Graduate program in Dentistry, State University of Paraiba (UEPB), Campina Grande, Brazil.
Graduate program in Dentistry, Federal University of Minas Gerais (UFMG), Belo Horizonte, Brazil.
Community Dent Oral Epidemiol. 2020 Jun;48(3):232-239. doi: 10.1111/cdoe.12520. Epub 2020 Feb 3.
The aim of this study was to evaluate the association between the prevalence of cavitated dental caries and oral health literacy (OHL), family characteristics and sociodemographic factors in early adolescence.
A cross-sectional study was conducted with 740 twelve-year-old students. The students' guardians provided information on sociodemographic data, and the students provided information on family characteristics and OHL. Two trained dentists examined the participants for dental caries and administered the Brazilian version of the Rapid Estimate of Oral Health Literacy in Dentistry (BREALD-30). Control variables were selected using a directed acyclic graph. Descriptive analysis was performed; this was followed by robust Poisson regression analysis for complex samples to evaluate the association between dental caries and socioeconomic and family predictors (α = 5%).
The following variables were associated with a greater number of cavitated caries lesions: low level of education completed by the mother (RR = 1.58; 95% CI: 1.12-2.24), less privileged social class (RR = 1.89; 95% CI: 1.28-2.80), non-White ethnicity (RR = 1.64; 95% CI: 1.0-2.48), larger number of residents in the home (RR = 1.87; 95% CI: 1.25-2.81), low level of OHL (RR = 2.02; 95% CI: 1.28-3.18), and the 'connected' (RR = 4.72; 95% CI: 1.17-18.90), 'separated' (RR = 4.09; 95% CI: 1.05-15.86) and 'disengaged' (RR = 4.20; 95% CI: 1.09-16.18) types of family cohesion.
A low level of oral health literacy, sociodemographic factors, and a low level of family cohesion are predictors of cavitated caries lesions in early adolescence.
本研究旨在评估在青少年早期，龋齿的流行程度与口腔健康素养（OHL）、家庭特征和社会人口因素之间的关系。
本横断面研究纳入了 740 名 12 岁学生。学生的监护人提供了社会人口数据信息，学生则提供了家庭特征和 OHL 信息。由两名经过培训的牙医对参与者进行口腔检查，并对其进行巴西版快速口腔健康评估-口腔卫生素养（BREALD-30）测试。使用有向无环图选择控制变量。进行描述性分析；然后使用复杂样本的稳健泊松回归分析评估龋齿与社会经济和家庭预测因素之间的关系（α=5%）。
以下变量与更多的龋齿病变相关：母亲完成的教育水平较低（RR=1.58；95%CI：1.12-2.24）、社会阶层较低（RR=1.89；95%CI：1.28-2.80）、非白种人（RR=1.64；95%CI：1.0-2.48）、家庭居住人数较多（RR=1.87；95%CI：1.25-2.81）、OHL 水平较低（RR=2.02；95%CI：1.28-3.18）以及家庭关系中“连接”（RR=4.72；95%CI：1.17-18.90）、“分离”（RR=4.09；95%CI：1.05-15.86）和“脱离”（RR=4.20；95%CI：1.09-16.18）的类型。
在青少年早期，较低的口腔健康素养、社会人口因素以及较低的家庭凝聚力是龋齿的预测因素。
