Associação entre fatores biopsicossociais, acesso e utilização dos serviços de saúde bucal e a cárie dentária em adolescentes
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Tipo de documento: | Tese |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da UEPB |
Texto Completo: | http://tede.bc.uepb.edu.br/jspui/handle/tede/3503 |
Resumo: | Dental caries is the most common oral health problem worldwide and remains causing harm to the population despite health public policies and scientific advances. It is important to recognize the factors associated with dental caries in adolescents since this is a dynamic and high risk stage for behaviors that are harmful to oral health. This study aimed to evaluate the association between psychosocial and socio-demographic data, dental visit and dental caries in adolescents. A cross- sectional study was carried out with a representative sample of 769 adolescents aged 15 to 19 years from public and private schools in Campina Grande-PB, Brazil. Parents/guardians answered questionnaires about socio-demographic data. Adolescents answered the questionnaires about family cohesion and adaptability (FACES III), on the consumption of psychoactive substances (ASSIST) and about the use of oral health services. Then, adolescents responded to the Brazilian Rapid Estimate of Adult Literacy in Dentistry (BREALD-30) to provide the level of oral health literacy. Two dentists were trained through a calibration process for dental caries examination in the adolescents using Nyvad criteria (Kappa inter-examiner: 0.89-0.90 and intra-examiner: 0.88-0.90). Descriptive statistics and Poisson regression were performed (p <0.05). Confounding variables were selected to adjust the statistical model using a Directed Acyclic Graph (DAG). The prevalence of cavitated lesions of dental caries was 41.6% and 93% of adolescents have had to the dentist. Regarding Oral Health Literacy (OHL), 37.5% of the adolescents presented marginal level and 33.1% had an inadequate level. Adolescents with 6 or more people at home accounted for 16.9% and 56.9% of the participants were from disadvantaged social classes. Disengaged families were observed for 46.1% of adolescents. After adjustment of individual variables, the number of cavitated lesions of dental caries was associated with social class (RR = 1.85, 95% CI: 1.39-2.47), inadequate OHL (RR = 1.69; 95% CI: 1.18-2.41), marginal OHL (RR = 1.42, 95% CI: 1.01-1.99), the number of people in the house (≥ 6 people) (RR = 1.31; 95% CI: 1.09-1.73), Disengaged family cohesion (PR = 3.14, 95% CI: 1.44-6.87), separated family cohesion (RR = 2.67, 95% CI: 1.22-5 , 86) and connected family cohesion (RR = 3.63, 95% CI: 1.61-8.16). CONCLUSION: A lower socioeconomic status, family cohesion and level of OHL influenced the number of dental caries lesions in adolescents. On the other hand, there was no influence of going to the dentist for dental caries. |
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Granville-Garcia, Ana Flávia64688070420http://lattes.cnpq.br/7659139411442846Forte, Franklin Delano Soares76896552468http://lattes.cnpq.br/1213257434295598Gomes, Monalisa da Nóbrega Cesarino08191490471http://lattes.cnpq.br/2717963064280627Massoni, Andreza Cristina de Lima Targino00960779485http://lattes.cnpq.br/5037419163338179Cavalcanti, Sergio d'Avila Lins Bezerra46760776453http://lattes.cnpq.br/817878057035297107418690479http://lattes.cnpq.br/3771001331054627Dutra, Laio da Costa2019-10-10T14:07:57Z2019-03-06DUTRA, L. da C. Associação entre fatores biopsicossociais, acesso e utilização dos serviços de saúde bucal e a cárie dentária em adolescentes. 2019. 