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Self-reported symptoms of temporomandibular pain and jaw dysfunction in adolescents are associated with exposure to violence.
Nascimento, Michele; Dahllöf, Göran; Cunha Soares, Fernanda; Mayer, Tricia Murielly Andrade de Souza; Kvist, Therese; Colares, Viviane.
Afiliación
  • Nascimento M; Division of Pediatric Dentistry, Department of Pediatric Dentistry, University of Pernambuco, Recife, Brazil.
  • Dahllöf G; Department of Orofacial Pain Control Center, University of Pernambuco, Recife, Brazil.
  • Cunha Soares F; Division of Orthodontics and Pediatric Dentistry, Department of Dental Medicine, Karolinska Institutet, Stockholm, Sweden.
  • Mayer TMAS; Center for Pediatric Oral Health Research, Stockholm, Sweden.
  • Kvist T; TkMidt - Center for Oral Health Services and Research, Trondheim, Norway.
  • Colares V; Division of Orthodontics and Pediatric Dentistry, Department of Dental Medicine, Karolinska Institutet, Stockholm, Sweden.
J Oral Rehabil ; 48(7): 765-773, 2021 Jul.
Article en En | MEDLINE | ID: mdl-33774844
BACKGROUND: Temporomandibular disorders (TMDs) are multifactorial, and high levels of stress seem to increase symptoms. The association with exposure to violence has not been explored in adolescent populations. OBJECTIVE: To examine the association of self-reported symptoms of temporomandibular pain and jaw dysfunction with child physical abuse, intimate partner violence, forced sexual intercourse, and bullying victimisation. METHODS: An epidemiological, cross-sectional, school-based study was conducted in Olinda, northeast Brazil. The sample comprised 2,431 adolescents aged 14-19 years. TMD-related symptoms and exposure to violence were assessed with questions from the 3Q/TMD screener and queries on exposure to different forms of violence. Multilevel logistic regressions were conducted to evaluate how 3Q screen-positive responses are associated with self-reported exposure to violence. RESULTS: Self-reported TMD-related symptoms had a prevalence of 40.5%. Significantly more females than males screened positive to all 3Q/TMD questions (p < .001). Adolescents experiencing intimate partner violence (p = .012) and bullying (p < .001) had significantly higher odds of 3Q positive responses than those who reported no exposure to violence. Significant associations of TMD-related symptoms with forced sexual intercourse (p = .014) and with bullying (p = .007) were observed. CONCLUSION: Adolescents with self-reported symptoms of temporomandibular pain and jaw dysfunction were significantly more often exposed to some type of violence. The number of adolescents reporting TMD-related symptoms increased in a dose-response manner with the number of violence forms the individual had experienced.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Exposición a la Violencia Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Prevalence_studies Aspecto: Determinantes_sociais_saude Límite: Adolescent / Child / Female / Humans / Male País/Región como asunto: America do sul / Brasil Idioma: En Revista: J Oral Rehabil Año: 2021 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Exposición a la Violencia Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Prevalence_studies Aspecto: Determinantes_sociais_saude Límite: Adolescent / Child / Female / Humans / Male País/Región como asunto: America do sul / Brasil Idioma: En Revista: J Oral Rehabil Año: 2021 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Reino Unido