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Can the school environment influence oral health-related behaviours? A multilevel analysis of the Brazilian National Adolescent School-Based Health Survey 2015.

التفاصيل البيبلوغرافية
العنوان: Can the school environment influence oral health-related behaviours? A multilevel analysis of the Brazilian National Adolescent School-Based Health Survey 2015.
المؤلفون: Nery NG; School of Dentistry, Federal University of Goiás, Goiânia, Brazil., Antunes JLF; School of Public Health, University of São Paulo, São Paulo, Brazil., Jordão LMR; School of Dentistry, Federal University of Goiás, Goiânia, Brazil., Freire MDCM; School of Dentistry, Federal University of Goiás, Goiânia, Brazil.
المصدر: Community dentistry and oral epidemiology [Community Dent Oral Epidemiol] 2021 Feb; Vol. 49 (1), pp. 23-32. Date of Electronic Publication: 2020 Aug 20.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Munksgaard International Publishers Country of Publication: Denmark NLM ID: 0410263 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1600-0528 (Electronic) Linking ISSN: 03015661 NLM ISO Abbreviation: Community Dent Oral Epidemiol Subsets: MEDLINE
أسماء مطبوعة: Publication: Copenhagen : Munksgaard International Publishers
Original Publication: Copenhagen, Munksgaard.
مواضيع طبية MeSH: Health Behavior* , Schools*, Adolescent ; Adult ; Brazil/epidemiology ; Child ; Cross-Sectional Studies ; Health Surveys ; Humans ; Multilevel Analysis ; Young Adult
مستخلص: Objective: To investigate the association between the potential support of schools for oral health promotion and a set of oral health-related behaviours among adolescent students in Brazilian state capitals.
Methods: A cross-sectional study using individual and school environment data from the 2015 Brazilian National Adolescent School-Based Health Survey (PeNSE) was conducted. The sample consisted of 51 192 students from 1339 public and private schools in the 27 Brazilian State Capitals, aged 11-19 years old. The outcomes were six oral health-related behaviours: dental visits; toothbrushing frequency; soft drink and sweets consumption; smoking and alcohol consumption. The explanatory variable was the Oral Health Promotion School Environment index (OHPSE). Covariates were the adolescents' sociodemographic characteristics and organizational aspects of the schools. A two-level multilevel mixed-effects Poisson regression analysis with fixed slopes and random intercepts was performed, considering the complex sample design.
Results: The prevalence of risk behaviours was 28.0% for 'low frequency of annual dental visits', 6.9% for 'low daily toothbrushing frequency', 28.8% for 'high weekly soft drink consumption', 41.7% for 'high weekly sweet consumption', 18.9% for 'cigarette experimentation' and 52.6% for 'alcoholic beverage experimentation'. The schools were classified as low (36.3%), intermediate (30.4%) and high (33.3%) OHPSE. In the adjusted model, schools with 'high OHPSE' had lower prevalence of 'low frequency of annual dental visits' (PR = 0.94 [95% CI 0.90; 0.99]), 'high weekly frequency of soft drink consumption' (PR = 0.94 [95% CI 0.89; 0.99]) and 'sweet consumption' (PR = 0.96 [95% CI 0.93; 1.00]) than those with 'low OHPSE'. In addition, schools with 'intermediate OHPSE' had higher prevalence's of 'low daily toothbrushing frequency' (PR = 1.12 [95% CI 1.03; 1.23]) and 'cigarette experimentation' (PR = 1.08 [95% CI 1.01; 1.16]) than those with 'low OHPSE'. 'Alcoholic beverage experimentation' was not associated with OHPSE.
Conclusions: The potential support of schools for oral health promotion was associated with most of the oral health-related behaviours among adolescent students. Those attending schools with higher OHPSE scores reported a higher annual frequency of dental visits and a lower weekly frequency of soft drink and sweet consumption, while those in schools with intermediate OHPSE had a lower daily toothbrushing frequency and a higher rate of cigarette experimentation.
(© 2020 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)
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فهرسة مساهمة: Keywords: adolescent health; health promotion; multilevel analysis; oral health; school health
تواريخ الأحداث: Date Created: 20200821 Date Completed: 20210426 Latest Revision: 20210426
رمز التحديث: 20240628
DOI: 10.1111/cdoe.12569
PMID: 32815223
قاعدة البيانات: MEDLINE
الوصف
تدمد:1600-0528
DOI:10.1111/cdoe.12569