Resumo O estudo investiga a associação entre o contexto escolar e a ocorrência de múltiplos parceiros entre adolescentes, considerando as variáveis individuais. Estudo transversal com análise multinível, realizado no período de fevereiro a junho de 2018 com estudantes de 14 a 19 anos. A variável desfecho (múltiplos parceiros sexuais) foi coletada com base no questionário Youth Risk Behavior Survey (YRBS). As variáveis do contexto escolar foram tempo na escola (escola regular vs escola integral/semi-integral) e índice de vulnerabilidade social (IVS) do bairro onde a escola está localizada. De 2.500 participantes, 1.044 foram analisados por serem sexualmente ativos. A maioria dos adolescentes (63,89%) teve dois ou mais parceiros. Estudantes de escola regular (mínimo de 4h diárias) tiveram mais chances (OR 1.47, IC 1.10-1.97) de terem múltiplos parceiros sexuais quando comparados àqueles de escola integral/semi-integral (mínimo de 7h diárias). Porém, não houve associação em relação ao IVS dos bairros das escolas (OR 1.18, IC 0.82-1.70). Maior tempo na escola esteve associado a menor chance de múltiplos parceiros sexuais, enquanto estudar em escolas localizadas em bairro de alta vulnerabilidade não esteve associado à ocorrência de múltiplos parceiros sexuais entre adolescentes.

Abstract The objective was to investigate the association between the school context and the occurrence of multiple partners among adolescents, considering individual variables (age, gender, Bolsa Família, LGB, early sexual initiation and use of alcohol or drugs in the last sex). Cross-sectional study with multilevel analysis carried out in 2018 with adolescent students from Olinda, Brazil. The variable (multiple partners) was collected based on the ‘Youth Risk Behavior Survey’ questionnaire. School context variables were time in school (regular school vs. full/semi-full school) and the Social Vulnerability Index of the school district. Of 2,500 participants, 1,044 were analyzed for being sexually active and most had two or more partners (63.89%). Regular school students were more likely (OR 1.47, CI 1.10-1.97) to have multiple sexual partners compared to those in full-day schools/half-day schools. However, no association was found in relation to the SVI of the schools’ neighborhoods (OR 1.18, IC 0.82-1.70). More time spent at school was associated with fewer chances of multiple sexual partners, while studying in schools located in highly vulnerable neighborhoods was not associated with the occurrence of multiple sexual partners among adolescents.

Resumo O estudo investiga a associação entre o contexto escolar e a ocorrência de múltiplos parceiros entre adolescentes, considerando as variáveis individuais. Estudo transversal com análise multinível, realizado no período de fevereiro a junho de 2018 com estudantes de 14 a 19 anos. A variável desfecho (múltiplos parceiros sexuais) foi coletada com base no questionário Youth Risk Behavior Survey (YRBS). As variáveis do contexto escolar foram tempo na escola (escola regular vs escola integral/semi-integral) e índice de vulnerabilidade social (IVS) do bairro onde a escola está localizada. De 2.500 participantes, 1.044 foram analisados por serem sexualmente ativos. A maioria dos adolescentes (63,89%) teve dois ou mais parceiros. Estudantes de escola regular (mínimo de 4h diárias) tiveram mais chances (OR 1.47, IC 1.10-1.97) de terem múltiplos parceiros sexuais quando comparados àqueles de escola integral/semi-integral (mínimo de 7h diárias). Porém, não houve associação em relação ao IVS dos bairros das escolas (OR 1.18, IC 0.82-1.70). Maior tempo na escola esteve associado a menor chance de múltiplos parceiros sexuais, enquanto estudar em escolas localizadas em bairro de alta vulnerabilidade não esteve associado à ocorrência de múltiplos parceiros sexuais entre adolescentes. individuais multinível 201 1 anos YRBS. YRBS . (YRBS) integral/semiintegral integralsemiintegral integral/semi integral semi (IVS localizada 2500 2 500 2.50 participantes 1044 044 1.04 ativos 63,89% 6389 63 89 (63,89% mínimo h diárias OR 147 47 1.47 1.101.97 110197 1.10 1.97 10 97 1.10-1.97 diárias. Porém 118 18 1.18 0.821.70. 082170 0.82 1.70 0 82 70 0.82-1.70) 20 (YRBS semiintegral integralsemi 250 50 2.5 104 04 1.0 63,89 638 6 8 (63,89 4 1.4 101 1.101.9 11019 110 1.1 197 1.9 9 1.10-1.9 11 821 0.821.70 08217 082 0.8 170 1.7 7 0.82-1.70 25 5 2. 1. 63,8 (63,8 1.101. 1101 1.10-1. 0.821.7 0821 08 0. 17 0.82-1.7 63, (63, 1.101 1.10-1 0.821. 0.82-1. (63 1.10- 0.821 0.82-1 (6 0.82- (

