Levantamento de índices odontológicos e sociodemográficos de profissionais do sexo da cidade de Macapá/AP

Abstract

The sexual practice is performed in multiple forms, among them are oral sex, often used in sexual relations. This practice is considered less risky in relation to the transmission of diseases when compared to other forms of sex, but can lead to sexually transmitted infections (STIs), such as Human Immunodeficiency Virus (HIV) and syphilis, especially in the presence of oral cavity, genitalia and / or anus. Among prostitutes, IST is an occupational hazard, since oral sexual practice is one of the activities inherent in the trade. In order to know the odontological and sociodemographic profile of individuals who practice prostitution in the city of Macapá / AP, the Research Project "Smiles of the Night" is characterized as an interdisciplinary action research that besides promoting the continued odontological treatment of professionals from the city of Macapá - Amapá, also aims to study several aspects related to these professionals. The present study was to make a quantitative descriptive cut of the results of sociodemographic data and the initial clinical dental evaluation of those professionals attended by the mentioned project. The study included 45 sex workers, over 18 years of age, of both sexes and using oral sex as a work tool. As instruments of data collection and recording, dental records, quantitative qualitative questionnaire and periodontal record sheets were used. Age, Income and Schooling variables were evaluated in relation to the odontological index of Sloman and gingival indices of bleeding (GBI) and oral hygiene simplified (OHSI), as well as the community periodontal index (CPI). As a result, 78% of the participants were female and 22% were male, 66.6% were under 30 years of age and 62% had individual income below a minimum wage. The Community Sloman index was a score of 9 with a need for high odontological intervention, considering the index of decayed and exodontic elements indicated to comprise 59.5% of the affected individuals. As to the periodontal indices, 66% of the dental surfaces surveyed had bacterial plaque and 49% of the sextants had bleeding, dental calculus or periodontal pocket, pointing to a high risk of infectivity. In the correlation between the sociodemographic variables and the Sloman index, Age correlated positively with Caries and Obturated teeth and the variable Income had positive correlation with Lost teeth. Regarding the GBI in relation to age and income, the correlation was positive, already related to schooling, and it was inversely proportional. The OHSI, presented negative correlation and inversely proportional between Schooling and Excluded tooth. No significant correlation was found with sociodemographic variables and CPI. The sociodemographic indexes showed that the respondents showed a predominantly young, heterosexual profile, with a monthly income below a minimum wage and a schooling level of elementary school to a full average and that they do not have other sources of income if not prostitution. Regarding odontological findings, there was a significant deficit regarding oral hygiene care and a significant presence of gingival bleeding; dental need considered to be very high and absence of clinically detectable evidence of sexually transmitted infections in the oral cavity. Dental intercurrences are possibly related to socio-educational factors rather than financial factors, which demonstrates the need to implement preventive work on the reinforcement of correct hygiene habits, as well as collective health strategies aimed at preventive and preventive work. hygiene dressings of sex workers