Senso de coerência e experiência de cárie dentária em adolescentes: um estudo de caso-controle

Abstract

The aim of this study was to investigate the association between sense of coherence (SOC) of adolescents, the SOC of their mothers and dental caries experience in adolescents. The case-control study associated with a crosssectional study was conducted in the city of Itabira, Brazil, with a sample of 1038 adolescents aged between 13 and 15 years enrolled in schools of Itabira and their mothers. A total of 346 adolescents of them were classified as cases due to dental caries experience and 692 were classified as controls without dental caries experience. Cases and controls were matched for gender and age. Data were collected through questionnaires, the short version of Antonovsky scale, SOC-13 (adolescents and their mothers), and clinical examination (adolescents), using World Health Organization criteria for the diagnosis of dental caries experience. The economic status of the family was determined using the Economic Classification Criterion Brazil (CCEB), developed by the Brazilian Association of Research Organizations (ABEP). The descriptive analysis, McNemar test and univariate and multivariate conditional logistic regression were carried out. The clinical examination was performed by a calibrated examiner. Adolescents from families with less favored economic status (OR = 1.85, 95% CI: 1.31 to 2.62, p0.001), low mothers SOC (OR = 19.06 CI 95%: 10.86 -33.44, p0.001) and low SOC of themselves (OR = 7.35, 95% CI: 4.73 to 11.41, p0.001) were more likely to have dental caries experience. From the data analysis, it was found that despite not define the temporal relationship between the associations, the data indicate that the SOC of adolescents, mothers SOC and economic status are associated with dental caries experience in adolescents independently. After analyzing the literature in PubMed, LILACS and SciELO databases, this is the first study describing this association through a case-control and shows the influence of socialdeterminants in dental caries experience.