Department of Dentistry, Universidade Estadual da Paraíba, Campina Grande, Brazil.
Department of Pediatric Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Int J Paediatr Dent. 2021 Nov;31(6):691-698. doi: 10.1111/ipd.12756. Epub 2021 Jan 25.
Little is known regarding the influence of psychosocial factors on dental caries at early adolescence. The study aimed to investigate associations between family environment, attention-deficit/hyperactivity disorder (ADHD) and oral health literacy (OHL) with dental caries experience in early adolescence. A cross-sectional study was conducted with a representative sample of 448 12-year-old adolescents at public and private schools in North-eastern Brazil. Parents/guardians and teachers answered the Brazilian version of the inattention and hyperactivity/impulsivity subscales (SNAP- IV) for the evaluation of ADHD and a sociodemographic questionnaire. An OHL instrument (BREALD-30) and the Family Adaptability and Cohesion Scales (FACES III) were administered to the adolescents. Caries experience (DMFT) was the dependent variable. Data analysis involved Poisson regression with robust variance (α = 5%). Adolescents with more symptoms of ADHD (teachers' reports) (RR: 1.73; 95% CI: 1.31-2.28), those with lower OHL (RR: 1.59; 95% CI: 1.01-2.51), those with a lower family income (RR: 1.38; 95% CI: 1.03-1.83), and those from families with a greater number of residents in the home (RR: 1.18; 95% CI: 1.06-1.31) had greater caries experience. Family adaptability and cohesion were not associated with caries experience. Dental caries experience in early adolescence was influenced by symptoms of ADHD, OHL, and sociodemographic factors.
关于心理社会因素对青少年早期龋齿的影响知之甚少。本研究旨在调查家庭环境、注意缺陷多动障碍（ADHD）和口腔健康素养（OHL）与青少年早期龋齿经历之间的关系。本研究采用横断面研究设计，在巴西东北部的公立和私立学校抽取了 448 名 12 岁的青少年作为代表性样本。家长/监护人以及教师回答了巴西版的注意力不集中和多动/冲动分量表（SNAP-IV），用于评估 ADHD，以及一份社会人口学问卷。对青少年进行了 OHL 工具（BREALD-30）和家庭适应性和凝聚力量表（FACES III）的评估。龋齿经历（DMFT）是因变量。数据分析采用了具有稳健方差的泊松回归（α=5%）。有更多 ADHD 症状的青少年（教师报告）（RR：1.73；95%CI：1.31-2.28）、OHL 水平较低的青少年（RR：1.59；95%CI：1.01-2.51）、家庭收入较低的青少年（RR：1.38；95%CI：1.03-1.83）以及家庭居住人数较多的青少年（RR：1.18；95%CI：1.06-1.31），其龋齿经历更为严重。家庭适应性和凝聚力与龋齿经历无关。青少年早期的龋齿经历受到 ADHD 症状、OHL 和社会人口因素的影响。
