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

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 pre...

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Detalles Bibliográficos
Autores principales: da Silva Araújo Júnior, Carlos Augusto, Rebelo Vieira, Janete Maria, Rebelo, Maria Augusta Bessa, Herkrath, Fernando José, Herkrath, Ana Paula Corrêa de Queiroz, de Queiroz, Adriana Corrêa, Pereira, Juliana Vianna, Vettore, Mario Vianna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8709982/
https://www.ncbi.nlm.nih.gov/pubmed/34953499
http://dx.doi.org/10.1186/s12903-021-02026-9
Descripción
Sumario: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.