descriptive cross-sectional survey. Purposive sampling was performed. All examiners were calibrated and trained for the criteria to identify dental fluorosis and dental erosion. The World Health Organisation Oral Health Assessment form 2013 was used to fill and measure dental fluorosis and erosive tooth wear. For Univariate analysis, mean, frequencies of both genders (dental erosion and Fluorosis) while Chi square was calculated and for bivariate analysis. Results: 22.7 % students were found to have fluorosis (ranging from questionable level to severe). Male students (primarily teenagers) had more enamel erosion as compared to the female’s ones. Conclusion: The higher levels of fluoride in water may make children and adults more susceptible to erosive tooth wear. Consuming excess fluoridated water may turn the mild fluorosis cases into moderate or severe ones. Keywords: Fluorosis, Erosive Tooth Wear, Gender, Fluoride


2018 ◽  
Vol 9 (3) ◽  
pp. 95 ◽  
Author(s):  
Mirfat Mohamed Labib El-Kashif ◽  
Sheren Ebrahim El-tahry

Background and objective: Sexual dysfunction is a significant public health problem that is more common among women than in men. The women sexual dysfunction and the factors influencing it have not yet been fully investigated. Aim: The present study aimed to evaluate sexual dysfunction and its associated factors among women in childbearing age, Egypt.Methods: A population-based cross-sectional survey involving 780 non-pregnant sexual active females aged 15-51 years old who were recruited into the study by random sampling. The study population was selected from health facilities which affiliated to the ministry of health in Damietta Governorate. Interview tools used to collect data related to female and male partner.Results: A total of 780 women in childbearing age were enrolled. More than half of the studied women have sexual dysfunction versus 46.9% without sexual function. 22.3% of sexual dysfunction women have mild dysfunction, 18.5% of them have moderate dysfunction, and 12.3% have severe dysfunction. Desire disorder was the most common sexual disorder among participants (67.3%), followed by arousal disorder (55.8%). There was a statistically significant correlation between female sexual dysfunction and husband's age, educational level and husbands suffer from depression, heavy smokers and hypnotic drugs used. Female sexual dysfunction was found among older age, low educated and non-workers females, as well as women, suffer chronic disease, genital inflammation, and stress.Conclusions: Sexual dysfunction is prevalent among women, so further study based on a comprehensive survey is necessarily needed.


2016 ◽  
Vol 17 (05) ◽  
pp. 514-523
Author(s):  
Anamitra Barik ◽  
Rajesh Kumar Rai ◽  
Abhijit Chowdhury

AimTo measure the prevalence of self-reported morbidity and its associated factors among adults (aged ⩾15 years) in a select rural Indian population.BackgroundSelf-reporting of smoking has been validated as population-based surveys using self-reported data provide reasonably consistent estimates of smoking prevalence, and are generally considered to be sufficiently accurate for tracking the general pattern of morbidity associated with tobacco use in populations. However, to gauge the true disease burden using self-reported morbidity data requires cautious interpretation.MethodsDuring 2010–2011, a cross-sectional survey was conducted under the banner of the Health and Demographic Surveillance System, Birbhum, an initiative of the Department of Health and Family Welfare, Government of West Bengal, India. With over 93.6% response rate from the population living in 12 300 households, this study uses the responses from 16 354 individuals: 8012 smokers, and 8333 smokeless tobacco users. Smokers and smokeless tobacco users were asked whether they have developed any morbidity symptoms due to smoking, or smokeless tobacco use. Bivariate, as well as multivariate logistic regression analyses were deployed to attain the study objective.FindingsOver 20% of smokers and over 9% of smokeless tobacco users reported any morbidity. Odds ratio (OR) with 95% confidence interval (CI) estimated using logistic regression shows that women are less likely to report any morbidity attributable to smoking (OR: 0.69; CI: 0.54–0.87), and more likely to report any morbidity due to smokeless tobacco use (OR: 1.68; CI: 1.36–2.09). Non-Hindus have higher odds, whereas the wealthiest respondents have lower odds of reporting any morbidity. With a culturally appropriate intervention to change behaviour, youth (both men and women) could be targeted with comprehensive tobacco cessation assistance programmes. A focussed intervention could be designed for unprocessed tobacco users to curb hazardous effects of tobacco use.


