Emmanuelle de Fátima Noberto Bezerra, Fernando José Herkrath, Mario Vianna Vettore, Maria Augusta Bessa Rebelo, Adriana Corrêa de Queiroz, Janete Maria Rebelo Vieira, Juliana Vianna Pereira, Mariana Oliveira da Silva Freitas, Ana Paula Corrêa de Queiroz Herkrath
{"title":"与贫困的 12 岁学龄儿童牙外伤相关的环境和个人因素：一项队列研究","authors":"Emmanuelle de Fátima Noberto Bezerra, Fernando José Herkrath, Mario Vianna Vettore, Maria Augusta Bessa Rebelo, Adriana Corrêa de Queiroz, Janete Maria Rebelo Vieira, Juliana Vianna Pereira, Mariana Oliveira da Silva Freitas, Ana Paula Corrêa de Queiroz Herkrath","doi":"10.1111/edt.12955","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Aim</h3>\n \n <p>Traumatic dental injuries (TDIs) among children and adolescents have been acknowledged as of public health concern worldwide. The aim of the study was to assess the relationship between contextual and individual characteristics and TDIs in 12-year-old schoolchildren.</p>\n </section>\n \n <section>\n \n <h3> Materials and Methods</h3>\n \n <p>A cohort study was conducted with 355 schoolchildren living in deprived communities in the city of Manaus, Brazil. Contextual factors (place of residence and socio-economic indicators) and individual characteristics, including sex, family income, parents/guardians years of schooling, overjet and open bite (Dental Aesthetic Index), self-esteem (Rosenberg Self-Esteem Scale), sense of coherence (Sense of Coherence Scale), oral health beliefs, social support (Social Support Appraisals) were assessed at baseline. TDIs were measured at baseline and at 2-year follow-up using the O'Brien Index. Data were analysed through confirmatory factor analysis and structural equation modeling.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>The baseline prevalence of TDIs was 17.6% and the incidence of TDIs at 2-year follow-up was 26.8%. Better psychosocial status had a direct protective effect on the incidence of TDIs (<i>β</i> = −.184). Better contextual characteristics (<i>β</i> = −.135) and greater overjet (<i>β</i> = −.203) were directly associated with poor psychosocial status. Higher schooling of parents/guardians directly predicted better psychosocial status (<i>β</i> = .154). Psychosocial status mediated the relationship of greater overjet (<i>β</i> = .036), contextual factors (<i>β</i> = .024) and parental/guardian schooling (<i>β</i> = −.027) with TDIs.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Contextual factors and individual characteristics predicted TDIs. Psychosocial status was a relevant individual attribute in the causal network of TDIs, due to the direct effect on the incidence of TDIs as well as a mediator on the influence of contextual factors, overjet and parents/guardians schooling on the incidence of TDIs.</p>\n </section>\n </div>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":"40 5","pages":"546-556"},"PeriodicalIF":2.3000,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Contextual and individual factors associated with traumatic dental injuries in deprived 12-year-old schoolchildren: A cohort study\",\"authors\":\"Emmanuelle de Fátima Noberto Bezerra, Fernando José Herkrath, Mario Vianna Vettore, Maria Augusta Bessa Rebelo, Adriana Corrêa de Queiroz, Janete Maria Rebelo Vieira, Juliana Vianna Pereira, Mariana Oliveira da Silva Freitas, Ana Paula Corrêa de Queiroz Herkrath\",\"doi\":\"10.1111/edt.12955\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Aim</h3>\\n \\n <p>Traumatic dental injuries (TDIs) among children and adolescents have been acknowledged as of public health concern worldwide. The aim of the study was to assess the relationship between contextual and individual characteristics and TDIs in 12-year-old schoolchildren.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Materials and Methods</h3>\\n \\n <p>A cohort study was conducted with 355 schoolchildren living in deprived communities in the city of Manaus, Brazil. Contextual factors (place of residence and socio-economic indicators) and individual characteristics, including sex, family income, parents/guardians years of schooling, overjet and open bite (Dental Aesthetic Index), self-esteem (Rosenberg Self-Esteem Scale), sense of coherence (Sense of Coherence Scale), oral health beliefs, social support (Social Support Appraisals) were assessed at baseline. TDIs were measured at baseline and at 2-year follow-up using the O'Brien Index. Data were analysed through confirmatory factor analysis and structural equation modeling.