title: Association between adolescents' self-perceived oral health and self-reported experiences of abuse.
abstract: This study investigated the association between self-perceived oral health and self-reported exposure to different types of child abuse. It was hypothesized that self-perceived oral health is compromised in exposed adolescents. All Grade-9 compulsory school and second-year high-school pupils in Södermanland County, Sweden (n = 7,262) were invited to take part in a population-based survey; 5,940 adolescents responded. Survey items on health and social wellbeing included self-perceived oral health and exposure to abuse. The results showed that poor self-perceived oral health was associated with self-reported experience of physical abuse, intimate partner violence, forced sex, and bullying (adjusted OR = 2.3-14.7). The likelihood of reporting poor oral health increased from an adjusted OR of 2.1 for a single incident of abuse to an adjusted OR of 23.3 for multiple abuses. In conclusion, poor self-perceived oral health and previous exposure to child physical abuse, intimate partner violence, bullying, and forced sex is associated. It is important that dental professionals recognize adolescents with poor subjective oral health and take into consideration child abuse as a possible cause in order to prevent these adolescents from further victimization. These results further strengthen that dental professionals are an important resource in child protection.
authors.affiliation: Department of Dental Medicine, Division of Pediatric Dentistry, Karolinska Institutet, Huddinge, Sweden.
authors.forename: Therese
authors.initials: T
authors.lastname: Kvist
authors.forename: Eva-Maria
authors.initials: EM
authors.lastname: Annerbäck
authors.forename: Lotta
authors.initials: L
authors.lastname: Sahlqvist
authors.forename: Olof
authors.initials: O
authors.lastname: Flodmark
authors.forename: Göran
authors.initials: G
authors.lastname: Dahllöf
mesh_terms: D000293:Adolescent; D058445:Bullying; D002648:Child; D002649:Child Abuse / Q000706:statistics & numerical data*; D017579:Domestic Violence; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D009909:Oral Health / Q000706:statistics & numerical data*; D012307:Risk Factors; D012649:Self Concept; D057566:Self Report; D011795:Surveys and Questionnaires; D013548:Sweden
keywords: child abuse; pediatric dentistry; population characteristics; young adults