A relação entre equipe de saúde bucal na estratégia Saúde da Família e o impacto de problemas bucais nas atividades diárias em adolescentes

Abstract

The purpose of this study was to evaluate the association between the presence of oral health care team (OHCT) in Brazilian primary health care program named Family Health Strategy (FHS) and oral impact on daily performances of adolescents, assessed through Child-OIDP in Manaus city, AM. The study included 300 adolescents aged 12 to 14 years living in two areas of coverage by the FHS, 150 living in an area with OHCT for at least 2 years and 150 living in an area without OHCT. Both areas have similar Human Development Index. In the pilot study it was observed a substantial reliability (Intraclass Correlation Coefficient=0.927) and an almost perfect internal consistency (alpha Crombach=0.70). The adolescents were selected in public schools where the interviews were carried out to collect demographic and socioeconomic data, behavioural habits and dental pain measures, and to answer the ChildOIDP questionnaire. Dental clinical examinations were performed to assess caries using DMF-T index and oral health needs assessment. The frequency of adolescents with at least one oral impact on daily performances was statistically higher in the area without OHCT (90.0%) compared with the area with OHCT (79.3%). Mean of Child-OIDP was also higher in the area without OHCT compared with the area with OHCT (12.42 vs. 8.80, p<0.001). In logistic regression, the oral impact on daily performances (Child-OIDP ≥ 1) was independently associated with the absence of OHCT (OR=4.4 [95% CI=1.1-17.0]). The presence of oral health care team was associated with less adolescents’ oral impact on daily performances living in areas of coverage by Family Health Strateg