Abstract The objective was to investigate the association between the school context and the occurrence of multiple partners among adolescents, considering individual variables (age, gender, Bolsa Família, LGB, early sexual initiation and use of alcohol or drugs in the last sex). Cross-sectional study with multilevel analysis carried out in 2018 with adolescent students from Olinda, Brazil. The variable (multiple partners) was collected based on the ‘Youth Risk Behavior Survey’ questionnaire. School context variables were time in school (regular school vs. full/semi-full school) and the Social Vulnerability Index of the school district. Of 2,500 participants, 1,044 were analyzed for being sexually active and most had two or more partners (63.89%). Regular school students were more likely (OR 1.47, CI 1.10-1.97) to have multiple sexual partners compared to those in full-day schools/half-day schools. However, no association was found in relation to the SVI of the schools’ neighborhoods (OR 1.18, IC 0.82-1.70). More time spent at school was associated with fewer chances of multiple sexual partners, while studying in schools located in highly vulnerable neighborhoods was not associated with the occurrence of multiple sexual partners among adolescents. adolescents age, age (age gender Família LGB sex. sex . sex) Crosssectional Cross sectional 201 Olinda Brazil Youth Survey questionnaire regular vs full/semifull fullsemifull full/semi full semi district 2500 2 500 2,50 participants 1044 1 044 1,04 63.89%. 6389 63.89% 63 89 (63.89%) OR 147 47 1.47 1.101.97 110197 1.10 1.97 10 97 1.10-1.97 fullday day schools/halfday schoolshalfday schools/half half However 118 18 1.18 0.821.70. 082170 0.82 1.70 0 82 70 0.82-1.70) 20 semifull fullsemi 250 50 2,5 104 04 1,0 638 63.89 6 8 (63.89% 14 4 1.4 101 1.101.9 11019 110 1.1 197 1.9 9 1.10-1.9 halfday schoolshalf 11 821 0.821.70 08217 082 0.8 170 1.7 7 0.82-1.70 25 5 2, 1, 63.8 (63.89 1. 1.101. 1101 19 1.10-1. 0.821.7 0821 08 0. 17 0.82-1.7 63. (63.8 1.101 1.10-1 0.821. 0.82-1. (63. 1.10- 0.821 0.82-1 (63 0.82- (6 (

Resumo O objetivo deste estudo foi analisar a procura por serviços ou profissionais de saúde pelos adolescentes com determinantes individuais e com variáveis contextuais, modalidade de ensino da escola e Índice de Vulnerabilidade Social. Os dados foram coletados no período de março a junho de 2018, em escolas públicas estaduais de Olinda, Pernambuco, através de um questionário estruturado com questões do Youth Risk Behavior Survey (YRBS) e da Pesquisa Nacional de Saúde do Escolar (PeNSE). Dentre os 2.454 adolescentes, a proporção daqueles que procuram por um serviço de saúde foi maior: no sexo feminino; em adolescentes cujas as mães tivessem escolaridade mínima de nove anos; naqueles fisicamente ativos; e cujos responsáveis não recebiam Bolsa Família. Observou-se que as variáveis contextuais não influenciaram a procura por serviços de saúde entre os adolescentes. No terceiro modelo da análise multinível, que analisou as variáveis individuais, observou-se que apenas o sexo feminino (OR=1,80), ter mãe com escolaridade maior ou igual a nove anos de estudo (OR=1,30), não receber Bolsa Família (OR=1,23) e ser ativo fisicamente (OR=1,32) foram associados a uma maior procura por serviços ou profissionais de saúde.

