{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T22:30:39Z","timestamp":1782513039763,"version":"3.54.5"},"reference-count":43,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. bras. epidemiol."],"abstract":"<jats:p>ABSTRACT  Objective: The present study aimed to investigate associations between reasons for seeking dental services, considering the last dental appointment of adolescents, and their educational features, socioeconomic and oral health status, and oral health literacy.  Methods: A cross-sectional study was conducted with 746 adolescents aged 15\u201319 years in Campina Grande (Para\u00edba), Brazil. Parents\/guardians answered a socioeconomic questionnaire. Adolescents answered a questionnaire on oral health and the Brazilian Rapid Estimate of Adult Literacy in Dentistry. Features of the school environment were investigated through cluster analysis, using type of school and school grade retention. Adolescents were clinically examined for dental caries diagnosis by two dentists (\u03ba&gt;0.80), using the Nyvad criteria, in school facilities. Data were submitted to robust multilevel logistic regression for complex samples (\u03b1=5%).  Results: At the individual level, low maternal schooling (odds ratio [OR] 1.06; 95%CI 1.01\u20131.10), low oral health literacy (OR 0.99; 95%CI 0.98\u20130.99), and dental caries (OR 1.09; 95%CI 1.01-1.18) remained associated with the reasons for the last dental appointment. The school environment was also associated with the outcome (OR 1.07; 95%CI 1.00\u20131.15).  Conclusion: Maternal schooling of less than eight years of study, low oral health literacy, cavitated caries, and unfavorable school environment were associated with seeking dental treatment.<\/jats:p>","DOI":"10.1590\/1980-549720240066","type":"journal-article","created":{"date-parts":[[2024,12,11]],"date-time":"2024-12-11T07:04:05Z","timestamp":1733900645000},"source":"Crossref","is-referenced-by-count":2,"title":["Low oral health literacy, dental caries, and school features are associated with reasons for seeking dental services among adolescents"],"prefix":"10.1590","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5433-7827","authenticated-orcid":false,"given":"Roanny Torres","family":"Lopes","sequence":"first","affiliation":[{"name":"Universidade Estadual da Para\u00edba,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9300-1007","authenticated-orcid":false,"given":"\u00c9rick T\u00e1ssio Barbosa","family":"Neves","sequence":"additional","affiliation":[{"name":"Universidade Estadual da Para\u00edba,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3913-2540","authenticated-orcid":false,"given":"Laio da Costa","family":"Dutra","sequence":"additional","affiliation":[{"name":"Faculdade S\u00e3o Francisco,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5581-0658","authenticated-orcid":false,"given":"Ramon Targino","family":"Firmino","sequence":"additional","affiliation":[{"name":"Universidade Federal de Campina Grande,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9351-5438","authenticated-orcid":false,"given":"Larissa Chaves Morais de","family":"Lima","sequence":"additional","affiliation":[{"name":"Universidade Estadual da Para\u00edba,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9400-1167","authenticated-orcid":false,"given":"Fernanda de Morais","family":"Ferreira","sequence":"additional","affiliation":[{"name":"Universidade Federal de Minas Gerais,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6054-8372","authenticated-orcid":false,"given":"Ana Fl\u00e1via","family":"Granville-Garcia","sequence":"additional","affiliation":[{"name":"Universidade Estadual da Para\u00edba,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2024]]},"reference":[{"issue":"8","key":"ref1","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0183310","article-title":"Factors associated with last dental visit or not to visit the dentist by Brazilian adolescents: a population-based study","volume":"12","author":"Fonseca EP","year":"2017","journal-title":"PLoS One"},{"issue":"4","key":"ref2","first-page":"204","article-title":"Illuminating Mexican migrant adolescents\u2019 dental access and utilization experiences","volume":"35","author":"Cabudol M","year":"2018","journal-title":"Community Dent Health"},{"issue":"1","key":"ref3","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1186\/s12903-018-0533-3","article-title":"Inequalities in oral health among adolescents in Gangneung, South Korea","volume":"18","author":"Jung SH","year":"2018","journal-title":"BMC Oral Health"},{"issue":"1","key":"ref4","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1590\/1677-3225v13n1a08","article-title":"Reasons related to tooth loss among adolescents in S\u00e3o Paulo, Brazil","volume":"13","author":"T\u00f4rres LHN","year":"2014","journal-title":"Braz J Oral Sci"},{"key":"ref5","series-title":"Minist\u00e9rio da Sa\u00fade. Secretaria de Aten\u00e7\u00e3o \u00e0 Sa\u00fade. Secretaria de Vigil\u00e2ncia em Sa\u00fade. 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Dent"},{"issue":"12","key":"ref40","doi-asserted-by":"crossref","first-page":"1386","DOI":"10.14219\/jada.archive.2013.0075","article-title":"Use of communication techniques by Maryland dentists","volume":"144","author":"Maybury C","year":"2013","journal-title":"J Am Dent Assoc"},{"issue":"2","key":"ref41","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1590\/0101-41615126jfjf","article-title":"Diferencial de desempenho entre jovens das escolas p\u00fablicas e privadas","volume":"51","author":"Feij\u00f3 JR","year":"2021","journal-title":"Estud Econ"},{"issue":"2","key":"ref42","doi-asserted-by":"crossref","first-page":"739","DOI":"10.13005\/bpj\/1696","article-title":"Assessment of oral health literacy and its relationship with oral health related behaviour and socioeconomic status among students of a University in Chennai City","volume":"12","author":"Kesavan R","year":"2019","journal-title":"Biomedical & Pharmacology 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adolescentes"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S1415-790X2024000100455&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,11]],"date-time":"2024-12-11T07:04:18Z","timestamp":1733900658000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S1415-790X2024000100455&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024]]},"references-count":43,"alternative-id":["S1415-790X2024000100455"],"URL":"https:\/\/doi.org\/10.1590\/1980-549720240066","relation":{},"ISSN":["1980-5497","1415-790X"],"issn-type":[{"value":"1980-5497","type":"electronic"},{"value":"1415-790X","type":"print"}],"subject":[],"published":{"date-parts":[[2024]]},"article-number":"e2400466"}}