Association between social conditions and oral health in school failure
DOI:
https://doi.org/10.11606/s1518-8787.2019053001457Keywords:
Adolescent, Academic Failure, Risk Factors, Oral Health, Socioeconomic FactorsAbstract
OBJECTIVE: To evaluate the association of school failure among Brazilian adolescents with social conditions and aspects of oral health through hierarchical analysis. METHODS: A state-wide survey of 5,558 adolescents from the state of São Paulo, Brazil, inquired about the sociodemographic and social capital of participants by using a structured questionnaire. Trained and calibrated professionals performed intraoral examinations and interviews in the households. Questions about the access to dentist, reason for and frequency of using dental services, toothache episodes and impact of oral conditions on daily activities (OIDP) were applied. Oral examinations evaluated caries experience, tooth losses, periodontal problems, presence of open bite, and maxillary and mandibular overjet. School failure was estimated according to the teenagers’ years of schooling. The independent variables were grouped into three blocks: sociodemographic and economic characteristics, social capital and oral health aspects. The multiple hierarchical logistic regression model was used to identify the factors associated with school failure. RESULTS: Of the total sample, information about schooling of 5,162 adolescents was obtained, of whom 29.6% presented school failure. We found that adolescents over the age of 16 years who did not declare themselves as white, female, with feelings of insecurity, unhappiness, with toothache, caries, tooth losses, affected by dentofacial and/or periodontal changes, were more likely to fail at school. CONCLUSION: Oral disorders and social factors were associated with school failure in adolescents. A successful school trajectory was a strong determinant of health, therefore actions between the educational and health sectors must be developed for adolescents, especially those with this profile.
References
Cohen J. Social, emotional, ethical, and academic education: creating a climate for learning, participation in democracy, and well-being. Harvard Educ Rev. 2006;76(2):201-37. https://doi.org/10.17763/haer.76.2.j44854x1524644vn
López V, Oyanedel JC, Bilbao M, Torres J, Oyarzún D, Morales M et al. School achievement and performance in Chilean high schools: the mediating role of subjective wellbeing in school-related evaluations. Front Psychol. 2017;8:1189.
https://doi.org/10.3389/fpsyg.2017.01189
Psacharopoulos G. The costs of school failure: a feasibility study: prepared by the European Expert Network on Economcs of Education. Brussels (BEL): European Commission Education and Culture; 2007. (EENEE Analytical Report, 2).
National Women’s Law Center. A pregnancy test for schools: the impact of education laws on pregnant and parenting students. Washington, DC; 2012 [cited 2018 Nov 7]. Available from: https://nwlc.org/sites/default/files/final_nwlc_pregnantparenting_report.pdf
International Student Assessment Program. Brazil in PISA 2015: analyzes and reflections on the performance of Brazilian students / OECD-Organization for Economic Cooperation and Development. - São Paulo: Fundação Santillana, 2016 [cited 2019 Aug]. Availabie from: http://download.inep.gov.br/acoes_internacionais/pisa/resultados/2015/pisa2015_completo_final_baixa.pdf
United Nations Children’s Fund (UNICEF). Panorama of the age-series distortion in Brazil; 2018. [cited 2019 Jan 10] Available from: https://www.unicef.org/brazil/relatorios/panorama-dadistorcao-idade-serie-no-brasil
Ruijsbroek A, Wijga AH, Gehring U, Kerkhof M, Droomers M. School performance: a matter of health or socio-economic background? Findings from the PIAMA Birth Cohort Study. PLoS One. 2015;10(8):e0134780. https://doi.org/10.1371/journal.pone.0134780
Winding TN, Nohr EA, Labriola M, Biering K, Andersen JH. Personal predictors of educational attainment after compulsory school: influence of measures of vulnerability, health, and school performance. Scand J Public Health. 2013;41(1):92-101.
https://doi.org/10.1177/1403494812467713
Gómez-Restrepo C, Padilla Muñoz A, Rincón CJ. [A cross-sectional study of school dropout in adolescents: National Mental Health Survey Colombia 2015]. Rev Colomb Psiquiatr. 2016;45 Supl 1:105-12. [Spanish]. https://doi.org/10.1016/j.rcp.2016.09.003
Bécares L, Priest N. Understanding the influence of race/ethnicity, gender, and class on inequalities in academic and non-academic outcomes among eighth-grade students: findings from an intersectionality approach. PLoS One. 2015;10(10):e0141363.
