Is there an association between family structure and the oral health of socially vulnerable children?

The aim of this study was to evaluate the impact of the family structure on the oral health status of socially vulnerable children in the Federal District of Brazil. A total of 471 schoolchildren with a mean age of 8.12 (± 0.90) years were examined for dental caries using the CAST instrument. Dental biofilm and oral pain were also registered. Children's guardians were interviewed about socioeconomic variables and oral hygiene habits. The association between oral pain in the previous 30 days and the child's maximum CAST score were analyzed using the Pearson chi-squared test. Multivariate Poisson regression models with robust variance were used to determine the predictors of presence of biofilm, oral pain, and caries severity. The prevalence of cavitated dentin lesions was 43.74% and, both dentin and enamel lesions, 52.87%; for both dentitions. An association between pain and severe nontreated carious lesions was found (p < 0.0001). The family structure was not related to the presence of dental caries, but a significant association was found between low maternal education and severe carious lesions (PR = 1.41; p = 0.0077) and oral pain (PR = 1.47; p = 0. 0335); not owning a residence and frequency of toothbrushing were also associated with the substantial presence of biofilm (PR = 1.13, p = 0.0493 and PR = 1.18, p = 0.0470; respectively). For socially vulnerable children, variables related to the socioeconomic status of the families were more relevant than the family structure in relation to their oral health status.

Playful educational interventions in children and adolescents' health literacy: a systematic review.

There is a need to investigate methods to increase children's health knowledge. Therefore, the aim of this study was to systematically evaluate the literature on playful educational interventions in health literacy aimed at children aged 6-12 years. For this purpose, the Cochrane Library, EMBASE, LILACS, PubMed, Scopus, Web of Science and grey literature were searched for relevant studies. Randomized, quasi-randomized or non-randomized clinical trials, in which the primary outcome was health literacy in children, were included. Due to the heterogeneity of the studies, the data were qualitatively evaluated. Eleven studies were included in this analysis. Most of the studies were randomized (n = 10). Among the health issues addressed in these studies, obesity prevention was the most studied (n = 5). All participants had low methodological quality, and the most commonly used interventions were games, dramas and theatre plays. Although most studies have pointed to an increase in health knowledge after interventions, it was not possible to determine whether such knowledge was retained over time, whether it effectively changed health behaviours, or if it led to the effective adoption of a healthier lifestyle. Health literacy through playful methods is potentially effective in increasing health knowledge and changing health behaviours. However, literature on its impact on the adoption of healthy lifestyles is inconclusive. Future research with fewer limitations and better methodological designs may help selecting the best intervention strategy to promote health literacy.

Is there an association between family structure and the oral health of socially vulnerable children?

Abstract The aim of this study was to evaluate the impact of the family structure on the oral health status of socially vulnerable children in the Federal District of Brazil. A total of 471 schoolchildren with a mean age of 8.12 (± 0.90) years were examined for dental caries using the CAST instrument. Dental biofilm and oral pain were also registered. Children's guardians were interviewed about socioeconomic variables and oral hygiene habits. The association between oral pain in the previous 30 days and the child's maximum CAST score were analyzed using the Pearson chi-squared test. Multivariate Poisson regression models with robust variance were used to determine the predictors of presence of biofilm, oral pain, and caries severity. The prevalence of cavitated dentin lesions was 43.74% and, both dentin and enamel lesions, 52.87%; for both dentitions. An association between pain and severe nontreated carious lesions was found (p < 0.0001). The family structure was not related to the presence of dental caries, but a significant association was found between low maternal education and severe carious lesions (PR = 1.41; p = 0.0077) and oral pain (PR = 1.47; p = 0. 0335); not owning a residence and frequency of toothbrushing were also associated with the substantial presence of biofilm (PR = 1.13, p = 0.0493 and PR = 1.18, p = 0.0470; respectively). For socially vulnerable children, variables related to the socioeconomic status of the families were more relevant than the family structure in relation to their oral health status.

The construction of the oral health care network in the Federal District, Brazil. / A construção da rede de atenção à saúde bucal no Distrito Federal, Brasil.

The Oral Health Policy of the Federal District State Health Secretariat was in a fragmented state, similarly to the entire health system. There was no integration between oral health teams and other Primary Care professionals and performance at the other levels was inconsistent and limited, preventing the effective establishment of the Care Network. In 2017, the head management chose to convert the system organically based on the family health strategy and the logic of the care networks. The aim of this study is to report on the main actions carried out so that oral health care would conform to the changes, developing into the construction of the specific Care Line in the area, allowing increased access and qualification of care .

A Saúde Bucal Pública no âmbito da SESDF inseria-se no contexto de fragmentação, do qual toda rede padecia. Não havia integração entre as equipes de saúde bucal e os demais profissionais na Atenção Primária e os outros níveis atuavam de forma errática e insular, impedindo o efetivo estabelecimento da Rede de Atenção. Em 2017, a gestão à frente da pasta optou por converter o sistema organicamente com base na estratégia saúde da família e na lógica das redes de atenção. O presente estudo tem por objetivo relatar quais as principais ações postas em prática para que a saúde bucal pudesse acompanhar a conversão, evoluindo para construção da Linha de Cuidado específica da área, permitindo a ampliação do acesso e a qualificação da Atenção .

A construção da rede de atenção à saúde bucal no Distrito Federal, Brasil / The construction of the oral health care network in the Federal District, Brazil

Resumo A Saúde Bucal Pública no âmbito da SESDF inseria-se no contexto de fragmentação, do qual toda rede padecia. Não havia integração entre as equipes de saúde bucal e os demais profissionais na Atenção Primária e os outros níveis atuavam de forma errática e insular, impedindo o efetivo estabelecimento da Rede de Atenção. Em 2017, a gestão à frente da pasta optou por converter o sistema organicamente com base na estratégia saúde da família e na lógica das redes de atenção. O presente estudo tem por objetivo relatar quais as principais ações postas em prática para que a saúde bucal pudesse acompanhar a conversão, evoluindo para construção da Linha de Cuidado específica da área, permitindo a ampliação do acesso e a qualificação da Atenção .

Abstract The Oral Health Policy of the Federal District State Health Secretariat was in a fragmented state, similarly to the entire health system. There was no integration between oral health teams and other Primary Care professionals and performance at the other levels was inconsistent and limited, preventing the effective establishment of the Care Network. In 2017, the head management chose to convert the system organically based on the family health strategy and the logic of the care networks. The aim of this study is to report on the main actions carried out so that oral health care would conform to the changes, developing into the construction of the specific Care Line in the area, allowing increased access and qualification of care .