Abstract: The aim of this study was to investigate associations of health literacy (HL), general self-efficacy (GSE), and sociodemographic variables with non-adherence to dental treatment among Brazilian young adults. This is a cross-sectional study based on a cohort study of 248 young adults aged 19 to 25 years followed up in an earlier study. The participants completed the perceived general self-efficacy scale (GSE), a questionnaire on socioeconomic and demographic variables and were examined for oral conditions. HL was measured using the Brazilian version of the health literacy questionnaire (HLQ-Br), which provides nine individual scores based on an average of the items within each of the nine scales. Dental treatment adherence was evaluated as the decision of young adults to seek a dentist to finish the recommended restorative treatment for dental caries. The effects of HL domains on the adherence to dental treatment were analyzed by logistic regression and the effect was adjusted for sex, age, family income, paternal and maternal education, type of housing, and self-efficacy. The results of the adjusted analysis showed associations among young adults who did not adhere to dental treatment with lower self-efficacy levels, living in non-owner-occupied homes, and lower HL levels in almost all of the HL domains (p < 0.05). Only the HLQ6 domain “Ability to actively engage with healthcare providers” was not associated with the outcome (p>0.05). Adherence to dental treatment in primary care among young adults was associated with their general self-efficacy levels, socioeconomic characteristics, and individual's lower HL aspects.

Aim To analyze associations between sociodemographic factors, self-perception, self-care practices in health with Oral Health Literacy (OHL) levels among users of Primary Health Care (PHC). Methods A cross-sectional and analytical study was performed in Piracicaba (São Paulo), Brazil, in 2018, with a convenience sample of users of PHC that were aged over 18 years. Data were collected with a questionnaire by a trained dentist in two Family Health Units. The outcome variable was OHL, measured by the OHLA-B instrument, which was dichotomized by median into low (≤8 point) and high (>8 point). The independent variables were sociodemographic conditions (age, sex, self-declared skin color, and education), self-perceived oral health and self-care practices in health (tooth brushing frequency, smoking habits, reason for the last visit to the dentist, and source of health information search). Unadjusted and adjusted analyses were performed between OHL and independent variables for multiple logistic regression model (p≤0.05). Results The sample consisted of 450 adults. A total of 54.7% had a low OHL. After adjusting for sex and age, OHL was associated with skin color (OR=0.57; 95%CI=0.37-085), educational level (OR=4.92; 95%CI=3.16-7.79), health information from health professionals (OR=2.40; 95%CI=1.42-4.16) and internet (OR=2.88; 95%CI=1.59-5.32), toothbrushing >1 time a day (OR=3.23; 95%CI=1.27-9.92) and smokers (OR=0.42; 95%CI=0.23-0.73). After adjusting for sex, age and income, OHL was associated with (OR=0.63; 95%CI=0.41-096), educational level (OR=4.06; 95%CI=2.57-6.51) and smokers (OR=0.48; 95%CI=0.26-0.84). Conclusions Low OHL was associated with socioeconomic factors, source of information and smoking. This fact highlights the importance of health professionals to promote OHL.

Resumo Introdução A Autopercepção da Saúde Bucal (ASB) é uma importante variável subjetiva associada à procura por serviços odontológicos e determinada por diversos fatores. Objetivo O objetivo deste trabalho foi investigar associações entre a ASB, o Letramento em Saúde Bucal (LSB) e covariáveis, em usuários da Atenção Básica. Método A amostra foi composta por 366 adultos e idosos, moradores em territórios adscritos a uma unidade de equipe de Saúde da Família (eSF) do município de Piracicaba, que procuraram por tratamento odontológico no ano de 2019 e que aceitaram participar da pesquisa. Aplicou-se o instrumento Health Literacy in Dentistry (HeLD-14) para avaliação do LSB, bem como um questionário para investigar características sociodemográficas e da ASB. Ademais, exames intrabucais foram realizados. Realizaram-se análises de regressões logísticas simples e múltipla, para se avaliar o nível de associação entre a variável ASB e as variáveis preditoras. Resultados Pacientes com menor escore de LSB, pior Autopercepção da Saúde Geral e com mais de um dente perdido tiveram, respectivamente, 2,73 (IC95%: 1,62-4,61), 14,24 (IC95%: 7,41-27,38) e 2,93 (IC95%: 1,76-4,89) vezes mais chance de apresentar pior ASB (p<0,05). Conclusão A ASB é um constructo associado a diversas variáveis não clínicas, incluindo o LSB.

