title: Mediators between education and dental pain: a cross-sectional study to assess the role of dental services utilization.
abstract: This study tested whether the pattern of dental services utilization and the reason for the last dental visit mediate the association between educational attainment and dental pain. This is a cross-sectional analysis (n = 1099) based on data from a prospective cohort study in adults, southern Brazil. The mediating effects were assessed by including interaction terms in logistic regression models and by the KHB method, which estimated the direct, mediated, and total effects of education on dental pain. The prevalence of dental pain was 17.5%. Individuals with less than 12 yr of study who visited the dentist to solve dental problems had a 20% higher odds of reporting dental pain than those with 12 or more years of study, who sought the dentist for preventive reasons. Dental services should also focus on preventive measures, especially if less-educated individuals visit the dentist only to treat problems; this may help reduce the frequency of negative oral health outcomes, including dental pain.
authors.affiliation: Department of Public Health, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil.
authors.forename: Helena M
authors.initials: HM
authors.lastname: Constante
authors.affiliation: Australian Research Centre for Population Oral Health, The University of Adelaide, Adelaide, Australia.
authors.forename: Marco A
authors.initials: MA
authors.lastname: Peres
authors.affiliation: Department of Public Health, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil.
authors.forename: Fernanda C
authors.initials: FC
authors.lastname: Schroeder
authors.affiliation: Department of Public Health, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil.
authors.forename: João L
authors.initials: JL
authors.lastname: Bastos
mesh_terms: D001938:Brazil; D003430:Cross-Sectional Studies; D003729:Dental Care; D006801:Humans; D011446:Prospective Studies; D014098:Toothache
keywords: adult; dental health services; educational attainment; toothache