Dental fluorosis and associated factors among Colombian schoolchildren: A Mixed Methods Study
Objective: Toidentify the prevalence and factors associated with dental fluorosis (DF) among schoolchildren and to understand parent/guardian perception and knowledge concerning this condition. Methods: In this mixed methods study, researchers conducted clinical e...
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| Format: | Article |
| Language: | Spanish |
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Universidad de Antioquia
2025-06-01
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| Series: | Revista Facultad Nacional de Salud Pública |
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| Online Access: | https://revistas.udea.edu.co/index.php/fnsp/article/view/358797 |
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| author | Bruno Gutiérrez-Quiceno Yeimy Tatiana Ortega-Burbano Angye Paola Salcedo-Muñoz Rafaela Reis da Silva Johana Alejandra Moreno-Drada |
| author_facet | Bruno Gutiérrez-Quiceno Yeimy Tatiana Ortega-Burbano Angye Paola Salcedo-Muñoz Rafaela Reis da Silva Johana Alejandra Moreno-Drada |
| author_sort | Bruno Gutiérrez-Quiceno |
| collection | DOAJ |
| description | Objective: Toidentify the prevalence and factors associated with dental fluorosis (DF) among schoolchildren and to understand parent/guardian perception and knowledge concerning this condition. Methods: In this mixed methods study, researchers conducted clinical examinations on schoolchildren, as well as surveys and semi-structured interviews with parents/guardians in Nariño, Colombia, during 2023. The researchers analyzed data using descriptive statistics and multivariate analysis (quantitative), with the dependent variable fluorosis measured using Dean’s Index. Data was categorized according to content analysis (qualitative). The analysis of narratives and triangulation of the findings followed principles of grounded theory. Results: Using Dean’s index, the adjusted model found that prevalence of fluorosis increased with age among individuals with “very mild” versus “mild” levels (aOR = 1.85; 95%CI = 1.24-2.75) or in men (aOR = 3.08; 95% CI = 1.06-8.90) and was lower in those individuals who lived in urban areas (aOR = 0.21 95%; CI = 0.06-0.71) or among subjects who had a dental checkup three or more times per year (aOR = 0.12; 95% CI = 0.02-0.83). Prevalence also increased with age in individuals with very mild versus moderate levels (aOR = 2.21; 95% CI = 1.10-4.42) or in those whose parents reported knowing about fluorosis (aOR = 35.58; 95% CI = 3.50-361.14) and was lower in individuals who consumed the most popular salt brand in the area (aOR = 0.41; 95% CI = 0.002-0.90). Ten individuals participated in the semi-structured interview; a lack of knowledge was observed, and participants perceived DF as a natural or teeth-strengthening process. Through triangulation, age was identified as a factor interacting with fluorosis. Conclusion: The findings of this study suggest that frequency of dental checkups, age, sex, place of residence, parent/guardian knowledge and perception, and diet were associated with presence of DF. |
| format | Article |
| id | doaj-art-70646a10a32d4e93a59e77ca8e554dbf |
| institution | Kabale University |
| issn | 0120-386X |
| language | Spanish |
| publishDate | 2025-06-01 |
| publisher | Universidad de Antioquia |
| record_format | Article |
| series | Revista Facultad Nacional de Salud Pública |
| spelling | doaj-art-70646a10a32d4e93a59e77ca8e554dbf2025-08-20T03:27:44ZspaUniversidad de AntioquiaRevista Facultad Nacional de Salud Pública0120-386X2025-06-0143117https://doi.org/10.17533/udea.rfnsp.e358797Dental fluorosis and associated factors among Colombian schoolchildren: A Mixed Methods StudyBruno Gutiérrez-Quiceno0https://orcid.org/0000-0001-8949-7647Yeimy Tatiana Ortega-Burbano1https://orcid.org/0000-0002-4722-9481Angye Paola Salcedo-Muñoz2https://orcid.org/0000-0002-9705-9935Rafaela Reis da Silva3https://orcid.org/0000-0001-6435-9942Johana Alejandra Moreno-Drada4https://orcid.org/0000-0003-1797-6379Universidad del ValleUniversidad del ValleUniversidad del ValleUniversidad Federal de Minas GeraisUniversidad del ValleObjective: Toidentify the prevalence and factors associated with dental fluorosis (DF) among schoolchildren and to understand parent/guardian perception and knowledge concerning this condition. Methods: In this mixed methods study, researchers conducted clinical examinations on schoolchildren, as well as surveys and semi-structured interviews with parents/guardians in Nariño, Colombia, during 2023. The researchers analyzed data using descriptive statistics and multivariate analysis (quantitative), with the dependent variable fluorosis measured using Dean’s Index. Data was categorized according to content analysis (qualitative). The analysis of narratives and triangulation of the findings followed principles of grounded theory. Results: Using Dean’s index, the adjusted model found that prevalence of fluorosis increased with age among individuals with “very mild” versus “mild” levels (aOR = 1.85; 95%CI = 1.24-2.75) or in men (aOR = 3.08; 95% CI = 1.06-8.90) and was lower in those individuals who lived in urban areas (aOR = 0.21 95%; CI = 0.06-0.71) or among subjects who had a dental checkup three or more times per year (aOR = 0.12; 95% CI = 0.02-0.83). Prevalence also increased with age in individuals with very mild versus moderate levels (aOR = 2.21; 95% CI = 1.10-4.42) or in those whose parents reported knowing about fluorosis (aOR = 35.58; 95% CI = 3.50-361.14) and was lower in individuals who consumed the most popular salt brand in the area (aOR = 0.41; 95% CI = 0.002-0.90). Ten individuals participated in the semi-structured interview; a lack of knowledge was observed, and participants perceived DF as a natural or teeth-strengthening process. Through triangulation, age was identified as a factor interacting with fluorosis. Conclusion: The findings of this study suggest that frequency of dental checkups, age, sex, place of residence, parent/guardian knowledge and perception, and diet were associated with presence of DF.https://revistas.udea.edu.co/index.php/fnsp/article/view/358797health educationdental fluorosisnutritionoral healthchildren's health |
| spellingShingle | Bruno Gutiérrez-Quiceno Yeimy Tatiana Ortega-Burbano Angye Paola Salcedo-Muñoz Rafaela Reis da Silva Johana Alejandra Moreno-Drada Dental fluorosis and associated factors among Colombian schoolchildren: A Mixed Methods Study Revista Facultad Nacional de Salud Pública health education dental fluorosis nutrition oral health children's health |
| title | Dental fluorosis and associated factors among Colombian schoolchildren: A Mixed Methods Study |
| title_full | Dental fluorosis and associated factors among Colombian schoolchildren: A Mixed Methods Study |
| title_fullStr | Dental fluorosis and associated factors among Colombian schoolchildren: A Mixed Methods Study |
| title_full_unstemmed | Dental fluorosis and associated factors among Colombian schoolchildren: A Mixed Methods Study |
| title_short | Dental fluorosis and associated factors among Colombian schoolchildren: A Mixed Methods Study |
| title_sort | dental fluorosis and associated factors among colombian schoolchildren a mixed methods study |
| topic | health education dental fluorosis nutrition oral health children's health |
| url | https://revistas.udea.edu.co/index.php/fnsp/article/view/358797 |
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