Lopes Roanny Torres, Neves Érick Tássio Barbosa, da Costa Dutra Laio, Firmino Ramon Targino, de Lima Larissa Chaves Morais, Paiva Saul Martins, Ferreira Fernanda Morais, Granville-Garcia Ana Flávia
Graduate Program in Dentistry, Department of Dentistry, State University of Paraíba, Campina Grande 58429-500, Paraíba, Brazil.
Department of Dentistry, State University of Paraíba, Araruna 58233-000, Paraíba, Brazil.
Int J Environ Res Public Health. 2024 Mar 24;21(4):395. doi: 10.3390/ijerph21040395.
The present study aimed to investigate associations between the self-perceived dental treatment need and clinical factors, familial characteristics, and school context in adolescents. A cross-sectional study was conducted with a representative sample of 746 students aged 15 to 19 years in a medium-sized city in Brazil. Data collection involved the use of a sociodemographic questionnaire, an oral health questionnaire, and the Family Adaptability and Cohesion Scales (FACES III) instrument. Clinical examinations were performed by two trained and calibrated examiners (Kappa > 0.80) using the Nyvad criteria. A robust logistic regression analysis for complex samples was performed using a multilevel approach (α = 5%). The individual factors associated with the self-perceived treatment need were dental pain (OR = 1.08; 95% CI: 1.01-1.16), the loss of the first molars (OR = 1.09; 95% CI: 1.03-1.15), and disengaged family cohesion (OR = 1.15; 95% CI: 1.01-1.31). In terms of context, attending a public school was associated with the self-perceived treatment need (OR = 1.17; 95% CI: 1.02-1.33). Thus, the individual factors of toothache, tooth loss, and a disengaged family, as well as the school context, exerted an influence on the self-perceived treatment need.
本研究旨在调查青少年自我感知的牙齿治疗需求与临床因素、家庭特征和学校环境之间的关联。在巴西一个中等城市对746名15至19岁的学生进行了一项横断面研究，选取了具有代表性的样本。数据收集包括使用社会人口统计学问卷、口腔健康问卷以及家庭适应性和凝聚力量表（FACES III）工具。由两名经过培训和校准的检查人员（卡帕>0.80）使用尼瓦德标准进行临床检查。采用多水平方法对复杂样本进行稳健的逻辑回归分析（α = 5%）。与自我感知治疗需求相关的个体因素包括牙痛（比值比 = 1.08；95%置信区间：1.01 - 1.16）、第一恒磨牙缺失（比值比 = 1.09；95%置信区间：1.03 - 1.15）以及家庭凝聚力松散（比值比 = 1.15；95%置信区间：1.01 - 1.31）。在环境方面，就读公立学校与自我感知治疗需求相关（比值比 = 1.17；95%置信区间：1.02 - 1.33）。因此，牙痛、牙齿缺失、家庭关系松散等个体因素以及学校环境对自我感知治疗需求产生了影响。
