Oral health of an indigenous population in northeastern Brazil: a cross-sectional Study of the Fulni-ô ethnic group
Keywords:
Oral health, Tobacco use disorder, Epidemiology, Indigenous peoples, Pathology, Health of indigenous peoples, Cross-sectional study, Health, public, Oral epithelial dysplasia, Oral cavityAbstract
BACKGROUND: There is a lack of studies evaluating the oral health of traditional indigenous communities in Brazil.
OBJECTIVES: Thus, the objective of this study was to describe the oral health characteristics of the indigenous Fulni-ô ethnic group in Northeast Brazil.
DESIGN AND SETTING: A cross-sectional observational investigation was conducted within the Project on Atherosclerosis among Indigenous Populations.
METHODS: This study included participants of both sexes from the Fulni-ô ethnic group. The participants included in this investigation underwent a comprehensive oral health evaluation by a registered and experienced dentist to assess oral health and identify potentially malignant oral lesions. Participants with suspicious lesions were referred for biopsy. Shapiro-Wilk, Mann-Whitney, and Student’s t-tests were used, and measures of central tendency and dispersion were described. Statistical significance was 5%.
RESULTS: A total of 104 individuals were included in this study. The prevalence of the use of tobacco derivatives was 94.0%, with similarities between sexes. The prevalence of oral changes in this study population was 84.4%. Fifty-one individuals who underwent oral reassessment were referred for oral lesion biopsy.
CONCLUSIONS: This study demonstrated a high prevalence of oral alterations in the Fulni-ô population. Histopathological analyses indicated the presence of mild oral epithelial dysplasia in five cases.
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Aquilante AG, Aciole GG. Oral health care after the National Policy on Oral Health - “Smiling Brazil”: a case study. Cien Saude Colet. 2015;20(1):239-48. PMID: 25650618; https://doi.org/10.1590/1413-81232014201.21192013.
Chaves SCL, Almeida AMFL, Rossi TRA, et al. Oral health policy in Brazil between 2003 and 2014; scenarios, proposals, actions, and outcomes. Cien Saude Colet. 2017;22(6):1791-803. PMID: 28614500; https://doi.org/10.1590/1413-81232017226.18782015.
Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Coordenação Nacional de Saúde Bucal. Diretrizes da Política Nacional de Saúde Bucal. Brasília: Ministério da Saúde; 2004. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/politica_nacional_brasil_sorridente.htm. Accessed in 2023 (Apr 17).
Amorim LP, Senna MIB, Paula JS, et al. Oral health work process: disparity between teams in Brazil, 2014. Epidemiol Serv Saude. 2021;30(1):e2019533. PMID: 33566895; https://doi.org/10.1590/S1679-49742021000100013.
Ribeiro JM, Moreira MR, Ouverney AM, Pinto LF, Silva CMFPD. Federalism and health policy in Brazil: institutional features and regional inequalities. Cien Saude Colet. 2018;23(6):1777-89. PMID: 29972486; https://doi.org/10.1590/1413-81232018236.07932018.
Lemos PN, Rodrigues DA, Frazão P, et al. Atenção à saúde bucal no Parque Indígena do Xingu, Brasil, no período de 2004-2013: um olhar a partir de indicadores de avaliação [Oral health care in the Xingu Indigenous Park, Brazil, from 2004 to 2013: an analysis based on evaluation indicators]. Cad Saude Publica. 2018;29;34(4):e00079317. PMID: 29617487; https://doi.org/10.1590/0102-311X00079317.
Kabad JF, Pontes ALM, Monteiro S. Relationships between scientific production and public policies: the case of indigenous people's health in the field of collective health. Cien Saude Colet. 2020;25(5):1653-66. PMID: 32402037; https://doi.org/10.1590/1413-81232020255.33762019.
Mendes AM, Leite MS, Langdon EJ, Grisotti M. O desafio da atenção primária na saúde indígena no Brasil [The challenge of providing primary healthcare care to indigenous peoples in Brazil. Rev Panam Salud Publica. 2018;42:e184. PMID: 31093212; https://doi.org/10.26633/RPSP.2018.184.
Teixeira CC, Garnelo L. Saúde Indígena em perspectiva: explorando suas matrizes históricas e ideológicas. Rio de Janeiro: Editora FIOCRUZ; 2014. Available from: https://portal.fiocruz.br/livro/saude-indigena-em-perspectiva-explorando-suas-matrizes-historicas-e-ideologicas. Accessed in 2023 (Apr 17).
