L.A. Chisini, F.S. Costa, M.B. Correa, M.A. Peres, K.G. Peres, A. Matijasevich, I.S. Santos, A.J.D. Barros, F.F. Demarco
{"title":"巴西社会经济地位对口腔健康自我认知的影响途径","authors":"L.A. Chisini, F.S. Costa, M.B. Correa, M.A. Peres, K.G. Peres, A. Matijasevich, I.S. Santos, A.J.D. Barros, F.F. Demarco","doi":"10.1177/00220345251337392","DOIUrl":null,"url":null,"abstract":"This study aims to explore the pathways through which socioeconomic position (SEP) at birth influences oral health self-perception in adolescence. A representative sample ( <jats:italic>N</jats:italic> = 1,120) of all births from the 2004 Pelotas cohort was prospectively investigated. Interviews and clinical examinations were performed at 5 and 12 y. Gingivitis was assessed at 12 y. Dental caries (dmf-t/DMF-T), malocclusion, and the use of dental services were assessed at 5 and 12 y. SEP at birth (latent variable) was the main exposure. The outcome was a negative oral health self-perception at 18 y. Missing data were imputed using multivariate imputation. Structural equation modeling (SEM) was used to estimate the direct, indirect, and total effects from SEP to outcome. A negative perception of oral health self-perception was reported by 21.5% of the adolescents. SEP at birth influences, directly and indirectly, oral health self-perception at 18 y old. A direct effect (standard coefficient [SC] = −0.28, <jats:italic>P</jats:italic> < 0.001) and an indirect effect (SC = −0.04, <jats:italic>P</jats:italic> < 0.001) of SEP were observed on oral health self-perception. Dental caries at 12 y was the main mediator pathway between SEP and oral health self-perception with significant results (SC = −0.03, <jats:italic>P</jats:italic> < 0.001). The pathways through occlusal status at 12 y ( <jats:italic>P</jats:italic> = 0.989) and gingivitis ( <jats:italic>P</jats:italic> = 0.238) were not statistically significant. The total effect of SEP on negative self-perception of oral health was SC = −0.32 ( <jats:italic>P</jats:italic> < 0.001). Thus, SEP at birth directly and indirectly influenced oral health self-perception at the age 18 y. SEM shows that the main pathway was direct. The main indirect effect was thought to be dental caries at 12 y.","PeriodicalId":15596,"journal":{"name":"Journal of Dental Research","volume":"67 1","pages":""},"PeriodicalIF":5.9000,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Pathways of Socioeconomic Position in Oral Health Self-Perception in Brazil\",\"authors\":\"L.A. Chisini, F.S. Costa, M.B. Correa, M.A. Peres, K.G. Peres, A. Matijasevich, I.S. Santos, A.J.D. Barros, F.F. Demarco\",\"doi\":\"10.1177/00220345251337392\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"This study aims to explore the pathways through which socioeconomic position (SEP) at birth influences oral health self-perception in adolescence. A representative sample ( <jats:italic>N</jats:italic> = 1,120) of all births from the 2004 Pelotas cohort was prospectively investigated. Interviews and clinical examinations were performed at 5 and 12 y. Gingivitis was assessed at 12 y. Dental caries (dmf-t/DMF-T), malocclusion, and the use of dental services were assessed at 5 and 12 y. SEP at birth (latent variable) was the main exposure. The outcome was a negative oral health self-perception at 18 y. Missing data were imputed using multivariate imputation. Structural equation modeling (SEM) was used to estimate the direct, indirect, and total effects from SEP to outcome. A negative perception of oral health self-perception was reported by 21.5% of the adolescents. SEP at birth influences, directly and