153f. Tese (Programa de Pós-Graduação em Odontologia - PPGO) - Universidade Estadual da Paraíba, Campina Grande, 2019.http://tede.bc.uepb.edu.br/jspui/handle/tede/3503Dental caries is the most common oral health problem worldwide and remains causing harm to the population despite health public policies and scientific advances. It is important to recognize the factors associated with dental caries in adolescents since this is a dynamic and high risk stage for behaviors that are harmful to oral health. This study aimed to evaluate the association between psychosocial and socio-demographic data, dental visit and dental caries in adolescents. A cross- sectional study was carried out with a representative sample of 769 adolescents aged 15 to 19 years from public and private schools in Campina Grande-PB, Brazil. Parents/guardians answered questionnaires about socio-demographic data. Adolescents answered the questionnaires about family cohesion and adaptability (FACES III), on the consumption of psychoactive substances (ASSIST) and about the use of oral health services. Then, adolescents responded to the Brazilian Rapid Estimate of Adult Literacy in Dentistry (BREALD-30) to provide the level of oral health literacy. Two dentists were trained through a calibration process for dental caries examination in the adolescents using Nyvad criteria (Kappa inter-examiner: 0.89-0.90 and intra-examiner: 0.88-0.90). Descriptive statistics and Poisson regression were performed (p <0.05). Confounding variables were selected to adjust the statistical model using a Directed Acyclic Graph (DAG). The prevalence of cavitated lesions of dental caries was 41.6% and 93% of adolescents have had to the dentist. Regarding Oral Health Literacy (OHL), 37.5% of the adolescents presented marginal level and 33.1% had an inadequate level. Adolescents with 6 or more people at home accounted for 16.9% and 56.9% of the participants were from disadvantaged social classes. Disengaged families were observed for 46.1% of adolescents. After adjustment of individual variables, the number of cavitated lesions of dental caries was associated with social class (RR = 1.85, 95% CI: 1.39-2.47), inadequate OHL (RR = 1.69; 95% CI: 1.18-2.41), marginal OHL (RR = 1.42, 95% CI: 1.01-1.99), the number of people in the house (≥ 6 people) (RR = 1.31; 95% CI: 1.09-1.73), Disengaged family cohesion (PR = 3.14, 95% CI: 1.44-6.87), separated family cohesion (RR = 2.67, 95% CI: 1.22-5 , 86) and connected family cohesion (RR = 3.63, 95% CI: 1.61-8.16). CONCLUSION: A lower socioeconomic status, family cohesion and level of OHL influenced the number of dental caries lesions in adolescents. On the other hand, there was no influence of going to the dentist for dental caries.A cárie dentária é o problema de saúde bucal mais comum mundialmente e mesmo diante dos avanços científicos e das políticas de saúde continua gerando prejuízos à população. É importante reconhecer os fatores associados à cárie dentária em adolescentes, pois, essa fase é dinâmica e de alto risco para comportamentos prejudiciais à saúde bucal. O objetivo deste estudo foi avaliar a associação entre fatores psicossociais, sociodemográficos, ida ao dentista e a cárie dentária em adolescentes de Campina Grande-PB. Foi realizado um estudo transversal com amostra representativa de 769 adolescentes de 15 a 19 anos em escolas públicas e privadas de Campina Grande-PB, Brasil. Os pais/responsáveis responderam questionários sobre dados sociodemográficos. Os adolescentes responderam os questionários sobre a coesão e adaptabilidade familiares (FACES III), sobre o consumo de substâncias psicoativas (ASSIST) e em relação à utilização dos serviços de saúde bucal. Em seguida, os escolares responderam ao Brazilian Rapid Estimate of Adult Literacy in Dentistry (BREALD-30), para