2018 ◽  
Vol 52 (1-2) ◽  
pp. 119-128 ◽  
Author(s):  
Francisca Marro ◽  
Wolfgang Jacquet ◽  
Peter Bottenberg ◽  
Luc Martens

Although Belgium has recently been ranked as the second highest consumer of soft drinks in Europe, no data on erosive tooth wear (ETW) are currently available. Therefore, the aim of this cross-sectional study was to determine the prevalence and associated risk indicators of ETW in adolescents residing in the region of Flanders, Belgium. Convenience sampling was used to recruit participants from different types of Belgian schools: general and vocational/technical education. Three calibrated dentists performed the dental examinations and a self-reported questionnaire was applied to evaluate risk indicators related with ETW. ETW was classified using the Basic Erosive Wear Examination (BEWE) index, and the overall prevalence was calculated using BEWE sum >0. The Kruskal-Wallis test, the Mann-Whitney U test, and logistic regression analysis were performed to evaluate frequencies and risk associations. From a total of 613 recruited adolescents (mean age: 15.1 years, SD: 0.8), 48.6% presented at least one affected tooth surface by ETW (BEWE sum >0), 14.4% (n = 88) scored BEWE sum >2, and the highest score obtained was BEWE sum = 8. Two predictive variables were found to have an association with ETW: vocational/technical type of education (OR: 1.49; 95% CI: 1.03-2.13) and frequent consumption of soft drinks (OR: 2.08; 95% CI: 1.38-3.14). In conclusion, ETW is a common condition presented with low severity among Flemish adolescents. Additionally, the frequent consumption of soft drinks and being part of a vocational/technical education appear to be risk indicators for ETW in this population. The latter indicates the need for specific orientated oral health promotion programmes for the prevention of ETW in Flemish adolescents.


Author(s):  
Robert Butcher ◽  
Junely Tagabasoe ◽  
Joseph Manemaka ◽  
Annie Bong ◽  
Mackline Garae ◽  
...  

Abstract Background In the Solomon Islands and Vanuatu, the sign trachomatous inflammation—follicular (TF) is common, but ocular infection with Chlamydia trachomatis is not. It is therefore debatable whether azithromycin mass drug administration (MDA), the recommended antibiotic treatment strategy for trachoma’s elimination as a public health problem, is necessary in this setting. We set out to estimate what proportion of adolescents were at risk of progression of trachomatous scarring. Methods A cross-sectional survey was undertaken of all children aged 10–14 years resident in communities identified as high-TF clusters during previous population-based mapping. Graders examined children for clinical evidence of trachomatous scarring, pannus and Herbert’s pits (HPs) or limbal follilcles in both eyes. A dried blood spot was collected from each child and tested for antibodies to C. trachomatis. Results A total of 492 children in 24 villages of the Solomon Islands and Vanuatu were examined. 35/492 (7%) of children had limbal signs (pannus and/or HPs) plus any conjunctival scarring. 9/492 (2%) had limbal signs and moderate or severe conjunctival scarring. 22% of children were anti-Pgp3 seropositve. Conclusions Few adolescents here are at risk of future complications from trachoma, supporting the conclusion that further antibiotic MDA is not currently required for trachoma elimination purposes in these settings.


2015 ◽  
Vol 1 (1) ◽  
pp. 39-48 ◽  
Author(s):  
Kencho Wangmo

Introduction: Domestic violence is a public health problem all over the world, yet its prevalence is under-reported in a pervasive “culture of silence”. Bhutan is not likely to be an exception; however, data on the prevalence, forms and determinants of domestic violence are scant. The purpose of this study is to measure the prevalence and characterize factors associated with domestic violence among women in Thimphu, Bhutan’s capital. Methods: A population-based, household cross-sectional survey was conducted in January-May, 2012. A multistage sampling method was used to obtain a representative sample of 300 married women. The chi-square test was used to identify factors associated with increased likelihood of experiencing the four forms of domestic violence. Results: The overall prevalence of any domestic violence was 44%. By type of violence, the most common was emotional (36%), followed by control (30%), physical (20%) and sexual (14%). Sexual violence was reported more often by young adolescent women. Women from urban areas reported more emotional violence compared to women from rural areas. Women agreed with many situations in which force might be used by their husbands and with many of the traditional roles of women in society. Nonetheless, many women objected to the use of force in many situations and rejected certain constraining roles of women. Conclusions: This study supports the importance of advocacy for education and programs to prevent and mitigate harm from domestic abuse experienced by women in Bhutan.


