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Contextual and individual factors associated with traumatic dental injuries in deprived 12-year-old schoolchildren: A cohort study.
Bezerra, Emmanuelle de Fátima Noberto; Herkrath, Fernando José; Vettore, Mario Vianna; Rebelo, Maria Augusta Bessa; de Queiroz, Adriana Corrêa; Rebelo Vieira, Janete Maria; Pereira, Juliana Vianna; da Silva Freitas, Mariana Oliveira; de Queiroz Herkrath, Ana Paula Corrêa.
Afiliación
  • Bezerra EFN; School of Dentistry, Federal University of Amazonas, Manaus, Amazonas, Brazil.
  • Herkrath FJ; Oswaldo Cruz Foundation, Instituto Leônidas e Maria Deane, Manaus, Amazonas, Brazil.
  • Vettore MV; Oswaldo Cruz Foundation, Instituto Leônidas e Maria Deane, Manaus, Amazonas, Brazil.
  • Rebelo MAB; Superior School of Health Sciences, State University of Amazonas, Manaus, Amazonas, Brazil.
  • de Queiroz AC; Department of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark.
  • Rebelo Vieira JM; School of Dentistry, Federal University of Amazonas, Manaus, Amazonas, Brazil.
  • Pereira JV; School of Dentistry, Federal University of Amazonas, Manaus, Amazonas, Brazil.
  • da Silva Freitas MO; School of Dentistry, Federal University of Amazonas, Manaus, Amazonas, Brazil.
  • de Queiroz Herkrath APC; School of Dentistry, Federal University of Amazonas, Manaus, Amazonas, Brazil.
Dent Traumatol ; 2024 Apr 09.
Article en En | MEDLINE | ID: mdl-38590266
ABSTRACT

AIM:

Traumatic dental injuries (TDIs) among children and adolescents have been acknowledged as of public health concern worldwide. The aim of the study was to assess the relationship between contextual and individual characteristics and TDIs in 12-year-old schoolchildren. MATERIALS AND

METHODS:

A cohort study was conducted with 355 schoolchildren living in deprived communities in the city of Manaus, Brazil. Contextual factors (place of residence and socio-economic indicators) and individual characteristics, including sex, family income, parents/guardians years of schooling, overjet and open bite (Dental Aesthetic Index), self-esteem (Rosenberg Self-Esteem Scale), sense of coherence (Sense of Coherence Scale), oral health beliefs, social support (Social Support Appraisals) were assessed at baseline. TDIs were measured at baseline and at 2-year follow-up using the O'Brien Index. Data were analysed through confirmatory factor analysis and structural equation modeling.

RESULTS:

The baseline prevalence of TDIs was 17.6% and the incidence of TDIs at 2-year follow-up was 26.8%. Better psychosocial status had a direct protective effect on the incidence of TDIs (ß = -.184). Better contextual characteristics (ß = -.135) and greater overjet (ß = -.203) were directly associated with poor psychosocial status. Higher schooling of parents/guardians directly predicted better psychosocial status (ß = .154). Psychosocial status mediated the relationship of greater overjet (ß = .036), contextual factors (ß = .024) and parental/guardian schooling (ß = -.027) with TDIs.

CONCLUSIONS:

Contextual factors and individual characteristics predicted TDIs. Psychosocial status was a relevant individual attribute in the causal network of TDIs, due to the direct effect on the incidence of TDIs as well as a mediator on the influence of contextual factors, overjet and parents/guardians schooling on the incidence of TDIs.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Dent Traumatol Asunto de la revista: ODONTOLOGIA / TRAUMATOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Dinamarca
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Dent Traumatol Asunto de la revista: ODONTOLOGIA / TRAUMATOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Dinamarca