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>The baseline prevalence of TDIs was 17.6% and the incidence of TDIs at 2-year follow-up was 26.8%. Better psychosocial status had a direct protective effect on the incidence of TDIs (<i>β</i> = −.184). Better contextual characteristics (<i>β</i> = −.135) and greater overjet (<i>β</i> = −.203) were directly associated with poor psychosocial status. Higher schooling of parents/guardians directly predicted better psychosocial status (<i>β</i> = .154). Psychosocial status mediated the relationship of greater overjet (<i>β</i> = .036), contextual factors (<i>β</i> = .024) and parental/guardian schooling (<i>β</i> = −.027) with TDIs.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>Contextual factors and individual characteristics predicted TDIs. Psychosocial status was a relevant individual attribute in the causal network of TDIs, due to the direct effect on the incidence of TDIs as well as a mediator on the influence of contextual factors, overjet and parents/guardians schooling on the incidence of TDIs.</p>\\n </section>\\n </div>\",\"PeriodicalId\":55180,\"journal\":{\"name\":\"Dental Traumatology\",\"volume\":\"40 5\",\"pages\":\"546-556\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2024-04-09\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Dental Traumatology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/edt.12955\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"DENTISTRY, ORAL SURGERY & MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Dental Traumatology","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/edt.12955","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
Contextual and individual factors associated with traumatic dental injuries in deprived 12-year-old schoolchildren: A cohort study
Aim
Traumatic dental injuries (TDIs) among children and adolescents have been acknowledged as of public health concern worldwide. The aim of the study was to assess the relationship between contextual and individual characteristics and TDIs in 12-year-old schoolchildren.
Materials and Methods
A cohort study was conducted with 355 schoolchildren living in deprived communities in the city of Manaus, Brazil. Contextual factors (place of residence and socio-economic indicators) and individual characteristics, including sex, family income, parents/guardians years of schooling, overjet and open bite (Dental Aesthetic Index), self-esteem (Rosenberg Self-Esteem Scale), sense of coherence (Sense of Coherence Scale), oral health beliefs, social support (Social Support Appraisals) were assessed at baseline. TDIs were measured at baseline and at 2-year follow-up using the O'Brien Index. Data were analysed through confirmatory factor analysis and structural equation modeling.
Results
The baseline prevalence of TDIs was 17.6% and the incidence of TDIs at 2-year follow-up was 26.8%. Better psychosocial status had a direct protective effect on the incidence of TDIs (β = −.184). Better contextual characteristics (β = −.135) and greater overjet (β = −.203) were directly associated with poor psychosocial status. Higher schooling of parents/guardians directly predicted better psychosocial status (β = .154). Psychosocial status mediated the relationship of greater overjet (β = .036), contextual factors (β = .024) and parental/guardian schooling (β = −.027) with TDIs.
Conclusions
Contextual factors and individual characteristics predicted TDIs. Psychosocial status was a relevant individual attribute in the causal network of TDIs, due to the direct effect on the incidence of TDIs as well as a mediator on the influence of contextual factors, overjet and parents/guardians schooling on the incidence of TDIs.
期刊介绍：
Dental Traumatology is an international journal that aims to convey scientific and clinical progress in all areas related to adult and pediatric dental traumatology. This includes the following topics:
- Epidemiology, Social Aspects, Education, Diagnostics
- Esthetics / Prosthetics/ Restorative
- Evidence Based Traumatology & Study Design
- Oral & Maxillofacial Surgery/Transplant/Implant
- Pediatrics and Orthodontics
- Prevention and Sports Dentistry
- Endodontics and Periodontal Aspects
The journal"s aim is to promote communication among clinicians, educators, researchers, and others interested in the field of dental traumatology.
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