https://doi.org/10.1371/journal.pone.0141363
Borofsky LA, Kellerman I, Baucom B, Oliver PH, Margolin G. Community violence exposure and adolescents’ school engagement and academic achievement over time. Psychol Violence. 2013;3(4):381-95. https://doi.org/10.1037/a0034121
Needham BL, Crosnoe R, Muller C. Academic failure in secondary school: the inter-related role of health problems and educational context. Soc Probl. 2004;51(4):569-86. https://doi.org/10.1525/sp.2004.51.4.569
Rebelo MAB, Rebelo Vieira JM, Pereira JV, Quadros LN, Vettore MV. Does oral health influence school performance and school attendance? A systematic review and meta-analysis. Int J Paediatr Dent. 2018 Oct 26. https://doi.org/10.1111/ipd.12441. [Epub ahead of print]
Paula JS, Ambrosano GM, Mialhe FL. Oral disorders, socioenvironmental factors and subjective perception impact on children’s school performance. Oral Health Prev Dent. 2015;13(3):219-26. https://doi.org/10.3290/j.ohpd.a32672
Kaewkamnerdpong I, Krisdapong S. Oral diseases associated with condition-specific oral health-related quality of life and school performance of Thai primary school children: a hierarchical approach. Community Dent Oral Epidemiol. 2018;46(3):270-9.
https://doi.org/10.1111/cdoe.12361
Pereira AC, Vieira V, Frias AC. State Oral Health Survey, SB São Paulo 2015. Águas de São Pedro: Livro novo; 2016.
World Health Organization. Oral heath surveys: basic methods. 4. ed. Geneva: WHO; 1997.
Grootaert C, Narayan D, Woolcockm M, Nyhan-Jones VN. Measuring social capital: an integrated questionnaire. Washington, DC: World Bank; 2004.
Adulyanon S, Vourapukjaru J, Sheiham A. Oral impacts affecting daily performance in a low dental disease Thai population. Community Dent Oral Epidemiol. 1996;24(6):385-9. https://doi.org/10.1111/j.1600-0528.1996.tb00884.x
Cons NC, Jenny J, Kohout FJ, Songpaisan Y, Jotikastira D. Utility of the dental aesthetic index in industrialized and developing coutnries. J Public Health Dent. 1989;49(3):163-6. https://doi.org/10.1111/j.1752-7325.1989.tb02054.x
Barbato PR, Peres MA. Tooth loss and associated factors in adolescents: a Brazilian population-based oral health survey. Rev Saude Publica. 2009;43(1):13-25. https://doi.org/10.1590/S0034-89102009000100003
Instituto Brasileiro de Geografia e Estatística, Diretoria de Pesquisa, Coordenação de Trabalho e Renda. Pesquisa Nacional por Amostra de Domicílios Contínua -2016-2017. Rio de Janeiro: IBGE; c2018 [cited 2018 Nov 7]. Available from: https://biblioteca.ibge.gov.br/visualizacao/livros/liv101576_informativo.pdf
Franceschini VLC, Miranda-Ribeiro P, Gomes MMF. The color of school failure: factors associated with academic failure of high-school students. Educ Pesq. 2016;42(3):773-86. https://doi.org/10.1590/S1517-9702201609149965
Schwartz D, Kelly BM, Mali LV, Duong MT. Exposure to violence in the community predicts friendships with academically disengaged peers during middle adolescence. J Youth Adolesc. 2016;45(9):1786-99. https://doi.org/10.1007/s10964-016-0485-3
World Health Organization. Version of the Introduction to the World Report on Violence and Health. Geneva: WHO; 2002.
Peguero AA, Zavala E, Shekarkhar Z, Walker-Pickett M. School victimization, immigration, dropping out, and gender disparities. J Interpers Violence. 2018 Mar 1:886260518760004. https://doi.org/10.1177/0886260518760004
Datu JA, King RB, Valdez JP. The academic rewards of socially-oriented happiness: interdependent happiness promotes academic engagement. J Sch Psychol. 2017;61:19-31. https://doi.org/10.1016/j.jsp.2016.12.004
Seirawan H, Faust S, Mulligan R. The impact of oral health on the academic performance of disadvantaged children. Am J Public Health. 2012;102(9):1729-34. https://doi.org/10.2105/AJPH.2011.300478
Azodo CC, Ojehanon PI. Does any relationship exist between self reported gingival bleeding, oral health perception, practices and concerns? Niger Med J. 2012;53(3):161-5. https://doi.org/10.4103/0300-1652.104387
Al-Bitar ZB, Al-Omari IK, Sonbol HN, Al-Ahmad HT, Cunningham SJ. Bullying among Jordanian schoolchildren, its effects on school performance, and the contribution of general physical and dentofacial features. Am J Orthod Dentofacial Orthop. 2013;144(6):872-8.
Published
Issue
Section
License
Copyright (c) 2019 Inara Pereira da Cunha, Antonio Carlos Pereira, Marcelo de Castro Meneghim, Antônio Carlos Frias, Fábio Luiz Mialhe
This work is licensed under a Creative Commons Attribution 4.0 International License.
