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Um importante fator de risco é o consumo de bebida alcoólica, sendo a droga psicotrópica mais utilizada entre adolescentes. Objetivo foi avaliar prevalência do consumo de bebida alcóolica em binge em adolescentes de 14 anos e associação com consumo de bebidas alcoólicas por familiares e melhor amigo. Estudo transversal de base populacional utilizando os instrumentos AUDIT-C e questionário semiestruturado, para avaliar o consumo de bebida alcoólica. Os dados foram analisados de forma descritiva e analítica (p

O traumatismo dentário pode ser considerado um sério problema de saúde pública. O presente estudo avaliou novos casos de dentes traumatizados e fatores associados, em dois anos de acompanhamento, em escolares de 14 anos de idade da cidade de Diamantina/MG. Estudo longitudinal de modelo misto para medidas repetidas foi desenvolvido envolvendo questionários auto-aplicáveis e exames clínicos realizados por um pesquisador previamente treinado e calibrado utilizando a classificação proposta por Andreasen para traumatismo dentário. A amostra consistiu de um censo com todos os escolares de 12 anos de idade no baseline e com 14 anos no follow up. O uso de maconha, a principal variável independente, foi investigada através do instrumento ASSIST (Alcohol, Smoking and Substance Involvement Screening Test). Também foram avaliados fatores clínicos e sociodemográficos. Foram realizadas análises de frequência e testes de associação. O Modelo de Regressão de XT Poisson com intercepto de efeitos aleatórios foi estimado (p

Este livro destina-se aos leitores que buscam aprimorar constantemente seus conhecimentos na área da saúde. A interação de discentes, docentes e clínicos, ampliou os conhecimentos técnicos e científicos em áreas correlacionadas à prática diária e, principalmente, dividiu informações, conhecimentos e descobertas com o público. Em cada capítulo você encontra conteúdo atualizado, trazendo conceitos, contextos, etiologia e aplicabilidades voltados ao trabalho diário dos profissionais. A cada edição, buscamos aprimorar, aumentar e ampliar o material que é criado e disponibilizado, sempre representando as áreas da saúde, conectando grandes centros acadêmicos e reafirmando o objetivo principal de “Coletâneas em Saúde”. A dedicação e o esforço de todos tornaram este trabalho exemplar. Desejamos excelente leitura, novas descobertas e grandes reflexões!

BACKGROUND/AIM Knowledge about the spatial density of the domiciles of dental trauma victims can assist in the identification of the most vulnerable areas and contribute to the planning of prevention, promotion, control, and treatment actions, focusing on the most affected areas. The aim of this study was to analyze the spatial density of domiciles of 14-year-old adolescent victims of dental trauma, in the city of Diamantina, Brazil, after a two-year follow-up period. MATERIAL AND METHODS This longitudinal study was carried out with 584 adolescents between 2013 and 2015. Dental trauma, overjet, and lip protection were assessed by two trained and calibrated examiners (K > 0.70). Information about binge drinking was collected among the adolescents through the Alcohol Use Disorders Identification Test and sociodemographic indicators were obtained through a questionnaire answered by the caregivers of the adolescents. Spatial analyses were performed to evaluate the spatial density of adolescents with dental trauma and the independent variables of interest according to the domicile using Ripley's K function and the Kernel Map. RESULTS Ripley's K function revealed spatial aggregation of the domiciles of adolescent victims of dental trauma in relation to males, binge drinking and overjet, with a confidence interval of 95%. The higher density of domiciles with adolescents with two or more traumatized teeth was found in the north-east region of the city. Boys were the most affected, their homes were located in the north, north-west, and south-east regions at baseline and follow-up. The largest density of domiciles of adolescents with overjet greater than 5 mm and inadequate lip protection was in the north-east region. Similar spatial distribution was identified for binge drinking for both years. CONCLUSION The majority of adolescents with dental trauma lived in the north-east and south-east regions, characterized by high population density and greater social vulnerability.