2013 ◽  
Vol 9 (2) ◽  
Author(s):  
Savita Solanki ◽  
Ishita Gupta ◽  
Sumanth Prasad ◽  
Chinmaya B. R. R.

Introduction: Tooth wear is an ever increasing problem. However, literature on tooth wear prevalence is scarce. Therefore, the aim of the present study was to assess the prevalence and severity of tooth wear among 12 to 15 year old children of private schools of Farukhnagar block (Gurgaon) Haryana. Material and Methods: 973 school children in the age group of 12 to 15 year from the Gurgaon district were included in the study. All permanent teeth were examined by two trained calibrated examiners using CPITN probes in four surfaces, namely cervical (C), buccal (B), occlusal (O) or incisal (I) and palatal (P) or lingual (L) surface using Tooth Wear Index (TWI) . SPSS 19 was used for descriptive statistics and chi-square test. Results: A total of 26,230 teeth were examined. Overall prevalence of tooth wear was 29.7%. Most frequently af¬fected teeth were the Incisors (15.4%), followed by the Molars (7.4%). Incisal/occlusal surface was the most commonly affected surface. All the tooth wear lesions observed were mostly confined to the enamel (76.4%). Boys had statistically significant higher tooth wear prevalence (16.2%) compared to girls (13.5%). Dental fluorosis determined higher tooth wear prevalence (61.5%). Conclusion: There is high prevalence of tooth wear among school children, and boys have more tooth wear compared to girls. Dental fluorosis is associated with high risk for tooth wear. Thus tooth wear poses a significant public health problem, and steps should be taken for early diagnosis, prevention and management.


2015 ◽  
Vol 13 (1) ◽  
pp. 3-7 ◽  
Author(s):  
R Koju ◽  
K Manandhar ◽  
A Risal ◽  
TJ Steiner ◽  
A Holen ◽  
...  

Background Hypertension (HTN), a major risk factor for cardiovascular diseases (CVDs), is a substantial global public health problem. Occasional studies indicate a high prevalence of HTN in the Nepalese population, but no nationwide population-based data exist so far. We opportunistically used a survey of major disorders of the brain in Nepal to measure blood pressure (BP) in participants selected randomly from the adult general population.Objective To establish the prevalence of elevated BP (eBP), and factors associated with it, regardless of any antihypertensive therapy being taken. We took this to be indicative of unmet health-care need.Method This was a cross-sectional study, conducted by unannounced household visits, employing multistage random cluster sampling. To achieve representativeness, 15 districts out of 75 in the country were investigated: one district from each of the three physiographic divisions in each of the five development regions of Nepal. One adult aged 18-65 years was selected from each household and interviewed by structured questionnaire. BP was recorded in a standardised manner by digital device (Microlife 3BM1-3®).Result From 2,109 eligible households, 2,100 adults (99.6%) participated. The prevalence of eBP (>140/90 mmHg on ?2 readings) was found to be 15.1%. Multivariate logistic regression showed significant and independent associations with demographic variables (higher age, male gender), with life-style factors (daily alcohol consumption, BMI ?25), and with living at high altitude (?2000 m).Conclusion In the context of the survey we could not collect data on antihypertensive therapy being taken but, clearly, whatever this might have been, it was failing to meet treatment needs. Almost one in six adults met criteria for hypertension, carrying risk implications for CVDs and their substantial public-health consequences. Two remediable associated factors were identified, although in a cross-sectional survey we could not prove causation.Kathmandu University Medical Journal Vol.13(1) 2015; 3-7


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