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Association between bullying at school and tooth loss among 15-19-year-olds from southern Brazil
This study aimed to investigate the association between bullying at school and tooth loss in southern Brazilian adolescents. This population-based cross-sectional study included a representative sample of 15-19-year-old students attending high schools in Santa Maria, southern Brazil. Data on sociode...
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Published in: | Brazilian oral research 2024-01, Vol.38, p.e083 |
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description | This study aimed to investigate the association between bullying at school and tooth loss in southern Brazilian adolescents. This population-based cross-sectional study included a representative sample of 15-19-year-old students attending high schools in Santa Maria, southern Brazil. Data on sociodemographic and behavioral variables were collected through questionnaires. Contextual data on bullying at school was provided by educational institutions (bullying episodes in the previous year: 'no,' 'sometimes,' or 'often'). Tooth loss was clinically assessed by the M component of the DMFT index, modeled as a discrete variable. Multilevel Poisson regression was used, and rate ratios (RR) and 95% confidence intervals (CI) were estimated. The prevalence of tooth loss was 9.2% (95%CI = 7.5-10.8). Adolescents who attended the schools where bullying events often occurred had 0.39 (95%CI = 0.33-0.45) missing teeth, on average, in contrast to an average of 0.14 (95%CI = 0.08-0.19) among those whose schools did not experience bullying in the previous year. After adjusting for important cofactors, the contextual variable of bullying at school remained significantly associated with the study outcome. Adolescents who attended schools where bullying frequently occurred were 2.49-fold more likely to have an additional missing tooth than those whose school did not experience bullying in the previous year (RR = 2.49, 95%CI = 1.37-4.51, p = 0.003). In conclusion, the frequent bullying episodes at school were associated with more permanent teeth lost due to caries in this population. Hence, improving the school environment may improve the oral health of adolescents. |
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This population-based cross-sectional study included a representative sample of 15-19-year-old students attending high schools in Santa Maria, southern Brazil. Data on sociodemographic and behavioral variables were collected through questionnaires. Contextual data on bullying at school was provided by educational institutions (bullying episodes in the previous year: 'no,' 'sometimes,' or 'often'). Tooth loss was clinically assessed by the M component of the DMFT index, modeled as a discrete variable. Multilevel Poisson regression was used, and rate ratios (RR) and 95% confidence intervals (CI) were estimated. The prevalence of tooth loss was 9.2% (95%CI = 7.5-10.8). Adolescents who attended the schools where bullying events often occurred had 0.39 (95%CI = 0.33-0.45) missing teeth, on average, in contrast to an average of 0.14 (95%CI = 0.08-0.19) among those whose schools did not experience bullying in the previous year. After adjusting for important cofactors, the contextual variable of bullying at school remained significantly associated with the study outcome. Adolescents who attended schools where bullying frequently occurred were 2.49-fold more likely to have an additional missing tooth than those whose school did not experience bullying in the previous year (RR = 2.49, 95%CI = 1.37-4.51, p = 0.003). In conclusion, the frequent bullying episodes at school were associated with more permanent teeth lost due to caries in this population. Hence, improving the school environment may improve the oral health of adolescents.</description><identifier>ISSN: 1806-8324</identifier><identifier>ISSN: 1807-3107</identifier><identifier>EISSN: 1807-3107</identifier><identifier>DOI: 10.1590/1807-3107bor-2024.vol38.0083</identifier><identifier>PMID: 39292123</identifier><language>eng</language><publisher>Brazil: Sociedade Brasileira de Pesquisa Odontológica - SBPqO</publisher><subject>Adolescent ; Brazil - epidemiology ; Bullying ; Bullying - psychology ; Bullying - statistics & numerical data ; Cross-Sectional Studies ; DENTISTRY, ORAL SURGERY & MEDICINE ; DMF Index ; Female ; Humans ; Male ; Multilevel Analysis ; Original research/Behavioral Sciences ; Poisson Distribution ; Prevalence ; Risk Factors ; Schools - statistics & numerical data ; Socioeconomic Factors ; Students - psychology ; Students - statistics & numerical data ; Surveys and Questionnaires ; Tooth Loss ; Tooth Loss - epidemiology ; Young Adult</subject><ispartof>Brazilian oral research, 2024-01, Vol.38, p.e083</ispartof><rights>This work is licensed under a Creative Commons Attribution 4.0 International License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c409t-d0d85636c306de63ac4db0b5e624ef176cd3ba465b2d59dc4e106e2f70ae352f3</cites><orcidid>0000-0002-6956-642X ; 0000-0001-6053-9591 ; 0000-0003-0110-7929 ; 0000-0002-9386-4785 ; 0000-0002-6613-3717 ; 0000-0003-0302-4449</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11404855/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11404855/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,24129,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39292123$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Klein, Giovanna Leal</creatorcontrib><creatorcontrib>Comim, Letícia Donato</creatorcontrib><creatorcontrib>Dalla Nora, Ângela</creatorcontrib><creatorcontrib>Racki, Débora Nunes de Oliveira</creatorcontrib><creatorcontrib>Zenkner, Julio Eduardo do Amaral</creatorcontrib><creatorcontrib>Alves, Luana Severo</creatorcontrib><title>Association between bullying at school and tooth loss among 15-19-year-olds from southern Brazil</title><title>Brazilian oral research</title><addtitle>Braz Oral Res</addtitle><description>This study aimed to investigate the association between bullying at school and tooth loss in southern Brazilian adolescents. This population-based cross-sectional study included a representative sample of 15-19-year-old students attending high schools in Santa Maria, southern Brazil. Data on sociodemographic and behavioral variables were collected through questionnaires. Contextual data on bullying at school was provided by educational institutions (bullying episodes in the previous year: 'no,' 'sometimes,' or 'often'). Tooth loss was clinically assessed by the M component of the DMFT index, modeled as a discrete variable. Multilevel Poisson regression was used, and rate ratios (RR) and 95% confidence intervals (CI) were estimated. The prevalence of tooth loss was 9.2% (95%CI = 7.5-10.8). Adolescents who attended the schools where bullying events often occurred had 0.39 (95%CI = 0.33-0.45) missing teeth, on average, in contrast to an average of 0.14 (95%CI = 0.08-0.19) among those whose schools did not experience bullying in the previous year. After adjusting for important cofactors, the contextual variable of bullying at school remained significantly associated with the study outcome. Adolescents who attended schools where bullying frequently occurred were 2.49-fold more likely to have an additional missing tooth than those whose school did not experience bullying in the previous year (RR = 2.49, 95%CI = 1.37-4.51, p = 0.003). In conclusion, the frequent bullying episodes at school were associated with more permanent teeth lost due to caries in this population. Hence, improving the school environment may improve the oral health of adolescents.</description><subject>Adolescent</subject><subject>Brazil - epidemiology</subject><subject>Bullying</subject><subject>Bullying - psychology</subject><subject>Bullying - statistics & numerical data</subject><subject>Cross-Sectional Studies</subject><subject>DENTISTRY, ORAL SURGERY & MEDICINE</subject><subject>DMF Index</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Multilevel Analysis</subject><subject>Original research/Behavioral Sciences</subject><subject>Poisson Distribution</subject><subject>Prevalence</subject><subject>Risk Factors</subject><subject>Schools - statistics & numerical data</subject><subject>Socioeconomic Factors</subject><subject>Students - psychology</subject><subject>Students - statistics & numerical data</subject><subject>Surveys and Questionnaires</subject><subject>Tooth Loss</subject><subject>Tooth Loss - epidemiology</subject><subject>Young Adult</subject><issn>1806-8324</issn><issn>1807-3107</issn><issn>1807-3107</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNpVUk1v1DAQjRCIfsBfQDlw4JJl_BHHkZBQW0GpVIkDcDaOPdnNyskUOylafj3J7rKip7H85r15mnlZ9pbBipU1vGcaqkIwqBqKBQcuV48UhF4BaPEsOz_Bz_dvVWjB5Vl2kdIWQDGt1MvsTNS85oyL8-znVUrkOjt2NOQNjr8R5zqFsOuGdW7HPLkNUcjt4PORaNzkgVLKbU8zzMqC1cUObSwo-JS3kfo80TRuMA75dbR_uvAqe9HakPD1sV5mPz5_-n7zpbj_ent3c3VfOAn1WHjwulRCOQHKoxLWSd9AU6LiEltWKedFY6UqG-7L2juJDBTytgKLouStuMzuDrqe7NY8xK63cWfIdmb_QXFtbBw7F9C0inut69Yrr2Vtra2dwFZqVtmm1Y2ftVYHreQ6DGS2NMVhNm--LRs1y0aXxQMAAyiBz4SPB8LD1PToHQ5jtOGJi6fI0G3Mmh4NYxKkLstZ4d1RIdKvCdNo-i45DMEOSFMy80WVVIxXy7APh1YX51NEbE9zGJglImbJgDlGxCxOzT4iZonITH_zv9cT-V8mxF8wm7lp</recordid><startdate>20240101</startdate><enddate>20240101</enddate><creator>Klein, Giovanna Leal</creator><creator>Comim, Letícia Donato</creator><creator>Dalla Nora, Ângela</creator><creator>Racki, Débora Nunes de Oliveira</creator><creator>Zenkner, Julio Eduardo do Amaral</creator><creator>Alves, Luana Severo</creator><general>Sociedade Brasileira de Pesquisa Odontológica - SBPqO</general><general>Sociedade Brasileira de Pesquisa Odontológica</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>GPN</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-6956-642X</orcidid><orcidid>https://orcid.org/0000-0001-6053-9591</orcidid><orcidid>https://orcid.org/0000-0003-0110-7929</orcidid><orcidid>https://orcid.org/0000-0002-9386-4785</orcidid><orcidid>https://orcid.org/0000-0002-6613-3717</orcidid><orcidid>https://orcid.org/0000-0003-0302-4449</orcidid></search><sort><creationdate>20240101</creationdate><title>Association between bullying at school and tooth loss among 