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1.
Rev. CEFAC ; 25(5): e6822, 2023. tab, graf
Article in English | LILACS-Express | LILACS | ID: biblio-1514763

ABSTRACT

ABSTRACT Purpose: to map health determinants associated with exclusive breastfeeding. Methods: a scoping review conducted according to the JBI methodology and recommendations in PRISMA-Extension for Scoping Reviews. Data were collected in the MEDLINE/PubMed, LILACS, CINAHL, Scopus, and EMBASE databases and in the Brazilian Digital Library of Theses and Dissertations for the grey literature. The results were synthesized and organized into three theoretical models: distal, intermediate, and proximal. Literature Review altogether, 3,998 titles were found, of which 145 were included in the review, after all selection stages. They had various methodological designs and were published between 2002 and 2022. The following health determinants associated with exclusive breastfeeding were mapped: maternal educational attainment, family income, attendance to and frequency of prenatal care, breastfeeding guidance and practices, time until first breastfeeding, newborn's sex, maternal employment and maternity leave, pacifier use, and exclusive breastfeeding guidance at health services. Conclusion: determinants that can facilitate or hinder exclusive breastfeeding are extrinsic and intrinsic to the mother and infant. Public policies are needed to protect every person's right to breastfeeding.


RESUMO Objetivo: mapear os determinantes em saúde associados ao aleitamento materno exclusivo. Métodos: revisão de escopo realizada seguindo a metodologia do JBI, concomitantemente com as recomendações do checklist PRISMA-Extension for Scoping Reviews. A coleta de dados foi realizada nas bases de dados Medline/PubMed, Lilacs, Cinahl, Scopus e Embase e, para identificação da literatura cinzenta, utilizou-se a Biblioteca Digital Brasileira de Teses e Dissertações. A síntese dos resultados foi organizada em três modelos teóricos: distal, intermediário e proximal. Revisão da Literatura: foram encontrados 3.998 títulos e, após todas as etapas de seleção, foram incluídos 145 estudos, de diferentes desenhos metodológicos, publicados entre os anos de 2002 e 2022. Foram mapeados como determinantes em saúde associados ao aleitamento materno exclusivo: escolaridade materna, renda familiar, realização e número de consultas no pré-natal, orientação e práticas do aleitamento materno, tempo até a primeira mamada, sexo do recém-nascido, trabalho materno e licença-maternidade, uso de chupeta e orientações sobre aleitamento materno exclusivo nos serviços de saúde. Conclusão: os determinantes que podem facilitar ou dificultar o aleitamento materno exclusivo são extrínsecos e intrínsecos ao binômio mãe e bebê, e fazem-se necessárias políticas públicas que protejam o direito de amamentação de qualquer ser humano.

2.
Rev. odontol. UNESP (Online) ; 51: e20220027, 2022. tab
Article in English | LILACS, BBO | ID: biblio-1409930

ABSTRACT

Introdução: Traumatismos dentários são considerados problema de saúde pública, sendo a segunda maior demanda de urgências odontológicas, tendo sua maior ocorrência em ambiente escolar, atribuindo aos professores a responsabilidade de adotar as primeiras condutas. Objetivo: Avaliar o conhecimento de acadêmicos do último ano dos cursos de educação física e pedagogia da Universidade Federal do Espírito Santo frente aos traumatismos dentários. Material e método: Estudo descritivo transversal onde foram aplicados 106 questionários, sendo 55 no curso de pedagogia e 51 no curso de educação física envolvendo dados sociodemográficos e conhecimento sobre injúrias dentárias. A análise estatística foi feita por meio do pacote estatístico SPSS 20. Resultado: 98,1% dos entrevistados não tiveram treinamento sobre traumatismos, 92,5% não se julgam aptos a prestar socorro diante de um trauma, mas consideram importante (55,7%). Sobre a avulsão dentária a maioria respondeu que não reimplantaria e não possuem conhecimento sobre o tempo apropriado bem como é feito o armazenamento/transporte do elemento dentário. Conclusão: Os futuros docentes demonstraram despreparo e conhecimento deficiente diante das condutas em traumatismos, favorecendo prognósticos desfavoráveis, impactando negativamente na qualidade de vida das vítimas, no tocante a aspectos estéticos, funcionais e psicológicos. Evidencia-se, portanto, necessidade de treinamento e capacitação destes durante sua formação profissional


Introduction: Dental trauma is considered a public health problem, being the second most prominent dental emergency, whose greatest occurrence is in schools, assigning teachers the responsibility of administering first aid. Objective: To evaluate the knowledge of dental trauma among final-year's students of pedagogy and physical education courses at the Federal University of Espírito Santo. Material and method: A cross-sectional descriptive study was applied. A total of 106 questionnaires were answered by 55 students from the physical education course and 51, from the pedagogy course; comprised of ciodemographic data and knowledge of dental injuries. Statistical analysis was done using the statistical package SPSS 20. Result: 98.1% of the interviewees had no training on trauma, 92.5% considered themselves incapable of providing help when facing trauma, but considered the ability important (55.7%). When asked about tooth avulsion, most of them answered that they would not reimplant the tooth, were not aware of the appropriate time window to do so, or how the storage/transportation of the dental element was to be done. Conclusion: These future teachers showed unpreparedness and deficient knowledge Evaluation of the knowledge regarding trauma treatment procedures, favoring unfavorable prognoses which would negatively impact the quality of life of the victims in terms of aesthetic, functional and psychological aspects. Therefore, the need for dental trauma education during their professional training is evident