Abstract Background The Self-Rated Oral Health (SROH) is an important subjective variable associated with the demand for dental services and determined by several factors. Objective The objective of this work was to investigate associations between SROH, Oral Health Literacy (OHL) and covariates in Primary Care users. Method The sample consisted of 366 adults and elderly living in territories assigned to a Family Health team unit in the municipality of Piracicaba who sought dental treatment in 2019 and who agreed to participate in the research. The Health Literacy in Dentistry instrument (HeLD-14) was applied to assess OHL, as well as a questionnaire to investigate sociodemographic and SROH characteristics. In addition, clinical dental examinations were performed. Simple and multiple logistic regression analyzes were performed to assess the level of association between the SROH variable and the predictor variables. Results Patients with lower OHL score, worse Self-Rated Health and with more than one missing tooth had, respectively, 2.73 (95% CI: 1.62-4.61), 14.24 (95% CI: 7.41-27.38) and 2.93 (95% CI: 1.76-4.89) times more likely to have worse SROH (p <0.05). Conclusion The SROH is a construct associated with several non-clinical variables, including OHL.

Resumo Esta pesquisa traz em seu escopo a análise do potencial estigmatizador do conteúdo de estudos direcionados à população LGBTQIA+ indexados na plataforma PubMed. Por meio de uma ampla e sistemática pesquisa bibliográfica foram identificados e incluídos, respectivamente, 821 e 334 (40,68%) artigos, dos quais foram extraídos 1838 descritores. Da análise dos dados coletados foram identificados as maiores prevalências dos descritores “men having sex with man” (192 repetições) e “HIV” (98 repetições). Sendo assim, o percurso analítico das informações levantadas refletiu que a população LGBTQIA+ é essencialmente designada como “homens que fazem sexo com outros homens e soropositivos”. Este estudo traz, portanto, a presença de características estigmatizantes nos estudos direcionados à população LGBTQIA+. Contudo, cabe destacar que o resultado encontrado é subsídio para o fortalecimento de uma perspectiva crítica de um fazer científico mais humanizado e direcionado às especificidades e necessidades da população LGBTQIA+.

Abstract This study analyzes the stigmatizing potential of studies on the LGBTQIA+ population indexed on the PubMED database. By a broad and systematic bibliographic search, 821 publications were found and 334 (40.68%) were included in this study. From these, 1838 keywords were extracted. Data analysis showed that the keywords “men who have sex with man” (192 repetitions) and “HIV” (98 repetitions) had the highest prevalence. Thus, according to the analysis, the LGBTQIA+ population is essentially described as “men who have sex with other men” and “HIV positive.” This study unveils the presence of stigmatizing characteristics in studies on the LGBTQIA+ population. However, such findings can help strengthen the critical perspective of a more humanized scientific practice, actually concerned with the specificities and needs of the LGBTQIA+ population.

Abstract This study aimed to investigate the association between Oral Health Literacy (OHL) and dental outcomes. A sample of 920 adults above 18 years of age living in areas covered by 10 Family Health Units (FHUs) in a large city in São Paulo state, Brazil, was included. OHL was assessed using the short-form Health Literacy in Dentistry Scale (HeLD-14). Data on sociodemographic factors, oral health, and general health were obtained through a structured questionnaire. The investigated outcomes “tooth loss” and “reason for the last dental appointment” were evaluated using self-reported data. Simple logistic regression models were used to analyze the associations between each independent factor and outcomes. Factors that presented a significance level of ≤0.20 in the bivariate analysis were included in the hierarchical multiple logistic regression models. Participants with an education level up to high school, low OHL, and poor/fair self-rated oral health had 1.35 (95%CI, 1.01-1.80), 1.48 (95%CI, 1.12-1.95), and 1.46 (95%CI, 1.11-1.92) times more probability to report missing teeth, respectively. Adults from families with lower monthly income, low OHL, and poor/fair self-rated oral health had 1.70 (95%CI, 1.29-2.26), 1.89 (95%CI, 1.42-2.51), and 1.73 (95%CI, 1.30-2.30) times more chance, respectively, to have gone to the last dental appointment due to pain or caries. Adults with low OHL levels are more likely to have missing teeth and have gone to the last dental visit for pain, reinforcing the importance of OHL as an important determinant for promoting oral health.

