Caries, gender and socio-economic change in the Xavante Indians from Central Brazil

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open access
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Article
Date
2009
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Society for the Study of Human Biology
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Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Rio de Janeiro, RJ, Brasil
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Rio de Janeiro, RJ, Brasil
Universidade de São Paulo. Faculdade de Saúde Pública, São Paulo, SP, Brasil
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Rio de Janeiro, RJ, Brasil
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Abstract
Abstract
BACKGROUND: The oral health conditions of indigenous peoples in Amazonia are closely associated with ecological and dietary changes related to interaction with non-Indians. AIM: The study investigated the incidence of caries in an indigenous community from Central Brazil focusing on gender differences. SUBJECTS AND METHODS: The research was conducted among the Xavante Indians and was based on longitudinal data collected in two surveys (1999 and 2004). The study included 128 individuals, 63 (49.2%) males and 65 (50.8%) females, divided in four age brackets (6-12, 13-19, 20-34, 35-60 years of age). The DMFT (decayed, missing and filled teeth) index and incidences (difference between 1999 and 2004) were calculated for each individual. The proportion of incidence was also calculated. Differences in caries risk between gender and age brackets were compared by parametric and non-parametric tests. RESULTS: There were statistically significant differences in relation to caries incidence between age brackets and gender. The greatest incidence was observed in the 20-34 age bracket, which presented 3.30 new decayed teeth, twice the risk of the 6-12 age bracket (p<0.01), chosen as reference. While females in most age groups did not show higher risk for caries when compared to males, there was a 4.04-fold risk in the 20-34 age bracket (p<0.01). CONCLUSION: It is concluded that factors related to the social functions of each sex (gender issues) and differential access to information, health services, and education may help to understand the differences observed in the incidence of caries.
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Keywords in Portuguese
Brasil, Índios Sul-Americanos, Saúde de Populações Indígenas, Mato Grosso, Região Amazônica, Epidemiologia, Região Centro-Oeste, Cárie Dentária, Saúde Bucal, Xavante, Determinantes Sociais da Saúde, Serviços de Saúde, Estudos Epidemiológicos, Deficiências Nutricionais, Gênero e Saúde, Alimentação e Nutrição
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Brasil, Saúde de Populações Indígenas, Índios Sul-Americanos, Ecossistema Amazônico, Epidemiologia, Saúde Bucal, Determinantes Sociais da Saúde, Serviços de Saúde do Indígena, Deficiências Nutricionais, Gênero e Saúde, Alimentos, Dieta e Nutrição
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ARANTES, Rui et al. Caries, gender and socio-economic change in the Xavante Indians from Central Brazil. Annals of Human Biology, v. 36, n. 2, p. 162-175, 2009.
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1464-5033
DOI
10.1080/03014460802672844
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