Factors related to the dental caries incidence in youth: a cohort study in Brazilian Northeastern

Teixeira, Ana Karine Macedo; Roncalli, Ângelo Giuseppe; Noro, Luiz Roberto Augusto

doi:10.1590/1413-812320152112.12582015

Cited by 9 publications

(13 citation statements)

References 21 publications

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“…34,35 However, this is not a consensual understanding in the scientific literature. [35][36][37][38] Unexpectedly TA B L E 1 (Continued) Regarding the type of school, important inequalities were found, with a higher prevalence of risk behaviours in public compared to private schools, corroborating previous studies. 10,35,[39][40][41][42] These findings reinforce the social determination of oral health condition and This reduction is mostly due to the inclusion of characteristics of the schools in the model; however, it also reflects the inclusion of individual covariates, which may be somehow clustered at the schools.…”

Section: Discussionsupporting

confidence: 79%

Can the school environment influence oral health–related behaviours? A multilevel analysis of the Brazilian National Adolescent School‐Based Health Survey 2015

Nery

Antunes

Jordão

et al. 2020

Comm Dent Oral Epid

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Objective: To investigate the association between the potential support of schools for oral health promotion and a set of oral health-related behaviours among adolescent students in Brazilian state capitals. Methods: A cross-sectional study using individual and school environment data from the 2015 Brazilian National Adolescent School-Based Health Survey (PeNSE) was conducted. The sample consisted of 51 192 students from 1339 public and private schools in the 27 Brazilian State Capitals, aged 11-19 years old. The outcomes were six oral health-related behaviours: dental visits; toothbrushing frequency; soft drink and sweets consumption; smoking and alcohol consumption. The explanatory variable was the Oral Health Promotion School Environment index (OHPSE). Covariates were the adolescents' sociodemographic characteristics and organizational aspects of the schools. A two-level multilevel mixed-effects Poisson regression analysis with fixed slopes and random intercepts was performed, considering the complex sample design. Results: The prevalence of risk behaviours was 28.0% for 'low frequency of annual dental visits', 6.9% for 'low daily toothbrushing frequency', 28.8% for 'high weekly soft drink consumption', 41.7% for 'high weekly sweet consumption', 18.9% for 'cigarette experimentation' and 52.6% for 'alcoholic beverage experimentation'. The schools were classified as low (36.3%), intermediate (30.4%) and high (33.3%) OHPSE. In the adjusted model, schools with 'high OHPSE' had lower prevalence of 'low frequency of annual dental visits' (PR = 0.94 [95% CI 0.90; 0.99]), 'high weekly frequency of soft drink consumption' (PR = 0.94 [95% CI 0.89; 0.99]) and 'sweet consumption' (PR = 0.96 [95% CI 0.93; 1.00]) than those with 'low OHPSE'. In addition, schools with 'intermediate OHPSE' had higher prevalence's of 'low daily toothbrushing frequency' (PR = 1.12 [95% CI 1.03; 1.23]) and 'cigarette experimentation' (PR = 1.08 [95% CI 1.01; 1.16]) than those with 'low OHPSE'. 'Alcoholic beverage experimentation' was not associated with OHPSE. Conclusions: The potential support of schools for oral health promotion was associated with most of the oral health-related behaviours among adolescent students. How to cite this article: Nery NG, Antunes JLF, Jordão LMR, Freire MDCM. Can the school environment influence oral health-related behaviours? A multilevel analysis of the

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Section: Discussionsupporting

confidence: 79%

Can the school environment influence oral health–related behaviours? A multilevel analysis of the Brazilian National Adolescent School‐Based Health Survey 2015

Nery

Antunes

Jordão

et al. 2020

Comm Dent Oral Epid

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“…However, the access cannot be explained exclusively by the need, but also by the perception, individual values, organization, health system financing, sociodemographic characteristics, among others factors [34, 35]. Even with a health system guided by the principles of universal, equitable and impartial access, Brazil is a country marked by socioeconomic inequities with enormous consequences for health, access, and use of dental services [21–23, 36, 37].…”

Section: Discussionmentioning

confidence: 99%

Is there a fair distribution of the structure of dental services in the capitals of the Brazilian Federative Units?