fornecer o nível de alfabetismo em saúde bucal. Dois cirurgiões dentistas foram calibrados para avaliação da cárie dentária nos adolescentes utilizando os critérios de Nyvad (Kappa interexaminadores: 0,89-0,90 e intraexaminadores: 0,88-0,90). Foi realizada estatística descritiva e Regressão de Poisson (p<0,05). As variáveis de confusão foram selecionadas para ajuste do modelo estatístico por meio de um Directed Acyclic Graph (DAG). A prevalência de lesões cavitadas de cárie dentária foi de 41,6% e a ida ao dentista foi relatada por 93% dos adolescentes. Em relação ao Alfabetismo em Saúde Bucal (ASB), 37,5% dos adolescentes apresentaram o nível marginal e 33,1% o nível inadequado. O número de moradores em casa foi igual ou maior do que seis pessoas para 16,8% dos adolescentes e 56.9% dos participantes foram de classes sociais desfavorecidas. O nível de coesão familiar desligada foi observado em 46,1% dos adolescentes. Após ajuste de variáveis individuais, o número de lesões cavitadas de cárie dentária foi associado à classe social (C-D-E) (RR= 1,85; IC95%: 1,39-2,47), ASB inadequado (RR= 1,69; IC95%: 1,18-2,41), ASB marginal (RR= 1,42; IC95%: 1,01-1,99), número de pessoas na casa (≥ 6 pessoas) (RR= 1,31; IC95%: 1,09-1,73), coesão familiar desligada (RP= 3,14; IC95%: 1,44- 6,87), separada (RR= 2,67; IC95%: 1,22-5,86) e conectada (RR= 3,63; IC95%: 1,61- 8,16). CONCLUSÃO: Uma pior condição socioeconômica, menor coesão familiar e um menor nível de ASB influenciaram o número de lesões cavitadas de cárie dentária em adolescentes, por outro lado, não houve influência da ida ao dentista para esse desfecho de saúde bucal.Submitted by Jean Medeiros (jeanletras@uepb.edu.br) on 2019-09-11T12:55:38Z No. of bitstreams: 1 PDF - Laio da Costa Dutra.pdf: 3705028 bytes, checksum: 5c8da8298c6a253655af86f96300c026 (MD5)Approved for entry into archive by Secta BC (secta.csu.bc@uepb.edu.br) on 2019-10-10T14:07:57Z (GMT) No. of bitstreams: 1 PDF - Laio da Costa Dutra.pdf: 3705028 bytes, checksum: 5c8da8298c6a253655af86f96300c026 (MD5)Made available in DSpace on 2019-10-10T14:07:57Z (GMT). No. of bitstreams: 1 PDF - Laio da Costa Dutra.pdf: 3705028 bytes, checksum: 5c8da8298c6a253655af86f96300c026 (MD5) Previous issue date: 2019-03-06application/pdfhttp://tede.bc.uepb.edu.br/jspui/retrieve/8890/PDF%20-%20Laio%20da%20Costa%20Dutra.pdf.jpgporUniversidade Estadual da ParaíbaPrograma de Pós-Graduação em Odontologia - PPGOUEPBBrasilPró-Reitoria de Pós-Graduação e Pesquisa - PRPGPAlfabetização em saúdeAdolescentesSaúde bucalCárie dentáriaAdolescentsLiteracy in healthDental CariesOral HealthCIENCIAS DA SAUDE::ODONTOLOGIAAssociação entre fatores biopsicossociais, acesso e utilização dos serviços de saúde bucal e a cárie dentária em adolescentesAssociation between biopsychosocial factors, access and utilization of oral health services and dental caries in adolescentsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesis188746850794111162600600600524871450381110278-2070498469879244349info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UEPBinstname:Universidade Estadual da Paraíba (UEPB)instacron:UEPBTHUMBNAILPDF - Laio da Costa Dutra.pdf.jpgPDF - Laio da Costa Dutra.pdf.jpgimage/jpeg3880http://tede.bc.uepb.edu.br/jspui/bitstream/tede/3503/4/PDF+-+Laio+da+Costa+Dutra.pdf.jpg5be14e663cd474ab78e573ed4c622e10MD54TEXTPDF - Laio da Costa Dutra.pdf.txtPDF - Laio da Costa Dutra.pdf.txttext/plain242858http://tede.bc.uepb.edu.br/jspui/bitstream/tede/3503/3/PDF+-+Laio+da+Costa+Dutra.pdf.txtb943ce886bede2d40ec15590bcb48cf8MD53ORIGINALPDF - Laio da Costa Dutra.pdfPDF - Laio da Costa Dutra.pdfapplication/pdf3705028http://tede.bc.uepb.edu.br/jspui/bitstream/tede/3503/2/PDF+-+Laio+da+Costa+Dutra.pdf5c8da8298c6a253655af86f96300c026MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-81960http://tede.bc.uepb.edu.br/jspui/bitstream/tede/3503/1/license.txt6052ae61e77222b2086e666b7ae213ceMD51tede/35032019-10-11 01:35:15.576oai:tede.bc.uepb.edu.br: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Biblioteca Digital de Teses e Dissertaçõeshttp://tede.bc.uepb.edu.br/jspui/PUBhttp://tede.bc.uepb.edu.br/oai/requestbc@uepb.edu.br||opendoar:2019-10-11T04:35:15Biblioteca Digital de Teses e Dissertações da UEPB - Universidade Estadual da Paraíba (UEPB)false |