Abstract This study aimed to analyze the demand for health services or professionals by adolescents with individual determinants and contextual variables (school teaching modality and Social Vulnerability Index). Data were collected from March to June 2018, in state public schools in Olinda, Pernambuco, Brazil, through a structured questionnaire with questions from the Youth Risk Behavior Survey (YRBS) and the National School Health Survey (PeNSE). Among the 2,454 adolescents, the proportion of those looking for a health service was higher among women; in adolescents whose mothers had a minimum of nine schooling years; in the physically active; and whose parents did not receive a family aid (Bolsa Família). We observed that the contextual variables did not influence the demand for health services among adolescents. In the third model of the multilevel analysis, which analyzed the individual variables, we observed that only females (OR=1,80), having a mother with schooling greater than or equal to 9 years of study (OR=1,30), not receiving Bolsa Família (OR=1,23), and physically active (OR=1,32) were associated with an increased demand for health services or professionals.

Resumo O objetivo deste estudo foi analisar a procura por serviços ou profissionais de saúde pelos adolescentes com determinantes individuais e com variáveis contextuais, modalidade de ensino da escola e Índice de Vulnerabilidade Social. Os dados foram coletados no período de março a junho de 2018, em escolas públicas estaduais de Olinda, Pernambuco, através de um questionário estruturado com questões do Youth Risk Behavior Survey (YRBS) e da Pesquisa Nacional de Saúde do Escolar (PeNSE). Dentre os 2.454 adolescentes, a proporção daqueles que procuram por um serviço de saúde foi maior: no sexo feminino; em adolescentes cujas as mães tivessem escolaridade mínima de nove anos; naqueles fisicamente ativos; e cujos responsáveis não recebiam Bolsa Família. Observou-se que as variáveis contextuais não influenciaram a procura por serviços de saúde entre os adolescentes. No terceiro modelo da análise multinível, que analisou as variáveis individuais, observou-se que apenas o sexo feminino (OR=1,80), ter mãe com escolaridade maior ou igual a nove anos de estudo (OR=1,30), não receber Bolsa Família (OR=1,23) e ser ativo fisicamente (OR=1,32) foram associados a uma maior procura por serviços ou profissionais de saúde.

Abstract This study aimed to analyze the demand for health services or professionals by adolescents with individual determinants and contextual variables (school teaching modality and Social Vulnerability Index). Data were collected from March to June 2018, in state public schools in Olinda, Pernambuco, Brazil, through a structured questionnaire with questions from the Youth Risk Behavior Survey (YRBS) and the National School Health Survey (PeNSE). Among the 2,454 adolescents, the proportion of those looking for a health service was higher among women; in adolescents whose mothers had a minimum of nine schooling years; in the physically active; and whose parents did not receive a family aid (Bolsa Família). We observed that the contextual variables did not influence the demand for health services among adolescents. In the third model of the multilevel analysis, which analyzed the individual variables, we observed that only females (OR=1,80), having a mother with schooling greater than or equal to 9 years of study (OR=1,30), not receiving Bolsa Família (OR=1,23), and physically active (OR=1,32) were associated with an increased demand for health services or professionals.

RESUMO Objetivo Diagnosticar a anquiloglossia em recém-nascidos, comparando dois instrumentos de avaliação do frênulo lingual. Método Tratou-se de um estudo transversal, realizado em Recife, PE, Brasil no ano de 2018, com 147 mães/recém-nascidos com idade de até 30 dias de vida. Foram utilizados o Instrumento Bristol Tongue Assessment Tool (BTAT) e o Protocolo de Avaliação do Frênulo da Língua para Bebês (“Teste da Linguinha”). Dados sociodemográficos também foram anotados. Para a comparação entre os dois métodos de diagnóstico da anquiloglossia, foi utilizado o teste de McNemar e foram obtidos o valor da concordância de Kappa e o respectivo intervalo de confiança. Resultados A presença de anquiloglossia foi de 4,8%, quando diagnosticada por meio do BTAT, e de 17,0%, quando utilizado o “Teste da Linguinha”. Com relação ao sexo, 53,1% dos recém-nascidos eram do sexo masculino e 46,9% do sexo feminino; contudo, não houve associação entre a anquiloglossia e o sexo do recém-nascido nos dois métodos de avaliação. Conclusão O diagnóstico da anquiloglossia em recém-nascidos variou em função do instrumento de avaliação utilizado.

