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      Auto-avaliação da saúde bucal entre adultos e idosos residentes na Região Sudeste: resultados do Projeto SB-Brasil, 2003 Translated title: Self-rated oral health among Brazilian adults and older adults in Southeast Brazil: results from the SB-Brasil Project, 2003

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          Abstract

          O objetivo deste estudo foi verificar quais fatores de predisposição e facilitação, da condição de saúde bucal, de necessidade de tratamento e de comportamento estão associados à auto-avaliação da saúde bucal entre adultos (35-44 anos) e idosos (65-74 anos) residentes na Região Sudeste do Brasil. Fizeram parte deste trabalho 3.240 pessoas participantes do Projeto SB-Brasil/Região Sudeste. As características daqueles que avaliaram a sua saúde bucal como ótima ou boa foram comparadas às daqueles que avaliaram como regular, ruim ou péssima. No modelo final, as características independentemente associadas à melhor auto-avaliação da saúde bucal entre os adultos foram renda domiciliar per capita > R181,00,nãonecessidadeatualdetratamentoodontológico,municípioderesidênciacommaisde50milhabitantesevisitaaodentistahá>3anos.Entreosidososforam:rendadomiciliarpercapita>R 181,00, não necessidade atual de tratamento odontológico e possuir entre 1 a 19 dentes. Nossos resultados confirmam estudos de outros países, mostrando a existência de associações entre auto-avaliação e fatores de predisposição e facilitação, condição de saúde bucal, necessidade de tratamento e comportamento.

          Translated abstract

          The aim of this study was to determine which characteristics (predisposing and enabling, oral health, perceived need for dental treatment, and behavior) are independently associated with self-rated oral health among adults and older adults in Southeast Brazil. The study was based on 3,240 participants in the SB-Brasil Project/ Southeast. The characteristics of those who rated their oral health as good/very good were compared to those who rated it as fair, poor, or very poor. The following characteristics were significantly and independently associated with better self-rated oral health among adults: monthly household income > US60.00,nocurrentperceivedneedfordentaltreatment,placeofresidenceincitieswith>50,000inhabitants,andvisittothedentist>3yearspreviously.Amongolderadultsthefactorswere:monthlyhouseholdincome>US 60.00, no current perceived need for dental treatment, and 1-19 permanent teeth. Our results confirm those observed in other countries, showing associations between self-rated oral health and predisposing and enabling factors, oral health, perceived need for dental treatment, and behavior.

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          Autopercepção das condições de saúde bucal por idosos

          OBJETIVO: Avaliar a autopercepção das condições de saúde bucal por idosos e analisar os fatores clínicos, subjetivos e sociodemográficos que interferem nessa percepção. MÉTODOS: Participaram do estudo 201 pessoas, dentadas, com 60 anos ou mais, funcionalmente independentes, que freqüentavam um centro de saúde localizado em Araraquara, SP, Brasil. Foi aplicado questionário com questões sobre as características sociodemográficas da amostra, a autopercepção da condição bucal e o índice Geriatric Oral Health Assessment Index (GOHAI). Realizou-se exame clínico para determinar a prevalência das principais doenças bucais. Foram usados testes estatísticos para determinar a associação das variáveis sociodemográficas e clínicas e do índice GOHAI com a autopercepção da condição bucal e a identificação dos preditores da auto-avaliação. RESULTADOS: O exame clínico revelou grande prevalência das principais doenças bucais, apesar de 42,7% das pessoas avaliarem sua condição bucal como regular. As variáveis associadas à auto-avaliação foram: classe social, índice de GOHAI, dentes cariados e indicados para extração. A análise multivariada mostrou que os preditores da auto-avaliação foram o GOHAI, os dentes com extração indicada e o índice Community Periodontal Index and Treatment Needs. Esses preditores explicaram 30% da variabilidade da auto-avaliação. CONCLUSÕES: Concluiu-se que a percepção da saúde bucal teve pouca influência nas condições clínicas, mostrando ser necessário desenvolver ações preventivas e educativas para a população.
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            Perceptions of the natural dentition in the context of multiple variables.

            Perceived oral health status has been shown to be associated with a variety of single clinical and self-reported indicators of oral health and oral health-related behaviors. A behavioral model is utilized which hypothesizes that perceived condition of natural teeth is predicted by multiple factors, including individual demographic and enabling characteristics, other health perceptions and orientations, actual levels of diseases and conditions, and self-defined need for treatment. The data are from the clinical examination and adult questionnaire of Phase 1 (1988-1991) of the Third National Health and Nutrition Examination Survey, which is based on a stratified multistage probability sample to produce nationally representative data for the civilian, non-institutionalized US population. Multivariate hierarchical regressions were used to assess perceived condition of natural teeth in two groups of dentate adults (those with a dental visit during the past 12 months, and those with a less recent dental visit). Self-defined treatment need made a significant, non-trivial contribution after other variables had been controlled. In both subpopulation models, the perception of general health and epidemiological indicators of oral health status were also significant factors. Socio-economic indicators did not contribute significantly in either regression. Understanding components of overall perceptions of oral health moves us closer to understanding oral health behaviors and oral-health-related quality of life.
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              Perceived oral health in a diverse sample.

              Measures of perceived oral health represent subjective, individual perspective of one's health. One measure commonly used is the single-item perceived oral health rating: How would you rate your overall oral health? These analyses examine the associations among age, ethnicity, and perceived oral health within the context of a comprehensive battery of 21 predisposing, enabling, and need variables. The study of compares the adult data from three United States research locations of the International Collaborative Study of Oral Health Outcomes (ICS-II). Only social survey data were used for this analysis. The multiple regression model explains over 30% of the variance in perceived oral health, with R squares ranging from 0.324 for Indian Health Service sites to 0.391 for San Antonio. The most important significant predictors include ethnic group, education, perceived general health status, being edentulous or not having a partial denture, having no oral pain, fewer oral symptoms, and having one or more dental visits. The predictors of positive perceived oral health for the diverse groups highlight interesting age and ethnic differences. The only universal predictor for the middle-aged adults was having fewer oral symptoms. For the older adults, being edentulous or not having a partial denture was the only universal predictor. The findings suggest that perceived oral health may be a useful outcome measure in dentistry because of its relation to predisposing sociodemographics and dental utilization.
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                Author and article information

                Journal
                csp
                Cadernos de Saúde Pública
                Cad. Saúde Pública
                Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz (Rio de Janeiro, RJ, Brazil )
                0102-311X
                1678-4464
                August 2006
                : 22
                : 8
                : 1699-1707
                Affiliations
                [01] Minas Gerais orgnameFundação Oswaldo orgdiv1Centro de Pesquisas René Rachou orgdiv2Núcleo de Estudos em Saúde Pública e Envelhecimento Brasil
                [02] Minas Gerais orgnameUniversidade Federal de Minas Gerais Brasil
                Article
                S0102-311X2006000800018 S0102-311X(06)02200818
                96359d50-bfef-4920-8108-84014a0729ff

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 31 August 2005
                : 06 December 2005
                : 02 December 2005
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 14, Pages: 9
                Product

                SciELO Brazil

                Categories
                Artigos

                Aged,Adult,Oral Health,Idoso,Adulto,Saúde Bucal
                Aged, Adult, Oral Health, Idoso, Adulto, Saúde Bucal

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