dc.title.por.fl_str_mv |
Associação entre fatores biopsicossociais, acesso e utilização dos serviços de saúde bucal e a cárie dentária em adolescentes |
dc.title.alternative.eng.fl_str_mv |
Association between biopsychosocial factors, access and utilization of oral health services and dental caries in adolescents |
title |
Associação entre fatores biopsicossociais, acesso e utilização dos serviços de saúde bucal e a cárie dentária em adolescentes |
spellingShingle |
Associação entre fatores biopsicossociais, acesso e utilização dos serviços de saúde bucal e a cárie dentária em adolescentes Dutra, Laio da Costa Alfabetização em saúde Adolescentes Saúde bucal Cárie dentária Adolescents Literacy in health Dental Caries Oral Health CIENCIAS DA SAUDE::ODONTOLOGIA |
title_short |
Associação entre fatores biopsicossociais, acesso e utilização dos serviços de saúde bucal e a cárie dentária em adolescentes |
title_full |
Associação entre fatores biopsicossociais, acesso e utilização dos serviços de saúde bucal e a cárie dentária em adolescentes |
title_fullStr |
Associação entre fatores biopsicossociais, acesso e utilização dos serviços de saúde bucal e a cárie dentária em adolescentes |
title_full_unstemmed |
Associação entre fatores biopsicossociais, acesso e utilização dos serviços de saúde bucal e a cárie dentária em adolescentes |
title_sort |
Associação entre fatores biopsicossociais, acesso e utilização dos serviços de saúde bucal e a cárie dentária em adolescentes |
author |
Dutra, Laio da Costa |
author_facet |
Dutra, Laio da Costa |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Granville-Garcia, Ana Flávia |
dc.contributor.advisor1ID.fl_str_mv |
64688070420 |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/7659139411442846 |
dc.contributor.referee1.fl_str_mv |
Forte, Franklin Delano Soares |
dc.contributor.referee1ID.fl_str_mv |
76896552468 |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/1213257434295598 |
dc.contributor.referee2.fl_str_mv |
Gomes, Monalisa da Nóbrega Cesarino |
dc.contributor.referee2ID.fl_str_mv |
08191490471 |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/2717963064280627 |
dc.contributor.referee3.fl_str_mv |
Massoni, Andreza Cristina de Lima Targino |
dc.contributor.referee3ID.fl_str_mv |
00960779485 |
dc.contributor.referee3Lattes.fl_str_mv |
http://lattes.cnpq.br/5037419163338179 |
dc.contributor.referee4.fl_str_mv |
Cavalcanti, Sergio d'Avila Lins Bezerra |
dc.contributor.referee4ID.fl_str_mv |
46760776453 |
dc.contributor.referee4Lattes.fl_str_mv |
http://lattes.cnpq.br/8178780570352971 |
dc.contributor.authorID.fl_str_mv |
07418690479 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/3771001331054627 |
dc.contributor.author.fl_str_mv |
Dutra, Laio da Costa |
contributor_str_mv |
Granville-Garcia, Ana Flávia Forte, Franklin Delano Soares Gomes, Monalisa da Nóbrega Cesarino Massoni, Andreza Cristina de Lima Targino Cavalcanti, Sergio d'Avila Lins Bezerra |
dc.subject.por.fl_str_mv |
Alfabetização em saúde Adolescentes Saúde bucal Cárie dentária |
topic |
Alfabetização em saúde Adolescentes Saúde bucal Cárie dentária Adolescents Literacy in health Dental Caries Oral Health CIENCIAS DA SAUDE::ODONTOLOGIA |
