The potential impact of neighborhood empowerment on dental caries among adolescents.
The potential impact of neighborhood empowerment on dental caries among adolescents.
复制标题
邻里赋权对青少年龋齿的潜在影响。
DOI：
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发表时间：
2006
影响因子：
2.3
通讯作者：
A. Sheiham
中科院分区：
文献类型：
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作者：
M. Pattussi;R. Hardy;A. Sheiham
目标
赋权被认为是社会资本的一个维度。它指的是使人们能够提高个人和集体技能并对自己的生活施加更大控制的社会互动过程。尚未在牙齿健康方面探讨这种关系。本研究的目的是调查邻里赋权与青少年龋齿之间的关联。
方法
一项多层次研究旨在评估个人和社区对青少年口腔健康的影响。使用了四种数据来源：(a) 临床检查 (WHO)、(b) 学生问卷、(c) 家长问卷和 (d) 人口普查数据。研究对象为来自巴西联邦区 (DF) 两个城市 39 所公立学校的 1302 名 14/15 岁学生。数据分析在两个层面使用了逻辑多级建模：学生（来源 a 和 b）和由学校学区定义的社区（来源 c 和 d）。
结果
在赋权水平较高的地区，高 DMFT（DMFT > 中位数，DMFT > 或 =3）率显着较低。这种关系独立于个人和地区层面的社会经济变量以及所有其他个人风险因素变量，例如性别、氟化物、糖消耗、刷牙和牙科护理[与高赋权相比，低赋权的 OR 为 1.54 (95% CI = 1.09-2.18)，P = 0.014]。
结论
邻里赋权可能在解释龋齿水平的不平等方面发挥重要作用。需要新的视角，以便能够利用基于区域的视角实施更有效的干预措施。
OBJECTIVE
Empowerment has been considered a dimension of social capital. It refers to social interaction processes that enable people to enhance their individual and collective skills and to exert greater control over their lives. This relationship has not been explored in relation to dental health. The objective of this study was to investigate the association between neighborhood empowerment and dental caries in adolescents.
METHODS
A multilevel study was designed to assess the individual and neighborhood effects on the oral health of adolescents. Four sources of data were used: (a) clinical examinations (WHO), (b) students' questionnaires, (c) parents' questionnaires and (d) census data. The study population was 1302, 14/15-year-old students from 39 public schools of two cities of the Distrito Federal (DF), Brazil. Data analysis used logistic multilevel modeling at two levels: students (sources a and b) and neighborhood as defined by catchment areas of schools (sources c and d).
RESULTS
High DMFT (DMFT > median, DMFT > or =3) rates were significantly lower in areas with higher levels of empowerment. This relationship was independent of socioeconomic variables at the individual and area levels and of all other individual risk factor variables such as sex, fluoride, sugar consumption, tooth brushing and dental attendance [OR for low compared with high empowerment was 1.54 (95% CI = 1.09-2.18), P = 0.014].
CONCLUSIONS
Neighborhood empowerment may play an important role in explaining inequalities in the levels of dental caries. New perspectives are needed so that more effective interventions can be implemented using area-based perspectives.