The influence of change on sense of coherence on dental services use among adolescents: a two-year prospective follow-up study.

Autor: da Silva Araújo Júnior CA; School of Dentistry, Federal University of Amazonas, Av. Ministro Waldemar Pedrosa, 1539, Praça 14 de Janeiro, Manaus, AM, CEP 69025-050, Brazil., Rebelo Vieira JM; School of Dentistry, Federal University of Amazonas, Av. Ministro Waldemar Pedrosa, 1539, Praça 14 de Janeiro, Manaus, AM, CEP 69025-050, Brazil., Rebelo MAB; School of Dentistry, Federal University of Amazonas, Av. Ministro Waldemar Pedrosa, 1539, Praça 14 de Janeiro, Manaus, AM, CEP 69025-050, Brazil., Herkrath FJ; Instituto Leônidas e Maria Deane, Fundacão Oswaldo Cruz, Manaus, Rua Teresina, 476, Adrianópolis, Manaus, AM, CEP: 69027-070, Brazil., Herkrath APCQ; School of Dentistry, Federal University of Amazonas, Av. Ministro Waldemar Pedrosa, 1539, Praça 14 de Janeiro, Manaus, AM, CEP 69025-050, Brazil., de Queiroz AC; School of Dentistry, Federal University of Amazonas, Av. Ministro Waldemar Pedrosa, 1539, Praça 14 de Janeiro, Manaus, AM, CEP 69025-050, Brazil., Pereira JV; School of Dentistry, Federal University of Amazonas, Av. Ministro Waldemar Pedrosa, 1539, Praça 14 de Janeiro, Manaus, AM, CEP 69025-050, Brazil., Vettore MV; Department of Health and Nursing Sciences, Faculty of Health and Sports Sciences, University of Agder, Campus Kristiansand, Universitetsveien 25, 4630, Kristiansand, Norway. mario.vettore@uia.no.
Jazyk: angličtina
Zdroj: BMC oral health [BMC Oral Health] 2021 Dec 25; Vol. 21 (1), pp. 663. Date of Electronic Publication: 2021 Dec 25.
DOI: 10.1186/s12903-021-02026-9
Abstrakt: Background: To investigate the influence of change on sense of coherence (SOC) on dental services use in adolescents over a two-year period.
Methods: A prospective follow-up study was conducted involving 334 12-year-old adolescents from public schools in the city of Manaus, Amazonas, Brazil. The predictors of use of dental services in the last 12 months were selected according to the Andersen's behavioural theoretical model. The predisposing factors included sex, self-reported skin colour and SOC. The enabling factors were dental insurance, monthly family income and parents/guardians schooling. Dental pain, perceived oral health status, dental caries and gingival status were used to assess need factors. Multivariable Poisson regression with robust variance was used to estimate incidence-rate ratios (IRR) and 95% confidence intervals between the independent variables and use of dental services.
Results: Adolescent's SOC scores decreased significantly between baseline and one-year follow-up. SOC decline decreased the likelihood of using dental services in the last 12 months (IRR = 0.96 95%CI 0.92-0.99). Dental caries (IRR = 1.03 95%CI 1.01-1.04) and gingival bleeding (IRR = 1.01 95%CI 1.01-1.02) remained associated with use of dental services in the last 12 months. Adolescents with dental pain were more likely to have visited a dentist in the last year (IRR = 1.03, 95%CI 1.01-1.06).
Conclusion: SOC decrease over one-year period was a meaningful factor of dental services use among 12-year-old adolescents. Dental pain and clinical conditions were also relevant factors that can influence use of dental services in this group.
(© 2021. The Author(s).)
Databáze: MEDLINE
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