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. 2018 Dec 19;18(1):221.
doi: 10.1186/s12903-018-0674-4.

Relations of drug use and socioeconomic factors with adherence to dental treatment among adolescents

Sílvia Letícia Freddo  1 , Inara Pereira da Cunha  2 , Jaqueline Vilela Bulgareli  2 , Yuri Wanderley Cavalcanti  3 , Antonio Carlos Pereira  2
Affiliations

Relations of drug use and socioeconomic factors with adherence to dental treatment among adolescents

Sílvia Letícia Freddo et al. BMC Oral Health. .

Abstract

Background: Adolescents are vulnerable to behaviors that weaken health, by adopting habits that interfere with adherence to treatment. The aims of the present study were to investigate adolescents' adherence to dental treatment and the relations between this behavior and socioeconomic factors and consumption of licit and illicit chemical substances.

Methods: A longitudinal study was conducted with 474 adolescents from Piracicaba/SP/Brazil, who initially underwent a dental examination to verify the adherence for dental treatment. After 18 months, 325 adolescents were reassessed. Valid questions about socioeconomic conditions and use of alcohol and drugs were applied to participants. The chi-square test and Fisher's exact test were used. The prevalence ratios were estimated with the respective 95% confidence intervals, using generalized linear models with Poisson distribution.

Results: Eighteen (18) months after the first consultation, 325 adolescents were reassessed: 161 (49%) did not adhere to the treatment, and 164 (51%) adhered to it and answered the socioeconomic and alcohol and illicit drug questionnaires. Their mean age was 15 ± 1 years; of them, 189 (58%) were female. The prevalence of adherence to treatment decreased in patients without their own home (p = 0.034). In the individual analysis of the variables, drinking alcohol alone, experimenting with drugs, and proximity of friends who consumed illicit substances were associated with the outcome (p < 0.05). However, in the joint analysis, only proximity of friends who consumed drugs was the factor related to low adherence to dental treatment among the adolescents (p = 0.035).

Conclusion: Adolescents who consumed alcohol and socialized with friends who used illicit drugs had greater difficulty in adhering to dental treatment.

Keywords: Adhesion; Illicit drugs; Oral health.

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Conflict of interest statement

Ethics approval and consent to participate

The study was approved by the Research Ethics Committee of the Piracicaba Dental School, University of Campinas (UNICAMP) (protocol number #027/2011) in accordance with the Ethics approval and consent to participates laid down in the 1964 Declaration of Helsinki and its later amendments. Terms of Free and Informed Consent were obtained from the parents before starting the study.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
Representative flowchart of the study phases (Bulgareli, 2016) [21]
Fig. 2
Fig. 2
Theoretical Model for Study of Association between Independent Variables and Adherence to Dental Treatment
See this image and copyright information in PMC

References

    1. Unodc.United Nations Office for Drug Control and Crime Prevention . World Drug Report. 2007.
    1. Unifesp . II Levantamento Nacional de Álcool e Drogas (LENAD) – 2012. São Paulo: Instituto Nacional de Ciência e Tecnologia para Políticas Públicas de Álcool e Outras Drogas (INPAD) 2014.
    1. OMS. Organização Mundial da Saúde. Neurociências: consumo e dependência de substâncias psicoativas. World Health Organization; 2004. [accessed sep 2016]. Available from: http://www.who.int/substance_abuse/publications/en/Neuroscience_P.pdf
    1. Alavarse GMA, Carvalho MDB. Álcool e adolescência: o perfil de consumidores de um município do norte do Paraná. Esc Anna Nery Ver Enferm Dec. 2006;10(3):408–416. doi: 10.1590/S1414-81452006000300008. - DOI
    1. Unicef . Fundo das Nações Unidas para a Infância. O direito de ser adolescente: oportunidade para reduzir vulnerabilidades e superar desigualdades. Brasília: DF:Unicef; 2011.

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