Perception of parents and caregivers about the need for dental appointments for adolescents from a Brazilian birth cohort

IF 1.8 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Thais Freitas Formozo Tillmann, Maria Beatriz Junqueira de Camargo, Andréia Morales Cascaes, Aluísio J. D. Barros, Iná S. Santos, Marcos Britto Corrêa, Alicia Matijasevich, Otávio Pereira D'Ávila, Alexandre Emidio Ribeiro Silva
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Abstract

Objective

To investigate the perception of parents or caregivers regarding the need for dental appointments for adolescents aged 12–13 years and associated factors.

Methods

Data from the Pelotas 2004 Birth Cohort were used. The outcome variable was the need for dental appointments for young adolescents perceived by parents or caregivers. Demographic and economic exposure variables were obtained from the first (2004) and sixth general follow-up (2015), respectively. The exposure variables ‘previous history of dental pain’, ‘self-rated oral health’, clinical variables and the outcome variable were obtained from the second oral health follow-up (2017). Unadjusted and adjusted multivariate Poisson regression analyses provided prevalence ratios (PR) and respective 95% confidence intervals (CI).

Results

At the first oral health follow-up (2009), 1303 five-year-old children were recruited, 996 of whom were reassessed and underwent oral health examinations at 12 and 13 years of age (response rate: 76.4%). The findings showed that 72.4% of parents/caregivers perceived that the adolescents needed dental appointments. No associations were found between the outcome and sociodemographic or economic variables. After adjustments, the outcome remained positively associated with previous history of toothache (PR 1.22; 95% CI 1.14–1.32), self-rated oral health as fair or poor (PR 1.26; 95% CI 1.15–1.39), the presence of dental caries (PR 1.27; 95% CI 1.20–1.38) and severe or disabling malocclusion (PR 1.14; 95% CI 1.05–1.25).

Conclusions

The perception of parents/caregivers regarding the need for dental appointments on the part of their adolescent sons and daughters was associated with oral health problems, and these findings can serve as the basis for creating and improving oral health programmes that seek a better understanding on the part of parents and caregivers regarding the importance of integral care for their adolescent children.

父母和护理人员对巴西出生队列青少年牙科预约需求的看法。
目的:调查父母或护理人员对12-13岁青少年牙科预约需求的看法 年及相关因素。方法:采用Pelotas 2004年出生队列的数据。结果变量是父母或照顾者认为青少年需要预约牙科。人口和经济暴露变量分别来自第一次(2004年)和第六次一般随访(2015年)。暴露变量“既往牙痛史”、“自评口腔健康”、临床变量和结果变量来自第二次口腔健康随访(2017)。未经调整和调整的多变量泊松回归分析提供了患病率(PR)和各自的95%置信区间(CI)。结果:在第一次口腔健康随访(2009年)中,招募了1303名五岁儿童,其中996人在12岁和13岁时接受了重新评估和口腔健康检查 研究结果显示,72.4%的父母/照顾者认为青少年需要牙科预约。结果与社会人口统计或经济变量之间没有关联。调整后,结果仍与既往牙痛史呈正相关(PR 1.22;95%CI 1.14-13.2),口腔健康自评为一般或较差(PR 1.26;95%CI 1.15-1.39),龋齿的存在(PR 1.27;95%CI 1.20-1.38)和严重或致残性错牙合(PR 1.14;95%CI 1.05-1.25)。结论:父母/照顾者对青少年子女牙科预约需求的看法与口腔健康问题有关,这些发现可以作为制定和改进口腔健康计划的基础,这些计划旨在让父母和照顾者更好地理解对青少年儿童的整体护理的重要性。
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来源期刊
Community dentistry and oral epidemiology
Community dentistry and oral epidemiology 医学-公共卫生、环境卫生与职业卫生
CiteScore
4.40
自引率
8.70%
发文量
82
审稿时长
6 months
期刊介绍: The aim of Community Dentistry and Oral Epidemiology is to serve as a forum for scientifically based information in community dentistry, with the intention of continually expanding the knowledge base in the field. The scope is therefore broad, ranging from original studies in epidemiology, behavioral sciences related to dentistry, and health services research through to methodological reports in program planning, implementation and evaluation. Reports dealing with people of all age groups are welcome. The journal encourages manuscripts which present methodologically detailed scientific research findings from original data collection or analysis of existing databases. Preference is given to new findings. Confirmations of previous findings can be of value, but the journal seeks to avoid needless repetition. It also encourages thoughtful, provocative commentaries on subjects ranging from research methods to public policies. Purely descriptive reports are not encouraged, nor are behavioral science reports with only marginal application to dentistry. The journal is published bimonthly.
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