The Role of School Social Environment on Dental Caries Experience in 8- to 12-Year-Old Brazilian Children: A Multilevel Analysis

Fernandez, Matheus dos Santos; Goettems, Marília Leão; Ardenghi, Thiago Machado; Demarco, Flávio Fernando; Corrêa, Marcos Britto

doi:10.1159/000438832

Cited by 26 publications

(41 citation statements)

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“…Our findings corroborate those from previous investigations of the detrimental effects of school context on the oral health of schoolchildren. A previous investigation, with the same sample used in the present study, showed that the occurrence of violence and theft in schools was associated with dental caries in students, while schools that offered after‐hours sports activities were associated with a lower prevalence and experience of caries in students .…”

Section: Discussionsupporting

confidence: 54%

“…Considering that children spend a long time at school, contextual characteristics, such as the social environment and physical features of the school, may influence the well‐being and health of children . A previous study of Brazilian schoolchildren has also shown that the school social environment influences the occurrence of dental caries in children: a history of violence and theft was positively associated with dental caries, and children attending schools in which after‐hours sports activities were available had less dental‐caries experience .…”

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confidence: 99%

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The school social environment and oral health‐related quality of life in children: a multilevel analysis

Pauli

Corrêa

Demarco

et al. 2020

European J Oral Sciences

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This study aimed to explore the association between schoolchildren's oral health‐related quality of life (OHRQoL) and the school‐related social environment (contextual factors). A cross‐sectional study was performed with 1,211 children, aged 8–12 yr, from 20 private and public schools. Sociodemographic information was collected from a questionnaire given to parents, and children were interviewed using the Child Perceptions Questionnaire (CPQ) and examined for oral health conditions. Contextual variables were obtained from school coordinators regarding the social environment. Data analysis was performed through multilevel Poisson regression. A high negative impact on OHRQoL was found for participants who were girls, older, had very severe malocclusion, had dental trauma and caries, and had mothers with less schooling. A negative impact on OHRQoL was also found for children who attended schools in which police security was required (rate ratios [RR] = 1.11; 95% CI: 1.01–1.22) and in which violence among students occurred in the last year (RR = 1.17; 95% CI: 1.02–1.35). The need for police security was associated with a negative impact on the emotional well‐being domain, and violence among students was associated with negative impact on the oral symptoms, functional limitations, and social well‐being domains. Children in healthier environments have better OHRQoL.

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Section: Discussionsupporting

confidence: 54%

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confidence: 99%

The school social environment and oral health‐related quality of life in children: a multilevel analysis

Pauli

Corrêa

Demarco

et al. 2020

European J Oral Sciences

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“…Several factors are associated with caries occurrence, including socioeconomic, demographic, behavioral, and clinical variables [Fernández et al, 2015]. However, there is a relative lack of studies investigating the relationship between depression and dental caries.…”

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confidence: 99%

Maternal Depression Increases Childhood Dental Caries: A Cohort Study in Brazil

Pinto

Quevedo²,

Corrêa³

et al. 2016

Caries Res

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Aim: To investigate the relationship between maternal depression and childhood caries in a cohort of adolescent mothers. Methods: This cross-sectional study nested in a cohort evaluated a sample of 538 mother/child dyads. When the children were 24-36 months of age, data regarding oral health from children and mothers were collected by clinical dental examination. A mother's major depressive disorder was assessed by using the Mini International Neuropsychiatric Interview (MINI [Plus]), at the current moment. Independent variables were obtained by using questionnaires. The outcome on dental caries experience was dichotomized by using 2 cut points: dmfs ≥1 and dmfs ≥3. Poisson regression analysis, using a hierarchical approach, was applied to assess the association between major depressive disorder in mothers with and those without caries experience and the outcome. Results: The prevalence of dental caries in children was 15.1% (n = 82). The mean dmfs index was 1.12 (SD = 3.72). The prevalence of major depressive disorder was 32.6% (n = 168). An interaction between caries status and depressive disorder was found, and after adjusted analysis, children from mothers with major depressive disorder with negative caries experience presented a higher caries prevalence (prevalence ratio 4.00, 95% confidence interval 1.29-12.41). Conclusion: Our findings suggest that maternal psychiatric disorders could have a negative impact on children's oral health.

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“…Thus, schools could be used for measures designed to improve health, self-esteem and healthy behaviors in children (Fernández et al, 2015). Indeed, the present study demonstrates that the school setting could be a good option for the planning of preventive strategies directed at oral problems and, consequently, reduce the negative impact on OHRQoL.…”

Section: Discussionmentioning

confidence: 99%

“…Contextual factors seem to be strongly associated with different oral health outcomes (Fernández et al, 2015; Piovesan et al, 2017) and the study of these factors is undoubtedly important to the planning of services as well as the investigation of health inequalities (Petersen & Kwan, 2011). The school setting is important to the intellectual development of children and also exerts an influence on health behaviors.…”

Section: Introductionmentioning

confidence: 99%

Contextual and individual determinants of oral health-related quality of life among five-year-old children: a multilevel analysis

Gomes

Neves

Perazzo

et al. 2018

PeerJ

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BackgroundContextual factors may influence oral health-related quality of life (OHRQoL) in children. The aim of the present study was to evaluate the influence of individual and contextual determinants of OHRQoL based on the perceptions of children.MethodsA cross-sectional study was conducted with a representative sample of 769 five-year-old children from public and private preschools in a city in the countryside of northeast Brazil. Parents/caregivers answered questionnaires addressing psychological aspects, sociodemographic data and aspects of the child’s oral health. The children answered the child version of the Scale of Oral Health Outcomes for five-year-old children and were submitted to oral examinations. Variables related to the context were obtained from the schools and official municipal publications. Unadjusted and adjusted multilevel Poisson regression models were used to investigate associations between variables.ResultsIn the adjusted analysis, parent’s/caregiver’s schooling, household income, parent’s/caregiver’s age, a history of dental pain, dental caries and its consequences and traumatic dental injury were considered individual determinants of OHRQoL according to the children’s self-reports. After the incorporation of the contextual determinants, the association between parent’s/caregiver’s schooling and OHRQoL lost its significance. Type of school was the context variable that remained associated with OHRQoL.DiscussionBesides the clinical and sociodemographic individual characteristics, characteristics of the school environment in which the child studies are associated with self-reported impacts on OHRQoL.

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The Role of School Social Environment on Dental Caries Experience in 8- to 12-Year-Old Brazilian Children: A Multilevel Analysis

Cited by 26 publications

References 43 publications

The school social environment and oral health‐related quality of life in children: a multilevel analysis

The school social environment and oral health‐related quality of life in children: a multilevel analysis

Maternal Depression Increases Childhood Dental Caries: A Cohort Study in Brazil

Contextual and individual determinants of oral health-related quality of life among five-year-old children: a multilevel analysis

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