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Open Access Research article

A geographical population analysis of dental trauma in school-children aged 12 and 15 in the city of Curitiba-Brazil

Max L Carvalho1*, Samuel J Moysés1, Roberto E Bueno1, Silvia Shimakura2 and Simone T Moysés1

Author Affiliations

1 Pontifical Catholic University of Paraná, Oral Health Postgraduate Programme - Subject Area: Collective Health, Curitiba, PR, Brazil

2 Polytechnic Centre, Department of Statistics, Federal University of Paraná, Curitiba, PR, Brazil

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BMC Health Services Research 2010, 10:203  doi:10.1186/1472-6963-10-203

Published: 13 July 2010

Abstract

Background

The study presents a geographical analysis of dental trauma in a population of 12 and 15 year-old school-children, in the city of Curitiba, Brazil (n = 1581), using a database obtained in the period 2005-2006. The main focus is to analyze dental trauma using a geographic information system as a tool for integrating social, environmental and epidemiological data.

Methods

Geostatistical analysis of the database and thematic maps were generated showing the distribution of dental trauma cases according to Curitiba's Health Districts and other variables of interest. Dental trauma spatial variation was assessed using a generalized additive model in order to identify and control the individual risk-factors and thus determine whether spatial variation is constant or not throughout the Health Districts and the place of residence of individuals. In addition, an analysis was made of the coverage of dental trauma cases taking the spatial distribution of Curitiba's primary healthcare centres.

Results

The overall prevalence of dental trauma was 37.1%, with 53.1% in males and 46.7% in females. The spatial analysis confirms the hypothesis that there is significant variation in the occurrence of dental trauma, considering the place of residence in the population studied (Monte Carlo test, p = 0,006). Furthermore, 28.7% of cases had no coverage by the primary healthcare centres.

Conclusions

The effect of the place of residence was highly significant in relation to the response variable. The delimitation of areas, as a basis for case density, enables the qualification of geographical territories where actions can be planned based on priority criteria. Promotion, control and rehabilitation actions, applied in regions of higher prevalence of dental trauma, can be more effective and efficient, thus providing healthcare refinement.