RESUMO Objetivo: Traduzir e adaptar a eHealth Literacy Scale para a realidade cultural do Brasil e avaliar suas propriedades psicométricas da versão em português brasileiro. Métodos: O instrumento foi traduzido e adaptado ao português brasileiro e, em seguida, aplicado em uma amostra de 502 indivíduos entre 18 e 80 anos residentes em áreas circunvizinhas a seis Unidades de Saúde da Família de um município do interior do estado de São Paulo, Brasil. Os dados foram avaliados mediante análises fatorial exploratória e confirmatória, Teoria de Resposta ao Item e confiabilidade do instrumento (alfa de Cronbach e ômega de McDonald). Resultados: O instrumento eHealth Literacy Scale - versão brasileira (eHEALS-Br) apresentou excelente consistência interna (α = 0,95 e ω = 0,95), apenas uma dimensão e variância explicada de 81,79%. Conclusões: A versão brasileira do instrumento mostrou excelentes propriedades psicométricas para aferição dos níveis de letramento digital em saúde em adultos do nosso país.

ABSTRACT Objective: To translate and adapt the eHealth Literacy Scale for the cultural reality of Brazil and to evaluate the psychometric properties of its Brazilian Portuguese version. Methods: The instrument was translated and adapted to Brazilian Portuguese and applied to a sample of 502 individuals from 18 to 80 years old who lived in the surrounding areas of six Family Health Units of a city in the countryside of the state of São Paulo, Brazil. The data was evaluated using exploratory and confirmatory factor analysis, item response theory, and instrument reliability measures (Cronbach’s alpha and McDonald’s omega). Results: The eHealth Literacy Scale - Brazilian version (eHEALS-Br) presented an excellent internal consistency (α = 0.95 e ω = 0.95), with only one dimension and an explained variation of 81.79%. Conclusions: The Brazilian version of the instrument showed excellent psychometric properties to measure the levels of digital health literacy in adults from the country.

RESUMEN Objetivo: Traducir y adaptar la eHealth Literacy Scale a realidad cultural Brasileña y evaluar sus propiedades psicométricas de la versión en portugués brasileño. Métodos: El instrumento fue traducido y adaptado al portugués brasileño y, en seguida, aplicado en una muestra de 502 individuos entre 18 y 80 años residentes en áreas cercas a seis Unidades de Salud de la Familia de un municipio del interior del estado de São Paulo, Brasil. Los datos fueron evaluados mediante análisis factorial exploratoria y confirmatoria, Teoría de Respuesta al Ítem y confiabilidad del instrumento (alfa de Cronbach y omega de McDonald). Resultados: El instrumento eHealth Literacy Scale - versión brasileña (eHEALS-Br) presentó excelente consistencia interna (α = 0,95 y ω = 0,95), apenas una dimensión y variancia explicada de 81,79%. Conclusiones: La versión brasileña del instrumento mostró excelentes propiedades psicométricas para contraste de los niveles de alfabetización digital en salud en adultos del nuestro país.

Resumo Esta pesquisa traz em seu escopo a análise do potencial estigmatizador do conteúdo de estudos direcionados à população LGBTQIA+ indexados na plataforma PubMed. Por meio de uma ampla e sistemática pesquisa bibliográfica foram identificados e incluídos, respectivamente, 821 e 334 (40,68%) artigos, dos quais foram extraídos 1838 descritores. Da análise dos dados coletados foram identificados as maiores prevalências dos descritores “men having sex with man” (192 repetições) e “HIV” (98 repetições). Sendo assim, o percurso analítico das informações levantadas refletiu que a população LGBTQIA+ é essencialmente designada como “homens que fazem sexo com outros homens e soropositivos”. Este estudo traz, portanto, a presença de características estigmatizantes nos estudos direcionados à população LGBTQIA+. Contudo, cabe destacar que o resultado encontrado é subsídio para o fortalecimento de uma perspectiva crítica de um fazer científico mais humanizado e direcionado às especificidades e necessidades da população LGBTQIA+.