The purpose of this systematic review was to assess the impact of third molar removal on patient’s quality of life. To address the study purpose, investigators designed and implemented a systematic review. The primary outcome variable was the quality of life after third molar extraction. An electronic search was conducted through March, 2017, on the PUBMED, Virtual Health Library (VHL), Web of Science, and OVID, to identify relevant literatures. Research studies (randomized or non-randomized clinical trials) were included that evaluated the quality of life in individuals before and after third molar extraction, using validated measures of oral health-related quality of life with quantitative approach, besides procedures performed under local anesthesia. The R software was used to measure the mean difference on the quality of life between the preoperative period and follow-up days. A total of 1141 studies were identified. Of this total, 13 articles were selected in the present systematic review, of which six studies were included in the meta-analysis. All of these 13 articles used the OHIP-14, and 4 of this 13 used OHQoLUK-16 to evaluate the quality of life. Regarding quality assessment, four of the 13 included studies in this review received a maximum score of 9 points, according to the Newcastle–Ottawa (NOS). The OHIP-14 mean score on the first postoperative day was 17.57 (95% CI 11.84–23.30, I2 = 96%) higher than the preoperative period. On the seventh postoperative day, the quality of life assessed by OHIP-14 got worse again. This systematic review revealed that the highest negative impact on quality of life of individuals submitted to third molar surgery was observed on the first postoperative day, decreasing over the follow-up period.

BACKGROUND/AIMS Population-based studies that investigate the impact of TDI on oral health-related quality of life (OHRQoL) among school children and its association with socioeconomic factors are scarce and offer conflicting results. The aim of this study was to evaluate the impact of TDI on OHRQoL among school children and its association with socioeconomic status. MATERIALS AND METHODS A cross-sectional study was conducted with 588 12-year-old children enrolled in public and private schools in the urban areas in the city of Diamantina (southeastern Brazil). Clinical examinations were performed for the diagnosis of traumatic dental injury based on Andreasen's classification. The Child Perceptions Questionnaire (CPQ11-14 ), which has been validated for the population in Brazil, was employed to evaluate oral health-related quality of life. Socioeconomic status and overjet were also analyzed. Statistical analysis involved the chi-square test and logistic regression. RESULTS A total of 29.4% of the students exhibited some type of trauma to at least one tooth. A negative impact on oral health-related quality of life was found in 53.1% of the sample. Traumatic dental injury was associated with a high impact on oral health-related quality of life [OR = 1.61 (95% CI: 1.08-2.39)] and overjet >3 mm [OR = 5.42 (95% CI: 3.66-8.02)]. However, no statistically significant associations were found between TDI and socioeconomic status. CONCLUSIONS Prevalence of traumatic dental injury was high among the children who participated in the study, and it was associated with a high impact on oral health-related quality of life as well as overjet >3 mm.

Estudo transversal com amostra de conveniência de 101 adolescentes com 12 anos, de escolas públicas e privadas de Diamantina/MG, avaliando a prevalência de consumo de álcool em “binge” por adolescentes escolares de 12 anos e sua associação com as condições socioeconômicas, sexo, consumo de bebidas alcoólicas por familiares e melhores amigos. Os participantes responderam questionário autoaplicável, Teste de Identificação de Problemas Relacionados ao Uso de Álcool C (Audit-C) e sobre consumo de álcool por amigos e familiares. O formulário sobre questões sociodemográficas foi respondido pelos pais/responsáveis. Foram feitas análises descritivas e teste de associação (p < 0,05). A prevalência do consumo em “binge” foi de 24,8%. O início do consumo de bebida alcoólica foi aos 10 anos (16,8%). O sexo não esteve associado ao consumo de álcool pelos adolescentes. Entretanto, estudar em escola pública (0,005) e consumo de álcool pelo melhor amigo (p = 0,0001) estiveram associados ao consumo em “binge”, por adolescentes na análise bivariada. O consumo em “binge” foi alto e associado à condição socioeconômica baixa e ao consumo de álcool pelo melhor amigo. Não foi observada associação com o sexo e o consumo de álcool pelos familiares dos adolescentes. This is a cross-sectional study with a convenience sample of 101 twelve-year-old adolescents enrolled in public and private schools in the city of Diamantina in the State of Minas Gerais. The scope was to evaluate the prevalence of binge drinking among 12-year-old schoolchildren and its association with gender, socioeconomic status and alcohol consumption by family members and best friends. The participants completed a self-administered questionnaire entitled the Alcohol Use Disorders Identification Test (AUDIT-C) and the consumption of alcoholic beverages by friends and family. Parents/guardians answered the form on sociodemographic questions. Descriptive analyses and association tests were performed (p < 0.05). The prevalence of binge drinking was 24.8%. Alcoholic beverage consumption began at the age of 10 (16.8%), though sex was not associated with binge drinking by adolescents. However, attending a public school (0.005) and alcohol consumption by best friends (p < 000.1) were associated with binge drinking by adolescents in the bivariate analysis. The prevalence of binge drinking was high and was associated with low socioeconomic status and alcohol consumption by the best friend. No association between sex and alcohol consumption by the family members of adolescents was detected.

