TY - JOUR
T1 - Protective psychosocial factors and dental caries in children and adolescents
T2 - A systematic review and meta-analysis
AU - Silva, Andréa Neiva da
AU - Alvares de Lima, Solimar Tavares
AU - Vettore, Mario Vianna
N1 - Publisher Copyright:
© 2018 BSPD, IAPD and John Wiley & Sons A/S.
PY - 2018/1/1
Y1 - 2018/1/1
N2 - Background. Psychosocial protective factors include dispositional and family attributes that may reduce the occurrence of dental caries. Aim. This review analysed the evidence on the relationship between protective psychosocial factors and dental caries in children and adolescents. Design. Primary studies involving children and adolescents were searched in the following electronic databases: Medline, SCOPUS, LILACS, SciELO, and Web of Science. The reference lists were also screened. Protective psychosocial factor descriptors were in accordance with the salutogenic theory. The outcome was clinical measure of dental caries. Quality assessments were performed using the Newcastle-Ottawa scale. Results. The final search resulted in 35 studies, including 7 cohort, one case-control, and 27 cross-sectional studies. Most studies were of moderate quality. Meta-analyses revealed that low parental internal locus of control (cohort studies: OR = 1.42, 95% CI: 1.20-1.64; cross-sectional studies: OR = 1.30, 95% CI: 1.19-1.41), high parental external chance (OR = 1.20, 95% CI: 1.10- 1.29), and high maternal sense of coherence (OR = 0.77, 95% CI: 0.62-0.93) were associated with dental caries in children. High social support (OR = 0.81, 95% CI: 0.68-0.93) and greater selfefficacy (OR = 1.50, 95% CI: 1.12-1.22) were also associated with dental caries in adolescents. Conclusions. The current evidence suggests that some salutogenic factors are important protective factors of dental caries during childhood and adolescence.
AB - Background. Psychosocial protective factors include dispositional and family attributes that may reduce the occurrence of dental caries. Aim. This review analysed the evidence on the relationship between protective psychosocial factors and dental caries in children and adolescents. Design. Primary studies involving children and adolescents were searched in the following electronic databases: Medline, SCOPUS, LILACS, SciELO, and Web of Science. The reference lists were also screened. Protective psychosocial factor descriptors were in accordance with the salutogenic theory. The outcome was clinical measure of dental caries. Quality assessments were performed using the Newcastle-Ottawa scale. Results. The final search resulted in 35 studies, including 7 cohort, one case-control, and 27 cross-sectional studies. Most studies were of moderate quality. Meta-analyses revealed that low parental internal locus of control (cohort studies: OR = 1.42, 95% CI: 1.20-1.64; cross-sectional studies: OR = 1.30, 95% CI: 1.19-1.41), high parental external chance (OR = 1.20, 95% CI: 1.10- 1.29), and high maternal sense of coherence (OR = 0.77, 95% CI: 0.62-0.93) were associated with dental caries in children. High social support (OR = 0.81, 95% CI: 0.68-0.93) and greater selfefficacy (OR = 1.50, 95% CI: 1.12-1.22) were also associated with dental caries in adolescents. Conclusions. The current evidence suggests that some salutogenic factors are important protective factors of dental caries during childhood and adolescence.
UR - http://www.scopus.com/inward/record.url?scp=85062707600&partnerID=8YFLogxK
U2 - 10.1111/ipd.12375
DO - 10.1111/ipd.12375
M3 - Review
AN - SCOPUS:85062707600
SN - 0960-7439
VL - 28
SP - 443
EP - 458
JO - International Journal of Paediatric Dentistry
JF - International Journal of Paediatric Dentistry
IS - 5
ER -