ABSTRACT Purpose To diagnose ankyloglossia in newborns and compare two lingual frenulum assessment instruments. Methods This cross-sectional study was carried out in Recife, Pernambuco, Brazil, in 2018, with 147 mothers/newborns aged up to 30 days. The Bristol Tongue Assessment Tool and the Lingual Frenulum Evaluation Protocol for Infants were the instruments used. Sociodemographic data were also recorded. The two ankyloglossia diagnostic methods were compared using the McNemar test, obtaining the kappa agreement value and the confidence interval. Results Ankyloglossia was present in 4.8% when diagnosed with the Bristol Tongue Assessment Tool, and in 17.0% with the Tongue-Tie Test. Regarding sex, 53.1% of the newborns were males and 46.9% were females; however, there was no association between ankyloglossia and the newborn’s sex in either of the assessment methods. Conclusion The ankyloglossia diagnosis in newborns varied depending on the assessment instrument used.

RESUMO Objetivo: investigar as evidências científicas na literatura sobre a relação entre a anquiloglossia e as dificuldades no aleitamento materno. Métodos: tratou-se de uma revisão integrativa. Foram realizadas buscas nas bases de dados Medline e Pubmed, utilizando os descritores em associação: “anquiloglossia”, “recém-nascido” e “amamentação”, entre 2014 e 2019, em português, inglês e espanhol. Foram selecionados artigos originais que relacionassem a anquiloglossia aos problemas de amamentação. Resultados: trinta e um artigos foram analisados pelo texto lido na íntegra, dentre os quais 22 foram excluídos e 09 selecionados para a revisão. Houve uma diversidade de instrumentos utilizados para o diagnóstico da anquiloglossia. Em quatro estudos não foi utilizado nenhum instrumento de avaliação padronizado para o diagnóstico da anquiloglossia, o que pode limitar a análise dos resultados. No entanto, a maioria dos estudos evidenciou a possível interferência da anquiloglossia na amamentação. De acordo com as publicações, bebês com frênulo lingual alterado apresentaram maiores chances de apresentar dificuldades na sucção e desmame precoce, o que demonstra a importância da triagem neonatal como rotina nas maternidades para os casos de anquiloglossia. Conclusões: a anquiloglossia pode estar relacionada com prejuízos na amamentação e a padronização dos instrumentos para diagnóstico da anquiloglossia é necessária para melhorar as evidências nas futuras pesquisas.

ABSTRACT Purpose: to investigate the scientific evidence, in the literature, of the relationship between ankyloglossia and breastfeeding difficulties. Methods: an integrative review of the literature. The MEDLINE and PubMed databases were searched, using the following descriptors in combination: "ankyloglossia", "newborn" and "breastfeeding". The searches included articles published between 2014 and 2019, in Portuguese, English and Spanish. Original articles demonstrating an association between ankyloglossia and breastfeeding issues were selected. Results: a total of 31 articles was fully read in the analysis, 22 of which were excluded and 9 included in the review. There was a diversity of instruments used for the diagnosis of ankyloglossia. In four studies, no standardized evaluation instrument was used for the diagnosis of ankyloglossia, which may limit the analysis of the results. However, most studies have evidenced a possible influence of ankyloglossia on breastfeeding. According to the studies, babies with altered lingual frenulum were more likely to experience difficulties in sucking, showing early weaning, which shows the importance of neonatal screening as a routine protocol in maternity hospitals for the cases of ankyloglossia. Conclusions: ankyloglossia may be related to impaired breastfeeding. The standardization of instruments for the diagnosis of ankyloglossia is necessary to improve the evidence in future research.

ABSTRACT OBJECTIVE To determine the prevalence of cigarette use among adolescents and to identify associated health risk behaviors. METHODS This is a cross-sectional study with a representative sample, composed of 1059 adolescents between 13 and 19 years old, enrolled in primary and secondary public schools of Olinda, Pernambuco, in 2014. Information was obtained through self-administered questionnaires (validated version of YRBS 2007). Cigarette experimentation was defined as smoking at least once in life. Adolescents who smoked at least one day within 30 days prior to the survey were considered current smokers. Most students were female and 16 years old or older. RESULTS Almost 30% used it in life and about 10% smoked within the 30 days before the survey. Suicidal ideation (PR = 1.51, 95%CI 1.25–1.82), alcohol use (PR = 1.41, 95%CI 1.03–1.92), marijuana (PR = 1.64, 95%CI 1.37–1.96), excessive alcohol consumption (PR = 1.57, 95%CI 1.15–2.16) and sexual experience (PR = 1.78, 95%CI 1.43–2.21) have increased the risk of using cigarettes. Feelings of sadness (PR = 1.70, 95%CI 1.22–2.36), alcohol use (PR=2.40, 95%CI 1.12–5.12), excessive alcohol consumption (PR = 2.5, 95% CI 1.24–5.38), marijuana (PR = 2.31, 95%CI.57–3.39) and cocaine (PR = 1.99, 95%CI.32–3.01) increased the risk of cigarette use within the 30 days before the survey. CONCLUSIONS Cigarette use among adolescents from Olinda was high, being considered higher than the national prevalence. Possible factors associated with cigarette use were drug use (alcohol, marijuana, and cocaine) and behaviors related to sexual experience, feelings of sadness and suicidal ideation.

