Theoretical frameworks on health promotion focusing on social determinants of oral health have highlighted promising approaches for improving the oral health of populations and reducing inequities in oral health. In the last two decades the salutogenic theory has gained ground in the field of health promotion, but not in oral health promotion. Instead of focusing on risk factors and behavior change, the theory highlights the importance of resources and the ability to use them. The model's central construct, sense of coherence (SOC), suggests explanations of the relationship between life stressors and health status. The stronger the SOC, the more successfully people will cope with stressors and thus maintain their health. This paper discusses the potential of the salutogenic theory to guide the development of actions in the five fields of oral health promotion: creating supportive environments; promoting health through public policy; strengthening community action; developing personal skills; and reorienting health services. The theory can serve as a framework for oral health promotion measures that strengthen the available resources, create better ones, and enable people to identify and benefit from them.
The COVID-19 pandemic impacted on academic routine because of the social distancing measures. This study examined the relationships of sociodemographic characteristics, social distancing aspects and psychosocial factors on psychosocial well-being among undergraduate students during the social distancing period due to COVID-19. A web-based survey was conducted of undergraduate students at a public university in Brazil (n = 620). Demographics, socioeconomic status (SES), social distancing factors, negative affectivity (DASS-21), sense of coherence (SOC-13), social support and psychosocial well-being (GHQ-12) were measured. The direct and indirect links between was variables was tested using structural equation modelling. The estimated model showed that greater social support, higher sense of coherence and lower negative affectivity were directly associated with better psychological well-being. Female gender, higher SES, not working during the social distancing period and availability of online modules were indirectly associated with psychological well-being through psychosocial factors. Working during the social distancing period and availability of online modules mediated the link of age, gender, SES with psychological well-being. Our findings suggest the need to provide psychological support, online teaching and financial aid to undergraduate students during the social distancing period due to COVID-19 pandemic to improve their psychological well-being.
Resumo Relata-se a experiência de elaboração de produções audiovisuais (PAV) no formato documentário por estudantes do curso de Odontologia da Universidade Federal Fluminense (UFF) na abordagem de conteúdo voltado às Ciências Sociais em Saúde. Adotou-se a metodologia da problematização (método do Arco de Maguerez) para abordagem dos temas. Foram elaborados projetos de documentários previamente às fases de produção e pós-produção audiovisual. A estratégia pedagógica mostrou-se adequada para trabalhar ideais como justiça social, equidade e respeito às diferenças, contribuindo para o desenvolvimento da cidadania do estudante. Apesar das dificuldades técnicas apontadas no processo de edição, essa metodologia ativa de aprendizagem estimulou o protagonismo, a criatividade e autonomia dos estudantes envolvendo dimensões cognitivas, comunicacionais, estéticas e sociais em um trabalho eminentemente colaborativo. A estratégia tem potencial para contribuir na formação de sujeitos autônomos, participativos e comprometidos com transformações sociais.
Background
Several factors can influence the oral health.
Aim
To explore the clinical factors, individual characteristics, and environmental factors (religious‐spiritual coping‐RSC, sense of coherence [SOC], and socio‐economic status) related to oral status and impact on oral health‐related quality of life (OHRQoL) of children/adolescents (C/A).
Design
This study evaluated C/A up to 15 years old and their caregivers. Number of decayed (NDT) and missing teeth (NMT); history of dental trauma; caregiver's RSC and SOC, socio‐economic factors, and OHRQoL were evaluated. Theoretical model exploring the direct and indirect effects was tested using a structural equation analysis.
Results
For younger group (0‐6 years), having more NDT or more NMT had a greater impact on the OHRQoL (β = 0.382, β = 0.203, respectively). In the oldest group (7‐15 years), a higher SOC had an inverse relationship with the impact on the family OHRQoL (β=−0.201). The higher the age of the C/A, the lower the NDT (β=−0.235), and the higher the family income the lower, the need for social benefit (β = 0.275). Indirect relationships were observed between schooling with social benefit and OHRQoL in younger group. The family income indirectly influenced the OHRQoL in oldest group.
Conclusions
Quality of life is affected directly and indirectly by environmental characteristics, oral status, and the age of patients.
Resumo O desempenho escolar é um aspecto fundamental para o futuro sucesso profissional e social. O objetivo do presente estudo foi investigar os fatores associados ao desempenho escolar dos adolescentes, incluindo o Senso de Coerência (SOC) e o estado de saúde bucal. Foram incluídos, no estudo, 381 escolares entre 15 e 18 anos de idade da cidade de Campo Grande, Mato Grosso do Sul, Brasil. O desfecho foi o desempenho escolar avaliado por meio das notas finais das disciplinas de Português e Matemática em 2013. As variáveis independentes foram dados sociodemográficos, autopercepção de saúde bucal, uso de serviços odontológicos e Senso de Coerência, obtidos por um questionário autoaplicado. Além disso, avaliou-se o número de dentes cariados, perdidos e obturados (índice de CPO-D). Análises de regressão logística foram realizadas, com base em um modelo hierárquico. A idade média dos alunos foi de 16 anos; valor médio do CPO-D 4,1 e SOC 44,5. No ajuste final, os indivíduos do sexo masculino (p = 0,0021); aqueles com o maior número de pessoas que moravam em casa (p = 0,0021) e o SOC fraco (p = 0,0005) mostraram associação com o menor desempenho escolar. Em conclusão, o desempenho escolar é um fenômeno complexo, associado ao SOC e às características bucais.
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