Adolescence is a vulnerable period for risk-taking tendencies, including binge drinking. The aim of this study was to examined the prevalence of binge drinking and its association with factors related to the consumption of alcoholic beverages by best friend, familial factors, socioeconomic status and religiosity. A Census of 633 students from public and private schools in Diamantina-MG was conducted. Participants completed a self-administered questionnaire, the Alcohol Use Disorders Identification Test-C (AUDIT-C) and, another on the consumption of alcohol by family and friends. Surveys inquiring about socioeconomic conditions were sent to parents/guardians. Descriptive and bivariate analyzes were performed (p < 0.05). The log-binomial model was used to calculate PR and 95% CI. The prevalence of binge drinking was 23.1%. The average age of onset of alcohol consumption was 10,8 years. Binge drinking was more prevalent among adolescents whose best friend [OR = 4.72 (95% CI 2.78-8.03)] and brother [PR = 1.46 (95% CI 1.10-1.92)] drink alcohol. Religiosity [PR = 0.40 (95% CI 0.27-0.62)] appeared as a possible protective factor. Our findings indicate that peer effects are important determinants of drinking and could be utilized as a potential target for interventions to reduce alcohol consumption rates.

Resumo Introdução O uso de drogas entre adolescentes está aumentando, e o hábito vem se enraizando cada vez mais precocemente. Objetivo Investigar a associação do uso de drogas lícitas e ilícitas, sexo e condição socioeconômica entre adolescentes de 12 anos. Método Estudo transversal foi realizado em amostra representativa de adolescentes matriculados em escolas públicas e privadas da área urbana de Diamantina, Minas Gerais. Dados foram coletados por meio de questionários autoaplicados. O consumo de drogas foi investigado utilizando o instrumento ASSIST (Teste para Triagem do Envolvimento com Álcool, Cigarro e Outras Substâncias). Para investigar a condição socioeconômica, foram utilizados os indicadores: tipo de escola, renda familiar e escolaridade materna. As associações foram testadas pelos testes do Qui-quadrado de Pearson e Exato de Fisher (p < 0,05). Resultados A prevalência do consumo de álcool foi de 45,6% (260/588); uso de maconha, de 1,5% (9/588); de cocaína, 0,3% (2/588); e de inalantes, 1,7% (10/588). Sexo masculino esteve associado estatisticamente com consumo de maconha (p = 0,018) e de álcool (p = 0,012), mas não com uso de inalantes (p = 0,536). Na amostra estudada, não foi observada associação estatisticamente significativa entre o consumo de drogas ilícitas e os indicadores socioeconômicos. O consumo de álcool esteve associado ao uso de maconha p = 0,013 [OR:9,814 (1,220-78,984)]. Conclusão O consumo de álcool e o uso de maconha estiveram estatisticamente associados com o sexo masculino, mas não com os indicadores socioeconômicos. Abstract Background Drug use among adolescents is on the rise, and the habit has been taking root at an increasingly early age. Objective Investigate the correlation between use of licit and illicit drugs, sex, and socioeconomic conditions among 12-year-old adolescents. Method Cross sectional study conducted with a representative sample of adolescents enrolled in public and private schools in the urban area of Diamantina, Minas Gerais state, Brazil. Data were collected through self-administered questionnaires. Consumption of drugs was investigated using the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) instrument. School type, family income, and maternal education were used to investigate socioeconomic condition. Associations were tested using the Pearson’s chi-square and Fisher's exact tests (p < 0.05). Results The following drug consumption prevalence values were found: alcohol, 45.6% (260/588); marijuana, 1.5% (9/588), cocaine, 0.3% (2/588); inhalants, 1.7% (10/588). The male gender was statistically associated with consumption of marijuana (p = 0.018) and alcohol (p = 0.012), but not with use of inhalants (p = 0.536). No statistically significant correlation was observed between consumption of licit and illicit drugs and the socioeconomic indicators adopted. Alcohol consumption was associated with use of marijuana (p = 0.013) [OR:9.814 (1.220 to 78.984)]. Conclusion Alcohol consumption and use of marijuana were statistically associated with the male gender, but not with socioeconomic indicators.