Abstract This study analyzes the stigmatizing potential of studies on the LGBTQIA+ population indexed on the PubMED database. By a broad and systematic bibliographic search, 821 publications were found and 334 (40.68%) were included in this study. From these, 1838 keywords were extracted. Data analysis showed that the keywords “men who have sex with man” (192 repetitions) and “HIV” (98 repetitions) had the highest prevalence. Thus, according to the analysis, the LGBTQIA+ population is essentially described as “men who have sex with other men” and “HIV positive.” This study unveils the presence of stigmatizing characteristics in studies on the LGBTQIA+ population. However, such findings can help strengthen the critical perspective of a more humanized scientific practice, actually concerned with the specificities and needs of the LGBTQIA+ population.

Resumo Introdução A Autopercepção da Saúde Bucal (ASB) é uma importante variável subjetiva associada à procura por serviços odontológicos e determinada por diversos fatores. Objetivo O objetivo deste trabalho foi investigar associações entre a ASB, o Letramento em Saúde Bucal (LSB) e covariáveis, em usuários da Atenção Básica. Método A amostra foi composta por 366 adultos e idosos, moradores em territórios adscritos a uma unidade de equipe de Saúde da Família (eSF) do município de Piracicaba, que procuraram por tratamento odontológico no ano de 2019 e que aceitaram participar da pesquisa. Aplicou-se o instrumento Health Literacy in Dentistry (HeLD-14) para avaliação do LSB, bem como um questionário para investigar características sociodemográficas e da ASB. Ademais, exames intrabucais foram realizados. Realizaram-se análises de regressões logísticas simples e múltipla, para se avaliar o nível de associação entre a variável ASB e as variáveis preditoras. Resultados Pacientes com menor escore de LSB, pior Autopercepção da Saúde Geral e com mais de um dente perdido tiveram, respectivamente, 2,73 (IC95%: 1,62-4,61), 14,24 (IC95%: 7,41-27,38) e 2,93 (IC95%: 1,76-4,89) vezes mais chance de apresentar pior ASB (p<0,05). Conclusão A ASB é um constructo associado a diversas variáveis não clínicas, incluindo o LSB.

Abstract Background The Self-Rated Oral Health (SROH) is an important subjective variable associated with the demand for dental services and determined by several factors. Objective The objective of this work was to investigate associations between SROH, Oral Health Literacy (OHL) and covariates in Primary Care users. Method The sample consisted of 366 adults and elderly living in territories assigned to a Family Health team unit in the municipality of Piracicaba who sought dental treatment in 2019 and who agreed to participate in the research. The Health Literacy in Dentistry instrument (HeLD-14) was applied to assess OHL, as well as a questionnaire to investigate sociodemographic and SROH characteristics. In addition, clinical dental examinations were performed. Simple and multiple logistic regression analyzes were performed to assess the level of association between the SROH variable and the predictor variables. Results Patients with lower OHL score, worse Self-Rated Health and with more than one missing tooth had, respectively, 2.73 (95% CI: 1.62-4.61), 14.24 (95% CI: 7.41-27.38) and 2.93 (95% CI: 1.76-4.89) times more likely to have worse SROH (p <0.05). Conclusion The SROH is a construct associated with several non-clinical variables, including OHL.

Resumo Insegurança alimentar é um fenômeno complexo que afeta a saúde e o bem-estar de famílias vulneráveis. Este estudo objetivou investigar a relação entre insegurança alimentar domiciliar, cárie dentária, qualidade de vida relacionada à saúde bucal, e determinantes sociais de saúde entre indígenas adultos. Foi conduzido um estudo transversal com adultos Kaingang entre 35-44 anos da Terra Indígena Guarita, Brasil. Insegurança alimentar foi avaliada pela escala EBIA. Cárie dentária foi avaliada pelo índice CPOD. Participantes responderam o questionário OHIP-14 e uma entrevista estruturada. Foram realizadas análises descritivas e multivariadas usando modelos de regressão de Poisson. A amostra incluiu 107 adultos Kaingang de 97 domicílios. Aproximadamente 95% dos participantes viviam em famílias com insegurança alimentar. Insegurança alimentar grave esteve presente em 58% dos domicílios. O fenômeno foi associado ao Bolsa Família, densidade familiar e percepção dos impactos da saúde bucal na qualidade de vida. O alto número de famílias afetadas pela insegurança alimentar revela a vulnerabilidade social do povo Kaingang. Insegurança alimentar em adultos Kaingang está associada à percepção da saúde bucal e determinantes sociais da saúde.