Censo demográfico 2010. Características gerais dos indígenas. Resultados do universo. Rio de Janeiro: Instituto Brasileiro de Geografia e Estatística; 2010. Available from: https://biblioteca.ibge.gov.br/index.php/biblioteca-catalogo?id=795&view=detalhes Accessed in 2023 (Apr 17).
Fundação Nacional dos Povos Indígenas. A Funai. Available from: https://www.gov.br/funai/pt-br/acesso-a-informacao/institucional/Institucional#:~:text=Sua%20miss%C3%A3o%20institucional%20%C3%A9%20proteger,e%20fiscalizar%20as%20terras%20ind%C3%ADgenas. Accessed in 2023 (Apr 17).
Armstrong ADC, Ladeia AMT, Marques J, et al. Urbanization is associated with increased trends in cardiovascular mortality among indigenous populations: the PAI Study. Arq Bras Cardiol. 2018;110(3):240-5. PMID: 29466492; https://doi.org/10.5935/abc.20180026.
Braga PCR. Corpo, saúde e reprodução entre os índios Fulni-ô [dissertação]. Recife: Universidade Federal de Pernambuco; 2010. Available from: https://repositorio.ufpe.br/handle/123456789/31334. Accessed in 2023 (Apr 17).
Neel JV, Salzano FM, Junqueira PC, Keiter F, Maybury-Lewis D. Studies on the Xavante Indians of the Brazilian Mato Grosso. Am J Hum Genet. 1964;16(1):52-140. PMID: 14131874.
Patriota PVAM, Ladeia AMT, Marques J, et al. Ecocardiografia e análise de doenças cardiovasculares subclínicas em povos indígenas que vivem em diferentes graus de urbanização: Projeto de Aterosclerose nas Populações Indígenas (Pai). Arq Bras Cardiol: Imagem Cardiovasc. 2020;33(4):1-8. https://doi.org/10.47593/2675-312X/20203304eabc78.
El-Naggar AK, Chan JKC, Grandis JR, Takata T, Slootweg PJ. WHO Classification of Head and Neck Tumours. 4th ed. Lyon: IARC; 2017.
Ministério da Saúde. Secretaria de Atenção Primária à Saúde. Brasil Sorridente.. Brasília: Ministério da Saúde; 2004. Available from: https://aps.saude.gov.br/ape/brasilsorridente. Accessed in 2023 (Apr 17).
Brasil. Ministério da Saúde. Diretrizes para atenção à saúde bucal nos distritos sanitários especiais indígenas: manual técnico. 2a ed. Brasília: Ministério da Saúde; 2009.
Brasil. Ministério da Saúde. Componente indígena da Política Nacional de Saúde Bucal. Brasília: Ministério da Saúde; 2011.
(Brasil. Ministério da Saúde. Secretaria Especial de Saúde Indígena. Departamento de Atenção à Saúde. Coordenação-Geral de Atenção Primária à Saúde Indígena. Saúde indígena: análise da situação de saúde no SASISUS. Brasília: Ministério da Saúde; 2019.
Etchevarne C. A história da Bahia antes da colonização portuguesa. Revista Nordestina de História do Brasil. 2021;28;2(4):62-83. https://doi.org/10.17648/2596-0334-v2i4-1923%20.
Melo JDS, Freitas NO, Apostolico MR. The work of a Brazilian nursing team of collective health in the special indigenous health district. Rev Bras Enferm. 2021;74(2):e20200116. PMID: 34076213; https://doi.org/10.1590/0034-7167-2020-0116.
Wenczenovicz TJ. Saúde Indígena: reflexões contemporâneas. Cad Ibero Am Direito Sanit. 2018;7(1):63-82. https://doi.org/10.17566/ciads.v7i1.428.
Sampaio FC, Bönecker M, Paiva SM, et al. Dental caries prevalence, prospects, and challenges for Latin America and Caribbean countries: a summary and final recommendations from a Regional Consensus. Braz Oral Res. 2021;35(Suppl 01):e056. PMID: 34076080; https://doi.org/10.1590/1807-3107bor-2021.vol35.0056.