ABSTRACT OBJECTIVE To determine the prevalence of cigarette use among adolescents and to identify associated health risk behaviors. METHODS This is a cross-sectional study with a representative sample, composed of 1059 adolescents between 13 and 19 years old, enrolled in primary and secondary public schools of Olinda, Pernambuco, in 2014. Information was obtained through self-administered questionnaires (validated version of YRBS 2007). Cigarette experimentation was defined as smoking at least once in life. Adolescents who smoked at least one day within 30 days prior to the survey were considered current smokers. Most students were female and 16 years old or older. RESULTS Almost 30% used it in life and about 10% smoked within the 30 days before the survey. Suicidal ideation (PR = 1.51, 95%CI 1.25–1.82), alcohol use (PR = 1.41, 95%CI 1.03–1.92), marijuana (PR = 1.64, 95%CI 1.37–1.96), excessive alcohol consumption (PR = 1.57, 95%CI 1.15–2.16) and sexual experience (PR = 1.78, 95%CI 1.43–2.21) have increased the risk of using cigarettes. Feelings of sadness (PR = 1.70, 95%CI 1.22–2.36), alcohol use (PR=2.40, 95%CI 1.12–5.12), excessive alcohol consumption (PR = 2.5, 95% CI 1.24–5.38), marijuana (PR = 2.31, 95%CI.57–3.39) and cocaine (PR = 1.99, 95%CI.32–3.01) increased the risk of cigarette use within the 30 days before the survey. CONCLUSIONS Cigarette use among adolescents from Olinda was high, being considered higher than the national prevalence. Possible factors associated with cigarette use were drug use (alcohol, marijuana, and cocaine) and behaviors related to sexual experience, feelings of sadness and suicidal ideation.

RESUMO Objetivo: Este estudo analisa o conhecimento e a atuação sobre doença falciforme de cirurgiões-dentistas de Unidades de Saúde da Família no Recife/Pernambuco. Métodos: O estudo transversal foi conduzido em amostra representativa de profissionais utilizando-se questionário padronizado. Os dados foram analisados por estatística descritiva. Resultados: Dos 132 cirurgiões-dentistas elegíveis, 124 (93,9%) foram entrevistados. A maioria era composta por mulheres (81,5%) com idade entre 28 e 39 anos (53,2%), com mais de 15 anos de formado (52,4%). Um percentual de 89,5% sabia a definição e as manifestações bucais (53,2%) da doença, apenas 17,7% conhecia o protocolo de atendimento odontológico. Verificou-se que 13,6% dos profissionais que conheciam o manejo do atendimento obtiveram esse conhecimento durante o curso de graduação. Quanto à atuação, 71,8% dos profissionais atenderia paciente com doença falciforme, no entanto, 67,7% dos profissionais nunca fizeram este acolhimento. A maioria se sente seguro para realizar procedimentos odontológicos (82%) e a principal dificuldade para o atendimento foi à falta de conhecimento sobre o assunto (57,1%). Conclusão: Este resultado sugere a necessidade da implementação de políticas públicas que objetivem reforçar a capacitação dos cirurgiões-dentistas que atuam na atenção básica, a fim de minimizar os riscos durante o atendimento odontológico desses pacientes.

ABSTRACT Objective: This study analyzes dental surgeons’ knowledge and clinical practice regarding sickle cell disease (SCD) at Family Health Units in Recife, northeastern Brazil. Methods: This cross-sectional study was conducted in a representative sample of dentists using a standardized questionnaire. Data were analyzed by descriptive statistics. Results: Out of 132 eligible dental surgeons, 124 (93.9%) were interviewed. Most of them were women (81.5%), aged between 28 and 39 years (53.2%), with more than 15 years of experience (52.4%). A percentage of 89.5% knew the definition and oral manifestations (53.2%) of the disease, but only 17.7% knew the dental care protocol. It was verified that 13.6% of the dentists who knew how to conduct the treatment had acquired this knowledge during their undergraduate studies. Conclusion: Regarding clinical practice, 71.8% said they would treat patients with SCD; however, 67.7% had never done that. Most dentists felt confident of performing dental procedures (82%) and their major difficulty was their lack of knowledge about the disease (57.1%). The findings suggest the need for the implementation of public policies for improving the qualification of dental surgeons who work in primary healthcare, thus minimizing risks during the dental care of SCD patients.