Resumo Associada a impactos positivos sobre a saúde, a religiosidade tem se apresentado como possível fator protetor contra o consumo do álcool por adolescentes. O presente estudo buscou avaliar a prevalência do consumo em “binge” por escolares de 12 anos de Diamantina-MG e sua associação com a religiosidade. A amostra foi um censo de 588 escolares. A análise estatística envolveu o teste qui-quadrado de Pearson (p < 0,05) e Regressão de Poisson com variância robusta. A participação em atividades religiosas se manteve associada com o não consumo em “binge” (RP = 0,823; 95% IC: 0,717 – 0,945) e o consumo de bebidas pelo melhor amigo associou-se ao consumo em “binge” (RP = 1,554; 95% IC: 1,411-1,711). Concluiu-se que a religiosidade esteve associada com o não consumo em “binge”. Abstract Associated with positive impacts on health, religiosity has presented itself as a possible protection factor against alcohol consumption by teenagers. This study evaluated the prevalence of binge drinking and its association with religiosity among 12-year-old students, from Diamantina, State of Minas Gerais. Statistical analyses involved chi-square Pearson (p < 0,05) and Poisson regression with robust variance. The sample included a census of 588 students. Participation in religious activities was associated with no binge drinking (PR = 0,823; 95% CI: 0,717 – 0,945); and consumption of alcoholic beverages by the best friend was associated with binge drinking (PR = 1.554; 95% CI: 1,411-1,711). It was concluded that religiosity was associated with no consumption of alcoholic beverages in binge drinking sessions.

The scope of this study was to determine the prevalence of trauma in the permanent dentition of 12-year-old schoolchildren and assess associations with demographic factors such as gender and socioeconomic status and overjet and lip coverage clinical factors. A cross-sectional analysis was conducted using a representative sample of 638 students. Data were gathered by means of clinical examinations and self-administered questionnaires. Descriptive analysis was performed, followed by the use of the chi-square test and Poisson logistic regression model for the determination of significant associations. The prevalence of traumatic dental injury was 34.9%. Falls constituted the main etiological factor (49.7%), and occurred in the home (48.2%). The results of the Poisson regression analysis revealed that accentuated overjet (> 5 mm) remained associated with traumatic dental injury irrespective of the other variables [PR = 1.50 (95% CI: 1.41 to 1.61); p = 0.003]. Moreover, a statistically significant association was found between accentuated overjet and dental trauma. No significant associations were found between TDI and socioeconomic status. These findings highlight the need for prevention strategies and orthodontic correction at the onset of the permanent dentition.

Adolescence is characterized by heightened susceptibility to peer influence, which makes adolescents vulnerable to initiating or maintaining risky habits such as heavy drinking. The aim of the study was to investigate the association of social capital with longitudinal changes in the frequency of binge drinking among adolescents at public and private high schools in the city of Diamantina, Brazil. This longitudinal study used two waves of data collected when the adolescents were 12 and 13 years old. At the baseline assessment in 2013 a classroom survey was carried out with a representative sample of 588 students. In 2014, a follow-up survey was carried out with the same adolescents when they were aged 13 years. The Alcohol Use Disorder Identification Test-C (AUDIT C) was employed for the evaluation of alcohol intake. Our predictor variables included sociodemographic and economic characteristics (gender, type of school, mother's education, family income) and Social Capital. For evaluation of social capital, we used the Social Capital Questionnaire for Adolescent Students (SCQ-AS). Descriptive and bivariate analyzes were performed (p

