{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T04:59:39Z","timestamp":1785560379513,"version":"3.56.0"},"reference-count":27,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T00:00:00Z","timestamp":1779408000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T00:00:00Z","timestamp":1779408000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003593","name":"Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico","doi-asserted-by":"publisher","award":["001"],"award-info":[{"award-number":["001"]}],"id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100007337","name":"Universidade Federal de Santa Maria","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007337","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Comm Dent Oral Epid"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the prospective association between the absence and different models of primary oral health care in Brazil (traditional units and Family Health Strategy [FHS] teams) and preventive dental visits and risk behaviours (smoking initiation and increase in alcohol consumption) among young individuals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This 5\u2010year prospective cohort study derived from a population\u2010based cross\u2010sectional survey conducted in 2018 that evaluated the oral health conditions of 1197 15\u2010 to 19\u2010year\u2010old adolescents from southern Brazil. In 2022\u20132024, follow\u2010up assessments were conducted (mean time interval 5\u2009\u00b1\u20090.5\u2009years). Socio\u2010demographic characteristics, the use of dental services (including the reason for the last dental visit), behavioural habits (smoking and alcohol consumption) and participants' address were collected at baseline and follow\u2010up. The outcomes were last dental visit for prevention, smoking initiation and increase in alcohol consumption. The main predictor variable was public dental services coverage in the neighbourhood (absent, primary health care or FHS including a dental team) obtained from official data. Unadjusted and adjusted multilevel Poisson regression models were performed to estimate relative risk (RR) and 95% confidence intervals (CI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Five hundred and seventy individuals were re\u2010evaluated (47.6% retention). After adjusting for individual\u2010level variables, participants residing in neighbourhoods with FHS including a dental team were more likely to visit a dentist for preventive purposes (RR: 1.59; 95% CI: 1.29\u20131.97), and had a lower risk for smoking initiation (RR: 0.45; 95% CI: 0.21\u20130.97), and an increase in alcohol consumption (RR: 0.80; 95% CI: 0.67\u20130.97) compared to areas without coverage. Coverage by traditional primary health care showed no significant association with the study outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Brazil's FHS model with integrated oral health teams outperforms traditional dental services in promoting preventive care and reducing risk behaviours among young adults.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/cdoe.70075","type":"journal-article","created":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T12:55:27Z","timestamp":1779454527000},"page":"506-514","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prospective Association Between Brazilian Primary Oral Health Care Models and Preventive Dental Visits and Risk Behaviours: A 5\u2010Year Cohort Study Among Young Adults"],"prefix":"10.1111","volume":"54","author":[{"given":"Jocelaine Vieira","family":"Vione","sequence":"first","affiliation":[{"name":"Department of Restorative Dentistry, School of Dentistry Federal University of Santa Maria  Santa Maria Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9386-4785","authenticated-orcid":false,"given":"Let\u00edcia Donato","family":"Comim","sequence":"additional","affiliation":[{"name":"Department of Restorative Dentistry, School of Dentistry Federal University of Santa Maria  Santa Maria Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2943-3777","authenticated-orcid":false,"given":"Nath\u00e1lia Costa","family":"de Castro","sequence":"additional","affiliation":[{"name":"Department of Stomatology, School of Dentistry Federal University of Santa Maria  Santa Maria Rio Grande do Sul Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0302-4449","authenticated-orcid":false,"given":"Julio Eduardo do Amaral","family":"Zenkner","sequence":"additional","affiliation":[{"name":"Department of Stomatology, School of Dentistry Federal University of Santa Maria  Santa Maria Rio Grande do Sul Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6611-3871","authenticated-orcid":false,"given":"Orlando Luiz","family":"do Amaral J\u00fanior","sequence":"additional","affiliation":[{"name":"Department of Stomatology, School of Dentistry Federal University of Santa Maria  Santa Maria Rio Grande do Sul Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0110-7929","authenticated-orcid":false,"given":"Luana Severo","family":"Alves","sequence":"additional","affiliation":[{"name":"Department of Restorative Dentistry, School of Dentistry Federal University of Santa Maria  Santa Maria Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,22]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lana.2023.100631"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(11)60054\u20108"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1806\u201083242008000500003"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hpopen.2021.100042"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.2174\/1874944501811010438"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0034\u20108910.2015049005961"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1590\/0034\u20107167\u20102015\u20100033"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472\u20106831\u20106\u2010S1\u2010S4"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1590\/0102\u2010311X00000915"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600\u20100528.2000.028006399.x"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1590\/0102\u2010311XPT169424"},{"key":"e_1_2_12_13_1","volume-title":"\u00c1rea territorial brasileira 2022","author":"Instituto Brasileiro de Geografia e Estat\u00edstica","year":"2023"},{"key":"e_1_2_12_14_1","unstructured":"Brasil. 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