Health literacy and self-efficacy associations with non-adherence to dental treatment among young adults.

The aim of this study was to investigate associations of health literacy (HL), general self-efficacy (GSE), and sociodemographic variables with non-adherence to dental treatment among Brazilian young adults. This is a cross-sectional study based on a cohort study of 248 young adults aged 19 to 25 years followed up in an earlier study. The participants completed the perceived general self-efficacy scale (GSE), a questionnaire on socioeconomic and demographic variables and were examined for oral conditions. HL was measured using the Brazilian version of the health literacy questionnaire (HLQ-Br), which provides nine individual scores based on an average of the items within each of the nine scales. Dental treatment adherence was evaluated as the decision of young adults to seek a dentist to finish the recommended restorative treatment for dental caries. The effects of HL domains on the adherence to dental treatment were analyzed by logistic regression and the effect was adjusted for sex, age, family income, paternal and maternal education, type of housing, and self-efficacy. The results of the adjusted analysis showed associations among young adults who did not adhere to dental treatment with lower self-efficacy levels, living in non-owner-occupied homes, and lower HL levels in almost all of the HL domains (p < 0.05). Only the HLQ6 domain "Ability to actively engage with healthcare providers" was not associated with the outcome (p>0.05). Adherence to dental treatment in primary care among young adults was associated with their general self-efficacy levels, socioeconomic characteristics, and individual's lower HL aspects.

Health literacy and self-efficacy associations with non-adherence to dental treatment among young adults

Abstract: The aim of this study was to investigate associations of health literacy (HL), general self-efficacy (GSE), and sociodemographic variables with non-adherence to dental treatment among Brazilian young adults. This is a cross-sectional study based on a cohort study of 248 young adults aged 19 to 25 years followed up in an earlier study. The participants completed the perceived general self-efficacy scale (GSE), a questionnaire on socioeconomic and demographic variables and were examined for oral conditions. HL was measured using the Brazilian version of the health literacy questionnaire (HLQ-Br), which provides nine individual scores based on an average of the items within each of the nine scales. Dental treatment adherence was evaluated as the decision of young adults to seek a dentist to finish the recommended restorative treatment for dental caries. The effects of HL domains on the adherence to dental treatment were analyzed by logistic regression and the effect was adjusted for sex, age, family income, paternal and maternal education, type of housing, and self-efficacy. The results of the adjusted analysis showed associations among young adults who did not adhere to dental treatment with lower self-efficacy levels, living in non-owner-occupied homes, and lower HL levels in almost all of the HL domains (p < 0.05). Only the HLQ6 domain "Ability to actively engage with healthcare providers" was not associated with the outcome (p>0.05). Adherence to dental treatment in primary care among young adults was associated with their general self-efficacy levels, socioeconomic characteristics, and individual's lower HL aspects.

O referenciamento de usuários ao centro de atenção psicossocial álcool e drogas / The user referencing at the psychosocial care center alcohol and drugs

O objetivo deste trabalho é conhecer, descrever e problematizar o referenciamento de usuários ao Centro de Atenção Psicossocial Álcool e Drogas (CAPS ad) em Teresina (PI). Estudo descritivo realizado no CAPS ad após a investigação de 272 prontuários do período de julho de 2013 a janeiro de 2014. Identificou-se um pequeno número de usuários oriundos da Estratégia Saúde da Família (2,94%), enquanto que a demanda espontânea e as indicações de amigos e familiares somam 53,3%, além de se ter constatado que existem vários pontos emissores de referenciamento para o usuário. Tais resultados sugerem a necessidade de uma avaliação do trabalho realizado pela Estratégia Saúde da Família frente a esta demanda, a fim de se problematizar a sua falta de integração com o CAPS ad com vistas em ações resolutivas da vigilância em saúde, as quais controlem os entraves ao referenciamento dos usuários. (AU)

The objective of this work is to know, describe and problematize the referral of users to the Alcohol and Drug Psychosocial Care Center (CAPS ad) in the city of Teresina (PI). This is a descriptive study carried out at CAPS ad after the investigation of 272 medical records from July 2013 to January 2014. A small number of users from the Family Health Strategy (2.94%) were identified, while the spontaneous demand and the referrals of friends and relatives totaled 53.3%; in addition, it was observed that there are several referral points for the user. These results suggest the need for an evaluation of the work carried out by the Family Health Strategy in response to this demand, in order to problematize its lack of integration with CAPS ad, aiming at achieving resolutive actions of health surveillance, which control the obstacles to the referral of users. (AU)