Methods and logistics of an oral health cohort of university students from Pelotas, a Brazilian Southern city
Aim: This paper aimed to describe the methodological aspects in the baseline of university students’ cohort in a public university in southern Brazil. Methods: A multidisciplinary study was carried out assessing the psychosocial and oral health conditions of university students at the Federal University of Pelotas (UFPel). All new university students who have entered in in UFPel in the first semester of 2016 year were invited to participate. Two self-administered questionnaires were applied in classrooms. Descriptive analysis was performed using Stata 14.0. Results: A total of 3,237 students were eligible. Of these, 2,089 (64.5%) signed the consent form to participate of the study and answered the general questionnaires, and 2,052 (63.4%) students answered the confidential questionnaire. Refuses represented only 1.4% (n=29) of the total sample. Overall, most of the sample was female (52.2%), with age ranging from 18 to 24 years (66.1%), with white skin color (74.1%) and with mothers with educational level at university course (32.4%). A total, 62% reported a family income between 1001.00 and 5000.00 BRL, while only 16.3% reported being from low-income family (≤ 1000.00 BRL). The UFPel offers 63 classroom-based courses classified in nine areas of knowledge. The Applied Social Sciences area comprised 19% of the sample followed by the Linguistics, Letters and Arts (17%) area and the Health sciences area (13%). Conclusion: To the knowledge of researchers, this was the first cohort study of university students in the South of Brazil including more than two thousand participants. This paper described strategies adopted to optimize and to allow data collection in the baseline and in the next follow-ups.
2. INEP. Instituto Nacional de Estudos e Pesquisas Educacionais Anísio Teixeira. Exame Nacional de Desempenho de Estudantes. 2017. Avaiable on: http://portal.inep.gov.br/enade.
3. Syed M, Seiffge-Krenke I. Personality development from adolescence to emerging adulthood: linking trajectories of ego development to the family context and identity formation. J Pers Soc Psychol. 2013;104(2):371-84.
4. Billings RL, Hauser ST, Allen JP. Continuity and Change from Adolescence to Emerging Adulthood: Adolescence-limited vs. Life-course-persistent Profound Ego Development Arrests. J Youth Adolesc. 2008;37(10):1178-92.
5. Haberman S, Luffey D. Weighing in college students' diet and exercise behaviors. J Am Coll Health. 1998;46(4):189-91.
6. FREIRE M, MARTINS A, SANTOS C, MARTINS N, FILIZZOLA E, JORDÃO L, et al. [Oral health status, behaviours, self-perception and associated impacts among university students living in student residences]. Rev Odontol UNESP. 2012;41(3):185-91.
7. Marcenes W, Kassebaum NJ, Bernabe E, Flaxman A, Naghavi M, Lopez A, et al. Global burden of oral conditions in 1990-2010: a systematic analysis. J Dent Res. 2013;92(7):592-7.
8. Lambert MJ, Vanobbergen JSN, Martens LC, De Visschere LMJ. Socioeconomic inequalities in caries experience, care level and dental attendance in primary school children in Belgium: a cross-sectional survey. BMJ Open. 2017;7(7):e015042.
9. de Silva AM, Hegde S, Akudo Nwagbara B, Calache H, Gussy MG, Nasser M, et al. WITHDRAWN: Community-based population-level interventions for promoting child oral health. Cochrane Database Syst Rev. 2016;12:CD009837.
10. Saúde Md. Projeto SB Brasil 2010. Condições de saúde bucal da população brasileira: resultados principais. Brasília: Coordenação Nacional de Saúde Bucal, Departamento de Atenção Básica, Secretaria de Atenção à Saúde, Ministério da Saúde. 2010.
11. Jackson SL, Vann WF, Jr., Kotch JB, Pahel BT, Lee JY. Impact of poor oral health on children's school attendance and performance. Am J Public Health. 2011;101(10):1900-6.
12. Tucktuck M, Ghandour R, Abu-Rmeileh NME. Waterpipe and cigarette tobacco smoking among Palestinian university students: a cross-sectional study. BMC Public Health. 2017;18(1):1.
13. Yamane-Takeuchi M, Ekuni D, Mizutani S, Kataoka K, Taniguchi-Tabata A, Azuma T, et al. Associations among oral health-related quality of life, subjective symptoms, clinical status, and self-rated oral health in Japanese university students: a cross-sectional study. BMC Oral Health. 2016;16(1):127.
14. Pohjola V, Rekola A, Kunttu K, Virtanen JI. Association between dental fear and oral health habits and treatment need among University students in Finland: a national study. BMC Oral Health. 2016;16:26.
