Individual and Contextual Factors Associated with Adolescents’ Self-Perceived Need for Treatment

Roanny Torres Lopes, Érick Tássio Barbosa Neves, Laio da Costa Dutra, Ramon Targino Firmino, Larissa Chaves Morais de Lima, Saul Martins Paiva, Fernanda Morais Ferreira and Ana Flávia Granville-Garcia ()
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Roanny Torres Lopes: Graduate Program in Dentistry, Department of Dentistry, State University of Paraíba, Campina Grande 58429-500, Paraíba, Brazil
Érick Tássio Barbosa Neves: Department of Dentistry, State University of Paraíba, Araruna 58233-000, Paraíba, Brazil
Laio da Costa Dutra: São Francisco College, Cajazeiras 58900-000, Paraíba, Brazil
Ramon Targino Firmino: Academic Unit of Biological Sciences, Federal University of Campina Grande, Patos 58708-110, Paraíba, Brazil
Larissa Chaves Morais de Lima: Faculty of Medical Sciences of Campina Grande, UNIFACISA University Center, Campina Grande 58408-326, Paraíba, Brazil
Saul Martins Paiva: Department of Child and Adolescent Oral Health, Federal University of Minas Gerais, Belo Horizonte 31270-901, Minas Gerais, Brazil
Fernanda Morais Ferreira: Department of Child and Adolescent Oral Health, Federal University of Minas Gerais, Belo Horizonte 31270-901, Minas Gerais, Brazil
Ana Flávia Granville-Garcia: Graduate Program in Dentistry, Department of Dentistry, State University of Paraíba, Campina Grande 58429-500, Paraíba, Brazil

IJERPH, 2024, vol. 21, issue 4, 1-10

Abstract: The present study aimed to investigate associations between the self-perceived dental treatment need and clinical factors, familial characteristics, and school context in adolescents. A cross-sectional study was conducted with a representative sample of 746 students aged 15 to 19 years in a medium-sized city in Brazil. Data collection involved the use of a sociodemographic questionnaire, an oral health questionnaire, and the Family Adaptability and Cohesion Scales (FACES III) instrument. Clinical examinations were performed by two trained and calibrated examiners (Kappa > 0.80) using the Nyvad criteria. A robust logistic regression analysis for complex samples was performed using a multilevel approach (α = 5%). The individual factors associated with the self-perceived treatment need were dental pain (OR = 1.08; 95% CI: 1.01–1.16), the loss of the first molars (OR = 1.09; 95% CI: 1.03–1.15), and disengaged family cohesion (OR = 1.15; 95% CI: 1.01–1.31). In terms of context, attending a public school was associated with the self-perceived treatment need (OR = 1.17; 95% CI: 1.02–1.33). Thus, the individual factors of toothache, tooth loss, and a disengaged family, as well as the school context, exerted an influence on the self-perceived treatment need.

Keywords: oral health; schools; family relations; adolescent; dental health services (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2024
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