indirectly, oral health self-perception at 18 y old. A direct effect (standard coefficient [SC] = −0.28, <jats:italic>P</jats:italic> < 0.001) and an indirect effect (SC = −0.04, <jats:italic>P</jats:italic> < 0.001) of SEP were observed on oral health self-perception. Dental caries at 12 y was the main mediator pathway between SEP and oral health self-perception with significant results (SC = −0.03, <jats:italic>P</jats:italic> < 0.001). The pathways through occlusal status at 12 y ( <jats:italic>P</jats:italic> = 0.989) and gingivitis ( <jats:italic>P</jats:italic> = 0.238) were not statistically significant. The total effect of SEP on negative self-perception of oral health was SC = −0.32 ( <jats:italic>P</jats:italic> < 0.001). Thus, SEP at birth directly and indirectly influenced oral health self-perception at the age 18 y. SEM shows that the main pathway was direct. 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引用次数: 0
摘要
本研究旨在探讨出生时社会经济地位对青少年口腔健康自我认知的影响。对2004年Pelotas队列中所有新生儿的代表性样本(N = 1120)进行前瞻性调查。5岁和12岁时进行访谈和临床检查。12岁时评估牙龈炎。5岁和12岁时评估龋齿(dmf-t/ dmf-t)、错颌和牙科服务的使用情况。出生时SEP(潜在变量)是主要暴露因素。结果是18岁时口腔健康自我认知为阴性。缺失数据采用多变量归因法进行归因。使用结构方程模型(SEM)来估计从SEP到结果的直接、间接和总影响。21.5%的青少年对口腔健康自我认知持消极态度。出生时的SEP直接或间接影响18岁时的口腔健康自我认知。直接影响(标准系数[SC] = - 0.28, P <;0.001)和间接效应(SC = - 0.04, P <;口腔健康自我知觉的差异为0.001)。12岁时龋齿是SEP与口腔健康自我知觉之间的主要中介通路,差异有统计学意义(SC = - 0.03, P <;0.001)。12岁时咬合状态(P = 0.989)和牙龈炎(P = 0.238)的通路无统计学意义。SEP对口腔健康负性自我知觉的总影响为SC = - 0.32 (P <;0.001)。因此,出生时的SEP直接和间接影响了18岁时的口腔健康自我感知,扫描电镜显示其主要途径是直接的。主要的间接影响被认为是12岁时的龋齿。
Pathways of Socioeconomic Position in Oral Health Self-Perception in Brazil
This study aims to explore the pathways through which socioeconomic position (SEP) at birth influences oral health self-perception in adolescence. A representative sample ( N = 1,120) of all births from the 2004 Pelotas cohort was prospectively investigated. Interviews and clinical examinations were performed at 5 and 12 y. Gingivitis was assessed at 12 y. Dental caries (dmf-t/DMF-T), malocclusion, and the use of dental services were assessed at 5 and 12 y. SEP at birth (latent variable) was the main exposure. The outcome was a negative oral health self-perception at 18 y. Missing data were imputed using multivariate imputation. Structural equation modeling (SEM) was used to estimate the direct, indirect, and total effects from SEP to outcome. A negative perception of oral health self-perception was reported by 21.5% of the adolescents. SEP at birth influences, directly and indirectly, oral health self-perception at 18 y old. A direct effect (standard coefficient [SC] = −0.28, P < 0.001) and an indirect effect (SC = −0.04, P < 0.001) of SEP were observed on oral health self-perception. Dental caries at 12 y was the main mediator pathway between SEP and oral health self-perception with significant results (SC = −0.03, P < 0.001). The pathways through occlusal status at 12 y ( P = 0.989) and gingivitis ( P = 0.238) were not statistically significant. The total effect of SEP on negative self-perception of oral health was SC = −0.32 ( P < 0.001). Thus, SEP at birth directly and indirectly influenced oral health self-perception at the age 18 y. SEM shows that the main pathway was direct. The main indirect effect was thought to be dental caries at 12 y.
期刊介绍:
The Journal of Dental Research (JDR) is a peer-reviewed scientific journal committed to sharing new knowledge and information on all sciences related to dentistry and the oral cavity, covering health and disease. With monthly publications, JDR ensures timely communication of the latest research to the oral and dental community.