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Prevalence of dental caries and associated factors in children from a quilombola territory: an intersectional analysis.

Title: Prevalence of dental caries and associated factors in children from a quilombola territory: an intersectional analysis.
Authors: Raymundo MLB; Postgraduate Program in Dentistry, Federal University of Paraíba (UFPB), João Pessoa, Paraíba, Brazil. marialetciabarbosa@gmail.com.; de Araújo ECF; Postgraduate Program in Dentistry, Federal University of Paraíba (UFPB), João Pessoa, Paraíba, Brazil.; da Silva RO; Postgraduate Program in Dentistry, Federal University of Paraíba (UFPB), João Pessoa, Paraíba, Brazil.; Neto ACL; Graduate Program in Dentistry, Federal University of Paraíba (UFPB), João Pessoa, Paraíba, Brazil.; de Menezes LXB; Graduate Program in Dentistry, Federal University of Paraíba (UFPB), João Pessoa, Paraíba, Brazil.; de Lucena EHG; Department of Clinical and Social Dentistry, Federal University of Paraíba (UFPB), João Pessoa, Paraíba, Brazil.; Bomfim RA; Department of Community Dentistry, Federal University of Mato Grosso do Sul (UFMS), Campo Grande, Brazil.; Cavalcanti YW; Department of Clinical and Social Dentistry, Federal University of Paraíba (UFPB), João Pessoa, Paraíba, Brazil.
Source: BMC public health [BMC Public Health] 2025 Oct 09; Vol. 25 (1), pp. 3453. Date of Electronic Publication: 2025 Oct 09.
Publication Type: Journal Article; Observational Study
Language: English
Journal Info: Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE
Imprint Name(s): Original Publication: London : BioMed Central, [2001-
MeSH Terms: Dental Caries*/epidemiology ; Oral Health*; Brazil ; Ethnicity ; Humans ; Child ; Prevalence ; Health Inequities ; Intersectional Framework ; Cross-Sectional Studies ; Social Determinants of Health ; Vulnerable Populations ; Child, Preschool ; Male ; Female ; Socioeconomic Factors
Abstract: Background: Quilombolas are ethnic-racial groups with black ancestry and territorial ties to quilombo remnants. In 2023, the IBGE identified 494 Quilombola Territories in Brazil, housing about 1.3 million people (0.65% of the population). Historically marginalized, especially in health rights, Social Markers of Difference, such as race, class, and sex, impact the quality of life of Quilombolas. Social determinants like income and education contribute to health inequalities, particularly in oral health. Intersectionality helps analyze how different social markers interact. This study uses intersectionality to examine the oral health of children in a Quilombola community in northeastern Brazil, highlighting complex influencing factors.; Methods: A cross-sectional, population-based epidemiological survey was carried out in a quilombola territory in the municipality of João Pessoa-PB, with children aged 5 to 8 years. The dmfs index (decayed, missing due to caries and filled primary teeth) and DMFS (decayed, missing due to caries and filled permanent teeth), and the pufa/PUFA index (consequence of untreated caries) were used. Three multilevel regression models were obtained, where the dependent variables were: dental caries experience, untreated dental caries, and PUFA index. Variables with p 
Competing Interests: Declarations. Ethics approval and consent to participate: The Research Ethics Committee of the Federal University of Paraíba certifies that the project “Epidemiological Survey on Oral Health in the Quilombola Community”, CAAE number 64220922.0.0000.5188, by Maria Letícia Barbosa Raymundo, meets the recommendations of the National Health Council – Ministry of Health of Brazil for research on human beings and, therefore, was approved by this committee on December 9, 2022. Consent for publication: Not applicable. Competing interests: The authors declare that they have no competing interests.
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Grant Information: 001 Coordenação de Aperfeiçoamento de Pessoal de Nível Superior; 406840/2022-9 Conselho Nacional de Desenvolvimento Científico e Tecnológico
Contributed Indexing: Keywords: DMF index.; Disparities in health status; Intersectional Framework; Oral Health Surveys; Quilombolas
Entry Date(s): Date Created: 20251010 Date Completed: 20260209 Latest Revision: 20260209
Update Code: 20260210
PubMed Central ID: PMC12512498
DOI: 10.1186/s12889-025-24786-7
PMID: 41068785
Database: MEDLINE

Journal Article; Observational Study