Introduction: Adverse childhood experiences (ACEs) are negative events occurring before age 18 that may impact health. Children exposed to ACEs often receive inadequate preventive care and have a higher prevalence of diseases like dental caries. However, research on this topic remains limited. This study evaluated the association between ACEs and dental caries in adolescents. Methods: This is a cross-sectional study nested in a cohort performed with a representative sample of preschools from Santa Maria, southern Brazil. This study used data from the last follow-up, with individuals aged between 14 and 18. Data collection was performed through structured questionnaires administered face-to-face and oral clinical examinations. All research team was previously trained and calibrated. Dental caries was measured by International Caries Detection and Assessment System (ICDAS). ACE was evaluated by questions of the Brazilian version of the Adverse Childhood Experiences-International Questionnaire (ACE-IQ), considering alcohol and drug use, suicidal intent, imprisonment, divorce, or death of family members. The co-occurrence of ACEs was also evaluated. Sociodemographic and behavioral variables were used as covariables. Poisson regression models were used to investigate the associations with results present in rate ratio (RR) and 95% confidence interval (CI). Results: A total of 406 adolescents were examined. The mean of teeth with dental caries was 1.45 (standard deviation 3.6). The rate of dental caries was 56% higher in adolescents who lived with someone who has been sent to prison (RR: 1.56; 95% CI: 1.02-1.90) and 22% higher in adolescents who witnessed their parents' divorce (RR: 1.22; 95% CI: 1.02-1.45) compared to those counterparts. The other ACEs separately were not associated with dental caries. Adolescents exposed to one, two, or more ACEs concomitantly had significantly higher caries rates compared to those with no exposure. Conclusion: Individuals who witnessed parental divorce or imprisonment exhibited higher rates of dental caries. Moreover, exposure to one, two, or more concurrent ACEs was associated with higher dental caries rates compared to no exposure. These findings underscore the importance of considering specific ACEs within the family environment when assessing their impact on dental caries.
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Penn State Univ, Dept Biobehav Hlth, 219 Biobehav Hlth Bldg, University Pk, PA 16802 USAPenn State Univ, Dept Biobehav Hlth, 219 Biobehav Hlth Bldg, University Pk, PA 16802 USA
Bomysoad, Rachel N.
;
Francis, Lori A.
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Penn State Univ, Dept Biobehav Hlth, 219 Biobehav Hlth Bldg, University Pk, PA 16802 USAPenn State Univ, Dept Biobehav Hlth, 219 Biobehav Hlth Bldg, University Pk, PA 16802 USA
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Univ Sao Paulo, Sch Dent, Dept Pediat Dent & Orthodont, Sao Paulo, BrazilUniv Sao Paulo, Sch Dent, Dept Pediat Dent & Orthodont, Sao Paulo, Brazil
Brondani, Bruna
;
Knorst, Jessica K.
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h-index: 0
机构:
Univ Fed Santa Maria, Sch Dent, Dept Stomatol, Santa Maria, BrazilUniv Sao Paulo, Sch Dent, Dept Pediat Dent & Orthodont, Sao Paulo, Brazil
Knorst, Jessica K.
;
Ardenghi, Thiago M.
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h-index: 0
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Univ Fed Santa Maria, Sch Dent, Dept Stomatol, Santa Maria, BrazilUniv Sao Paulo, Sch Dent, Dept Pediat Dent & Orthodont, Sao Paulo, Brazil
Ardenghi, Thiago M.
;
Mendes, Fausto M.
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h-index: 0
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Univ Sao Paulo, Sch Dent, Dept Pediat Dent & Orthodont, Sao Paulo, Brazil
Radboud Univ Nijmegen, Res Inst Med Innovat, Dept Dent, Med Ctr, Nijmegen, NetherlandsUniv Sao Paulo, Sch Dent, Dept Pediat Dent & Orthodont, Sao Paulo, Brazil
Mendes, Fausto M.
;
Brondani, Mario A.
