Condição socioeconômica, frequência de escovação dentária e comportamentos em saúde em adolescentes brasileiros: uma análise a partir da Pesquisa Nacional de Saúde do Escolar (PeNSE)

Abstract

This study investigated the association between oral and general health-related behaviors and socioeconomic status, and the relationship between health-related behaviors and toothbrushing among adolescents. The database used here was the National School-Based Health Survey (PeNSE), a cross-sectional population-based study in 2009 with students from 27 Brazilian State capitals. Socio-demographic and health-related behavior data were collected. The survey included 49,189 adolescents (47.5% males), the majority of whom were 14 years of age and enrolled in public schools. The associations between toothbrushing frequency and other health-related behaviors and socioeconomic status varied between boys and girls. Associations were observed between health-related habits and toothbrushing frequency in both sexes, but with variations according to socioeconomic status. Planning health promotion interventions for adolescents should take their individual characteristics and family and social context into account.

Determinants of oral self-care in the Brazilian adult population: a national cross-sectional study

“…In contrast to this unprecedented broad indicator, oral self-care was found in the literature only in a segmented manner. Studies have shown that the higher frequency of tooth brushing was more commonly related to the female sex, 7,12,19,16 better economic conditions, 10,19 better educational level, 16 absence of drinking alcohol 10,16 and smoking, 10,16 practicing physical activities regularly, 8,10 and the type of health service used, whether public or private. 7 One of the variables with greater explanatory capacity of oral self-care characterization was the use of dental floss.…”

“…In this stage in which the variable was created, each variable was dichotomized and evaluated as appropriate oral self-care (score 1), according to the conditions considered acceptable by the literature, namely: dental appointment made at least once a year, 12,16 tooth brushing twice a day or more, 18 use of toothbrush, toothpaste and floss, and replacement of toothbrush within less than 6 months; 22 or inadequate self-care (score 0), considered as consisting of the worst conditions.…”

“…In the field of oral health, the recognition and analysis of the process of acquiring individual autonomy is under construction, and studies predominantly show an association between oral self-care and isolated factors. 7,8,9,10,11 The literature points out that appropriate oral health depends on maintaining certain practices, including periodic dental visits, 12,13,14,15 tooth brushing frequency, 7,10,12,16,17 toothbrush replacement frequency, 17,18 dental flossing, and use of auxiliary techniques, 7,12,17,19 and that all these factors together represent oral selfcare. However, the studies usually evaluate oral selfcare in a segmented manner, relating it specifically to dental flossing, toothbrushing or regular visits to the dentist.…”

“…However, the studies usually evaluate oral selfcare in a segmented manner, relating it specifically to dental flossing, toothbrushing or regular visits to the dentist. 7,8,10,16,17 Therefore, the factors that actually infer oral self-care cannot be predicted accurately.…”

“…Studies have shown that a sedentary lifestyle 8,12,16 and tobacco use 12 have been considered indicators of unhealthy habits. It is evident that lifestyle is directly related to oral habits, which must be taken into consideration in developing oral health promotion programs.…”