Association between dental caries experience and sense of coherence among adolescents and mothers.

BACKGROUND: Sense of coherence (SOC) is associated with oral health. AIM: Investigate associations between dental caries experience and SOC among mothers and adolescents. DESIGN: A cross-sectional study was conducted with 1195 adolescents and their mothers. Data were collected through a questionnaire, the short version of the SOC and oral clinical examinations. The data were statistically analyzed using bivariate analysis, Poisson regression models with robust variance, and Spearman's correlation coefficient. RESULTS: The prevalence of dental caries experience was 41.8%. A moderate correlation was found between the SOC of mothers and adolescents (r = 0.563; P < 0.001). A higher mother's SOC (PR: 0.44; 95% CI: 0.36-0.53) and adolescent's SOC (PR: 0.46; 95% CI: 0.39-0.55) were protective factors against dental caries experience in the adolescents. The prevalence of dental caries experience was higher among adolescents with visible plaque (Model 1-PR: 1.77; 95% CI: 1.53-2.04; Model 2-PR: 1.59; 95% CI: 1.37-1.84) and those whose families were in a lower economic class (Model 1-PR: 1.56; 95% CI: 1.35-1.80; Model 2-PR: 1.57; 95% CI: 1.36-1.81). CONCLUSION: Dental caries in adolescents was associated with social determinants evaluated through the sense of coherence.

Diagnosis of sleep bruxism can assist in the detection of cases of verbal school bullying and measure the life satisfaction of adolescents.

BACKGROUND: Adolescence is a period with changes and conflicts. AIM: The aim of this study was to investigate the association between sleep bruxism, verbal bullying at school, and life satisfaction among Brazilian adolescents. DESIGN: A cross-sectional study of 1344 Brazilian adolescents was performed. Possible sleep bruxism was identified using the consensus criteria based on the reports of parents. The parents and the adolescents answered validated questionnaires. The data were statistically analyzed using the chi-squared test, Mann-Whitney U-test, and Poisson regression with robust variance. RESULTS: A total of 205 adolescents presented possible sleep bruxism (15.3%). This parafunction was more prevalent among adolescents who were victims of verbal bullying at school (PR: 6.31; 95% CI: 4.78-8.32), victim/perpetrators (PR: 5.27; 95% CI: 3.82-7.27), and who belonged to families from a higher socioeconomic status (RP: 1.51; 95% CI: 1.23-1.86). Possible sleep bruxism was also associated with higher scores in the domains of self (PR: 1.04; 95% CI: 1.00-1.08), school (PR: 1.05; 95% CI: 1.02-1.09) and self-efficacy (PR: 1.07; 95% CI: 1.03-1.12), and lower scores in the non-violence domain (PR: 0.96; 95% CI: 0.93-0.99). CONCLUSIONS: Possible sleep bruxism can assist in the detection of adolescents involved in school bullying at school in the roles of victim and victim/perpetrator.

Senso de coerência e experiência de cárie dentária em adolescentes: um estudo de caso-controle / Sense of coherence and dental caries experience in adolescents: a case-control study

O objetivo deste estudo foi investigar a associação entre senso de coerência (SOC) de adolescentes e suas mães e experiência de cárie dentária em adolescentes. O estudo de caso-controle aninhado ao estudo transversal foi realizado na cidade de Itabira, Brasil, com uma amostra de 1038 adolescentes com idade entre 13 e 15 anos, matriculados em escolas da cidade de Itabira e suas mães. Destes, 346 deles foram classificados como casos, devido à experiência de cárie dentária e 692 foram classificados como controles, sem experiência de cárie dentária. Os casos e os controles foram pareados por gênero e idade. Os dados foram coletados através de questionários, a versão curta da escala de Antonovsky, SOC-13, (adolescentes e suas mães) e exames clínicos (adolescentes), utilizando os critérios da Organização Mundial da Saúde para o diagnóstico da experiência de cárie dentária. A classificação econômica da família foi determinada utilizando o Critério de Classificação Econômica Brasil (CCEB), desenvolvido pela Associação Brasileira de Organizações de Pesquisa (ABEP). A análise descritiva, teste de Mc Nemar e regressão logística condicional univariada e multivariada foram realizadas. O exame foi realizado por um examinador previamente calibrado. Os adolescentes de famílias de classe econômica menos favorecida (OR = 1,85, 95% CI: 1,31-2,62, p≤0.001), baixo SOC materno (OR = CI 19,06, 95%: 10,86-33,44, p≤0.001) e baixo SOC do próprio adolescente (OR = 7,35, 95% CI: 4,73-11,41, p≤0.001) tiveram maior chance de apresentar experiência de cárie dentária. A partir da análise dos dados, verificou-se que apesar de não definir a relação temporal entre a associação, os dados indicam que o SOC dos adolescentes, o SOC materno, bem como a classe econômica estão associados com a experiência de cárie dentária em adolescentes de forma independente. Além disso, este é o primeiro estudo que descreve esta associação através de um caso-controle e mostra a influência dos determinantes sociais na experiência de cárie dentária, após análise da literatura nas bases de dados PubMed, LILACS e SciELO