Abstract Food insecurity is a complex phenomenon that affects the health and wellbeing of vulnerable families. The aim of this study was to investigate the relationship between household food insecurity, dental caries, oral health-related quality of life, and social determinants of health among Indigenous adults. A cross-sectional study was conducted among Kaingang adults aged 35-44 years old from the Guarita Indigenous Land, Brazil. Food insecurity was assessed through the EBIA scale. Dental caries was assessed using the DMFT index. Participants answered the OHIP-14 questionnaire and a structured interview. Descriptive and multivariate analyzes using Poisson regression models were performed. The final sample included 107 adults from 97 households. Approximately 95% lived in food insecure families. Severe food insecurity was present in 58% of the households. The phenomenon was associated to the Bolsa Família benefit, household size, and greater perception of oral health impacts on quality of life. The high number of families affected by food insecurity reveals the social vulnerability of the Kaingang people. Food insecurity in Kaingangs adults is associated to oral health perception and social determinants of health.

ABSTRACT Objective: To test possible associations between Oral Health Literacy (OHL) level and socioeconomic covariates among users of Centers for Dental Specialties (CEOs). Material and Methods: The Health Literacy in Dentistry (HeLD-14) instrument was applied to 130 adult users of CEOs located in 13 municipalities in the state of São Paulo - Brazil, as well as socioeconomic issues. The researcher applied instruments in a specific room after randomly selecting individuals in the waiting room and invitation acceptance. Each item was ranked on a 5-point scale, ranging from 0 to 4, in which high scores indicate minimal difficulties in performing functions (high OHL) and low scores indicate very limited abilities to perform functions (low OHL). Statistical analysis using the Levene test was used to verify the possibility of using the one-way ANOVA test, and in case results show positive values (p>0.05), the Kruskal Wallis test was used. Results: The average age of participants was 45 years, with more than half being female (68.7%) with 9-11 years of schooling (48.4%). When considering the total value of HeLD-14 questions, OHL was associated with covariates schooling, marital status and family income. Conclusion: OHL levels were associated with socioeconomic variables, contributing to evidence in this field of specialized care.

Resumo Objetivo: Validar o instrumento de avaliação do letramento em saúde Health Literacy Questionnaire para o português brasileiro. Métodos: Para a adaptação transcultural e validação das propriedades psicométricas da versão brasileira do Health Literacy Questionnaire (HLQ-Br), foi utilizado o protocolo estabelecido pelos autores do instrumento original. O HLQ-Br foi respondido por 794 adultos de três regiões do Brasil. A Análise Fatorial Confirmatória foi realizada por meio do Diagonally Weighted Least Squares e a confiabilidade foi verificada pelos indicadores alfa de Cronbach e confiabilidade composta. Resultados: A avaliação cognitiva do HLQ-Br mostrou que os itens do instrumento foram facilmente compreendidos pelos participantes. A análise confirmatória apresentou índices de ajuste satisfatórios: χ2WLSMV (866 GL) = 1698,53, p<0,0001; CFI = 0,978; TLI = 0,976 e RMSEA = 0,035 [0,032; 0,037, IC de 90%]. O alfa de Cronbach e confiabilidade composta foram >0,76 em oito das nove escalas do instrumento. Conclusão: O HLQ-Br apresentou equivalência com a versão original e propriedades psicométricas satisfatórias. Pode ser aplicado para avaliar o letramento em saúde da população brasileira na prática clínica, ensino e pesquisa. O uso do HLQ-Br nas práticas de saúde pode auxiliar a incorporar o letramento em saúde nas práticas de saúde no Brasil.

