• Atencion primaria · Aug 2019

    Multicenter Study

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

    • Sara Calderón Larrañaga, Manuela Expósito Ruiz, Pilar Cruz Vela, Ana Cuadrado Conde, Lucía Alquézar Villarroya, Ana Garach Gómez, Alberto Ruiz Hernández, and Isabel Toral López.
    • Centro de Salud Cartuja, Granada, España. Electronic address: sarakalde@gmail.com.
    • Aten Primaria. 2019 Aug 1; 51 (7): 416-423.

    ObjectiveTo evaluate the short and medium term effectiveness of a Primary Care-driven oral health promotion intervention.DesignA non-randomised community intervention trial.SettingThree socio-demographically similar primary schools of a deprived neighborhood in Granada, Spain.ParticipantsEighty-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.InterventionSchool-based health promotion activities aimed at students, and regular meetings with the teachers and parents of the IS during 2 consecutive years.Main MeasurementsStudents' oral health-related knowledge and behavior, assessed via questionnaires distributed before the intervention, and 6 and 18 months afterwards.ResultsCompared 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.ConclusionsSchool-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.Copyright © 2018 The Authors. Publicado por Elsevier España, S.L.U. All rights reserved.

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