dc.subject.eng.fl_str_mv |
Adolescents Literacy in health Dental Caries Oral Health |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::ODONTOLOGIA |
description |
Dental caries is the most common oral health problem worldwide and remains causing harm to the population despite health public policies and scientific advances. It is important to recognize the factors associated with dental caries in adolescents since this is a dynamic and high risk stage for behaviors that are harmful to oral health. This study aimed to evaluate the association between psychosocial and socio-demographic data, dental visit and dental caries in adolescents. A cross- sectional study was carried out with a representative sample of 769 adolescents aged 15 to 19 years from public and private schools in Campina Grande-PB, Brazil. Parents/guardians answered questionnaires about socio-demographic data. Adolescents answered the questionnaires about family cohesion and adaptability (FACES III), on the consumption of psychoactive substances (ASSIST) and about the use of oral health services. Then, adolescents responded to the Brazilian Rapid Estimate of Adult Literacy in Dentistry (BREALD-30) to provide the level of oral health literacy. Two dentists were trained through a calibration process for dental caries examination in the adolescents using Nyvad criteria (Kappa inter-examiner: 0.89-0.90 and intra-examiner: 0.88-0.90). Descriptive statistics and Poisson regression were performed (p <0.05). Confounding variables were selected to adjust the statistical model using a Directed Acyclic Graph (DAG). The prevalence of cavitated lesions of dental caries was 41.6% and 93% of adolescents have had to the dentist. Regarding Oral Health Literacy (OHL), 37.5% of the adolescents presented marginal level and 33.1% had an inadequate level. Adolescents with 6 or more people at home accounted for 16.9% and 56.9% of the participants were from disadvantaged social classes. Disengaged families were observed for 46.1% of adolescents. After adjustment of individual variables, the number of cavitated lesions of dental caries was associated with social class (RR = 1.85, 95% CI: 1.39-2.47), inadequate OHL (RR = 1.69; 95% CI: 1.18-2.41), marginal OHL (RR = 1.42, 95% CI: 1.01-1.99), the number of people in the house (≥ 6 people) (RR = 1.31; 95% CI: 1.09-1.73), Disengaged family cohesion (PR = 3.14, 95% CI: 1.44-6.87), separated family cohesion (RR = 2.67, 95% CI: 1.22-5 , 86) and connected family cohesion (RR = 3.63, 95% CI: 1.61-8.16). CONCLUSION: A lower socioeconomic status, family cohesion and level of OHL influenced the number of dental caries lesions in adolescents. On the other hand, there was no influence of going to the dentist for dental caries. |
publishDate |
2019 |
dc.date.accessioned.fl_str_mv |
2019-10-10T14:07:57Z |
dc.date.issued.fl_str_mv |
2019-03-06 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/doctoralThesis |
format |
doctoralThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
DUTRA, L. da C. Associação entre fatores biopsicossociais, acesso e utilização dos serviços de saúde bucal e a cárie dentária em adolescentes. 2019. 153f. Tese (Programa de Pós-Graduação em Odontologia - PPGO) - Universidade Estadual da Paraíba, Campina Grande, 2019. |
dc.identifier.uri.fl_str_mv |
http://tede.bc.uepb.edu.br/jspui/handle/tede/3503 |
identifier_str_mv |
DUTRA, L. da C. Associação entre fatores biopsicossociais, acesso e utilização dos serviços de saúde bucal e a cárie dentária em adolescentes. 2019. 153f. Tese (Programa de Pós-Graduação em Odontologia - PPGO) - Universidade Estadual da Paraíba, Campina Grande, 2019. |
url |
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