Simultaneidade de comportamentos de risco à saúde bucal em adolescentes: evidência da Pesquisa Nacional de Saúde do Escolar

Abstract

Objective: To investigate the prevalence of simultaneous oral health risk behaviors and associated factors among Brazilian adolescents. Methods: The study comprised data of 109,104 adolescents participating in the Brazilian National School-based Student Health Survey. The simultaneous presence of less frequent toothbrushing (E), current smoking (C), no visits to the dentist (D), low fruit intake (F), and high sugar intake (A) was assessed by comparison of observed/expected prevalence (OP/EP). Logistic regression was used to assess sociodemographic and family factors associated with the clustering patterns of oral health risk behaviors. Results: The simultaneous occurrence of two or more oral health risk behaviors was of 60.40%. The highest prevalence values were found for the following patterns with OP/EP over 1.20: EDF, CFA, and EDFA. The odds for two or more combined oral health risk behaviors were higher for adolescents whose parents did not participate in homework, from public schools, males, and of Asian or Indigenous ethnicity (OR > 1.00; p < 0.05). Low family affluence level (FAL) acted as a risk factor for the pattern ECDFA (OR = 2.58; p = 0.009), while low and mean FAL functioned as protection factors for the pattern CFA (OR = 0.71; p < 0.001, and OR = 0.76; p = 0.011). Conclusion: The prevalence of simultaneous oral health risk behaviors was low and negatively associated with sociodemographic and family factors. Interventions aiming at reducing these behavior patterns should prioritize the groups that have been identified as being at most risk. Jordão, L.M.r., MaLta, d.C., Freire, M.C.M. 2 Rev BRas epidemiol 2018; 21(sUppl 1): e180019.sUpl.1 Palavras-chave: Comportamento do adolescente. Higiene bucal. Conhecimentos, atitudes e prática em saúde. Comportamento alimentar. Inquéritos de saúde. simUltaneoUs oRal health Risk BehavioRs among adolescents: evidence fRom the national school-Based stUdent health sURvey 3 Rev BRas epidemiol 2018; 21(sUppl 1): e180019.sUpl.1

A importância dos cuidados com a higiene bucal em escolas

“…Assim, Jordão et al (2018), reforçam que estratégias educativas voltadas para pais de pré-escolares são altamente valiosas, uma vez que seu comportamento em relação à saúde bucal tem influência direta no número de cáries dentárias de seus filhos. As atitudes dos pais têm um impacto positivo no estado da saúde bucal das crianças; como os pais controlam a escovação dentária e o consumo de açúcar, as crianças desenvolvem hábitos positivos de saúde bucal.…”

Potential Confounders in the Analysis of Brazilian Adolescent’s Health: A Combination of Machine Learning and Graph Theory

“…Nevertheless, this relation might not be causal, and this phenomenon is still not elucidated. A recent study based on the PenSE database [18] indicated that in fact the prevalence of simultaneous oral health-risk behaviors is associated with sociodemographic factors-family supervision is highlighted as a protective factor for multiple oral health-risk behaviors, which adds evidence to the importance of family's role in an adolescents' health-related choices. Although the mechanistic explanation for this association is still under debate, it reinforces that oral health self-assessment might play a role as a proxy variable for other health conditions.…”

Análise socioeconômica e do conhecimento sobre saúde bucal das gestantes de alto risco

“…A fim de superar as desigualdades sociais e estabelecer uma saúde bucal de maneira igualitária para a população, a política utilizou os princípios do Sistema Único de Saúde (SUS), constituindo-se como uma área de integralidade, que articula além dos três níveis de atenção, as ações multidisciplinares, multiprofissionais e intersetoriais (Brasil, 2018). Em áreas de baixo nível socioeconômico, para alcançar o sucesso nas medidas públicas de saúde bucal é primordial que a equipe interdisciplinar alcance as mães e as informem sobre os benefícios gerados em manter uma rotina de higiene bucal nela e nos seus filhos (Blomma & Krevers, 2020;Jordão, Malta & Freire, 2018).…”