Resumo Introdução Os adolescentes são particularmente suscetíveis aos efeitos das interações sociais negativas. Assim, o conhecimento das características comportamentais dos adolescentes alvos de bullying pode auxiliar no estabelecimento de ações voltadas à proteção das vítimas. Objetivo Descrever as formas de bullying e o modo como os adolescentes percebem essa violência, e os métodos adotados pela escola para combatê-la. Método Foi realizado um estudo transversal com 612 alunos de 10 a 19 anos de idade matriculados em escolas públicas. A coleta de dados foi realizada por meio de questionário desenvolvido pela instituição inglesa Kidscape, à qual foram adicionados itens para a caracterização dos respondentes e suas percepções sobre a conduta dos administradores escolares diante do problema. A análise estatística envolveu uma distribuição de frequência e medidas de associação bivariada e multivariada (α=5%). Resultados A prevalência de bullying foi de 21,7%. Não foram encontradas associações significativas entre bullying e fatores sociodemográficos (p>0,05). Na maioria dos casos, o início das agressões começou entre seis e 11 anos de idade da vítima. A forma verbal foi a mais frequente (82,2%) e a sala de aula foi a localidade onde ocorreu a maior parte das agressões (60,2%). A instalação de câmeras de segurança foi a principal ação tomada pelos administradores escolares para combater o problema. Conclusão A prevalência de bullying na população estudada pode ser considerada alta e o abuso verbal é a forma mais frequente. As ações dos administradores escolares concentraram-se em reformas estruturais.

Abstract Background Adolescents are particularly susceptible to the effects of negative social interactions. Thus, knowledge on the behavioral characteristics of adolescents who are targets of bullying can assist with establishing actions directed to protection of the victims. Objective Describe the types of bullying practice and how adolescents perceive this violence, as well as the methods adopted by school to tackle it. Method A cross-sectional study was conducted with 612 public school students aged 10-19 years. Data were collected through the application of a questionnaire developed by the UK-based Kidscape organization. Items were added to this questionnaire aiming to characterize the respondents and their perception regarding the conduct of school administrators in tackling the problem. Statistical analysis involved frequency description and measures of bivariate and multivariate association (α=5%). Results The prevalence of bullying was 21.7%. No significant associations were found between bullying and socio-demographic factors (p>0.05). In most cases, the onset of aggressions was at 6-11 years of age of the victim. Verbal aggression was the most frequently observed type of bullying (82.2%), and the classroom was the location where most aggressions occurred (60.2%). Installation of surveillance cameras was the main action taken by school administrators to tackle the problem. Conclusion Prevalence of bullying in the population studied may be considered high, and verbal aggression was the most frequent type of bullying. Actions of school administrators were concentrated on structural reforms.

Resumo O objetivo deste artigo é verificar a associação entre autopercepção negativa em saúde e violência escolar em adolescentes estudantes do Município de Olinda - PE. Estudo transversal, analítico e de base escolar com amostra constituída por 2.614 adolescentes, selecionados por meio de uma estratégia de amostragem aleatória em conglomerados. As informações foram obtidas através do questionário “Youth Risk Behavior Survey” de onde foram retiradas as questões de violência bem como da autopercepção de saúde. Os dados foram tabulados pelo programa Epi-data versão 3.1 e transcrito para o SPSS versão 22. Utilizou-se os teste do Qui-quadrado e o modelo de regressão logística binária stepwise para análise dos dados. Observou-se que 26,7% dos adolescentes tinham uma autopercepção negativa em saúde, sendo maior entre as moças. Em relação à violência escolar, a autopercepção negativa esteve associada ao sentimento de tristeza, pensamento suicida, bullying na escola, roubado na escola e segurança na escola. Sexo e idade também se mantiveram associadas (p < 0.05). Reforça-se a necessidade de ações de cultura e paz na adolescência, envolvendo o ambiente escolar, a fim de refletir na analise de saúde pobre dos adolescentes reduzindo também o índice de violência.

