Abstract
Te diversity approach in health focuses on recognizing and paying special attention to the different interests, demands, needs and health-disease processes specifc to certain people. Ethnic-racial considerations in these cases become fundamental. In Uruguay, census data show that 8.1% of the population (approximately 255,000 people) consider themselves Afrodescendants, which makes them the main ethnic-racial minority of the country. To date, there are no surveys on the periodontal condition of Afrodescendant population in our country. Objective: to evaluate the oral and periodontal status of patients through health-disease process indicators. Materials and methods: descriptive, cross-sectional study of the Afro Uruguayan population. Inclusion criteria: age range from 15 to 35, living in Montevideo. Exclusion criteria: pregnancy, having received periodontal treatment or treatment with antibiotics in the last 6 months. The size of each population sample with or without African origin was of 40 individuals each, half men, half women. Te Rediente Clinical History was used, the periodontal parameters were recorded using a periodontal probe calibrated by millimeter, and six sites per tooth were examined in a full mouth. Results: the
group of Afrodescendants have one less tooth, on average, than non-Afrodescendants, especially the frst mandibular molars. Tey also show higher prevalence, depth and severity of attachment loss compared to the control group. No statistically signifcant differences were found in probing depth between the two groups. Conclusions: Afrodescendants became part of the popular sectors of society, which makes them more vulnerable. In the age range considered (15-35), Afrodescendants have higher prevalence, extension and severity of clinical attachment loss than non-Afrodescendants. No statistically signifcant differences were found in the considered age range regarding probing depth in the populations examined.
References
2. Cabella W, Nathan M, Tenenbaum M. Atlas Socio Demográfco y de la Desigualdad del Uruguay. La población afro-uruguaya en el Censo 2011. 2011.
3. Bucheli M, Cabella W. Perfl demográfco y socioeconómico de la población uruguaya según su ascendencia racial. Encuesta Nacional de Hogares Ampliada. 2006.
4. Organización de los Estados Americanos. Comisión Interamericana de Derechos Humanos. La situación de las personas afrodescendientes en las Américas. OEA/Ser.L/V/II.Doc.62. 5 diciembre 2011. Disponible en línea: http://www.acnur.org/t3/fileadmin/Documentos/BDL/2012/8311.pdf
5. Uruguay. Instituto Nacional de Estadística. Scuro Somma L (coord.). Población Afrodescendiente y Desigualdades étnico-raciales en Uruguay. PNUD: 2008. Disponible en: htp://www.ine.gub.uy/documents/10181/35456/Afrodescendientes.pdf/799de886-e409-45db-868d-d4bd5ff4egza
6. Rotemberg E, Almaráz MT, Ferreira B, Acosta N, López A, Muñóz M, Urioste A. Estudio sobre salud bucal en afrodescendientes en Montevideo. Revista IT 2017; 5(5): 41-54.
7. Uruguay. Instituto Nacional de las Mujeres Inmujeres. La población afrodescendiente de Uruguay desde una perspectiva de género. [Internet]. 2010. Available from: http://www.inmujeres.gub.uy/innovaportal/file/18350/1/cuadernos.pdf
8. Calvo J. Atlas Sociodemográfco y de la desigualdad del Uruguay. [Internet]. Trilce; 2011. Available from: http://www.trilce.com.uy/pdf/Atlas-NBI.pdf
9. Uruguay. Ministerio de Desarrollo Social. Afrodescendientes y derecho a la salud. Montevideo:Ministerio de Desarrollo Social, 2015.
10. Tielsch JM, Sommer A, Katz J, Royall RM, Quigley HA, Javitt J. Racial variations in the prevalence of primary open-angle glaucoma.
Te Baltimore Eye Survey. JAMA. 1991 Jul 17; 266(3):369–74.
11. Budenz DL, Barton K, Whiteside-de Vos J, Schiffman J, Bandi J, Nolan W, et al. Prevalence of glaucoma in an urban West African population: the Tema Eye Survey. JAMA Ophthalmol. 2013 May; 131(5):651–8.
12. Rosero M, Bermúdez A. Análisis de hemoglobinopatías es regiones afrocolombianas usando muestras de sangre seca de cordón umbilical. Acta Médica Colomb. 2012;37(3):118–24.
13. Castilo M, Oliveras A. Caracterización de alteraciones en la molécula de hemoglobina en afrodescendientes colombianos. NOVA 2014; 21(12):151–6.
14. Uruguay. Ministerio de Desarrollo Social. Informe sobre relevamiento étnico-racial en el Barrio Palermo. [Internet]. 2015. Available from: http://www.inmujeres.gub.uy/innovaportal/fle/55619/1/informe-relevamiento-etnico-racial.pdf
15. Baena Diez J. Prevalencia de hipertensión: raza y nivel educacional. Rev Cubana Cardiol Cir Cardiovasc 1998; 2(12):62–5.
16. López-Jaramillo P. Consenso Latinoamericano de hipertensión en pacientes con diabetes tipo 2 y síndrome metabólico. Acta Med Colomb. 2013; 38(3).
17. Löe H, Brown LJ. Early onset periodontitis in the United States of America. J Periodontol. 1991 Oct; 62(10):608–16.
18. Albandar JM, Brown LJ, Genco RJ, Löe H. Clinical classifcation of periodontitis in adolescents and young adults. J Periodontol. 1997 Jun; 68(6):545–55.