Abstract Objective: To validate the health literacy assessment instrument Health Literacy Questionnaire to Brazilian Portuguese. Methods: We used the protocol established by the original authors of the instrument for transcultural adaptation and validation of the psychometric properties of the Brazilian version of the Health Literacy Questionnaire (HLQ-Br). The HLQ-Br was answered by 794 adults from three regions of Brazil. Confirmatory Factor Analysis was performed by means of the Diagonally Weighted Least Squares and reliability was verified by Cronbach’s Alpha and Composite Reliability indicators. Results: Cognitive evaluation of the HLQ-Br showed that the items of the instrument were easily understood by the participants. The confirmatory analysis presented satisfactory fit indices: χ2WLSMV (866 df) = 1698.53, p <0.0001; CFI = 0.978; TLI = 0.976, and RMSEA = 0.035 [0.032; 0.037, 90%CI]. Cronbach’s Alpha and Composite Reliability > 0.76 on eight of the nine scales of the instrument. Conclusion: The HLQ-Br presented equivalence to the original version and satisfactory psychometric properties. It can be applied in the evaluation of Brazilian population HL in clinical practice, teaching and research. The use of HLQ-Br in health practices can aid in the incorporation of health literacy into health care practices in Brazil.

Resumen Objetivo: Validar el instrumento de evaluación del nivel de conocimientos en salud Health Literacy Questionnaire al portugués brasileño. Métodos: Para la adaptación transcultural y validación de las propiedades psicométricas de la versión brasileña del Health Literacy Questionnaire (HLQ-Br), se utilizó el protocolo establecido por los autores del instrumento original. El HLQ-Br fue respondido por 794 adultos de tres regiones de Brasil. El análisis factorial confirmatorio fue realizado mediante el Diagonally Weighted Least Squares y la fiabilidad fue verificada por el indicador alfa de Cronbach y fiabilidad compuesta. Resultados: La evaluación cognitiva del HLQ-Br demostró que los ítems del instrumento fueron fácilmente comprendidos por los participantes. El análisis confirmatorio presentó índices de ajustes satisfactorios: χ2WLSMV (866 GL) = 1698,53, p<0,0001; CFI = 0,978; TLI = 0,976 y RMSEA = 0,035 [0,032; 0,037, IC de 90%]. El alfa de Cronbach y la fiabilidad compuesta fueron >0,76 en ocho de las nueve escalas del instrumento. Conclusión: El HLQ-Br presentó equivalencia con la versión original y propiedades psicométricas satisfactorias. Puede aplicarse para evaluar el nivel de conocimientos en salud de la población brasileña en la práctica clínica, educación e investigación. El uso del HLQ-Br en las prácticas de salud puede ayudar a incorporar la instrucción en salud en las prácticas sanitarias en Brasil.

Resumo Insegurança alimentar é um fenômeno complexo que afeta a saúde e o bem-estar de famílias vulneráveis. Este estudo objetivou investigar a relação entre insegurança alimentar domiciliar, cárie dentária, qualidade de vida relacionada à saúde bucal, e determinantes sociais de saúde entre indígenas adultos. Foi conduzido um estudo transversal com adultos Kaingang entre 35-44 anos da Terra Indígena Guarita, Brasil. Insegurança alimentar foi avaliada pela escala EBIA. Cárie dentária foi avaliada pelo índice CPOD. Participantes responderam o questionário OHIP-14 e uma entrevista estruturada. Foram realizadas análises descritivas e multivariadas usando modelos de regressão de Poisson. A amostra incluiu 107 adultos Kaingang de 97 domicílios. Aproximadamente 95% dos participantes viviam em famílias com insegurança alimentar. Insegurança alimentar grave esteve presente em 58% dos domicílios. O fenômeno foi associado ao Bolsa Família, densidade familiar e percepção dos impactos da saúde bucal na qualidade de vida. O alto número de famílias afetadas pela insegurança alimentar revela a vulnerabilidade social do povo Kaingang. Insegurança alimentar em adultos Kaingang está associada à percepção da saúde bucal e determinantes sociais da saúde.