15. Alsumait A, ElSalhy M, Amin M. Long-Term Effects of School-Based Oral Health Program on Oral Health Knowledge and Practices and Oral Health-Related Quality of Life. Med Princ Pract. 2015;24(4):362-8.
16. Obeidat SR, Khabour OF, Alzoubi KH, Mahasneh AM, Bibars AR, Khader YS, et al. Prevalence, social acceptance, and awareness of waterpipe smoking among dental university students: a cross sectional survey conducted in Jordan. BMC Res Notes. 2014;7:832.
17. Akhter R, Morita M, Esaki M, Nakamura K, Kanehira T. Development of temporomandibular disorder symptoms: a 3-year cohort study of university students. J Oral Rehabil. 2011;38(6):395-403.
18. IBGE. Censo Brasileiro 2000. Rio de Janeiro: Instituto Brasileiro de Geografia e Estatística; 2001. Report No. 1.
19. MCDOWELL I, NEWELL C. Measuring health: A guide to rating scales and questionnaires. 3ª ed New York: Oxford University Press. 1996:765, 1996.
20. Arroll B, Goodyear-Smith F, Crengle S, Gunn J, Kerse N, Fishman T, et al. Validation of PHQ-2 and PHQ-9 to screen for major depression in the primary care population. Ann Fam Med. 2010;8(4):348-53.
21. Kroenke K, Spitzer RL, Williams JB. The Patient Health Questionnaire-2: validity of a two-item depression screener. Med Care. 2003;41(11):1284-92.
22. Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983;24(4):385-96.
23. Neverlien PO. Dental anxiety, optimism-pessimism, and dental experience from childhood to adolescence. Community Dent Oral Epidemiol. 1994;22(4):263-8.
24. Kyritsi MA, Dimou G, Lygidakis NA. Parental attitudes and perceptions affecting children's dental behaviour in Greek population. A clinical study. Eur Arch Paediatr Dent. 2009;10(1):29-32.
25. Cortes MI, Marcenes W, Sheiham A. Impact of traumatic injuries to the permanent teeth on the oral health-related quality of life in 12-14-year-old children. Community Dent Oral Epidemiol. 2002;30(3):193-8.
26. Silva AE, Menezes AM, Assuncao MC, Goncalves H, Demarco FF, Vargas-Ferreira F, et al. Validation of self-reported information on dental caries in a birth cohort at 18 years of age. PLoS One. 2014;9(9):e106382.
27. Baser U, Germen M, Erdem Y, Issever H, Yalcin F. Evaluation of gingival bleeding awareness by comparison of self-reports and clinical measurements of freshman dental students. Eur J Dent. 2014;8(3):360-5.
28. Gonzalez YM, Schiffman E, Gordon SM, Seago B, Truelove EL, Slade G, et al. Development of a brief and effective temporomandibular disorder pain screening questionnaire: reliability and validity. J Am Dent Assoc. 2011;142(10):1183-91.
29. Rosenberg M, Kozlovsky A, Gelernter I, Cherniak O, Gabbay J, Baht R, et al. Self-estimation of oral malodor. J Dent Res. 1995;74(9):1577-82.
30. Henrique I, Micheli D, Roseli Boerngen de Lacerda R, Lacerda L, Formigoni M. Validation of the Brazilian version of Alcohol, Smoking and Substance Involvement Screening Test (ASSIST). Rev Assoc Med Bras. 2004;50(2).
31. Saito M, Ando-Tanabe N, Arita E. Factors associated with medication amounts considered excessive among university students: a questionnaire survey of pharmacy students and those in non-medical schools. BMC Health Serv Res. 2017;17(1):475.
32. Gulec Oyekcin D, Sahin EM, Aldemir E. Mental health, suicidality and hopelessness among university students in Turkey. Asian J Psychiatr. 2017;29:185-9.
33. Oksanen A, Laimi K, Bjorklund K, Loyttyniemi E, Kunttu K. A 12-year Trend of Psychological Distress: National Study of Finnish University Students. Cent Eur J Public Health. 2017;25(2):113-9.
34. Ludtke O, Roberts BW, Trautwein U, Nagy G. A random walk down university avenue: life paths, life events, and personality trait change at the transition to university life. J Pers Soc Psychol. 2011;101(3):620-37.
35. Simons D, Rosenberg M, Salmon J, Knuiman M, Granich J, Deforche B, et al. Psychosocial moderators of associations between life events and changes in physical activity after leaving high school. Prev Med. 2015;72:30-3.
36. Deforche B, Van Dyck D, Deliens T, De Bourdeaudhuij I. Changes in weight, physical activity, sedentary behaviour and dietary intake during the transition to higher education: a prospective study. Int J Behav Nutr Phys Act. 2015;12:16.
