Adverse childhood experiences and dental caries among adolescents.

IF 2.9 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Caries Research Pub Date : 2025-06-10 DOI:10.1159/000546071

Thaís Gioda Noronha-Ramos, Jessica Klöckner Knorst, Eduarda da Silveira Borstmann, Thiago Machado Ardenghi, Fernanda Tomazoni

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引用次数: 0

Abstract

Introduction: Adverse childhood experiences (ACEs) are negative events occurring before age 18 that may impact health. Children exposed to ACEs often receive inadequate preventive care and have a higher prevalence of diseases like dental caries. However, research on this topic remains limited. This study evaluated the association between ACEs and dental caries in adolescents.

Methods: This is a cross-sectional study nested in a cohort performed with a representative sample of preschools from Santa Maria, southern Brazil. This study used data from the last follow-up, with individuals aged between 14 to 18. Data collection was performed through structured questionnaires administered face-to-face and oral clinical examinations. All research team was previously trained and calibrated. Dental caries was measured by International Caries Detection and Assessment System (ICDAS). ACE was evaluated by questions of the Brazilian version of the Adverse Childhood Experiences - International Questionnaire (ACE-IQ), considering alcohol and drug use, suicidal intent, imprisonment, divorce or death of family members. The co-occurrence of ACEs was also evaluated. Sociodemographic and behavioural variables were used as covariables. Poisson regression models were used to investigate the associations with results presents in Rate Ratio (RR) and 95% confidence interval (CI).

Results: A total of 406 adolescents were examined. The mean of teeth with dental caries was 1.45 (standard deviation 3.6). The rate of dental caries was 56% higher in adolescents who lived with someone who has been sent to prison (RR 1.56; 95% CI; 1.02-1.90) and 22% higher in adolescents who witnessed their parents' divorce (RR 1.22; 95% CI; 1.02-1.45) compared to those counterparts. The other ACEs separately were not associated with dental caries. Adolescents exposed to one, two, or more ACEs concomitantly had significantly higher caries rates compared to those with no exposure.

Conclusion: Individuals who witnessed parental divorce or imprisonment exhibited higher rates of dental caries. Moreover, exposure to one, two, or more concurrent ACEs was associated with higher dental caries rates compared to no exposure. These findings underscore the importance of considering specific ACEs within the family environment when assessing their impact on dental caries.

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不良童年经历与青少年龋齿的关系。

童年不良经历（ace）是指在18岁之前发生的可能影响健康的负面事件。接触ace的儿童往往得不到充分的预防护理，患龋齿等疾病的几率更高。然而，关于这一主题的研究仍然有限。本研究评估了ace与青少年龋齿之间的关系。方法：这是一项横断面研究，嵌套在巴西南部圣玛丽亚学龄前儿童的代表性样本中进行。这项研究使用了最后一次随访的数据，这些人的年龄在14到18岁之间。数据收集通过结构化问卷进行面对面和口腔临床检查。所有研究团队之前都经过培训和校准。采用国际龋齿检测与评估系统（ICDAS）检测龋病。通过巴西版的不良童年经历-国际问卷（ACE- iq）的问题来评估ACE，考虑到酒精和药物使用、自杀意图、监禁、离婚或家庭成员死亡。并对ace的共发生情况进行了评价。社会人口学和行为变量作为协变量。使用泊松回归模型来研究与率比（RR）和95%置信区间（CI）结果的关联。结果：共检查青少年406例。龋齿的平均值为1.45（标准差为3.6）。与曾经入狱的人生活在一起的青少年患龋齿的比率高出56% (RR 1.56；95%可信区间;1.02-1.90)，目睹父母离婚的青少年高出22% (RR 1.22；95%可信区间;1.02-1.45)。其他ace分别与龋齿无关。同时暴露于一种、两种或更多ace的青少年与没有暴露的青少年相比，龋齿率明显更高。结论：父母离异或入狱的人患龋率较高。此外，与没有暴露相比，同时暴露于一个、两个或更多的ace与更高的龋齿率相关。这些发现强调了在评估ace对龋齿的影响时考虑家庭环境中特定ace的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Caries Research 医学-牙科与口腔外科

CiteScore

6.30

自引率

7.10%

发文量

审稿时长

6-12 weeks

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.