Abstract
Purpose
Analyze the association between parental stress and dental caries experience in adolescents in southern Brazil using data from the Pelotas 2004 Birth Cohort.
Methods
Interviews and oral health examinations for the determination of the main exposure and outcome of the study were performed in the homes of the adolescents. The outcome was dental caries experience in the permanent dentition analyzed using the Decayed, Missing and Filling Surfaces (DMFS) index. The main exposure was parental stress measured using the Parenting Stress Index-Short Form administered to the parents of the adolescents. Demographic/socioeconomic characteristics, oral health characteristics and oral health-related quality of life were considered potential confounding factors. Negative binomial regressions estimated mean ratios (MR) and 95% confidence intervals (CI).
Results
Nine hundred ninety-six adolescents were evaluated at 12 and 13 years of age. The prevalence of dental caries experience in the adolescents was 36.9% (95% CI: 33.8–40.0) and 15.1% (95% CI: 12.8–17.3) of the parents had parental stress. After adjusting for confounding factors, parental stress was associated with a higher mean number of decayed, missing and filling surfaces in the adolescents (MR = 1.10; 95% CI: 1.01–1.26; p = 0.045).
Conclusion
Adolescents of parents with parental stress have more dental caries experience compared to those whose parents do not have parental stress.
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Data availability
Not applicable.
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Funding
This article was written using data from the “Pelotas 2004 Birth Cohort” study, conducted by the Federal University of Pelotas Postgraduate Program in Epidemiology, with support from the Brazilian Collective Health Association (Associação Brasileira de Saúde Coletiva—ABRASCO). Between 2009 and 2013, the cohort study was funded by the Wellcome Trust. Earlier phases of the study were funded by the World Health Organization, the Centers of Excellence Support Program (PRONEX), the National Council for Scientific and Technological Development (CNPq), and the Ministry of Health and the Pastoral da Criança.
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CMB and AERS: conception and design, analysis and interpretation and drafted the manuscript; AMC and MBJC: conception, data acquisition and drafted the manuscript; EDC: contributed to critically revised the manuscript: ISS, MBC and AM: data acquisition and critically revised the manuscript.
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de Magalhães Bandeira, C., Cascaes, A.M., Camargo, M.B.J. et al. Parental stress and dental caries experience in adolescents: analysis of data from a birth cohort study in Pelotas, Southern Brazil. Eur Arch Paediatr Dent 24, 409–416 (2023). https://doi.org/10.1007/s40368-023-00797-z
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DOI: https://doi.org/10.1007/s40368-023-00797-z