Tsang C, Sokal-Gutierrez K, Patel P, et al. Early Childhood Oral Health and Nutrition in Urban and Rural Nepal. Int J Environ Res Public Health. 2019;16(14):2456. PMID: 31295932; https://doi.org/10.3390/ijerph16142456.
Confaloniere UEC. O Sistema Único de Saúde e as populações indígenas: por uma integração diferenciada. Cad Saude Publica. 1989;5(4):441-50. https://doi.org/10.1590/S0102-311X1989000400008.
Caires NCM, Brito LCN, Vieira LQ, Ribeiro Sobrinho AP. Epidemiological analysis and need for endodontic treatment among the indigenous Sateré-Mawé and Tikuna. Braz Oral Res. 2018;32:e19. PMID: 29538481; https://doi.org/10.1590/1807-3107bor-2018.vol32.0019.
Soares GH, Mota JMS, Mialhe FL, et al. Household food insecurity, dental caries and oral-health-related quality of life in Brazilian Indigenous adults. Cien Saude Colet. 2021;26(4):1489-500. PMID: 33886776; https://doi.org/10.1590/1413-81232021264.06472019.
Miranda KCO, Souza TAC, Leal SC. Caries prevalence among Brazilian indigenous population of urban areas based on the 2010 National Oral Health Survey. Cien Saude Colet. 2018;23(4):1313-22. PMID: 29694590; https://doi.org/10.1590/1413-81232018234.18082016.
Bezerra NV, Leite KL, de Medeiros MM, et al. Impact of the anatomical location, alcoholism and smoking on the prevalence of advanced oral cancer in Brazil. Med Oral Patol Oral y Cir Bucal. 2018;23(3):e295–e301. PMID: 29680854; https://doi.org/10.4317/medoral.22318.
Lamers F. Correlação entre o índice de dependência de nicotina e lesões de mucosa oral nos índios Guarani Kaiowá/Nandeva [dissertação]. Brasília, DF: Programa de Pós-graduação em Ciências da Saúde, Universidade de Brasília; 2007. Available from: https://repositorio.unb.br/handle/10482/3155. Accessed in 2023 (Apr 17).
Babu B, Hallikeri K. Reactive lesions of oral cavity: A retrospective study of 659 cases. J Indian Soc Periodontol. 2017;21(4):258-63. PMID: 29456298; https://doi.org/10.4103/jisp.jisp_103_17.
Sabarinath B, Sivaramakrishnan M, Sivapathasundharam B. Giant cell fibroma: A clinicopathological study. J Oral Maxillofac Pathol. 2012;16(3):359-62. PMID: 23248467; https://doi.org/10.4103/0973-029X.102485.
Reibel J. Oral fibrous hyperplasias containing stellate and multinucleated cells. Scand J Dent Res1982;90(3):217-26. PMID: 6955934; https://doi.org/10.1111/j.1600-0722.1982.tb00730.x.
Pain S, Berthélémy N, Naudin C, Degrave V, André-Frei V. Understanding solar skin elastosis-cause and treatment. J Cosmet Sci. 2018;69(3):175-85. PMID: 30052192.
WHO. Tobacco. Geneva: Word Health Organization; 2019. Available from: https://www.who.int/news-room/fact-sheets/detail/tobacco. Accessed in 2023 (Apr 17).
Drope J, Schluger NW. The Tobacco Atlas. 6th ed. Atlanta, Georgia: American Cancer Society; 2018.
Centers for Disease Control and Prevention. Health Effects of Cigarette Smoking | CDC. Smoking & Tobacco Use. 2017. Available from: https://www.cdc.gov/tobacco/data_statistics/fact_sheets/health_effects/effects_cig_smoking/index.htm#:~:text=Smoking%20causes%20about%2090%25%20(or,of%20all%20lung%20cancer%20deaths.&text=More%20women%20die%20from%20lung%20cancer%20each%20year%20than%20from%20breast%20cancer.&text=Smoking%20causes%20about%2080%25%20(or,obstructive%20pulmonary%20disease%20(COPD).&text=Cigarette%20smoking%20increases%20risk%20for,causes%20in%20men%20and%20women. Accessed in 2023 (Apr 17).
Schuch LF, de Arruda JAA, Viana KSS, et al. DNA damage-related proteins in smokers and non-smokers with oral cancer. Braz Oral Res. 2022;36:e027. PMID: 35170694; https://doi.org/10.1590/1807-3107bor-2022.vol36.0027.
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