Abstract Food insecurity is a complex phenomenon that affects the health and wellbeing of vulnerable families. The aim of this study was to investigate the relationship between household food insecurity, dental caries, oral health-related quality of life, and social determinants of health among Indigenous adults. A cross-sectional study was conducted among Kaingang adults aged 35-44 years old from the Guarita Indigenous Land, Brazil. Food insecurity was assessed through the EBIA scale. Dental caries was assessed using the DMFT index. Participants answered the OHIP-14 questionnaire and a structured interview. Descriptive and multivariate analyzes using Poisson regression models were performed. The final sample included 107 adults from 97 households. Approximately 95% lived in food insecure families. Severe food insecurity was present in 58% of the households. The phenomenon was associated to the Bolsa Família benefit, household size, and greater perception of oral health impacts on quality of life. The high number of families affected by food insecurity reveals the social vulnerability of the Kaingang people. Food insecurity in Kaingangs adults is associated to oral health perception and social determinants of health.

Abstract This study aimed to assess whether complementing atraumatic restorative treatment (ART) with oral health educational strategies (OHES) improves the perception of oral health-related quality of life (OHRQoL) and clinical oral outcomes. A controlled clinical trial included 93 six- to eight-year-old students from five public schools of Piracicaba, Saltinho, and Charqueada municipalities (State of São Paulo, Brazil) divided into 3 groups (31 children each) which received: OHES (caries-free), ART (dental caries), and ART plus OHES (dental caries). OHRQoL (CPQ8-10-ISF:16), dental caries, biofilm control, and gingivitis were assessed before and 1 month after interventions by one calibrated examiner. OHES consisted of an educational interactive activity performed once a week for four weeks. Data were analyzed using mixed model ANOVA, Chi-square, and Sign tests. After 1 month of follow-up, improvement in gingivitis status, OHRQoL total score, and Functional Limitations, Emotional Well-Being and Social Well-Being domains scores were found in all groups (p < 0.05). The improvement in biofilm control was observed only in the OHES group (p < 0.001; power = 0.98), while a decrease in Oral Symptoms scores was observed only in ART+OHES group (p <0.001; power = 0.99) and a significant change in the perception of oral health was observed in the two groups that received ART (p < 0.05). In conclusion, improvement in overall OHRQoL and oral status was observed in all children, although the effect of including health educational strategies in the treatment plan was determinant for the perception of an improved oral health after restorative treatment.

Resumo Objetivo Avaliar as repercussões da pandemia de COVID-19 nos procedimentos realizados por um serviço público odontológico de urgência (SPOU). Métodos Estudo transversal, utilizando-se dados do SPOU de Piracicaba, SP, Brasil, relativos a dois períodos, anterior (fevereiro e março de 2020) e durante a pandemia (março e abril de 2020). Diferenças no perfil de atendimentos, entre os períodos pré-COVID-19 e COVID-19 selecionados, de acordo com sexo, idade e procedimentos odontológicos, foram analisadas pelo teste qui-quadrado de Pearson. Também foi calculado o tamanho do efeito Cramer's V. Resultados Houve redução de 51% no número de atendimentos, entre o período anterior (n=824) e o período da pandemia de COVID-19 observado (n=404). O percentual de exodontias reduziu-se, de 14,7 para 8,9%, enquanto o de selamento provisório de cavidades aumentou de 22,9 para 33,2%, entre ambos períodos. Conclusão A pandemia de COVID-19 repercutiu na quantidade e no padrão de procedimentos realizados pelo serviço odontológico de urgência do município.

Abstract Objective To evaluate the repercussions of the COVID-19 pandemic on procedures performed by a public urgent dental care service (PUDS). Methods This was a cross-sectional study, using data from the PUDS in Piracicaba, SP, Brazil, prior to the pandemic (February-March 2020) and during the pandemic (March-April 2020). Differences in the care profile between the pre-COVID-19 period and the COVID-19 period, according to sex, age and dental procedures were analyzed using Pearson’s Chi-square test. Effect size was also measured using Cramer’s V. Results There was a 51% reduction in the number of visits between the pre-COVID-19 period (n=824) and the COVID-19 period (n=404). The percentage of extractions reduced from 14.7% to 8.9%, while the percentage of temporary cavity fillings increased from 22.9% to 33.2%, between the two periods. Conclusion The COVID-19 pandemic had repercussions on the amount and pattern of procedures performed at the city’s urgent dental care service.

