Self-perceived dental treatment need among adolescents: A hierarchical analysis.

Autor: da Cunha IP; Department of Community Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba, Brazil., Mialhe FL; Department of Community Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba, Brazil., Pereira AC; Department of Community Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba, Brazil., Vedovello SAS; Department of Orthodontics, University Center of the Hermínio Ometto Foundation, Araras, Brazil., Bulgareli JV; Department of Community Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba, Brazil., Frias AC; Department of Social Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil., Ambrosano GMB; Department of Community Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba, Brazil., de Castro Meneghim M; Department of Community Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba, Brazil.
Jazyk: angličtina
Zdroj: Community dentistry and oral epidemiology [Community Dent Oral Epidemiol] 2020 Apr; Vol. 48 (2), pp. 130-136. Date of Electronic Publication: 2019 Dec 11.
DOI: 10.1111/cdoe.12510
Abstrakt: Objectives: The aim of the present study was to analyse the factors associated with self-perceived need for dental treatment among adolescents.
Methods: A representative sample in the state of São Paulo, Brazil, comprising 5558 adolescents, was evaluated in 2015. The adolescents were selected by probabilistic sampling by conglomerates in two stages. The outcome evaluated was self-perceived treatment need measured via a validated questionnaire. Independent variables included sociodemographic factors, type, frequency and reason for last dental visit, and examination of oral conditions. Statistical analysis was based on the multiple hierarchical logistic regression model.
Results: Of the total sample, 3340 (62.6%) adolescents reported needing dental treatment. After fitting the model, the self-perceived need for treatment was associated with adolescents with family income of up to $1,500 BRL (OR 1.39; [95% CI = 1.20-1.60]; P < .001), who sought dental services solely for curative treatment (OR 1.58; [95% CI = 1.46-1.72]; P < .001), reported toothaches in the previous six months (OR 2.88; [95% CI = 2.53-3.28]; P < .001), were dissatisfied with the appearance of their teeth and mouth (OR 5.94; [95% CI = 5.03-7.01]; P < .001), had caries in the posterior teeth only (OR 3.04; [95% CI = 2.77-3.33]; P < .001) or had caries in the anterior teeth (OR 4.75; [95% CI = 4.05-5.56]; P < .001).
Conclusions: The self-perceived need for dental treatment among Brazilian adolescents was associated with normative and subjective needs, and sociodemographic context factors. This finding provides important evidence for collective health planning.
(© 2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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