Clinical, social and psychosocial factors associated with self-rated oral health in Brazilian adolescents.
ABSTRACT The objective of this study is to investigate the main social, psychosocial and clinical factors associated with poor self-rated oral health in adolescents.
A cross-sectional survey was carried out in two cities of the Distrito Federal, Brazil. Data were collected by clinical examinations and by self-administered questionnaires from 1302 adolescents aged 14- 15 years in 39 schools. Data analysis was carried out using a Poisson regression model taking into account the cluster sample.
Adjusting for social, psychosocial and clinical factors, results showed that poor self-rated oral health was significantly associated (P < 0.001) with sex (males) [prevalence ratio (PR) = 0.8, 95% confidence interval (95% CI): 0.7-0.9]; low social class (PR =1.4, 95% CI: 1.2-1.6); poor self-rated general health (PR = 2.6, 95% CI: 2.3-3.1); mouth appearance (PR = 1.9, 95% CI: 1.6-2.2) and with presence of untreated dental decay (PR = 1.4, 95% CI: 1.3-1.6).
The single question on self-rated oral health appears to be a simple and easy way to collect dental health information in adolescents. Assessment and understanding of self-rated oral health should take into account social, psychosocial and oral factors.
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ABSTRACT: IntroductionA moderate to high prevalence of oral diseases among adolescents remain a reality among our population. The frequency of toothbrushing, daily use of dental floss and regular dental appointments are important determinants of oral health. The main objectives of this study consisted in determining the average score of permanent decayed, missing and filled teeth (DMFT index) and characterize oral health behaviours in a sample of adolescents of the city of Mangualde.MethodsA cross-sectional study was conducted with a sample of 156 adolescents of the seventh and tenth grade of the Felismina Alcantara elementary and high school of Mangualde. Data collection was conducted using a questionnaire containing questions related with oral health behaviours, completed by the adolescents in the classroom. The oral examination to determine the DMFT index was performed with the probe approved for diagnosis of dental caries by the World Health Organization (WHO) in the classroom and with natural and artificial light of the classroom.ResultsIn this study a DMFT of 4.05 ± 3.59 was obtained with a decay component of 2.92 ± 2.86. Of the total sample, 25.6% of adolescents do not brush at least twice per day, 82.1% do not use dental floss daily and 32.7% had not visited the dentist in the last twelve months.Conclusions The DMFT index obtained falls within the moderate level, not reaching the goals advocated by the WHO. A small proportion of adolescents present adequate oral health behaviours when analyzing toothbrushing, use of dental floss and regular dental appointments.Revista Portuguesa de Estomatologia, Medicina Dentária e Cirurgia Maxilofacial. 54(1):27–32.
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ABSTRACT: The objective of this study was to assess socioeconomic inequalities in subjective measures of oral health in a national sample of adults in England, Wales and Northern Ireland.BMC Public Health 08/2014; 14(1):827. · 2.08 Impact Factor
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ABSTRACT: The scope of this study is to investigate the association between occupational stress and self-perception of oral health. Data were obtained through a self-administered questionnaire filled out in a Pró-Saúde Study by 3253 administrative technical staff from Rio de Janeiro's State University. Occupational stress was measured by means of a questionnaire elaborated in 1970 by Karasek, duly shortened by Thorell in 1988. Ordinal logistic regression was used for data analysis, subsequently adjusted for three blocks of variables. Workers exposed to high occupational demands and little occupational control and to passive work had higher chances of self-perception of worse oral health, when compared with those exposed to low occupational demands, there being no association observed in those exposed to active work. However, in the multiple regression model the following estimates were reduced in magnitude and lost statistical significance, namely high occupational demands and passive work. Workers exposed to high occupational demands revealed worse self-reported oral health, which seems to be partly explained by health behavior patterns, the presence of oral health problems and seeking dental services at longer intervals than once per year.Ciencia & saude coletiva 07/2013; 18(7):2069-74.