{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T21:48:33Z","timestamp":1782510513740,"version":"3.54.5"},"reference-count":21,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T00:00:00Z","timestamp":1773014400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T00:00:00Z","timestamp":1773014400000},"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","award":["001"],"award-info":[{"award-number":["001"]}],"id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Dental Hygiene"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To investigate the association between daily toothbrushing and hand washing practices among Brazilian adolescent students.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross\u2010sectional study analysed data from the 2019 Brazilian National School\u2010Based Health Survey. The sample comprised 120,054 schoolchildren aged 13\u201317 who completed an electronic questionnaire at school. The outcome variable was \u2018low toothbrushing frequency\u2019 (&lt; twice\/day). The independent variables were hand washing frequency before eating, after using the toilet, and with soap. The covariates were the adolescents' sociodemographic characteristics: sex, age, colour\/race and their mother's level of education. Data analysis included Chi\u2010square tests with Rao\u2010Scott correction and logistic regression for complex samples.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>After adjustments, adolescents who rarely\/sometimes and those who never washed their hands before eating were more likely to have a low brushing frequency (&lt; twice\/day) than those who most of the time\/always washed their hands before eating. Similar results were found for hand washing after using the toilet and for washing with soap.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Associations were found between oral and hand hygiene practices. Regardless of their sociodemographic characteristics, adolescents who reported infrequent hand washing were more likely to brush their teeth less frequently. These findings reinforce the importance of adopting a common risk factors approach to oral and general health in school health programmes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/idh.70038","type":"journal-article","created":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T02:22:04Z","timestamp":1773109324000},"page":"382-389","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Relationship Between Oral and Hand Hygiene Behaviours Among Brazilian Adolescents: Analysis of the National Adolescent School\u2010Based Health Survey (\n                    <scp>PeNSE<\/scp>\n                    2019)"],"prefix":"10.1111","volume":"24","author":[{"given":"Pedro Augusto","family":"Fernandes","sequence":"first","affiliation":[{"name":"Postgraduate Programme, Faculty of Dentistry Federal University of Goi\u00e1s  Goi\u00e2nia Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matheus Fran\u00e7a","family":"Perazzo","sequence":"additional","affiliation":[{"name":"Postgraduate Programme, Faculty of Dentistry Federal University of Goi\u00e1s  Goi\u00e2nia Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6078-6728","authenticated-orcid":false,"given":"Maria","family":"do Carmo Matias Freire","sequence":"additional","affiliation":[{"name":"Postgraduate Programme, Faculty of Dentistry Federal University of Goi\u00e1s  Goi\u00e2nia Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,9]]},"reference":[{"key":"e_1_2_12_2_1","volume-title":"Health for the World's Adolescents: A Second Chance in the Second Decade: Summary","author":"World Health Organization","year":"2014"},{"key":"e_1_2_12_3_1","volume-title":"Core Questions and Indicators for Monitoring WASH in Health Care Facilities in the Sustainable Development Goals","author":"World Health Organization, United Nations Children's Fund (UNICEF)","year":"2018"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010021\u201011822\u20105"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(19)31146\u20108"},{"key":"e_1_2_12_6_1","first-page":"69","article-title":"Fluoride and Oral Health","volume":"33","author":"O'Mullane D. 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Diretoria de Pesquisas Coordena\u00e7\u00e3o de Popula\u00e7\u00e3o e Indicadores Sociais","year":"2021"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.7189\/jogh.10.020436"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.17219\/dmp\/185842"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckv013"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18094984"},{"key":"e_1_2_12_21_1","volume-title":"Guidelines on Hand Hygiene in Health Care. 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