Contextual and individual factors associated with traumatic dental injuries in deprived 12‐year‐old schoolchildren: A cohort study

Author:

Bezerra Emmanuelle de Fátima Noberto12ORCID,Herkrath Fernando José23ORCID,Vettore Mario Vianna4ORCID,Rebelo Maria Augusta Bessa1ORCID,de Queiroz Adriana Corrêa1ORCID,Rebelo Vieira Janete Maria1ORCID,Pereira Juliana Vianna1ORCID,da Silva Freitas Mariana Oliveira1ORCID,de Queiroz Herkrath Ana Paula Corrêa1ORCID

Affiliation:

1. School of Dentistry Federal University of Amazonas Manaus Amazonas Brazil

2. Oswaldo Cruz Foundation Instituto Leônidas e Maria Deane Manaus Amazonas Brazil

3. Superior School of Health Sciences State University of Amazonas Manaus Amazonas Brazil

4. Department of Dentistry and Oral Health Aarhus University Aarhus Denmark

Abstract

AbstractAimTraumatic 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 MethodsA 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.ResultsThe 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.ConclusionsContextual 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.

Funder

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior

Conselho Nacional de Desenvolvimento Científico e Tecnológico

Fundação de Amparo à Pesquisa do Estado do Amazonas

Publisher

Wiley

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