Family Cohesion Associated With Oral Health, Socioeconomic Factors [coesão Familiar Associada à Saúde Bucal, Fatores Socioeconômicos]

Overall health surveys have related family cohesion to socio-economic status and behavioral factors. The scope of this study was to investigate the association between family cohesion and socio-economic, behavioral and oral health factors. This was a, cross-sectional study with twostage cluster sampling. The random sample consisted of 524 adolescents attending public schools in the city of Piracicaba-SP. Variables were evaluated by self-applied questionnaires and caries and periodontal disease were assessed by DMF-T and CPI indices. The adolescent's perception of family cohesion was assessed using the family adaptability and cohesion scale. Univariate and multinomial logistic regression shows that adolescents with low family cohesion were more likely than those with medium family cohesion to have low income (OR 2,28 95% CI 1,14- 4,55), presence of caries (OR 2,23 95% CI 1,21-4,09), less than two daily brushings (OR 1,91 95% CI 1,03-3,54). Adolescents with high family cohesion were more likely than those with medium family cohesion to have high income and protective behavior against the habit of smoking. Thus, the data shows that adolescent perception of family cohesion was associated with behavioral, socio-economic and oral health variables, indicating the importance of an integral approach to patient health.18824612473Resnick, M.D., Bearman, O.S., Blum, R.W., Bauman, K.E., Harris, K.M., Jones, J., Tabor, J., Udry, R., Protecting Adolescents from harm. Findings from the National Longitudinal Study on Adolescent Health (1997) J Am Med Ass, 278 (10), pp. 823-832Joronen, K., Åstedt-Kurki, P., Familial contribution to adolescent subjective well-being (2005) Int J Nurs Pract, 11 (3), pp. 125-133(2001) Programa Saúde da Família-PSF, , Brasil. Ministério da Saúde (MS). Secretaria executiva., Brasília: MSRoosa, M.W., Dunka, L., Tein, J.Y., Family characteristics as mediators of the influence of problem drinking and multiple risk status on child mental health (1996) Am J Community Psychology, 24 (5), pp. 607-624Olson, D.H., Gorall, D.M., Circumplex Model of marital and family systems (2003) Normal Family Processes, pp. 514-547. , In: Walsh F, editors., 3th Edition. New York: GuilfordGustafsson, P.A., Kjellman, N.I.M., Ludvigsson, J., Cederblad, M., Asthma and family interaction (1987) Arch Dis Child, 62 (3), pp. 258-263Konen, J.C., Sumerson, J.H., Dignan, M.B., Family function, stress and locus of control (1993) Arch Fam Med, 2 (4), pp. 393-402Holden, E.W., Chmielewski, D., Nelson, C.C., Kager, V.A., Contolling for general and disease-specific effects in child and family adjustment to chronic childhood illness (1997) J Pediat Psychol, 22 (1), pp. 15-27Soliday, E., Kool, E., Lande, M.B., Family environment, child baharior, and medical indicators in children with kidney disease (2001) Child Psychiatry Hum Dev, 31 (4), pp. 279-295Lucia, V.C., Breslau, N., Family Cohesion and children's behavior problems: A longitudinal investigation (2005) Psychiatry Res, 141 (2), pp. 141-149Franko, D.L., Thompson, D., Affenito, S.G., Barton, B.A., What mediates the relationship between family meals and adolescent health issues? (2008) Health Psychol, 27 (2), pp. 109-117Garrison, C.Z., Waller, J.L., Cuffe, S.P., McKeown, R.E., Addy, C.L., Jackson, K.L., Incidence of major depressive disorder and dysthymia in young adolescents (1997) J Am Acad Child Adolesc Psychiatry, 36 (4), pp. 458-465Rabelo, P.M., Caldas-Júnior, A.F., Violência contra a mulher, coesão familiar e drogas (2007) Rev Saude Publica, 41 (6), pp. 970-978Loeshe, W.J., Role of Streptococcus mutans in Human Dental Decay (1986) Microbiol Rev, 50 (4), pp. 353-380Featherstone, J.D.B., The science and practice of caries prevention (2000) J Am Dent Assoc, 131 (7), pp. 887-899Antunes, J.L.F., Narvai, P.C., Nugent, N.Z., Measuring inequalities in the distribution of dental caries (2004) Community Dent Oral Epidemiol, 32 (1), pp. 41-48Locker, D., Frosina, C., Murray, H., Wiebe, D., Wiebe, P., Identifying children with dental care needs: Evaluation of a targeted school-based dental screening program (2004) J Pub Health Dent, 64 (2), pp. 63-70Pereira, S.M., Tagliaferro, E.P.S., Ambrosano, G.M.B., Cortellazzi, K.L., Meneghim, M.C., Pereira, A.C., Dental caries in 12-year-old Schoolchildren and its relationship with socioeconomic and behavioural variables (2007) Oral Health Prev Dent, 5 (4), pp. 299-306Petersen, P.E., Sociobehavioural risk factors in dental caries-international perspectives (2005) Community Dent Oral Epidemiol, 33 (4), pp. 274-279Pattussi, M.P., Marcenes, W., Croucher, R., Sheiham, A., Social deprivation, income inequality, social cohesion and dental