15-19-year-olds from southern Brazil</title><author>Klein, Giovanna Leal ; Comim, Letícia Donato ; Dalla Nora, Ângela ; Racki, Débora Nunes de Oliveira ; Zenkner, Julio Eduardo do Amaral ; Alves, Luana Severo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c409t-d0d85636c306de63ac4db0b5e624ef176cd3ba465b2d59dc4e106e2f70ae352f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adolescent</topic><topic>Brazil - epidemiology</topic><topic>Bullying</topic><topic>Bullying - psychology</topic><topic>Bullying - statistics & numerical data</topic><topic>Cross-Sectional Studies</topic><topic>DENTISTRY, ORAL SURGERY & MEDICINE</topic><topic>DMF Index</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Multilevel Analysis</topic><topic>Original research/Behavioral Sciences</topic><topic>Poisson Distribution</topic><topic>Prevalence</topic><topic>Risk Factors</topic><topic>Schools - statistics & numerical data</topic><topic>Socioeconomic Factors</topic><topic>Students - psychology</topic><topic>Students - statistics & numerical data</topic><topic>Surveys and Questionnaires</topic><topic>Tooth Loss</topic><topic>Tooth Loss - epidemiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Klein, Giovanna Leal</creatorcontrib><creatorcontrib>Comim, Letícia Donato</creatorcontrib><creatorcontrib>Dalla Nora, Ângela</creatorcontrib><creatorcontrib>Racki, Débora Nunes de Oliveira</creatorcontrib><creatorcontrib>Zenkner, Julio Eduardo do Amaral</creatorcontrib><creatorcontrib>Alves, Luana Severo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>SciELO</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Brazilian oral research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Klein, Giovanna Leal</au><au>Comim, Letícia Donato</au><au>Dalla Nora, Ângela</au><au>Racki, Débora Nunes de Oliveira</au><au>Zenkner, Julio Eduardo do Amaral</au><au>Alves, Luana Severo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association between bullying at school and tooth loss among 15-19-year-olds from southern Brazil</atitle><jtitle>Brazilian oral research</jtitle><addtitle>Braz Oral Res</addtitle><date>2024-01-01</date><risdate>2024</risdate><volume>38</volume><spage>e083</spage><pages>e083-</pages><issn>1806-8324</issn><issn>1807-3107</issn><eissn>1807-3107</eissn><abstract>This study aimed to investigate the association between bullying at school and tooth loss in southern Brazilian adolescents. This population-based cross-sectional study included a representative sample of 15-19-year-old students attending high schools in Santa Maria, southern Brazil. Data on sociodemographic and behavioral variables were collected through questionnaires. Contextual data on bullying at school was provided by educational institutions (bullying episodes in the previous year: 'no,' 'sometimes,' or 'often'). Tooth loss was clinically assessed by the M component of the DMFT index, modeled as a discrete variable. Multilevel Poisson regression was used, and rate ratios (RR) and 95% confidence intervals (CI) were estimated. The prevalence of tooth loss was 9.2% (95%CI = 7.5-10.8). Adolescents who attended the schools where bullying events often occurred had 0.39 (95%CI = 0.33-0.45) missing teeth, on average, in contrast to an average of 0.14 (95%CI = 0.08-0.19) among those whose schools did not experience bullying in the previous year. After adjusting for important cofactors, the contextual variable of bullying at school remained significantly associated with the study outcome. Adolescents who attended schools where bullying frequently occurred were 2.49-fold more likely to have an additional missing tooth than those whose school did not experience bullying in the previous year (RR = 2.49, 95%CI = 1.37-4.51, p = 0.003). In conclusion, the frequent bullying episodes at school were associated with more permanent teeth lost due to caries in this population. Hence, improving the school environment may improve the oral health of adolescents.</abstract><cop>Brazil</cop><pub>Sociedade Brasileira de Pesquisa Odontológica - SBPqO</pub><pmid>39292123</pmid><doi>10.1590/1807-3107bor-2024.vol38.0083</doi><orcidid>https://orcid.org/0000-0002-6956-642X</orcidid><orcidid>https://orcid.org/0000-0001-6053-9591</orcidid><orcidid>https://orcid.org/0000-0003-0110-7929</orcidid><orcidid>https://orcid.org/0000-0002-9386-4785</orcidid><orcidid>https://orcid.org/0000-0002-6613-3717</orcidid><orcidid>https://orcid.org/0000-0003-0302-4449</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Adolescent Brazil - epidemiology Bullying Bullying - psychology Bullying - statistics & numerical data Cross-Sectional Studies DENTISTRY, ORAL SURGERY & MEDICINE DMF Index Female Humans Male Multilevel Analysis Original research/Behavioral Sciences Poisson Distribution Prevalence Risk Factors Schools - statistics & numerical data Socioeconomic Factors Students - psychology Students - statistics & numerical data Surveys and Questionnaires Tooth Loss Tooth Loss - epidemiology Young Adult |
title | Association between bullying at school and tooth loss among 15-19-year-olds from southern Brazil |
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