Objetivo: O objetivo foi analisar a prevalência de traumatismo dentário em escolares com 12 anos de idade, na cidade de Diamantina, MG, avaliando ainda a associação com fatores demográficos e clínicos. Materiais e Métodos: A amostra foi composta por 101 escolares (46,5% do sexo masculino e 53,5% do sexo feminino) selecionados de escolas públicas e privadas. O exame clínico foi realizado por um dentista treinado e calibrado adotando a classificação de Andreasen et al. A condição socioeconômica foi investigada por meiodo questionário ABA-ABIPEME, renda familiar e escolaridade da mãe. A obesidade foi medida pelo índice de massa corporal (IMC= peso [kg] / altura [m2]), por sexo e idade. Foram realizadas análises de frequência e testede associação (p

Objetivo: Avaliar a necessidade de tratamento, etiologia e o local de ocorrência do acidente que resultou em traumatismo dentário nos incisivos permanentes de escolares com 12 anos de idade, na cidade deMontes Claros. Materiais e Métodos: Para cálculo amostral utilizou-se a variabilidade populacional máxima (0,25), com nível de confiança de 95%, Zα/2 = 1,96; erro de estimação de 4%, d = 0,03. O tamanho daamostra mínima calculada foi 546 crianças, sendo acrescido de 10%, totalizando 638 crianças, selecionadas aleatoriamente nas escolas públicas e particulares. Em um primeiro momento foi investigada a prevalência detraumatismo dentário por meio de exames clínicos adotando a classificação Children´s Dental Health Survey do UK, realizado por um dentista treinado e calibrado (Kappa= 0,87 e 0,96). As crianças foram examinadas naescola sob luz artificial. Após os exames foi aplicado um questionário semi-estruturado direcionado às crianças a fim de investigar o conhecimento da ocorrência de traumatismo dentário, etiologia e local do acidente.Para obtenção dos resultados foi realizada análise descritiva e univariada (teste qui-quadrado). Resultados: A prevalência de traumatismos dentários foi de 34,9% em 605 exames clínicos realizados (94,8%). O traumatismodentário estava presente em 279 incisivos permanentes. A necessidade de tratamento restaurador foi observada em 35,8% dentes (n= 100), sendo que 13,97% deles apresentavam tratamento restaurador (n= 39). O principal fator etiológico foi a queda (49,7%) e a maioria dos escolares relatou que o traumatismo dentário havia ocorrido em casa (48,2%). Conclusão: A necessidade de tratamento restaurador devido ao traumatismo dentário foielevada e o principal fator etiológico foram as quedas ocorridas em casa.Descritores: Traumatismos dentários, Saúde bucal, Dentição permanente, Adolescente.

ObjectivesTraumatic dental injury is defined as trauma caused by forces on a tooth with variable extent and severity. The aim of the present study was to investigate the prevalence of traumatic dental injury and its association with overjet, lip protection, sex, socioeconomic status, social capital and binge drinking among 12-year-old students.Research design and methodA cross-sectional study was conducted with a sample of 633 12-year-old students. Data were collected through a clinical exam and self-administered questionnaires. Socioeconomic status was determined based on mother's schooling and household income. The Social Capital Questionnaire for Adolescent Students and Alcohol Use Disorders Identification Test (AUDIT-C) were used to measure social capital and binge drinking, respectively.ResultsThe prevalence of traumatic dental injury was 29.9% (176/588). Traumatic dental injury was more prevalent among male adolescents (p = 0.010), those with overjet greater than 5 mm (p < 0.001) and those with inadequate lip protection (p < 0.001). In the multiple logistic regression analysis, overjet [OR = 3.80 (95% CI: 2.235-6.466), p < 0.0001], inadequate lip protection [OR = 5.585 (95% CI: 3.654-8.535), p < 0.0001] and binge drinking [OR = 1.93 (95% CI: 1.21-3.06), p = 0.005] remained significantly associated with traumatic dental injury.ConclusionsThe present findings suggest that a high level of total social capital and trust are not associated with TDI in adolescents, unlike binge drinking. The effects of social and behavioral factors on TDI are not well elucidated. Therefore, further research involving other populations and a longitudinal design is recommended.

