Adolescents with worse levels of oral health literacy have more cavitated carious lesions.

Autor: Dutra LDC; Graduate Program in Dentistry, State University of Paraiba (UEPB), Campina Grande, Paraiba, Brazil., de Lima LCM; Graduate Program in Dentistry, State University of Paraiba (UEPB), Campina Grande, Paraiba, Brazil., Neves ÉTB; Graduate Program in Dentistry, State University of Paraiba (UEPB), Campina Grande, Paraiba, Brazil., Gomes MC; Graduate Program in Dentistry, State University of Paraiba (UEPB), Campina Grande, Paraiba, Brazil., de Araújo LJS; Graduate Program in Dentistry, State University of Paraiba (UEPB), Campina Grande, Paraiba, Brazil., Forte FDS; Graduate Program in Dentistry, Federal University of Paraiba (UFPB), Joao Pessoa, Paraiba, Brazil., Paiva SM; Graduate Program in Dentistry, Federal University of Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil., Ferreira FM; Graduate Program in Dentistry, Federal University of Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil., Granville-Garcia AF; Graduate Program in Dentistry, State University of Paraiba (UEPB), Campina Grande, Paraiba, Brazil.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2019 Nov 27; Vol. 14 (11), pp. e0225176. Date of Electronic Publication: 2019 Nov 27 (Print Publication: 2019).
DOI: 10.1371/journal.pone.0225176
Abstrakt: The aim of the present study was to investigate whether the ability to recognize and read oral health terms is associated with the number of teeth with cavitated carious lesions in adolescents. A population-based cross-sectional study was conducted involving a sample of 746 adolescents representative of students aged 15 to 19 years at the public and private school systems in a city in northeast Brazil. Two examiners who had undergone a training and calibration exercise (inter-examiner and intra-examiner Kappa coefficient: 0.87 to 0.93) performed the diagnosis of caries using the Nyvad Index and evaluated the level of OHL (BREALD-30) of the adolescents. The participants answered questions regarding their history of visits to the dentist and the parents/caregivers answered a questionnaire addressing socioeconomic characteristics. A directed acyclic graph was created to direct the selection of covariables for adjustments in the Poisson multiple regression analysis to test the association between dental caries and OHL (α = 5%). Cavitated carious lesions (codes 3 to 6 on the Nyvad index) were found in 41.6% of the adolescents. Only 29.4% had a high level of OHL (BREALD-30 scores between 23 and 30); 42.3% of the families belonged to the A-B social class and 93% of the adolescents had been to the dentist at least once in their lifetimes. In the multivariate analysis, adolescents with inadequate (PR: 1.69; 95% CI: 1.18-2.41; p = 0.004) and marginal (PR; 1.42; 95% CI: 1.01-1.99; p = 0.042) OHL and those in the lower social classes (C-D-E) (PR: 1.85; 95% CI: 1.39-2.47; p<0.001) had more teeth with cavitated carious lesions. In conclusion, adolescents aged 15 to 19 years with poorer levels of OHL had a larger number of teeth with cavitated carious lesions, independently of their socioeconomic status and history of visiting a dentist.
Competing Interests: The authors have declared that no competing interests exist.
Databáze: MEDLINE
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