@article{ref1,
title="Self-reported symptoms of temporomandibular pain and jaw dysfunction in adolescents is associated with exposure to violence",
journal="Journal of oral rehabilitation",
year="2021",
author="Nascimento, M. and Dahllöf, G. and Cunha Soares, F. and Mayer, Tmas and Kvist, T. and Colares, V.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: Temporomandibular disorders (TMD) are multifactorial, and high levels of stress seem to increase symptoms. The association with exposure to violence has not been explored in adolescent populations. <br><br>OBJECTIVE: To examine the association of self-reported symptoms of temporomandibular pain and jaw dysfunction with child physical abuse, intimate partner violence, forced sexual intercourse, and bullying victimization. <br><br>METHODS: An epidemiological, cross-sectional, school-based study was conducted in Olinda, northeast Brazil. The sample comprised 2,431 adolescents aged 14-19 years. TMD-related symptoms and exposure to violence were assessed with questions from the 3Q/TMD screener and queries on exposure to different forms of violence. Multilevel logistic regressions were conducted to evaluate how 3Q screen-positive responses are associated with self-reported exposure to violence. <br><br>RESULTS: Self-reported TMD-related symptoms had a prevalence of 40.5%. Significantly more females than males screened positive to all 3Q/TMD questions (P < .001). Adolescents experiencing intimate partner violence (P =.012) and bullying (P <.001) had significantly higher odds of 3Q positive responses than those who reported no exposure to violence. Significant associations of TMD-related symptoms with forced sexual intercourse (P =.014) and with bullying (P =.007) were observed. <br><br>CONCLUSION: Adolescents with self-reported symptoms of temporomandibular pain and jaw dysfunction were significantly more often exposed to some type of violence. The number of adolescents reporting TMD-related symptoms increased in a dose-response manner with the number of violence forms the individual had experienced.<p /> <p>Language: en</p>",
language="en",
issn="0305-182X",
doi="10.1111/joor.13171",
url="http://dx.doi.org/10.1111/joor.13171"
}