The aim of this study was to investigate the association between sense of coherence (SOC) of adolescents, the SOC of their mothers and dental caries experience in adolescents. The case-control study associated with a crosssectional study was conducted in the city of Itabira, Brazil, with a sample of 1038 adolescents aged between 13 and 15 years enrolled in schools of Itabira and their mothers. A total of 346 adolescents of them were classified as cases due to dental caries experience and 692 were classified as controls without dental caries experience. Cases and controls were matched for gender and age. Data were collected through questionnaires, the short version of Antonovsky scale, SOC-13 (adolescents and their mothers), and clinical examination (adolescents), using World Health Organization criteria for the diagnosis of dental caries experience. The economic status of the family was determined using the Economic Classification Criterion Brazil (CCEB), developed by the Brazilian Association of Research Organizations (ABEP). The descriptive analysis, McNemar test and univariate and multivariate conditional logistic regression were carried out. The clinical examination was performed by a calibrated examiner. Adolescents from families with less favored economic status (OR = 1.85, 95% CI: 1.31 to 2.62, p0.001), low mothers SOC (OR = 19.06 CI 95%: 10.86 -33.44, p0.001) and low SOC of themselves (OR = 7.35, 95% CI: 4.73 to 11.41, p0.001) were more likely to have dental caries experience. From the data analysis, it was found that despite not define the temporal relationship between the associations, the data indicate that the SOC of adolescents, mothers SOC and economic status are associated with dental caries experience in adolescents independently. After analyzing the literature in PubMed, LILACS and SciELO databases, this is the first study describing this association through a case-control and shows the influence of socialdeterminants in dental caries experience

Verbal school bullying and life satisfaction among Brazilian adolescents: profiles of the aggressor and the victim.

BACKGROUND: Bullying is a common occurrence in adolescence that may damage the physical and emotional health. OBJECTIVE: The purpose of the present cross-sectional study was to analyze the profile of the adolescent aggressor only, aggressor/victim, victim only, and those not involved in verbal school bullying, and to associate their profiles with life satisfaction and familial characteristics evaluated through socioeconomic status. SUBJECTS AND METHODS: A cross-sectional study was carried out with 366 Brazilian adolescents between 13 and 15years. Verbal school bullying was identified using the Brazilian National School-Based Adolescent Health Survey (PeNSE) questionnaire. The life satisfaction of the adolescents was assessed using the Multidimensional Life Satisfaction Scale for Adolescents (MLSSA). Statistical analyses involved the chi-square test, Fisher's exact test and the Poisson regression with robust variance. RESULTS: Sixty-six adolescents (18%) were aggressors, 5.5% were victims, 2.7% were both aggressor and victim, and 73.8% were not involved in verbal school bullying. Most aggressors were male (PR=1.97, 95% CI: 1.23-3.14) and were satisfied with their family life (PR=2.13, 95% CI: 1.18-3.8). Victims of verbal school bullying exhibited a low prevalence of non-violence (PR=0.24, 95% CI: 0.09-0.64). Those who were both aggressors and victims were associated with factors of family support (PR=0.25, 95% CI: 0.07-0.89) and self-efficacy (PR=6.29, 95% CI: 1.54-25.6). Most of the adolescents who were not involved in verbal school bullying were female (PR=1.32, 95% CI: 1.16-1.51). CONCLUSIONS: Boys tend to be aggressors and girls tend not to get involved in verbal school bullying. Family satisfaction, self-esteem, self-efficacy, and levels of violence are important factors that can influence the profile of adolescents in relation to verbal school bullying.

Environmental factors, sleep duration, and sleep bruxism in Brazilian schoolchildren: a case-control study.

OBJECTIVE: The purpose of our study was to evaluate the association between environmental factors, sleep duration, and sleep bruxism (SB) in schoolchildren. METHODS: A case-control study was performed. Individuals participating in the study were randomly chosen from public and private schools in Belo Horizonte, Brazil. A total of 120 children with bruxism and 240 without bruxism (mean age, 8 years) participated in our study. A questionnaire for parents was used to collect data based on criteria taken from the American Academy of Sleep Medicine. Conditional binary logistic regression statistical tests and χ2 tests were used for analysis. RESULTS: The final logistical model found that children with a median sleep time < or = 8 h per night (odds ratio [OR], 2.561 [95% confidence interval {CI}, 1.480-4.433]), who did not enjoy a good night's sleep (OR, 3.253 [95% CI, 1.600-6.615]), who slept with noise in the room (OR, 2.699 [95% CI, 1.645-4.429]), and who had the light on (OR, 2.370 [95% CI, 1.446-3.884]), were more likely to have SB. CONCLUSION: Children who sleep for less than 8h a night are more likely to have SB. Light and noise in the room were two predisposing factors for the occurrence of SB.

Relação entre o senso de coerência e alterações bucais de adolescentes / Relationship between sense of coherence and oral health status in adolescents

O presente estudo transversal foi realizado com o objetivo de investigar a relação entre o Senso de Coerência (SOC) das mães e dos adolescentes e as alterações bucais (cárie, sangramento gengival e placa visível) de adolescentes. A amostra foi composta por 366 adolescentes entre 13 e 15 anos, matriculados no ensino findamental em escolas de Itabira, Minas Gerais e suas respectivas mães. Os dados foram coletados através de questionários e exame clínico para diagnóstico de cárie dentária, placa visível e sangramento gengival após a calibração do examinador (Kappa intra-examinador 0,81, 0,76 e 0,80 e inter-examinador 0,80, 0,88 e 0,88)...