caries in Brazilian school children (2001) Social Sci Med, 53 (7), pp. 915-925Mascarenhas, A.K., Oral hygiene as a risk indicator of enamel and dentin caries (1998) Community Dent Oral Epidemiol, 26 (5), pp. 331-339Gibson, S., Williams, S., Dental Caries in Pre-School Children: Associations with Social Class, Toothbrushing Habit and Consumption of Sugars and Sugar-Containing Foods (1999) Caries Res, 33 (2), pp. 101-113Levin, L., Shenkman, A., The Relationship Between Dental Caries Status and Oral Health Attitudes and Behavior in Young Israeli Adults (2004) J Dent Educ, 68 (11), pp. 1185-1191Cury, J.A., Tenuta, L.M.A., Ribeiro, C.C.C., Paes Leme, A.F., The importance of fluoride dentifrices to the dental caries prevalence in Brazil (2004) Braz Dent J, 15 (3), pp. 167-174Bergstrom, J., Eliasson, S., Dock, J., A 10-year prospective study of tobacco smoking and periodontal health (2000) J Periodontal, 71 (8), pp. 1338-1347Löe, H., Theilade, E., Jensen, S.E., Experimental gingivitis in man (1965) J Periodontal, 36 (5), pp. 177-187Locker, D., Jokovik, A., Stephens, M., Kenny, D., Thompson, B., Guyatt, G., Family impact of child oral and oro-facial condictions (2002) Community Dent Oral Epidemiol, 30 (6), pp. 438-448(1997) Oral health surveys, , World Health Organization (WHO), FDI World Dental Federation., Basic methods. Geneva: Print ReportsPeres, M.A., Traebert, J., Marcenes, W., Calibração de examinadores para estudos epidemiológicos de cárie dentária (2001) Cad Saude Publica, 17 (1), pp. 153-159Corah, N.L., Gale, E.N., Illig, S.J., Assessment of a dental anxiety scale (1978) J Am Dent Assoc, 97 (5), pp. 816-819Farias-Júnior, J.C., Pires, M.C., Lopes, A.S., Reprodutibilidade de um questionário para o levantamento de informações sobre comportamentos relacionados à saúde em adolescentes (2002) Rev Bras Cien Mov, 10 (3), pp. 43-48Lisboa, I.C., Abegg, C., Hábitos de higiene bucal e uso de serviços odontológicos por adolescentes e adultos do Município de Canoas, Estado do Rio Grande do Sul, Brasil (2006) Epidem Serv Saude, 15 (4), pp. 29-39Meneghim, M.C., Kozlowski, F.C., Pereira, A.C., Ambrosano, G.M.B., Meneghim, Z.M.A.P., Classificação socioeconômica e sua discussão em relação à prevalência de cárie e fluorose dentária (2007) Cien Saude Colet, 12 (2), pp. 523-529Olson, D.H., Sprenkle, D., Russel, C., (1989) Cicumplex model: Systemic assessment and treatment of families, , New York: The Harworth pressFalceto, O.G., Busnell, E.D., Bozzetti, M.C., Validação de escalas diagnósticas do funcionamento familiar para a utilização em serviços de atenção primária à saúde (2000) Pan Am J Public Health, 7 (4), pp. 255-263Nishi, M., Bratthall, D., Stjernswärd, J., (2001) How to calculate the Significant Caries Index (SiC Index), , Malmö: WHO Collaborating Centre, University of Malmö(1996) Diretrizes e Normas Regulamentadoras de Pesquisas Envolvendo Seres Humanos, , Brasil. Ministério da Saúde(MS). Conselho Nacional de Saúde. Resolução no. 196 de 10 de outubro de 1996, 16 out., Diário Oficial da UniãoAndrade, F.B., Caldas-Júnior, A.F., Kitoko, P.M., Zandonade, E., The relationship between nutriente intake, dental status and Family cohesion among older brazilians (2011) Cad Saude Publica, 27 (1), pp. 113-122Cangussu, M.C.T., Castelhanos, R.A., Pinheiro, M.F., Albuquerque, S.R., Pinho, C., Cárie dentária em escolares de 12 e 15 anos de escolas públicas e privadas de Salvador, Bahia, Brasil, em 2001 (2002) Pesqui Odontol Bras, 16 (4), pp. 379-384Miranda, A.O., Estrada, D., Jimenez, M.F., Differences in Family Cohesion, Adaptability, and Environment among Latino Families in dissimilar Stages of acculturation (2000) The Family Journal, 8 (4), pp. 341-350Mandara, J., Murray, C.B., Effects of Parental Marital Status, Income, and Family Functioning on African American Adolescent Self-Esteem (2000) J Fam Psychol, 14 (3), pp. 475-490McLeod, J., Kruttschnitt, C., Dornfeld, M., Does parenting explain the effects of structural conditions on children's antisocial behavior? A comparison of Blacks and Whites (1994) Social Forces, 73 (2), pp. 575-604Farrell, M.P., Barnes, G.M., Family Systems and Social Support: A test of the effects of cohesion and adaptability on the functioning of parents and adolescents (1993) J Marriage and family, 55 (1), pp. 119-132Barber, B.K., Buehler, C., Family cohesion and enmeshment: Different constructs, different effects (1996) J Marriage and family, 58 (5), pp. 433-441Hanson, C.L., Henggeler, S.W., Harris, M.A., Family system variables and the health status of adolescents with insulin-dependent diabetes mellitus (1989) Health Psychol, 8 (2), pp. 239-253Mouradian, W.E., Huebner, C.E., Ramos-Gomez, F., Slavkin, H.C., Beyond Access: The Role of Family and Community in Children's Oral Health (2007) J Dent Education, 71 (5), pp. 619-63