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h-index: 0
机构:
Univ British Columbia, Fac Dent, Dept Oral Hlth Sci, Vancouver, BC, Canada
Univ British Columbia, Fac Dent, 116-2199 Wesbrook Mall, Vancouver, BC V6T 1Z3, CanadaUniv Sao Paulo, Sch Dent, Dept Pediat Dent & Orthodont, Sao Paulo, Brazil
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Univ South Carolina, Dept Hlth Serv Policy & Management, Rural & Minor Hlth Res Ctr, Arnold Sch Publ Hlth, Columbia, SC 29208 USAUniv South Carolina, Dept Hlth Serv Policy & Management, Rural & Minor Hlth Res Ctr, Arnold Sch Publ Hlth, Columbia, SC 29208 USA
Crouch, Elizabeth
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Nelson, Joni
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Radcliff, Elizabeth
论文数: 0引用数: 0
h-index: 0
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Univ South Carolina, Dept Hlth Serv Policy & Management, Rural & Minor Hlth Res Ctr, Arnold Sch Publ Hlth, Columbia, SC 29208 USAUniv South Carolina, Dept Hlth Serv Policy & Management, Rural & Minor Hlth Res Ctr, Arnold Sch Publ Hlth, Columbia, SC 29208 USA
Radcliff, Elizabeth
;
Martin, Amy
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Med Univ South Carolina, Dept Stomatol, Div Populat Oral Hlth, Charleston, SC 29425 USAUniv South Carolina, Dept Hlth Serv Policy & Management, Rural & Minor Hlth Res Ctr, Arnold Sch Publ Hlth, Columbia, SC 29208 USA
机构:
Univ Sao Paulo, Sch Dent, Dept Pediat Dent, Sao Paulo, Brazil
Ctr Univ Franciscano, Sch Dent, Santa Maria, RS, BrazilUniv Sao Paulo, Sch Dent, Dept Pediat Dent, Sao Paulo, Brazil
Guedes, Renata S.
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Piovesan, Chaiana
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Univ Sao Paulo, Sch Dent, Dept Pediat Dent, Sao Paulo, Brazil
Ctr Univ Franciscano, Sch Dent, Santa Maria, RS, BrazilUniv Sao Paulo, Sch Dent, Dept Pediat Dent, Sao Paulo, Brazil
Piovesan, Chaiana
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Floriano, Isabela
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Univ Sao Paulo, Sch Dent, Dept Pediat Dent, Sao Paulo, BrazilUniv Sao Paulo, Sch Dent, Dept Pediat Dent, Sao Paulo, Brazil
Floriano, Isabela
;
Emmanuelli, Bruno
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Univ Fed Santa Maria, Dept Stomatol, BR-97119900 Santa Maria, RS, BrazilUniv Sao Paulo, Sch Dent, Dept Pediat Dent, Sao Paulo, Brazil
Emmanuelli, Bruno
;
Braga, Mariana M.
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Univ Sao Paulo, Sch Dent, Dept Pediat Dent, Sao Paulo, BrazilUniv Sao Paulo, Sch Dent, Dept Pediat Dent, Sao Paulo, Brazil
Braga, Mariana M.
;
Ekstrand, Kim R.
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Sch Dent, Fac Hlth Sci, Dept Cariol & Endodont & Clin Genet, Copenhagen, DenmarkUniv Sao Paulo, Sch Dent, Dept Pediat Dent, Sao Paulo, Brazil
Ekstrand, Kim R.
;
Ardenghi, Thiago M.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Fed Santa Maria, Dept Stomatol, BR-97119900 Santa Maria, RS, BrazilUniv Sao Paulo, Sch Dent, Dept Pediat Dent, Sao Paulo, Brazil
Ardenghi, Thiago M.
;
Mendes, Fausto M.
论文数: 0引用数: 0
h-index: 0
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Univ Sao Paulo, Sch Dent, Dept Pediat Dent, Sao Paulo, BrazilUniv Sao Paulo, Sch Dent, Dept Pediat Dent, Sao Paulo, Brazil
机构:
Penn State Univ, Dept Biobehav Hlth, 219 Biobehav Hlth Bldg, University Pk, PA 16802 USAPenn State Univ, Dept Biobehav Hlth, 219 Biobehav Hlth Bldg, University Pk, PA 16802 USA
Bomysoad, Rachel N.
;
Francis, Lori A.
论文数: 0引用数: 0
h-index: 0
机构:
Penn State Univ, Dept Biobehav Hlth, 219 Biobehav Hlth Bldg, University Pk, PA 16802 USAPenn State Univ, Dept Biobehav Hlth, 219 Biobehav Hlth Bldg, University Pk, PA 16802 USA
机构:
Univ Sao Paulo, Sch Dent, Dept Pediat Dent & Orthodont, Sao Paulo, BrazilUniv Sao Paulo, Sch Dent, Dept Pediat Dent & Orthodont, Sao Paulo, Brazil
Brondani, Bruna
;
Knorst, Jessica K.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Fed Santa Maria, Sch Dent, Dept Stomatol, Santa Maria, BrazilUniv Sao Paulo, Sch Dent, Dept Pediat Dent & Orthodont, Sao Paulo, Brazil
Knorst, Jessica K.
;
Ardenghi, Thiago M.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Fed Santa Maria, Sch Dent, Dept Stomatol, Santa Maria, BrazilUniv Sao Paulo, Sch Dent, Dept Pediat Dent & Orthodont, Sao Paulo, Brazil
Ardenghi, Thiago M.
