Human ecological and social determinants of dental caries among the Xavante Indigenous people in Central Brazil

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dc.contributor.authorArantes, Ruipt_BR
dc.contributor.authorWelch, James R.pt_BR
dc.contributor.authorTavares, Felipe Guimarãespt_BR
dc.contributor.authorFerreira, Aline Alvespt_BR
dc.contributor.authorVettore, Mario Viannapt_BR
dc.contributor.authorCoimbra Junior, Carlos Everaldo Alvarespt_BR
dc.creator.affilliationFundação Oswaldo Cruz. Fiocruz Mato Grosso do Sul. Campo Grande, MS, Brasil.pt_BR
dc.creator.affilliationFundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil.pt_BR
dc.creator.affilliationUniversidade Federal Fluminense. Escola de Enfermagem. Niterói, RJ, Brasil.pt_BR
dc.creator.affilliationUniversidade Federal do Rio de Janeiro. Centro de Ciências da Saúde. Instituto de Nutrição Josué de Castro. Rio de Janeiro, RJ, Brasil.pt_BR
dc.creator.affilliationThe University of Sheffield. School of Clinical Dentistry. Sheffield, United Kingdom.en_US
dc.creator.affilliationFundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil.pt_BR
dc.date.accessioned2022-04-11T15:00:25Z
dc.date.available2022-04-11T15:00:25Z
dc.date.issued2018en_US
dc.description.abstractenThis community study evaluates complex interactions between macro and micro determinants of oral health in a local Indigenous population based on a theoretical framework of demographic, economic, and healthcare transformation over the last half century. The study population included all residents of eight Xavante villages in Central Brazil. Our hypothetical model posited multiple direct and indirect associations between dental caries and village groups with differentiated territorial and oral care histories, as well as household socioeconomic indicators and food acquisition patterns, individual sociodemographic characteristics, use of dental health services, and oral hygiene practices. Structural equation modelling methods were used to evaluate direct and indirect associations linking exogenous factors and dental caries. Results include 18 direct and 14 indirect statistically significant pathways between determinant variables and dental caries. Significant links with dental caries were shown for socioeconomic indicators, oral healthcare variables, household food acquisition patterns, sex, and age. These findings suggest that the oral health of Xavante residents in the villages studied is associated with determinant factors of different epidemiological and historical scales. The specific historical frame of territorial circumscription and demographic crisis followed by rapid population increase since the 1970s should be considered a cause-of-cause determinant of the economic, healthcare, and sociodemographic profile contributing to oral health among the Xavante. Considering the limitations of cross-sectional studies, our findings underline the importance for oral health determination of historical currents affecting minority ethnic groups within national societies.en_US
dc.description.sponsorshipEscola Nacional de Saúde Pública, Fundação Oswaldo Cruz, through the INOVA-ENSP program (Registration 0059)en_US
dc.identifier.citationARANTES, Rui et al. Human ecological and social determinants of dental caries among the Xavante Indigenous people in Central Brazil. PLoS ONE, v. 13, n. 12, p. 1-20, 19 Dec. 2018.en_US
dc.identifier.doi10.1371/journal.pone.0208312en_US
dc.identifier.eissn1932-6203en_US
dc.identifier.issn1932-6203en_US
dc.identifier.urihttps://repositorio.bvspovosindigenas.fiocruz.br/handle/bvs/6805
dc.language.isoengen_US
dc.publisherPublic Library of Scienceen_US
dc.rightsopen accessen_US
dc.subject.decsAtenção à Saúde
dc.subject.decsBrasilpt_BR
dc.subject.decsÍndios Sul-Americanospt_BR
dc.subject.decsSaúde de Populações Indígenaspt_BR
dc.subject.decsSaúde Bucalpt_BR
dc.subject.decsCárie Dentáriapt_BR
dc.subject.decsFluoretospt_BR
dc.subject.enOral healthen_US
dc.subject.enCariesen_US
dc.subject.enFooden_US
dc.subject.enSocioeconomic aspects of healthen_US
dc.subject.enBrazilen_US
dc.subject.enDieten_US
dc.subject.enIndigenous populationsen_US
dc.subject.enTeethen_US
dc.subject.otherAtenção à Saúde
dc.subject.otherRegião Centro-Oestept_BR
dc.subject.otherXavantept_BR
dc.subject.otherEconomia Saudávelpt_BR
dc.subject.otherFluoridespt_BR
dc.titleHuman ecological and social determinants of dental caries among the Xavante Indigenous people in Central Brazilen_US
dc.typeArticleen_US
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