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Social context and dental pain in adults of colombian ethnic minority groups: a multilevel cross-sectional study

Social context and dental pain in adults of colombian ethnic minority groups: a multilevel cross-sectional study Social context and dental pain in adults of colombian ethnic minority groups: a multilevel cross-sectional study
Social context and dental pain in adults of colombian ethnic minority groups: a multilevel cross-sectional study Social context and dental pain in adults of colombian ethnic minority groups: a multilevel cross-sectional study

To estimate the effect of social context on dental pain in adults of Colombian ethnic minority groups (CEGs).

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Key take away

Dental pain is a common problem associated with every strata of the population. In this study, a comparison was made between states and the ethnic groups efficiently which helped gain knowledge about the frequency of this pain.

Background

To estimate the effect of social context on dental pain in adults of Colombian ethnic minority groups (CEGs).

Method

Information from 34,843 participants was used. A multilevel model was constructed that had ethnic groups (i.e., CEGs and non-CEGs) at level 1 and Colombian states at level 2. Contextual variables included gross domestic product (GDP), Human Development Index (HDI), and Unmet Basic Needs Index (UBNI).

Result

Dental pain was observed in 12.3% of 6,440 CEGs. In an unadjusted logistic regression model, dental pain was associated with being a CEG (odds ratio [95% confidence interval], 1.34 [1.22-1.46]; P = .0001). This association remained significant after adjusting for possible confounding variables. An unconditional multilevel analysis showed that the variance in dental pain was statistically significant at the ethnic group level (β = 0.047 ± 0.015; P = .0009) and at the state level (β = 0.038 ± 0.019; P = .02) and that the variation between ethnic groups was higher than the variation between states (55% vs 45%, respectively). In a multivariate model, the variance in dental pain was also statistically significant at the ethnic group level (β = 0.029 ± 0.012; P = .007) and the state level (β = 0.042 ± .019; P = .01), but the variation between states was higher (40% vs 60%). The results of multilevel multivariate analyses showed that dental pain was associated with increasing age (β = 0.009 ± 0.001; P = .0001), lower education level (β = 0.302 ± 0.103; P = .0001), female sex (β = 0.031 ± 0.069; P = .003), GDP (β = 5.136 ± 2.009; P = .002) and HDI (β = 6.862 ± 5.550; P = .004); however, UBNI was not associated with dental pain.

Conclusion

The variance in dental pain was higher between states than between ethnic groups in the multivariate multilevel model. Dental pain in CEGs was associated with contextual and individual factors. Considering contextual factors, GDP and HDI may play a major role in dental pain prevalence.

Source:

J Oral Facial Pain Headache. 2016 Winter;30(1):21-6

Article:

Social Context and Dental Pain in Adults of Colombian Ethnic Minority Groups: A Multilevel Cross-Sectional Study

Authors:

Ardila et al.

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