Individual and Contextual Factors Associated with Adolescents’ Self-Perceived Need for Treatment
2024
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 | Ana Flávia Granville-Garcia
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 (&alpha: = 5%). The individual factors associated with the self-perceived treatment need were dental pain (OR = 1.08: 95% CI: 1.01&ndash:1.16), the loss of the first molars (OR = 1.09: 95% CI: 1.03&ndash:1.15), and disengaged family cohesion (OR = 1.15: 95% CI: 1.01&ndash: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&ndash: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.
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