Insegurança alimentar domiciliar, cárie dentária e qualidade de vida relacionada à saúde bucal em Indígenas adultos brasileiros

Soares, Gustavo Hermes; Mota, Jaqueline Montoril Sampaio; Mialhe, Fabio Luiz; Biazevic, Maria Gabriela Haye; Araújo, Maria Ercília de; Michel-Crosato, Edgard

doi:10.1590/1413-81232021264.06472019

Gustavo Hermes Soares

Faculdade de Odontologia, Universidade de São Paulo. Av. Prof. Lineu Prestes 2227, Butantã. 05508-000 São Paulo SP Brasil. gustavosoares@usp.br

https://orcid.org/0000-0001-6122-4399

Jaqueline Montoril Sampaio Mota

Faculdade de Odontologia, Universidade de São Paulo. Av. Prof. Lineu Prestes 2227, Butantã. 05508-000 São Paulo SP Brasil. gustavosoares@usp.br

https://orcid.org/0000-0003-0485-3062

Fabio Luiz Mialhe

Faculdade de Odontologia de Piracicaba, Universidade de Campinas. Piracicaba SP Brasil.

https://orcid.org/0000-0001-6465-0959

Maria Gabriela Haye Biazevic

Faculdade de Odontologia, Universidade de São Paulo. Av. Prof. Lineu Prestes 2227, Butantã. 05508-000 São Paulo SP Brasil. gustavosoares@usp.br

https://orcid.org/0000-0001-6326-5805

Maria Ercília de Araújo

Faculdade de Odontologia, Universidade de São Paulo. Av. Prof. Lineu Prestes 2227, Butantã. 05508-000 São Paulo SP Brasil. gustavosoares@usp.br

https://orcid.org/0000-0003-2689-2556

Edgard Michel-Crosato

Faculdade de Odontologia, Universidade de São Paulo. Av. Prof. Lineu Prestes 2227, Butantã. 05508-000 São Paulo SP Brasil. gustavosoares@usp.br

https://orcid.org/0000-0001-8559-9769

Collaborations

GH Soares participated in concept and design of the study, data collection, and writing the manuscript. JMS Mota participated in interpretation and relevant critical review of the manuscript’s intellectual content. FL Mialhe participated in the interpretation of data, and relevant critical review of the manuscript’s intellectual content. MGH Biazevic participated in the manuscript concept, interpretation of data, and relevant critical review of the manuscript’s intellectual content. ME Araújo participated in the interpretation of data, and relevant critical review of the manuscript’s intellectual content. E Michel-Crosato performed the fundraising, participated in the concept and design of the study, coordination and supervision of the data collection, statistical analysis, and writing and revising the manuscript.

Chief Editors: Romeu Gomes, Antônio Augusto Moura da Silva

Level	Score		Definition
Level	Families with no children	Families with children	Definition
Food security	0	0	Access to good food in adequate quantity
Mild food insecurity	1-3	1-5	Concern about possibility of lack of food; impairment of food quality
Moderate food insecurity	4-6	6-9	Experience of quantitative food restriction
Severe food insecurity	7-8	10-14	Food deprivation affects the children; presence of hunger

Status	N	%
Not Severe Food Insecure	45	42.06
Food security	5	4.67
Mild food insecurity	21	19.63
Moderate food insecurity	19	17.76
Severe Food Insecure	62	57.94

