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Individual and Contextual Factors Associated with Adolescents’ Self-Perceived Need for Treatment

Author

Listed:
  • Roanny Torres Lopes

    (Graduate Program in Dentistry, Department of Dentistry, State University of Paraíba, Campina Grande 58429-500, Paraíba, Brazil)

  • Érick Tássio Barbosa Neves

    (Department of Dentistry, State University of Paraíba, Araruna 58233-000, Paraíba, Brazil)

  • Laio da Costa Dutra

    (São Francisco College, Cajazeiras 58900-000, Paraíba, Brazil)

  • Ramon Targino Firmino

    (Academic Unit of Biological Sciences, Federal University of Campina Grande, Patos 58708-110, Paraíba, Brazil)

  • Larissa Chaves Morais de Lima

    (Faculty of Medical Sciences of Campina Grande, UNIFACISA University Center, Campina Grande 58408-326, Paraíba, Brazil)

  • Saul Martins Paiva

    (Department of Child and Adolescent Oral Health, Federal University of Minas Gerais, Belo Horizonte 31270-901, Minas Gerais, Brazil)

  • Fernanda Morais Ferreira

    (Department of Child and Adolescent Oral Health, Federal University of Minas Gerais, Belo Horizonte 31270-901, Minas Gerais, Brazil)

  • Ana Flávia Granville-Garcia

    (Graduate Program in Dentistry, Department of Dentistry, State University of Paraíba, Campina Grande 58429-500, Paraíba, Brazil)

Abstract

The present study aimed to investigate associations between the self-perceived dental treatment need and clinical factors, familial characteristics, and school context in adolescents. A cross-sectional study was conducted with a representative sample of 746 students aged 15 to 19 years in a medium-sized city in Brazil. Data collection involved the use of a sociodemographic questionnaire, an oral health questionnaire, and the Family Adaptability and Cohesion Scales (FACES III) instrument. Clinical examinations were performed by two trained and calibrated examiners (Kappa > 0.80) using the Nyvad criteria. A robust logistic regression analysis for complex samples was performed using a multilevel approach (α = 5%). The individual factors associated with the self-perceived treatment need were dental pain (OR = 1.08; 95% CI: 1.01–1.16), the loss of the first molars (OR = 1.09; 95% CI: 1.03–1.15), and disengaged family cohesion (OR = 1.15; 95% CI: 1.01–1.31). In terms of context, attending a public school was associated with the self-perceived treatment need (OR = 1.17; 95% CI: 1.02–1.33). Thus, the individual factors of toothache, tooth loss, and a disengaged family, as well as the school context, exerted an influence on the self-perceived treatment need.

Suggested Citation

  • Roanny Torres Lopes & Érick Tássio Barbosa Neves & Laio da Costa Dutra & Ramon Targino Firmino & Larissa Chaves Morais de Lima & Saul Martins Paiva & Fernanda Morais Ferreira & Ana Flávia Granville-Ga, 2024. "Individual and Contextual Factors Associated with Adolescents’ Self-Perceived Need for Treatment," IJERPH, MDPI, vol. 21(4), pages 1-10, March.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:4:p:395-:d:1362869
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    References listed on IDEAS

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    1. Laio da Costa Dutra & Larissa Chaves Morais de Lima & Érick Tássio Barbosa Neves & Monalisa Cesarino Gomes & Luíza Jordânia Serafim de Araújo & Franklin Delano Soares Forte & Saul Martins Paiva & Fern, 2019. "Adolescents with worse levels of oral health literacy have more cavitated carious lesions," PLOS ONE, Public Library of Science, vol. 14(11), pages 1-11, November.
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