;
Mendes, Fausto M.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Sao Paulo, Sch Dent, Dept Pediat Dent & Orthodont, Sao Paulo, Brazil
Radboud Univ Nijmegen, Res Inst Med Innovat, Dept Dent, Med Ctr, Nijmegen, NetherlandsUniv Sao Paulo, Sch Dent, Dept Pediat Dent & Orthodont, Sao Paulo, Brazil
Mendes, Fausto M.
;
Brondani, Mario A.
论文数: 0引用数: 0
h-index: 0
机构:
Univ British Columbia, Fac Dent, Dept Oral Hlth Sci, Vancouver, BC, Canada
Univ British Columbia, Fac Dent, 116-2199 Wesbrook Mall, Vancouver, BC V6T 1Z3, CanadaUniv Sao Paulo, Sch Dent, Dept Pediat Dent & Orthodont, Sao Paulo, Brazil
机构:
Univ South Carolina, Dept Hlth Serv Policy & Management, Rural & Minor Hlth Res Ctr, Arnold Sch Publ Hlth, Columbia, SC 29208 USAUniv South Carolina, Dept Hlth Serv Policy & Management, Rural & Minor Hlth Res Ctr, Arnold Sch Publ Hlth, Columbia, SC 29208 USA
Crouch, Elizabeth
;
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机构:
Nelson, Joni
;
Radcliff, Elizabeth
论文数: 0引用数: 0
h-index: 0
机构:
Univ South Carolina, Dept Hlth Serv Policy & Management, Rural & Minor Hlth Res Ctr, Arnold Sch Publ Hlth, Columbia, SC 29208 USAUniv South Carolina, Dept Hlth Serv Policy & Management, Rural & Minor Hlth Res Ctr, Arnold Sch Publ Hlth, Columbia, SC 29208 USA
Radcliff, Elizabeth
;
Martin, Amy
论文数: 0引用数: 0
h-index: 0
机构:
Med Univ South Carolina, Dept Stomatol, Div Populat Oral Hlth, Charleston, SC 29425 USAUniv South Carolina, Dept Hlth Serv Policy & Management, Rural & Minor Hlth Res Ctr, Arnold Sch Publ Hlth, Columbia, SC 29208 USA
机构:
Univ Sao Paulo, Sch Dent, Dept Pediat Dent, Sao Paulo, Brazil
Ctr Univ Franciscano, Sch Dent, Santa Maria, RS, BrazilUniv Sao Paulo, Sch Dent, Dept Pediat Dent, Sao Paulo, Brazil
Guedes, Renata S.
;
Piovesan, Chaiana
论文数: 0引用数: 0
h-index: 0
机构:
Univ Sao Paulo, Sch Dent, Dept Pediat Dent, Sao Paulo, Brazil
Ctr Univ Franciscano, Sch Dent, Santa Maria, RS, BrazilUniv Sao Paulo, Sch Dent, Dept Pediat Dent, Sao Paulo, Brazil
Piovesan, Chaiana
;
Floriano, Isabela
论文数: 0引用数: 0
h-index: 0
机构:
Univ Sao Paulo, Sch Dent, Dept Pediat Dent, Sao Paulo, BrazilUniv Sao Paulo, Sch Dent, Dept Pediat Dent, Sao Paulo, Brazil
Floriano, Isabela
;
Emmanuelli, Bruno
论文数: 0引用数: 0
h-index: 0
机构:
Univ Fed Santa Maria, Dept Stomatol, BR-97119900 Santa Maria, RS, BrazilUniv Sao Paulo, Sch Dent, Dept Pediat Dent, Sao Paulo, Brazil
Emmanuelli, Bruno
;
Braga, Mariana M.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Sao Paulo, Sch Dent, Dept Pediat Dent, Sao Paulo, BrazilUniv Sao Paulo, Sch Dent, Dept Pediat Dent, Sao Paulo, Brazil
Braga, Mariana M.
;
Ekstrand, Kim R.
论文数: 0引用数: 0
h-index: 0
机构:
Sch Dent, Fac Hlth Sci, Dept Cariol & Endodont & Clin Genet, Copenhagen, DenmarkUniv Sao Paulo, Sch Dent, Dept Pediat Dent, Sao Paulo, Brazil
Ekstrand, Kim R.
;
Ardenghi, Thiago M.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Fed Santa Maria, Dept Stomatol, BR-97119900 Santa Maria, RS, BrazilUniv Sao Paulo, Sch Dent, Dept Pediat Dent, Sao Paulo, Brazil
Ardenghi, Thiago M.
;
Mendes, Fausto M.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Sao Paulo, Sch Dent, Dept Pediat Dent, Sao Paulo, BrazilUniv Sao Paulo, Sch Dent, Dept Pediat Dent, Sao Paulo, Brazil