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|Title:||Validation of self-reported information on dental caries in a birth cohort at 18 years of age|
|Author:||Ribeiro Silva, A.|
Baptista Menezes, A.
Formoso Assuncao, M.
|Citation:||PLoS One, 2014; 9(9):e106382-1-e106382-8|
|Publisher:||Public Library of Science|
|Alexandre Emidio Ribeiro Silva, Ana Maria Baptista Menezes, Maria Cecília Formoso Assunção, Helen Gonçalves, Flávio Fernando Demarco, Fabiana Vargas-Ferreira, Marco Aurélio Peres|
|Abstract:||OBJECTIVE: Estimate the prevalence of dental caries based on clinical examinations and self-reports and compare differences in the prevalence and effect measures between the two methods among 18-year-olds belonging to a 1993 birth cohort in the city of Pelotas, Brazil. METHOD: Data on self-reported caries, socio-demographic aspects and oral health behaviour were collected using a questionnaire administered to adolescents aged 18 years (n = 4041). Clinical caries was evaluated (n = 1014) by a dentist who had undergone training and calibration exercises. Prevalence rates of clinical and self-reported caries, sensitivity, specificity, positive and negative predictive values, absolute and relative bias, and inflation factors were calculated. Prevalence ratios of dental caries were estimated for each risk factor. RESULTS: The prevalence of clinical and self-reported caries (DMFT>1) was 66.5% (95%CI: 63.6%-69.3%) and 60.3% (95%CI: 58.8%-61.8%), respectively. Self-reports underestimated the prevalence of dental caries by 9.3% in comparison to clinical evaluations. The analysis of the validity of self-reports regarding the DMFT index indicated high sensitivity (81.8%; 95%CI: 78.7%-84.7%) and specificity (78.1%; 95%CI: 73.3%-82.4%) in relation to the gold standard (clinical evaluation). Both the clinical and self-reported evaluations were associated with gender, schooling and self-rated oral health. Clinical dental caries was associated with visits to the dentist in the previous year. Self-reported dental caries was associated with daily tooth brushing frequency. CONCLUSIONS: Based on the present findings, self-reported information on dental caries using the DMFT index requires further studies prior to its use in the analysis of risk factors, but is valid for population-based health surveys with the aim of planning and monitoring oral health actions directed at adolescents.|
|Rights:||© 2014 Silva et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
|Appears in Collections:||Aurora harvest 7|
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