Abstract Objective To verify the association between negative self-perception of health and school violence in adolescent students of the Municipality of Olinda (PE), Brazil. Methods This is a cross-sectional, analytical and school-based study with a sample consisting of 2,614 adolescents selected through a strategy of random sampling in conglomerates. The information was obtained through the questionnaire “Youth Risk Behavior Survey” from which the issues of violence and self-perceived health were retrieved. Data were tabulated by Epi-data version 3.1 program and transcribed for SPSS version 22. The Chi-square test and the stepwise binary logistic regression model were used for data analysis. Results We observed that 26.7% of adolescents had a negative self-perception of health, and this was greater among girls. Concerning school violence, negative self-perception was associated with feelings of sadness, suicidal thoughts, bullying at school, robbery at school and safety at school. Gender and age were also associated (p < 0.05). Conclusion We reinforce the need for culture and peace actions in adolescence, involving the school environment to reflect on poor health assessed by adolescents and reduce the rate of violence.

Abstract Sickle cell anemia, a genetic disease caused by a mutation in the beta-globin gene, can present oral manifestations such as delayed tooth eruption and hypomineralized enamel and dentin. The aim of the present study was to evaluate the prevalence and severity of developmental defects of enamel (DDE) and delayed tooth eruption in children with sickle cell anemia. The sample comprised 56 male and female children with sickle cell anemia aged 6 to 12 years and treated at the Hematology and Hemotherapy Center of Pernambuco, Brazil. The data were collected according to the WHO criteria for DDE and tooth eruption. The prevalence of DDE was 58.2% and increased with age, affecting 43.8% of children aged 6 to 8 years and 66.7% of those aged 10 to 12 years (p>0.05; Pearson’s chi-square test). There was no significant association between DDE and sex; the most prevalent type of DDE was diffuse opacity (6.2%). Tooth eruption was delayed in 18 children (32.1%). The delay increased with age and was detected in 11.8% of children aged 6 to 8 years, in 20.0% of those aged 8 to 10 years and in 54.2% of those aged 10 to 12 years (p<0.05; Pearson’s chi-square test). Delayed tooth eruption was higher in males (36.7%, p>0.05). The prevalence of DDE was high, increased with age and was similar between sexes, while delayed eruption was higher in males and showed a significant association with age.

Resumo O objetivo deste artigo é verificar a associação entre autopercepção negativa em saúde e violência escolar em adolescentes estudantes do Município de Olinda - PE. Estudo transversal, analítico e de base escolar com amostra constituída por 2.614 adolescentes, selecionados por meio de uma estratégia de amostragem aleatória em conglomerados. As informações foram obtidas através do questionário “Youth Risk Behavior Survey” de onde foram retiradas as questões de violência bem como da autopercepção de saúde. Os dados foram tabulados pelo programa Epi-data versão 3.1 e transcrito para o SPSS versão 22. Utilizou-se os teste do Qui-quadrado e o modelo de regressão logística binária stepwise para análise dos dados. Observou-se que 26,7% dos adolescentes tinham uma autopercepção negativa em saúde, sendo maior entre as moças. Em relação à violência escolar, a autopercepção negativa esteve associada ao sentimento de tristeza, pensamento suicida, bullying na escola, roubado na escola e segurança na escola. Sexo e idade também se mantiveram associadas (p < 0.05). Reforça-se a necessidade de ações de cultura e paz na adolescência, envolvendo o ambiente escolar, a fim de refletir na analise de saúde pobre dos adolescentes reduzindo também o índice de violência.

Abstract Objective To verify the association between negative self-perception of health and school violence in adolescent students of the Municipality of Olinda (PE), Brazil. Methods This is a cross-sectional, analytical and school-based study with a sample consisting of 2,614 adolescents selected through a strategy of random sampling in conglomerates. The information was obtained through the questionnaire “Youth Risk Behavior Survey” from which the issues of violence and self-perceived health were retrieved. Data were tabulated by Epi-data version 3.1 program and transcribed for SPSS version 22. The Chi-square test and the stepwise binary logistic regression model were used for data analysis. Results We observed that 26.7% of adolescents had a negative self-perception of health, and this was greater among girls. Concerning school violence, negative self-perception was associated with feelings of sadness, suicidal thoughts, bullying at school, robbery at school and safety at school. Gender and age were also associated (p < 0.05). Conclusion We reinforce the need for culture and peace actions in adolescence, involving the school environment to reflect on poor health assessed by adolescents and reduce the rate of violence.