Factor	n.	%	EBIA score			Severe food insecure
Factor	n.	%	Mean	SD	p-value	PR	95%CI	p-value
Total	107	100	8,90	4,81
Village location
Redentora/Erval Seco	73	68.2	8.85	4.75		1
Tenente Portela	34	31.8	9.03	5.01	0.701^† † Mann-Whitney U Test;	0.97	0.68-1.39	0.889^¶ ¶ Poisson Regression.
Gender
Female	81	75.7	8.92	4.88		1
Male	26	24.3	8.84	4.67	0.919^† † Mann-Whitney U Test;	1.11	0.77-1.59	0.570^¶ ¶ Poisson Regression.
Age
35-39	56	52.4	8.96	4.54		1
40-44	51	47.6	8.84	5.14	0.943^† † Mann-Whitney U Test;	1.13	0.82-1.58	0.441^¶ ¶ Poisson Regression.
Schooling
≥5 years	50	46.7	7.77	4.65		1
≤4 years	57	53.3	9.95	4.77	0.007^† † Mann-Whitney U Test;	1.35	1.08-1.55	0.016^¶ ¶ Poisson Regression.
Household monthly income
≤US$147.00	46	42.9	9.76	4.56		1
≥US$148.00	42	39.5	8.17	5.19	0.184^† † Mann-Whitney U Test;	0.69	0.47-1.03	0.070^¶ ¶ Poisson Regression.
Bolsa Família
Non-beneficiary	28	26.2	6.40	4.99		1
Beneficiary	79	73.8	9.78	4.46	0.001^† † Mann-Whitney U Test;	1.60	0.98-2.62	0.060^¶ ¶ Poisson Regression.
Household size
≤5 residents	49	45.8	8.08	4.63		1
≥6 residents	58	54.2	9.58	4.89	0.041^† † Mann-Whitney U Test;	1.38	0.97-1.97	0.070^¶ ¶ Poisson Regression.
Decayed teeth
≤4	68	64.2	8.94	4.70		1
≥5	39	35.8	8.84	5.06	0.820^† † Mann-Whitney U Test;	1.05	0.76-1.48	0.740^¶ ¶ Poisson Regression.
Missing teeth
≤8	61	57.0	8.88	4.81		1
≥9	46	43.0	8.93	4.85	0.874^† † Mann-Whitney U Test;	1.13	0.81-1.56	0.470^¶ ¶ Poisson Regression.
Filled teeth
None	66	61.7	8.62	5.08		1
≥1	41	38.3	9.35	4.39	0.631^† † Mann-Whitney U Test;	0.90	0.64-1.28	0.572^¶ ¶ Poisson Regression.
DMFT index
≤14	54	50.5	8.65	4.84		1
≥15	53	49.5	9.16	4.81	0.602^† † Mann-Whitney U Test;	1.16	0.83-1.61	0.381
OHIP-14
Score (0-46)	107	100	ρ=0.311^* * Spearman's rank correlation coefficient;		0.001^‡ ‡ Spearman correlation;	1.01	1.00-1.01	0.003^¶ ¶ Poisson Regression.

Factor	EBIA score			Severe food insecure
Factor	PR_un	95%CI	p-value	PR_ad	95%CI	p-value
Village location
Redentora/Erval Seco	1			1
Tenente Portela	1.10	0.89-1.34	0.371	1.05	0.74-1.50	0.778
Gender
Female	1			1
Male	1.23	0.95-1.59	0.112	1.27	0.79-2.05	0.315
Age
35-39	1			1
40-44	0.97	0.80-1.19	0.808	1.18	0.82-1.70	0.368
Schooling
≥5 years	1			1
≤4 years	1.13	0.91-1.30	0.238	1.15	0.72 – 1.44	0.429
Household monthly income
≤ US$147.00	1			1
≥US$148.00	0.92	0.74-1.12	0.414	0.80	0.55-1.15	0.222
Bolsa Família
Non-beneficiary	1			1
Beneficiary	1.47	1.03-2.08	0.032	1.78	0.83-3.79	0.137
Houlsehold size
≤5 residents	1			1
≥6 residents	1.26	1.02-1.57	0.035	1.55	1.01-2.39	0.048
Decayed teeth
≤4	1			1
≥5	0.80	0.62-1.04	0.098	0.86	0.56-1.32	0.497
Missing teeth
≤8	1			1
≥9	1.01	0.77-1.33	0.951	1.12	0.67-1.89	0.660
Filled teeth
None	1			1
≥1	1.06	0.88-1.29	0.529	0.99	0.71-1.41	0.995
DMFT index
≤14	1			1
≥15	0.99	0.75-1.31	0.977	1.01	0.60-1.68	0.976
OHIP-14
Score (0-46)	1.02	1.01-1.03	0.000	1.02	1.01-1.04	0.004

[1] Collaborations

GH Soares participated in concept and design of the study, data collection, and writing the manuscript. JMS Mota participated in interpretation and relevant critical review of the manuscript’s intellectual content. FL Mialhe participated in the interpretation of data, and relevant critical review of the manuscript’s intellectual content. MGH Biazevic participated in the manuscript concept, interpretation of data, and relevant critical review of the manuscript’s intellectual content. ME Araújo participated in the interpretation of data, and relevant critical review of the manuscript’s intellectual content. E Michel-Crosato performed the fundraising, participated in the concept and design of the study, coordination and supervision of the data collection, statistical analysis, and writing and revising the manuscript.

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Insegurança alimentar domiciliar, cárie dentária e qualidade de vida relacionada à saúde bucal em Indígenas adultos brasileiros

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