1983/2012 - Coesão familiar associada à saúde bucal, fatores socioeconômicos e comportamento em saúde Family cohesion associated with oral health, socioeconomic factors and health behavior
Pesquisas sobre saúde geral têm relacionado coesão familiar a fatores socioeconômicos e comportamentais. O objetivo do estudo foi investigar a associação entre coesão familiar e fatores socioeconômicos, comportamentais e de saúde bucal. Este foi um estudo transversal com amostra por conglomerados em dois estágios. A amostra randomizada de 524 adolescentes era proveniente de escolas públicas da cidade de Piracicaba-SP. As variáveis foram avaliadas por questionários auto-aplicáveis e os dados de saúde bucal, pelos índices CPO e CPI. A coesão familiar percebida pelo adolescente foi avaliada por meio da escala de adaptabilidade e coesão familiar (FACES III). Análise univariada e regressão logística multinominal mostraram que adolescentes com baixa coesão familiar apresentaram mais chance de terem baixa renda OR 2,28 IC95% 1,14-4,55), presença de cárie (OR 2,23 IC95% 1,21-4,09) e baixa frequência de escovação diária (OR 1,91 IC95% 1,03-3,54). Adolescentes com alta coesão familiar apresentaram mais chance que adolescentes com media coesão de terem alta renda (OR 0,59 IC95% 0,35-0,98) e fator de proteção contra o hábito de tabagismo (OR 0,21 IC95% 0,06-0,72). Desta forma, a coesão familiar percebida pelo adolescente associou-se com variáveis comportamentais, socioeconômicas e de saúde bucal, indicando a importância de uma abordagem integral da saúde do paciente.
Palavras-chave:
Relações Familiares,
Classe Social,
Saúde Bucal
Abstract:
Health surveys have related family cohesion to socioeconomic status and behavioral factors. The aim of this study was to investigate the association between family cohesion, socioeconomic status, behavioral factors and oral health. This was a cross-sectional study with cluster sampling, in two stages. The random sample of 524 adolescents attending public schools in the city of Piracicaba-SP. Variables were evaluated by self-applicable 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 (FACES III). 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 (OR 0,59 95% CI 0,35-0,98) and to have a protective behavior against smoking habit (OR 0,21 95% CI 0,06-0,72). The data shows that adolescent´s perception of family cohesion was associated with behavioral variables, socioeconomic status and oral health, indicating the importance of integral approach to the patient´s health.
Family cohesion associated with oral health, socioeconomic factors and health behavior
Resumo (abstract):
Health surveys have related family cohesion to socioeconomic status and behavioral factors. The aim of this study was to investigate the association between family cohesion, socioeconomic status, behavioral factors and oral health. This was a cross-sectional study with cluster sampling, in two stages. The random sample of 524 adolescents attending public schools in the city of Piracicaba-SP. Variables were evaluated by self-applicable 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 (FACES III). 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 (OR 0,59 95% CI 0,35-0,98) and to have a protective behavior against smoking habit (OR 0,21 95% CI 0,06-0,72). The data shows that adolescent´s perception of family cohesion was associated with behavioral variables, socioeconomic status and oral health, indicating the importance of integral approach to the patient´s health.
Ferreira, L.L., Brandão GAM, Garcia, G., Costa LST, Batista, M.J., Possobon, R.F. , Faculdade de Odontologia de Piracicaba-UNICAMP . Coesão familiar associada à saúde bucal, fatores socioeconômicos e comportamento em saúde. Cien Saude Colet [periódico na internet] (2012/Out). [Citado em 28/09/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/coesao-familiar-associada-a-saude-bucal-fatores-socioeconomicos-e-comportamento-em-saude/11627?id=11627
