Evidence map›Paper›PMID 34932703›Full record

ArticleRevista de saude publica2021

The role of health literacy as a factor associated with tooth loss.

Carla Fabiana Tenani, Manoelito Ferreira Silva Junior, Carolina Matteussi Lino, Maria da Luz Rosário de Sousa, Marília Jesus Batista

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Revista de saude publica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Carla Fabiana TenaniUniversidade Estadual de Campinas. Faculdade de Odontologia de Piracicaba. Programa de Pós-Graduação em Odontologia. Piracicaba, São Paulo, Brasil.ORCID http://orcid.org/0000-0001-7203-2763
Manoelito Ferreira Silva JuniorUniversidade Estadual de Ponta Grossa. Faculdade de Odontologia. Departamento de Odontologia. Ponta Grossa, Paraná, Brasil.ORCID http://orcid.org/0000-0001-8837-5912
Carolina Matteussi LinoUniversidade Estadual de Campinas. Faculdade de Odontologia de Piracicaba. Programa de Pós-Graduação em Odontologia. Piracicaba, São Paulo, Brasil.ORCID http://orcid.org/0000-0001-6686-3296
Maria da Luz Rosário de SousaUniversidade Estadual de Campinas. Faculdade de Odontologia de Piracicaba. Departamento de Ciências da Saúde e Odontologia Infantil. iracicaba, São Paulo, Brasil.ORCID http://orcid.org/0000-0002-0346-5060
Marília Jesus BatistaUniversidade Estadual de Campinas. Faculdade de Odontologia de Piracicaba. Departamento de Ciências da Saúde e Odontologia Infantil. iracicaba, São Paulo, Brasil.ORCID http://orcid.org/0000-0002-0379-3742
Universidade Estadual de Campinas (UNICAMP) · BRUniversidade Estadual de Ponta Grossa · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe objective was to analyze the role of health literacy (HL) as a factor associated with tooth loss among users of the Brazilian Health System with chronic non-communicable diseases.

methodsThe cross-sectional analytical study was conducted with adult and elderly users chosen at ten Family Health Clinics in a draw in the town of Piracicaba, São Paulo State, Brazil. A questionnaire was applied with sociodemographic data (sex, age, skin color and education), behavioral data (brushing and flossing), determinants in health (type of dental health services and how often) and clinical data (pain). Mouth conditions were collected by intraoral examination of visible dental biofilm and community Pediodontal Index. The systemic clinical conditions (blood glucose, glycated hemoglobin and blood pressure) were extracted from the medical records. The explanatory variable was HL (low, medium and high), measured with the Health Literacy Scale (HLS-14).

resultsThe outcome was tooth loss measured by the index of decayed, missing and filled teeth. Logistic regression was performed using a conceptual model for HL (p < 0.05). For the 238 subjects, the mean age was 62.7 years (± 10.55). Tooth loss was associated with HL in regression models adjusted by type of dental service, dental frequency, and dental floss. In the final model, the factors associated with tooth loss are older age (OR = 1,12; 95%CI: 1,07-1,17), a lower education (OR = 3,43; 95%CI: 1,17-10,10), irregular use of dental floss (OR = 4,58; 95%CI: 1.75 in-7,31), irregular use of dental services (n = 2,60; 95% 1,32-5,12), periodontal pocket (> 4 mm) (n = 0,31; 95%CI: 0,01-0,08), having visible dental biofilm (OR = 7,23; 95%CI: 3,19-16,41) and a higher level of blood sugar (glucose) (n = 1,98; 95%CI: 1.00-3,92).

conclusionstooth loss was associated with HL when adjusted by health behaviors; when sociodemographic variables and clinical conditions were included, it was less significant. In the final model, behaviors, determinants in health and clinical conditions were risk indicators of tooth loss, showing the multifactorial nature of this phenomenon.

Indexed as

Dental CariesHealth LiteracyTooth LossAdultAgedBrazilCross-Sectional StudiesEducational StatusHumansMiddle AgedOral Health

Identifiers

PMID34932703
PMCPMC8664067
OpenAlexW4206363146

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.