Mylla Cristie Campelo Monteiro, Maria Augusta Bessa Rebelo, Yan Nogueira Leite de Freitas, Janete Maria Rebelo Vieira, Mario Vianna Vettore
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引用次数: 0
Abstract
Introduction: This study assessed the influence of social support, oral health beliefs and health behaviours on dental caries incidence among children living in underprivileged neighbourhoods.
Methods: Data from a cohort study with 12-year-old schoolchildren (N=312) selected from public schools in Manaus, Brazil, and their parents or guardians was analyzed. Socioeconomic characteristics, sex, oral health beliefs, social support (SSA questionnaire), oral health-related behaviours (sugar consumption, frequency of toothbrushing, use of fluoride toothpaste) and dental caries (DMFT index) were assessed at age 12 years. Dental caries incidence over 12 month period was registered according to the number of new cavitated teeth. The hypothesis was that socioeconomic disadvantage, lower social support, unfavourable oral health beliefs, and inadequate behaviours would increase the risk of dental caries incidence Statistical analysis was conducted using confirmatory factor analysis and structural equation modeling.
Results: Unfavourable oral health beliefs indirectly predicted higher dental caries incidence (β = 0.041) via sugar consumption and frequency of toothbrushing. Unfavourable oral health beliefs directly predicted higher sugar consumption (β = 0.148) and lower frequency of toothbrushing (β = -0.218). Lower frequency of toothbrushing directly predicted higher dental caries incidence (β = -0.140). Sex (β =-0.017) and social support (β =-0.016) were indirectly linked to dental caries incidence.
Conclusions: Our findings suggest that incidence of dental caries in socially underprivileged children results from the complex relationships between social support, oral health beliefs and oral health behaviours.
期刊介绍:
''Caries Research'' publishes epidemiological, clinical and laboratory studies in dental caries, erosion and related dental diseases. Some studies build on the considerable advances already made in caries prevention, e.g. through fluoride application. Some aim to improve understanding of the increasingly important problem of dental erosion and the associated tooth wear process. Others monitor the changing pattern of caries in different populations, explore improved methods of diagnosis or evaluate methods of prevention or treatment. The broad coverage of current research has given the journal an international reputation as an indispensable source for both basic scientists and clinicians engaged in understanding, investigating and preventing dental disease.