Banca de DEFESA: SOPHIA QUEIROZ MARQUES DOS SANTOS

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : SOPHIA QUEIROZ MARQUES DOS SANTOS
DATE: 29/08/2024
TIME: 14:00
LOCAL: Googel meet
TITLE:

CONTRIBUIÇÕES PARA UM DIAGNÓSTICO GLOBAL DE SAÚDE BUCAL: Evidência da qualidade dos dados e relação com os modelos de Estado

KEY WORDS:

Oral Health; Dental Health Surveys; Health Planning. 

PAGES: 53
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

Introduction: Introduction: The Oral Health Country/Area Profile Project (CAPP) represents the largest global repository of oral health data, compiling information collected from 205 countries, including all 193 members of the World Health Organization (WHO). This database serves as an indispensable source of information, providing a comprehensive view of the global oral health landscape. However, it is important to discuss whether the evidence provided truly reflects the oral health situation in these countries. Additionally, it is necessary to understand the oral health scenarios that result from robust analyses and to relate them to important determinants in their context, such as the predominant welfare regime in each country.

Objective: The purpose of this study is initially to conduct an analysis of the quality of evidence underlying the global oral health profile provided by CAPP, a crucial step for the selection of studies. Subsequently, it aims to discuss the global oral health landscape in alignment with reality and in relation to predictive variables. Method: For the initial assessment of the data, the "Appraisal Tool for Cross-Sectional Studies” (AXIS) was used, adapted to extract only the methods section. The results were subjected to Item Response Theory (IRT) to establish the weighting of each item, resulting in a score, which was then related to variables of interest such as age range, year of data collection, and region of the country. All retrieved articles were evaluated for evidence quality and subsequently included in the final sample for analysis of the DMF index. Results: A clear polarization in the quality of oral health data was evident. Variables such as age range, year of data collection, and WHO region demonstrated relevance in interpreting the results. Notably, the Americas and Western Pacific regions showed the highest quality scores. In relation to the AXIS tool, dimensions assessing study design adequacy, sample representativeness relative to the target population, and the project's ability to provide a representative selection proved to be more discriminative. Of the 1,222 documents retrieved, 72 were retained for analysis of the global oral health scenario, based on previously measured evidence quality. Analysis of the DMF index for children aged 10 to 14 years revealed higher averages in North America and Europe and lower averages in Sub-Saharan Africa and the Middle East/North Africa. Social-democratic countries exhibited better oral health outcomes, with a strong correlation between Human Development Index (HDI) and oral health expenditures. The analysis confirmed significant disparities between regions and economic systems in their impact on oral health. Conclusion: The study assessed the methodological robustness and reliability of research in the CAPP global oral health database, highlighting variations in data quality and specific regional challenges. The analysis of the DMF index also revealed distinct regional patterns, suggesting the influence of political and socioeconomic factors. Political models are crucial for understanding these discrepancies.

COMMITTEE MEMBERS:
Presidente - 1149540 - ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
Interna - 3318766 - FERNANDA CUNHA SOARES
Externo à Instituição - RAFAEL DA SILVEIRA MOREIRA - Fiocruz - PE