19. Jenkins WM, Papapanou PN. Epidemiology of periodontal disease in children and adolescents. Periodontol 2000. 2001; 26:16–32.
20. Albandar JM, Tinoco EMB. Global epidemiology of periodontal diseases in children and young persons. Periodontol 2000. 2002; 29:153–76.
21. Peres MA, Antunes JLF, Boing AF, Peres KG, Bastos JLD. Skin colour is associated with periodontal disease in Brazilian adults: a population-based oral health survey. J Clin Periodontol. 2007 Mar; 34(3):196–201.
22. Bastos JL, Boing AF, Peres KG, Antunes JLF, Peres MA. Periodontal outcomes and social, racial and gender inequalities in Brazil: a systematic review of the literature between 1999 and 2008. Cad Saude Pública. 2011; 27 Suppl 2:S141-153.
23. Lorenzo S, Álvarez R, Blanco S, Peres M. Primer Relevamiento Nacional de Salud Bucal en población joven y adulta uruguaya 2010-2011. Aspectos metodológicos. Odontoestomatología. 2013; 15:8-25.
24. Morales A, Carvajal P, Romanelli H, Gómez M, Loha C, Esper M, et al. Prevalence and predictors for clinical attachment loss in adolescents in Latin America: cross-sectional study. J Clin Periodontol. 2015; 42(10):900–7.
25. Haubek D, Ennibi OK, Poulsen K, Poulsen S, Benzarti N, Kilian M. Early-onset periodontitis in Morocco is associated with the highly leukotoxic clone of Actinobacillus actinomycetemcomitans. J Dent Res. 2001 Jun; 80(6):1580–3.
26. Åberg CH, Kwamin F, Claesson R, Johansson A, Haubek D. Presence of JP2 and Non-JP2 Genotypes of Aggregatibacter actinomycetemcomitans and attachment loss in adolescents in Ghana. J Periodontol. 2012 Dec; 83(12):1520–8.
27. Jensen AB, Ennibi OK, Ismaili Z, Poulsen K, Haubek D. Te JP2 genotype of Aggregatibacter actinomycetemcomitans and marginal periodontitis in the mixed dentition. J Clin Periodontol. 2016 Jan; 43(1):19–25.
28. Trevilatto PC, de Souza Pardo AP, Scarel-Caminaga RM, de Brito RB, Alvim-Pereira F, Alvim-Pereira CC, et al. Association of IL1 gene polymorphisms with chronic periodontitis in Brazilians. Arch Oral Biol. 2011 Jan; 56(1):54–62.
29. Simini F, Salveraglio I, Redin A, Piovesan S, Ressi S, Amorin C, et al. REDIENTE: historia clínica odontológica ubicua con indicadores de calidad de servicios y evaluación epidemiológica [Internet]. 2013. Available from: http://www.nib.fmed.edu.uy/sitio_nib/publicaciones/CAIS-REDIENTE-2013-julio2013.pdf
30. Page R, Eke P. Case defnitions for use in population-based surveillance of periodontitis. J Periodontol. 2007; 78:1387-1399.
31. Susin C, Haas AN, Oppermann RV, Haugejorden O, Albandar JM. Gingival recession: epidemiology and risk indicators in a representative urban Brazilian population. J Periodontol. 2004; 75:1377-1386.
32. World Health Organization. Oral Health surveys Basic Methods. 2013.
33. Landis JR, Koch GG. Te measurement of observer agreement for categorical data. Biometrics. 1977; 33:159-174.
34. Holtfreter B, Albandar J, Dietrich T, Dye B, Eaton K, Eke P, et al. Standards for reporting chronic periodontitis prevalence and severity in epidemiologic studies: Proposed standards from the Joint EU/USA Periodontal Epidemiolo-76 Enrique Rotemberg, Claudia Capó, Alicia Batlle, Alejandro Francia, Ernesto Andrade
gy Working Group. J Clin Periodontol. 2015; 42(5): 407-12.
35. Uruguay. Instituto Nacional de Estadística. Principales resultados Encuesta Continua de Hogares. Montevideo: INE, 2014.
36. Susin C, Kingman A, Albandar JM. Effect of partial recording protocols on estimates of prevalence of periodontal disease. J Periodontol. 2005 Feb; 76(2):262–7.
37. Kim JK, Baker LA, Seirawan H, Crimmins EM. Prevalence of oral health problems in U.S. adults, NHANES 1999-2004: exploring differences by age, education, and race/ethnicity. Spec Care Dent 2012 Dec; 32(6):234–41.
38. Vettore MV, de Amorim Marques R, Peres M. Desigualdades sociais e doença periodontal no estudo SBBrasil 2010: abordagem multinível. Rev Saúde Pública. 2013; 47 (suppl.3).
39. Lorenzo S. y col. Primer Relevamiento Nacional de Salud Bucal en población joven y adulta uruguaya. Aspectos metodológicos. Odontoestomatología 2013; 15 (nºspe): 8-25.
40. Borrell LN, Talih M. Examining periodontal disease disparities among U.S. adults 20 years of age and older: NHANES III (1988-1994) and NHANES 1999-2004. Public Health Rep. 2012 Sept-Oct; 127(5): 497-506.