37. Vansteenkiste M, Soenens B, Van Petegem S, Duriez B. Longitudinal associations between adolescent perceived degree and style of parental prohibition and internalization and defiance. Dev Psychol. 2014;50(1):229-36.
38. Sher-Censor E, Parke RD, Coltrane S. Parents' promotion of psychological autonomy, psychological control, and Mexican-American adolescents' adjustment. J Youth Adolesc. 2011;40(5):620-32.
39. Kolsek M, Klemenc Ketis Z. Alcohol Drinking Among the Students of the University of Maribor, Slovenia. Zdr Varst. 2015;54(4):259-66.
40. Lauritsen KJ, Rosenberg H, Sprague JE. University students' attributions for abstinence from synthetic cannabinoids and synthetic cathinones. Am J Drug Alcohol Abuse. 2017:1-9.
41. Vatovec C, Van Wagoner E, Evans C. Investigating sources of pharmaceutical pollution: Survey of over-the-counter and prescription medication purchasing, use, and disposal practices among university students. J Environ Manage. 2017;198(Pt 1):348-52.
42. Schelle KJ, Olthof BM, Reintjes W, Bundt C, Gusman-Vermeer J, van Mil AC. A survey of substance use for cognitive enhancement by university students in the Netherlands. Front Syst Neurosci. 2015;9:10.
43. Singh I, Bard I, Jackson J. Robust resilience and substantial interest: a survey of pharmacological cognitive enhancement among university students in the UK and Ireland. PLoS One. 2014;9(10):e105969.
44. Hildt E, Lieb K, Franke AG. Life context of pharmacological academic performance enhancement among university students--a qualitative approach. BMC Med Ethics. 2014;15:23.
45. Smith ME, Farah MJ. Are prescription stimulants "smart pills"? The epidemiology and cognitive neuroscience of prescription stimulant use by normal healthy individuals. Psychol Bull. 2011;137(5):717-41.
46. Thomson WM, Mejia GC, Broadbent JM, Poulton R. Construct validity of Locker's global oral health item. J Dent Res. 2012;91(11):1038-42.
47. Jokovic A, Locker D, Stephens M, Kenny D, Tompson B, Guyatt G. Validity and reliability of a questionnaire for measuring child oral-health-related quality of life. J Dent Res. 2002;81(7):459-63.
48. Pitiphat W, Garcia RI, Douglass CW, Joshipura KJ. Validation of self-reported oral health measures. J Public Health Dent. 2002;62(2):122-8.
49. Eke PI, Dye B. Assessment of self-report measures for predicting population prevalence of periodontitis. J Periodontol. 2009;80(9):1371-9.
50. Abbood HM, Hinz J, Cherukara G, Macfarlane TV. Validity of Self-Reported Periodontal Disease: A Systematic Review and Meta-Analysis. J Periodontol. 2016;87(12):1474-83.
51. Chiga S, Ohba T, Tanoue D, Kawase H, Katoh T, Katabuchi H. Validity of Self-Reported Periodontal Disease Questionnaire among Pregnant Women. Nihon Eiseigaku Zasshi. 2016;71(3):260-6.
52. Joshipura KJ, Douglass CW, Garcia RI, Valachovic R, Willett WC. Validity of a self-reported periodontal disease measure. J Public Health Dent. 1996;56(4):205-12.
53. Farmer J, Ramraj C, Azarpazhooh A, Dempster L, Ravaghi V, Quinonez C. Comparing self-reported and clinically diagnosed unmet dental treatment needs using a nationally representative survey. J Public Health Dent. 2017.
54. Jones K, Parker EJ, Jamieson LM. Access, literacy and behavioural correlates of poor self-rated oral health amongst an indigenous south Australian population. Community Dent Health. 2014;31(3):167-71.
55. Lee E, Lee YH, Kim W, Kho HS. Self-reported prevalence and severity of xerostomia and its related conditions in individuals attending hospital for general health examinations. Int J Oral Maxillofac Surg. 2014;43(4):498-505.
56. Bigler T, Filippi A. [Importance of halitosis. A survey of adolescents and young adults]. Swiss dental journal. 2016;126(4):347-59.
57. Kumar S, Kroon J, Lalloo R. A systematic review of the impact of parental socio-economic status and home environment characteristics on children's oral health related quality of life. Health Qual Life Outcomes. 2014;12:41.
58. INEP. Instituto Nacional de Estudos e Pesquisas Educacionais Anísio Teixeira. Sinopse estatística da Educação Superior 2015 [online]. Brasília: INEP, 2016. Avaiable on http:\\portal.inep.gov.br/basica-censo-escolar-sinopse-sinopse.
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