OBJECTIVE: To determine the prevalence of traumatic dental injuries and its association with binge drinking among 12-year-old schoolchildren. METHODS: A cross-sectional study was carried out involving 588 students from a medium-sized city in Brazil. Data were collected through a clinical examination and self-administered questionnaires. Andreasen's classification was used for the determination of traumatic dental injuries. The consumption of alcoholic beverages and binge drinking were evaluated using the Alcohol Use Disorders Identification Test - Consumption. Socio-economic status, overjet, and inadequate lip seal were also analysed. Associations were tested using the multivariate logistic regression analysis. RESULTS: The prevalence rates of traumatic dental injuries, alcohol consumption in one's lifetime, and binge drinking were 29.9%, 45.6%, and 23.1%, respectively. The prevalence of traumatic dental injuries was significantly higher among those who engaged in binge drinking (PR = 1.410; 95% CI: 1.133-1.754) and even higher among those with inadequate lip protection and accentuated overjet (PR = 3.288; 95% CI: 2.391-4.522 and PR = 1.838; 95% CI: 1.470-2.298, respectively). CONCLUSIONS: A higher prevalence rate of traumatic dental injuries was found among 12-year-olds who engaged in binge drinking. The high rate of alcohol intake among adolescents is worrisome considering the vulnerability of this population due to the intense transformations that occur in the transition from childhood to adulthood. Language: en

This is a cross-sectional study with a convenience sample of 101 twelve-year-old adolescents enrolled in public and private schools in the city of Diamantina in the State of Minas Gerais. The scope was to evaluate the prevalence of binge drinking among 12-year-old schoolchildren and its association with gender, socioeconomic status and alcohol consumption by family members and best friends. The participants completed a self-administered questionnaire entitled the Alcohol Use Disorders Identification Test (AUDIT-C) and the consumption of alcoholic beverages by friends and family. Parents/guardians answered the form on sociodemographic questions. Descriptive analyses and association tests were performed (p0.05). The prevalence of binge drinking was 24.8%. Alcoholic beverage consumption began at the age of 10 (16.8%), though sex was not associated with binge drinking by adolescents. However, attending a public school (0.005) and alcohol consumption by best friends (p000.1) were associated with binge drinking by adolescents in the bivariate analysis. The prevalence of binge drinking was high and was associated with low socioeconomic status and alcohol consumption by the best friend. No association between sex and alcohol consumption by the family members of adolescents was detected.

ObjectivesSocial capital has been studied due to its contextual influence on health. However, no specific assessment tool has been developed and validated for the measurement of social capital among 12-year-old adolescent students. The aim of the present study was to develop and validate a quick, simple assessment tool to measure social capital among adolescent students.MethodsA questionnaire was developed based on a review of relevant literature. For such, searches were made of the Scientific Electronic Library Online, Latin American and Caribbean Health Sciences, The Cochrane Library, ISI Web of Knowledge, International Database for Medical Literature and PubMed Central bibliographical databases from September 2011 to January 2014 for papers addressing assessment tools for the evaluation of social capital. Focus groups were also formed by adolescent students as well as health, educational and social professionals. The final assessment tool was administered to a convenience sample from two public schools (79 students) and one private school (22 students), comprising a final sample of 101 students. Reliability and internal consistency were evaluated using the Kappa coefficient and Cronbach's alpha coefficient, respectively. Content validity was determined by expert consensus as well as exploratory and confirmatory factor analysis.ResultsThe final version of the questionnaire was made up of 12 items. The total scale demonstrated very good internal consistency (Cronbach's alpha: 0.71). Reproducibility was also very good, as the Kappa coefficient was higher than 0.72 for the majority of items (range: 0.63 to 0.97). Factor analysis grouped the 12 items into four subscales: School Social Cohesion, School Friendships, Neighborhood Social Cohesion and Trust (school and neighborhood).ConclusionsThe present findings indicate the validity and reliability of the Social Capital Questionnaire for Adolescent Students.