Resumo O objetivo desta revisão integrativa foi investigar na literatura a associação entre consumo de bebidas alcoólicas e violência física, com ênfase em identificar o preditor entre eles. Foram realizadas buscas nas bases de dados Lilacs, Medline e SciELO, adotando como descritores: “violence”, “alcohool drinking” e “adolescent”. Foram incluídos artigos publicados entre 2005 e 2014, e que analisassem a associação entre o consumo de álcool e a violência física, usando análise multivariada. Do total de 1667 artigos, 29 se enquadravam nos critérios de inclusão. O consumo de álcool foi a variável mais investigada como preditora do envolvimento em violência física, quando o adolescente é o perpetrador ou a vítima da violência, com associação significativa em 19 estudos. No entanto, quando a vitimização foi investigada como preditora (7 estudos), na maioria destes (6) houve associação significativa com a ingestão de bebidas alcoólicas. O consumo de bebida alcoólica se mostrou preditor da violência física, tanto para o adolescente perpetrador quanto para aquele vítima da violência. Entretanto, ter sido vítima de violência na infância e na adolescência também pode levar o adolescente ao consumo do álcool.

Abstract The scope of this integrative review was to investigate the association between alcohol consumption and physical violence in the literature, with an emphasis on identifying the predictor between them. A search was conducted in the Lilacs, Medline and SciELO databases, adopting “violence,” “alcohool drinking” and “adolescent” as descriptors. It included articles published between 2005 and 2014 that analyzed the association between alcohol consumption and physical violence using multivariate analysis. Of the total of 1667 articles located, 29 met the inclusion criteria. Alcohol consumption was investigated more as a predictor of involvement in physical violence when the teenager is the perpetrator or the victim of violence, with a significant association found in 19 studies. However, when victimization was investigated as a predictor (7 studies), most of these (6) revealed no significant association with the intake of alcoholic beverages. The consumption of alcohol has proven to be the predictor of physical violence for both the teen perpetrator and for the adolescent victim of violence. However, having been the victim of violence in childhood and adolescence may also lead adolescents to alcohol consumption.

Resumo O objetivo desta revisão integrativa foi investigar na literatura a associação entre consumo de bebidas alcoólicas e violência física, com ênfase em identificar o preditor entre eles. Foram realizadas buscas nas bases de dados Lilacs, Medline e SciELO, adotando como descritores: “violence”, “alcohool drinking” e “adolescent”. Foram incluídos artigos publicados entre 2005 e 2014, e que analisassem a associação entre o consumo de álcool e a violência física, usando análise multivariada. Do total de 1667 artigos, 29 se enquadravam nos critérios de inclusão. O consumo de álcool foi a variável mais investigada como preditora do envolvimento em violência física, quando o adolescente é o perpetrador ou a vítima da violência, com associação significativa em 19 estudos. No entanto, quando a vitimização foi investigada como preditora (7 estudos), na maioria destes (6) houve associação significativa com a ingestão de bebidas alcoólicas. O consumo de bebida alcoólica se mostrou preditor da violência física, tanto para o adolescente perpetrador quanto para aquele vítima da violência. Entretanto, ter sido vítima de violência na infância e na adolescência também pode levar o adolescente ao consumo do álcool.

Abstract The scope of this integrative review was to investigate the association between alcohol consumption and physical violence in the literature, with an emphasis on identifying the predictor between them. A search was conducted in the Lilacs, Medline and SciELO databases, adopting “violence,” “alcohool drinking” and “adolescent” as descriptors. It included articles published between 2005 and 2014 that analyzed the association between alcohol consumption and physical violence using multivariate analysis. Of the total of 1667 articles located, 29 met the inclusion criteria. Alcohol consumption was investigated more as a predictor of involvement in physical violence when the teenager is the perpetrator or the victim of violence, with a significant association found in 19 studies. However, when victimization was investigated as a predictor (7 studies), most of these (6) revealed no significant association with the intake of alcoholic beverages. The consumption of alcohol has proven to be the predictor of physical violence for both the teen perpetrator and for the adolescent victim of violence. However, having been the victim of violence in childhood and adolescence may also lead adolescents to alcohol consumption.