Universidade Estadual da Paraíba - UEPB, Department of Dentistry, Campina Grande, PB, Brazil.
Universidade Federal da Paraíba - UFPB, Department of Dentistry, João Pessoa, PB, Brazil.
Braz Oral Res. 2020 Apr 17;34:e037. doi: 10.1590/1807-3107bor-2020.vol34.0037. eCollection 2020.
The aim of this study was to evaluate the association between number of cavitated dental caries in adolescents and family cohesion, drug use, sociodemographic factors and visits to the dentist. A cross-sectional study was conducted with 746 adolescents aged 15 to 19 years from Campina Grande, Brazil. The parents answered a questionnaire addressing sociodemographic data, and the adolescents answered questionnaires on drug use, type of family cohesion and visits to the dentist. Two examiners underwent training and calibration exercises (K > 0.80) to diagnose dental caries using the Nyvad criteria. A directed acyclic graph was created to select the variables to be controlled in the statistical model. Associations between the independent variables and the outcome were determined using robust Poisson Regression analysis for complex samples (α = 5%). Rate ratios (RR) and 95% confidence intervals (CI) were calculated. The prevalence of dental caries and cavitated lesions among the adolescents was 92.8% and 41.6%, respectively. The following variables remained associated with the number of cavitated lesions in the multivariate analysis: disengaged (RR: 6.30; 95%CI: 1.24-31.88; p = 0.028 ), separated (RR: 4.80; 95%CI: 1.03-22.35; p = 0.046) and connected (RR: 5.23; 95%CI: 1.27-21.59; p = 0.024) levels of family cohesion, and high social class (RR: 0.55; 95%CI: 0.39-0.76; p = 0.001). In conclusion, this paper posits that adolescents with a lower socioeconomic status, and those whose family cohesion was classified as disengaged, separated or connected, had a larger number of cavitated lesions.
本研究旨在评估青少年龋齿空洞数量与家庭凝聚力、药物使用、社会人口因素和看牙医之间的关联。这是一项横断面研究，共纳入 746 名年龄在 15 至 19 岁的巴西坎皮纳格兰德青少年。父母回答了一份关于社会人口数据的问卷，青少年回答了关于药物使用、家庭凝聚力类型和看牙医的问卷。两名检查者接受了培训和校准练习（K>0.80），以使用 Nyvad 标准诊断龋齿。创建有向无环图以选择统计模型中要控制的变量。使用复杂样本的稳健泊松回归分析（α=5%）确定独立变量与结果之间的关联。率比（RR）和 95%置信区间（CI）。青少年龋齿和龋齿病变的患病率分别为 92.8%和 41.6%。多变量分析中与龋齿空洞数量相关的变量包括：疏远（RR：6.30；95%CI：1.24-31.88；p=0.028）、分离（RR：4.80；95%CI：1.03-22.35；p=0.046）和连接（RR：5.23；95%CI：1.27-21.59；p=0.024）家庭凝聚力水平，以及较高的社会阶层（RR：0.55；95%CI：0.39-0.76；p=0.001）。总之，本文认为社会经济地位较低的青少年，以及家庭凝聚力被归类为疏远、分离或连接的青少年，龋齿空洞的数量更多。
