Department of Pediatric Dentistry and Orthodontics, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil.
School of Dentistry, Federal University of Goiás, Goiânia, GO, Brazil.
Int J Paediatr Dent. 2017 Sep;27(5):412-419. doi: 10.1111/ipd.12275. Epub 2016 Nov 4.
Sense of coherence (SOC) is associated with oral health.
Investigate associations between dental caries experience and SOC among mothers and adolescents.
A cross-sectional study was conducted with 1195 adolescents and their mothers. Data were collected through a questionnaire, the short version of the SOC and oral clinical examinations. The data were statistically analyzed using bivariate analysis, Poisson regression models with robust variance, and Spearman's correlation coefficient.
The prevalence of dental caries experience was 41.8%. A moderate correlation was found between the SOC of mothers and adolescents (r = 0.563; P < 0.001). A higher mother's SOC (PR: 0.44; 95% CI: 0.36-0.53) and adolescent's SOC (PR: 0.46; 95% CI: 0.39-0.55) were protective factors against dental caries experience in the adolescents. The prevalence of dental caries experience was higher among adolescents with visible plaque (Model 1-PR: 1.77; 95% CI: 1.53-2.04; Model 2-PR: 1.59; 95% CI: 1.37-1.84) and those whose families were in a lower economic class (Model 1-PR: 1.56; 95% CI: 1.35-1.80; Model 2-PR: 1.57; 95% CI: 1.36-1.81).
Dental caries in adolescents was associated with social determinants evaluated through the sense of coherence.
社会适应能力与口腔健康有关。
调查母亲和青少年的龋病经历与社会适应能力之间的关系。
这是一项横断面研究，共纳入 1195 名青少年及其母亲。通过问卷调查、社会适应能力简短量表和口腔临床检查收集数据。采用双变量分析、稳健方差泊松回归模型和斯皮尔曼相关系数对数据进行统计学分析。
龋病经历的患病率为 41.8%。母亲和青少年的社会适应能力呈中度相关（r=0.563；P<0.001）。母亲社会适应能力较高（PR：0.44；95%CI：0.36-0.53）和青少年社会适应能力较高（PR：0.46；95%CI：0.39-0.55）是青少年患龋病的保护因素。有可见牙菌斑的青少年（模型 1-PR：1.77；95%CI：1.53-2.04；模型 2-PR：1.59；95%CI：1.37-1.84）和家庭经济条件较差的青少年（模型 1-PR：1.56；95%CI：1.35-1.80；模型 2-PR：1.57；95%CI：1.36-1.81）的龋病经历患病率更高。
通过社会适应能力评估，青少年的龋齿与社会决定因素有关。
