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Aten Primaria. 2018 Oct 10. pii: S0212-6567(17)30842-9. doi: 10.1016/j.aprim.2018.05.003. [Epub ahead of print]

[Primary Care and oral health promotion: Assessment of an educational intervention in school children].

[Article in Spanish]

Author information

1
Centro de Salud Cartuja, Granada, España. Electronic address: sarakalde@gmail.com.
2
Fundación para la Investigación Biosanitaria de Andalucía Oriental (FIBAO), Granada, España.
3
Centro de Salud Cartuja, Granada, España.

Abstract

OBJECTIVE:

To evaluate the short and medium term effectiveness of a Primary Care-driven oral health promotion intervention.

DESIGN:

A non-randomised community intervention trial.

SETTING:

Three socio-demographically similar primary schools of a deprived neighborhood in Granada, Spain.

PARTICIPANTS:

Eighty-two intervention and 109 control students aged 5 to 6, as well as the teachers and the parent's association of the intervention school (IS) participated in the study.

INTERVENTION:

School-based health promotion activities aimed at students, and regular meetings with the teachers and parents of the IS during 2 consecutive years.

MAIN MEASUREMENTS:

Students' oral health-related knowledge and behavior, assessed via questionnaires distributed before the intervention, and 6 and 18 months afterwards.

RESULTS:

Compared to the control groups at 18 months, students belonging to the IS reported enhanced oral health knowledge (OR 3.54; 95% CI 1.46-8.58), and an increased consumption of healthy food at breakfast (OR 2.95; 95% CI 1.26-6.89) and during mid-afternoon snack (OR 3.67; 95% CI 1.49-9.05). A significant decrease was seen in the intake of pastries (OR 4.05; 95% CI 1.68-9.81) and sweetened soft drinks and juices (OR 3.79; 95% CI 1.57-9.12) amongst intervention compared to control students in the medium term (18 months). No significant improvements were observed concerning oral hygiene in the IS.

CONCLUSIONS:

School-based educational interventions, when developed through an intersectoral and participative approach and considering the socio-economic context, appear to be effective in improving students' diet-related knowledge and behaviors.

KEYWORDS:

Atención Primaria; Health promotion; Oral health; Primary Health Care; Promoción de la salud; Salud bucal; School health services; Servicios de salud escolar

PMID:
30316564
DOI:
10.1016/j.aprim.2018.05.003
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