Attention-deficit Disorder, Family Factors, and Oral Health Literacy

Overview

Journal Int Dent J

Publisher Elsevier

Specialty Dentistry

Date 2021 Dec 7

PMID 34872699

Citations 2

Authors

Mirella de Fatima Liberato de Moura

Ramon Targino Firmino

Erick Tassio Barbosa Neves

Edja Maria Melo de Brito Costa

Saul Martins Paiva

Fernanda Morais Ferreira

Ana Flavia Granville-Garcia

Affiliations

Soon will be listed here.

Abstract

Introduction: Relationships amongst attention-deficit/hyperactivity disorder (ADHD), family factors, and oral health literacy (OHL) in adolescents are unclear. The objective of this research was to investigate whether family environment and signs of ADHD are associated with OHL at the onset of adolescence.

Methods: A cross-sectional study was performed with 448 twelve-year-old adolescents enrolled in schools in Cajazeiras, Brazil. Adolescents responded to an instrument measuring OHL (Brazilian version of the Rapid Estimate of Adult Literacy in Dentistry [BREALD-30]) and a validated questionnaire addressing family cohesion and adaptability (Family Adaptability and Cohesion Scales [FACES III]). Parents and teachers answered subscales of the Swanson, Nolan, and Pelham Questionnaire (SNAP-IV) and a socioeconomic questionnaire. Adjusted Poisson regression analysis was employed for the data analysis (P < .05).

Results: Greater OHL was found in adolescents with higher family cohesion scores (rate ratio [RR], 1.02; 95% confidence interval [CI], 1.01-1.03), those whose mothers had more than 8 years of schooling (RR, 1.07; 95% CI, 1.03-1.12), and those whose families earned more than the Brazilian minimum salary (RR, 1.08; 95% CI, 1.03-1.12). Higher family adaptability scores (RR, 0.99; 95% CI, 0.98-0.99) and more signs of ADHD (teachers' reports) (RR, 0.95; 95% CI, 0.91-0.99) were associated with lower OHL.

Conclusions: OHL in adolescents was influenced by family adaptability and cohesion, signs of ADHD, maternal schooling, and family income.

Citing Articles

Structural equation modeling of the association between oral health literacy and dental caries in children.

Lima L, Neves E, Perazzo M, Bernardino V, Silva S, Paiva S Braz Oral Res. 2025; 39:e021.

PMID: 40008730 PMC: 11844814. DOI: 10.1590/1807-3107bor-2025.vol39.021.

Individual and contextual determinants associated with traumatic dental injuries in children eight to ten years of age: a multilevel analysis.

Bernardino V, Lima L, Neves E, Paiva S, Granville-Garcia A Acta Odontol Scand. 2024; 83:419-425.

PMID: 38916189 PMC: 11302641. DOI: 10.2340/aos.v83.40891.

Analysis of Oral Health among ADHD-Affected and Non-ADHD Children in Gran Canaria.

Melwani-Sadhwani R, Alonso-Agustin E, Sagols-Ruiz A, Contreras-Madrid A Healthcare (Basel). 2024; 12(7).

PMID: 38610200 PMC: 11011864. DOI: 10.3390/healthcare12070779.

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