Resumen Objetivo Evaluar el impacto de la pandemia COVID-19 en los procedimientos realizados por un servicio de odontología pública de emergencia (SOPE). Métodos Estudio transversal, utilizando datos del SOPE de Piracicaba, SP, Brasil, para los períodos anteriores (febrero y marzo 2020) y durante la pandemia (marzo y abril 2020). Las diferencias en el perfil de atención entre los períodos Pre-COVID-19 y COVID-19, según sexo, edad y procedimientos dentales, se analizaron mediante la prueba Chi-cuadrado de Pearson. También se calculó el tamaño del efecto de Cramer V. Resultados Hubo una reducción del 51% en el número de visitas entre el período anterior (n=824) y el período de la pandemia de COVID-19 (n=404). El porcentaje de extracciones se redujo del 14,7% al 8,9%, mientras que el porcentaje de sellado provisional de cavidades aumentó del 22,9% al 33,2%, entre estos períodos. Conclusión La pandemia de COVID-19 afectó la cantidad y patrón de procedimientos realizados en el servicio de odontología de emergencia de la ciudad.

Resumo Objetivo Avaliar as repercussões da pandemia de COVID-19 nos procedimentos realizados por um serviço público odontológico de urgência (SPOU). Métodos Estudo transversal, utilizando-se dados do SPOU de Piracicaba, SP, Brasil, relativos a dois períodos, anterior (fevereiro e março de 2020) e durante a pandemia (março e abril de 2020). Diferenças no perfil de atendimentos, entre os períodos pré-COVID-19 e COVID-19 selecionados, de acordo com sexo, idade e procedimentos odontológicos, foram analisadas pelo teste qui-quadrado de Pearson. Também foi calculado o tamanho do efeito Cramer's V. Resultados Houve redução de 51% no número de atendimentos, entre o período anterior (n=824) e o período da pandemia de COVID-19 observado (n=404). O percentual de exodontias reduziu-se, de 14,7 para 8,9%, enquanto o de selamento provisório de cavidades aumentou de 22,9 para 33,2%, entre ambos períodos. Conclusão A pandemia de COVID-19 repercutiu na quantidade e no padrão de procedimentos realizados pelo serviço odontológico de urgência do município.

Abstract Objective To evaluate the repercussions of the COVID-19 pandemic on procedures performed by a public urgent dental care service (PUDS). Methods This was a cross-sectional study, using data from the PUDS in Piracicaba, SP, Brazil, prior to the pandemic (February-March 2020) and during the pandemic (March-April 2020). Differences in the care profile between the pre-COVID-19 period and the COVID-19 period, according to sex, age and dental procedures were analyzed using Pearson’s Chi-square test. Effect size was also measured using Cramer’s V. Results There was a 51% reduction in the number of visits between the pre-COVID-19 period (n=824) and the COVID-19 period (n=404). The percentage of extractions reduced from 14.7% to 8.9%, while the percentage of temporary cavity fillings increased from 22.9% to 33.2%, between the two periods. Conclusion The COVID-19 pandemic had repercussions on the amount and pattern of procedures performed at the city’s urgent dental care service.

Resumen Objetivo Evaluar el impacto de la pandemia COVID-19 en los procedimientos realizados por un servicio de odontología pública de emergencia (SOPE). Métodos Estudio transversal, utilizando datos del SOPE de Piracicaba, SP, Brasil, para los períodos anteriores (febrero y marzo 2020) y durante la pandemia (marzo y abril 2020). Las diferencias en el perfil de atención entre los períodos Pre-COVID-19 y COVID-19, según sexo, edad y procedimientos dentales, se analizaron mediante la prueba Chi-cuadrado de Pearson. También se calculó el tamaño del efecto de Cramer V. Resultados Hubo una reducción del 51% en el número de visitas entre el período anterior (n=824) y el período de la pandemia de COVID-19 (n=404). El porcentaje de extracciones se redujo del 14,7% al 8,9%, mientras que el porcentaje de sellado provisional de cavidades aumentó del 22,9% al 33,2%, entre estos períodos. Conclusión La pandemia de COVID-19 afectó la cantidad y patrón de procedimientos realizados en el servicio de odontología de emergencia de la ciudad.