School environment and oral health promotion: the National Survey of School Health (PeNSE)

Abstract

OBJECTIVE To evaluate the potential support of schools for oral health promotion and associated factors in Brazilian capitals.METHODS Data from 1,339 public and private schools of the 27 Brazilian capitals were obtained from the National Survey of School Health (PeNSE) 2015. Data from the capitals were obtained from the United Nations Development Program and the Department of Informatics of the Brazilian Unified Health System (Datasus). The indicator “ ambiente escolar promotor de saúde bucal ” (AEPSB – oral health promoting school environment) was designed from 21 variables of the school environment with possible influence on students’ oral health employing the categorical principal components analysis (CATPCA). Associations between the AEPSB and characteristics of schools, capitals and regions were tested (bivariate analysis).RESULTS Ten variables comprised CAPTCA, after excluding those with low correlation or high multicollinearity. The analysis resulted in a model with three dimensions: D1. Within-school aspects (sales of food with added sugar in the canteen and health promotion actions), D2. Aspects of the area around the school (sales of food with added sugar in alternative points) and D3. prohibitive policies at school (prohibition of alcohol and tobacco consumption). The sum of the scores of the dimensions generated the AEPSB indicator, dichotomized by the median. From the total of schools studied, 51.2% (95%CI 48.5–53.8) presented a more favorable environment for oral health (higher AEPSB). In the capitals, this percentage ranged from 36.6% (95%CI 23.4–52.2) in Rio Branco to 80.4% (95%CI 67.2–89.1) in Florianópolis. Among the Brazilian regions, it ranged from 45.5% (95%CI 40.0–51.2) in the North to 67.6% (95%CI 59.4–74.9) in the South. Higher percentages of schools with higher AEPSB were found in public schools [58.1% (95%CI 54.9–61.2)] and in capitals and regions with higher Human Development Index [61.0% (95%IC 55.8–66.0) and 57.4% (95%CI 53.2–61.4), respectively] and lower Gini index [55.7% (95%CI 51.2–60.0) and 52.8 (95%CI 49.8–55.8), respectively].CONCLUSIONS The potential to support oral health promotion in schools in Brazilian capitals, assessed by the AEPSB indicator, was associated with contextual factors of schools, capitals and Brazilian regions.

Evaluation of Access to Oral Health and the Need for Treatment in Adolescents in a Full-Time School System

“…In the capitals, this percentage varied from 36.6% in Rio Branco to 80.4% in Florianópolis. Among Brazilian regions, it varied from 45.5% in the North to 67.6% in the South [19].…”

Avaliação do conhecimento de escolares sobre saúde bucal, dieta e higiene: ferramenta diagnóstica para direcionamento de atividade educativa

“…A visão interdisciplinar foi discutida com os alunos, e mostrou necessidade de atividades que possam relacionar áreas do cotidiano dos alunos para melhor conscientização crítica (DAMIANI, MOREIRA, 2014;GARCIA et al, 2009). As atividades frequentes com envolvimento da comunidade escolar apresentam bons resultados, principalmente, quando englobam diversos assuntos correlacionados (NERY;JORDÃO;FREIRE, 2019).…”

Impact of puppet theater on oral health knowledge and oral hygiene in preschoolers from a Peruvian educational institution: A quasi-experimental study

“…Strategies to strengthen preventive actions are of great importance in the oral health of children, especially when performed in school environments. [ 6 7 8 ]…”