Queiroz

Ribeiro

Tonello

et al. 2019

Int J Equity Health

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BackgroundBrazilian Primary Care Facilities (PCF) provide primary care and must offer dental services for diagnosis, prevention, and treatment of diseases. According to a logic of promoting equity, PCF should be better structured in less developed places and with higher need for oral health services.ObjectiveTo analyze the structure of dental caries services in the capitals of the Brazilian Federative Units and identify whether socioeconomic factors and caries (need) are predictors of the oral health services structure.MethodsThis is an ecological study with variables retrieved from different secondary databases, clustered for the level of the federative capitals. Descriptive thematic maps were prepared, and structural equations were analyzed to identify oral health service structure’s predictors (Alpha = 5%). Four models with different outcomes related to dental caries treatment were tested: 1) % of PCF with a fully equipped office; 2) % of PCF with sufficient instruments, and 3) % of PCF with sufficient supplies; 4) % of PCF with total structure.Results21.6% of the PCF of the Brazilian capitals had a fully equipped office; 46.9% had sufficient instruments, and 30.0% had sufficient supplies for caries prevention and treatment. The four models evidenced proper fit indexes. A correlation between socioeconomic factors and the structure of oral health services was only noted in model 3. The worse the socioeconomic conditions, the lower the availability of dental supplies (standard factor loading: 0.92, P = 0.012). Estimates of total, direct and indirect effects showed that dental caries experience observed in the Brazilian population by SB-Brasil in 2010 did not affect the outcomes investigated.ConclusionMaterial resources are not equitably distributed according to the socioeconomic conditions and oral health needs of the population of the Brazilian capitals, thus contributing to persistent oral health inequities in the country.

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“…Infrequently, oral health services during childhood may result in an accumulation of dental needs throughout life. 31 It was found that individuals present a higher incidence of caries lesions, owing to which they seek treatment to manage the pain. 31 Andersen proposed a model to understand the contextual and individual factors that influence the use of health services.…”

Section: Discussionmentioning

confidence: 99%

“…31 It was found that individuals present a higher incidence of caries lesions, owing to which they seek treatment to manage the pain. 31 Andersen proposed a model to understand the contextual and individual factors that influence the use of health services. 32 According to the model, there are predisposing factors that exist before the illness, enabling factors that enable the provision of seeking treatment, and need factors based on clinical evaluation and/or self-evaluation according to the need for treatment.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with the number of filled teeth in adolescents from public schools: a cohort study

et al. 2019

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This study aimed to assess the association of demographic conditions, socioeconomic status, clinical variables, and psychosocial factors with the number of filled teeth in adolescents from public schools. This cohort study comprised 1,134 12-year-old adolescents enrolled in public schools in Santa Maria, Brazil, in 2012. They were followed-up in 2014, where 743 individuals were reassessed (follow-up rate of 65.52%) for the number of filled teeth. Data were collected via dental examinations and structured interviews. Demographic and socioeconomic characteristics were collected from parents or legal guardians. The psychosocial factor comprised students' subjective measurement of happiness (Brazilian version of the Subjective Happiness Scale-SHS). Dental examinations were performed to assess the number of filled teeth through decay, missing, and filled teeth index (DMF-T). Unadjusted and adjusted Poisson regression analyses were performed to assess the association between baseline variables and filled teeth at follow-up. The number of filled teeth in 2012 and 2014 were 193 (17.02%) and 235 (31.63%), respectively. The incidence of filled teeth in 2014 was 42 (5.65%). Adolescents with untreated dental caries, those who visited the dentist in the last 6 months, those that exhibited being happier, and those who had filled teeth at baseline were associated with a higher number of filled teeth at follow-up. We conclude that the number of filled teeth in adolescents was influenced by clinical and psychosocial factors, emphasizing the need to focus on oral health policies in individuals with higher disease burden and those who feel psychologically inferior.

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Factors related to the dental caries incidence in youth: a cohort study in Brazilian Northeastern

Abstract: Federal do Rio Grande do Norte. Natal RN Brasil. Factors related to the dental caries incidence in youth: a cohort study in Brazilian NortheasternFatores relacionados com a incidência de cárie em jovens: um estudo de coorte no nordeste brasileiro

Cited by 9 publications

References 21 publications

Can the school environment influence oral health–related behaviours? A multilevel analysis of the Brazilian National Adolescent School‐Based Health Survey 2015

Can the school environment influence oral health–related behaviours? A multilevel analysis of the Brazilian National Adolescent School‐Based Health Survey 2015

Is there a fair distribution of the structure of dental services in the capitals of the Brazilian Federative Units?

Factors associated with the number of filled teeth in adolescents from public schools: a cohort study

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