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Previous issue date: 2015 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior (CAPES) / A qualidade emocional das rela??es familiares pode afetar os comportamentos de sa?de bucal. Os estudos que investigaram fatores familiares associados ? sa?de bucal n?o aprofundaram em quest?es psicossociais. A compreens?o dessa associa??o pode indicar os caminhos para promo??o de sa?de, enfatizando a necessidade de a??es multidisciplinares, melhorando, assim, a sa?de bucal da popula??o. Particularmente em crian?as pr?-escolares, que dependem do cuidado de sua fam?lia, a investiga??o da influ?ncia de fatores psicossociais familiares sobre a preval?ncia de doen?a bucal ? importante. Assim, o objetivo desse estudo foi avaliar a influ?ncia da coes?o/adaptabilidade familiar, de fatores sociodemogr?ficos e de comportamentos relacionados ? sa?de bucal sobre a preval?ncia de c?rie dent?ria n?o tratada em crian?as pr?-escolares. Para isso, uma amostra representativa de 461 crian?as foi recrutada em creches e pr?-escolas na cidade de Diamantina, Brasil. A presen?a de c?rie n?o tratada foi detectada pelos crit?rios do Sistema Internacional de Avalia??o e Detec??o de C?rie (International Caries Detection and Assessment System- ICDAS II). Informa??es sociodemogr?ficas, tais como caracter?sticas da crian?a, escolaridade materna, renda e n?mero de pessoas que vivem da renda, bem como informa??es relacionadas a comportamentos de sa?de bucal tamb?m foram investigadas. A coes?o/adaptabilidade familiar foi investigada por meio do Family Adaptability and Cohesion Evaluation Scale (FACES III) que classifica as fam?lias, de acordo com o seu funcionamento, em balanceadas, moderadamente balanceadas e n?o balanceadas. An?lise descritiva e modelo de regress?o de Poisson foram utilizados para an?lise dos dados. A preval?ncia de c?rie n?o tratada foi de 30,6%. A An?lise multivariada mostrou que crian?as que pertenciam a fam?lias n?o balanceadas, classificadas de acordo com o FACES III, tinham maior preval?ncia de les?es n?o tratadas de c?rie dent?ria (RP: 1,49; IC95%: 1,01-2,20; p= 0.045). Al?m disso, rendas familiares de dois a menos de cinco sal?rios m?nimos ( RP: 2,80; IC95%: 1,16-6,75; p=0 .021), de um a menos de dois sal?rios m?nimos (RP: 4,15; IC95%: 1,73-9,85; p= 0.001) e menor do que um sal?rio m?nimo (RP: 4,07; IC95%: 1,65-10,00; p= 0.002) tamb?m foram associadas com a presen?a de les?es n?o tratadas de c?rie dent?ria em crian?as pr?-escolares. Concluiu-se que crian?as pr?-escolares de fam?lias n?o balanceadas tinham maior preval?ncia de c?rie dent?ria n?o tratada. Al?m disso, menores rendas familiares foram fatores de risco para a presen?a de c?rie n?o tratada em crian?as pr?-escolares. / Disserta??o (Mestrado) ? Programa de P?s-Gradua??o em Odontologia, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2015. / ABSTRACT
The emotional quality of family relationships can affect the behaviors related to oral health. Studies investigating family factors associated with oral health have not deepened in the psychosocial issues. The understanding of this association can indicate the pathways to health promotion, emphasizing the necessity of multidisciplinary actions to improve oral health in the population. Especially in preschool children, which depend on the care of their family, the investigation of family-related psychosocial factors and the occurrence of oral disease is important. Thus, the objective of this study is to evaluate the influence of familiar cohesion/adaptability, sociodemographic factors and of behaviors related to oral heath on the prevalence of untreated dental caries in preschool children. For this, a representative sample of 461 children were recruited in day care centre/preschools in the city of Diamantina, Brazil. The presence of untreated caries were detected by the International Caries Detection and Assessment System (ICDAS II) criteria. Sociodemografic information, such as children characteristics, maternal level of education, income and number of people living of the same income, as well as information related to oral health behavior were also investigated. The family cohesion/adaptability was investigated by the Family Adaptability and Cohesion Evaluation Scale (FACES III) which classifies the families according to their functioning, in balanced, moderately balanced, and not balanced. Descriptive analyses and Poisson regression models were used to analyze the data. The prevalence of untreated dental caries was of 30,6%. The multivariate analyses showed that children belonged to unbalanced families, classified according to FACES, had a greater frequency of untreated dental caries (1,01-2,20; p=0.045). Furthermore, family income from 2 to less than 5 minimum salaries (RP:2,80; IC 95%:1,16-6,75; p=0.021), from one to two minimum salaries (RP: 4,15; IC95%: 1,73-9,85; p= 0.001) and less than one minimum salary (RP: 4,07; IC95%: 1,65-10,00; p= 0.002) were also associated with the presence of untreated caries lesions in preschool children. In conclusion, preschool children of unbalanced families had greater untreated dental caries prevalence. Futhermore, smaller family incomes were pointed as risk factors for presence of untreated caries in preschool children.
Keywords: dental caries, preschools children, family functioning.
| Identifer | oai:union.ndltd.org:IBICT/oai:acervo.ufvjm.edu.br/jspui:1/764 |
| Date | 09 July 2015 |
| Creators | Alencar, Bruna Mota de |
| Contributors | Ramos-Jorge, Joana, Auad, Sheyla M?rcia, Oliveira, Simone, Ramos-Jorge, Maria Let?cia, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Ramos-Jorge, Joana |
| Publisher | UFVJM |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Source | reponame:Repositório Institucional da UFVJM, instname:Universidade Federal dos Vales do Jequitinhonha e Mucuri, instacron:UFVJM |
| Rights | A concess?o da licen?a deste item refere-se ao ? termo de autoriza??o impresso assinado pelo autor, assim como na licen?a Creative Commons, com as seguintes condi??es: Na qualidade de titular dos direitos de autor da publica??o, autorizo a Universidade Federal dos Vales do Jequitinhonha e Mucuri e o IBICT a disponibilizar por meio de seus reposit?rios, sem ressarcimento dos direitos autorais, de acordo com a Lei n? 9610/98, o texto integral da obra disponibilizada, conforme permiss?es assinaladas, para fins de leitura, impress?o e/ou download, a t?tulo de divulga??o da produ??o cient?fica brasileira, e preserva??o, a partir desta data., info:eu-repo/semantics/openAccess |
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