Subject(s)
Physical Education and Training , Prognosis , Teaching , Public Health , Tooth Injuries , Knowledge , Surveys and Questionnaires , Data Interpretation, Statistical , Faculty
3.
Rev. odontol. UNESP (Online) ; 51: e20220001, 2022. tab
Article in Portuguese | LILACS, BBO | ID: biblio-1409931

ABSTRACT

Introdução: A situação atual caracterizada por uma pandemia causada pela cepa de coronavírus 2019 (COVID-19) estabelece essa crise de saúde pública como uma calamidade de preocupação global, devido à alta virulência e ao elevado poder de disseminação desse novo vírus na população, fator este que está desencadeando grandes transtornos de ansiedade não só na população, mas também nos profissionais da área da saúde. Objetivo: Analisar os níveis de ansiedade em professores do curso de Odontologia da Universidade Federal do Espírito Santo (UFES) durante a pandemia da COVID-19. Material e método: Estudo transversal no qual foram avaliados os níveis de ansiedade de acordo com a presença de sintomas de ansiedade em 48 professores do curso de Odontologia da UFES que responderam a dois questionários autoaplicáveis: o questionário Beck Anxiety Inventory (BAI) e outro questionário que caracterizou o perfil sociodemográfico dos respondentes no período de 30 de agosto de 2020 a 30 de outubro de 2020. Foram utilizados estatística descritiva e os testes qui-quadrado e o exato de Fisher para analisar as associações entre as variáveis, e também o Odds Ration. Resultado: Os resultados demonstraram que a maioria dos docentes - n=20, (41,7%) - apresentam pelo menos um nível de ansiedade e sintomatologias referentes a essa condição, porém, sem diferenças estatisticamente significativas. Conclusão: Constata-se que, frente às demandas atuais, precisam estimular a construção crítica dos indivíduos para que aprendam a conviver na sociedade como sujeitos conscientes, reflexivos e participativos, mas para isso é fundamental que também estejam física e mentalmente saudáveis.


Introduction: The current situation characterized by a pandemic caused by the coronavirus disease (COVID-19) establishes this public health crisis as a global calamity, due to the increased virulence and higher transmissibility of this new variant of the CoV virus, a factor which is triggering major anxiety disorders, not only in the general population, but also among health professionals. Objective: To analyze the levels of anxiety in professors of the Dentistry Course at the Federal University of Espírito Santo (UFES) during the COVID-19 outbreak. Material and method: This is a cross-sectional study, in which anxiety levels were evaluated according to the presence of symptoms in 48 professors of the Dentistry course at UFES who answered two self-administered questionnaires: the Beck Anxiety Inventory (BAI) scale and another survey that aimed to identify the sociodemographic profile of the participants, the present study was conducted from August 30, 2020 to October 30, 2020. Descriptive statistics, chi-squared and Fisher's exact tests were used to analyze the associations between the variables as well as the odds ratio. Result: The results showed that most professors - n=20, (41.7%) - do experience at least one level of anxiety and symptoms related to this condition, albeit, without statistically significant differences. Conclusion: It appears that in the face of current demands, we need to stimulate the construction of critical thinking so that people may learn to live in society as conscious, thoughtful and proactive individuals, furthermore, it is essential that they are both physically and mentally healthy.


Subject(s)
Anxiety , Surveys and Questionnaires , Dentistry , Faculty , COVID-19
4.
Article in English | LILACS, BBO | ID: biblio-1365238

ABSTRACT

Abstract Objective: To verify the association between impacts produced by tooth loss and sociodemographic variables in the oral health-related quality of life (OHRQoL) in the elderly. Material and Methods: This is an analytical cross-sectional study carried out in the municipality of Vitória/ES, Brazil, which sample was composed of 402 older adults. The Oral Health Impact Profile (OHIP-14) was used to measure the individuals' OHRQoL. For data analysis, descriptive and bivariate analyses were performed using the Fisher's exact test and the Mantel-Haenzsel test to assess the effects of combined dimensions. The significance level adopted was 5%. To assess the strength of association between independent variables and dimensions, Odds-Ratio (OR) with 95% confidence interval (CI) was calculated. Results: The prevalence of negative impact on OHRQoL in the elderly was 32.6%. The greatest impact perception was found in individuals with up to 10 years of schooling (p=0.021 and OR=1.602), with need for removable partial dentures (p=0.000 and OR=2.873) and those who did not accept the loss of dental elements (p=0.000 and OR=3.064). Conclusion: Older female adults with socioeconomic class C/D-E, with up to 10 years of schooling, who lost 11 or more teeth, who declared the need for removable partial dentures, suffered greater impacts caused by tooth loss on OHRQoL.


Subject(s)
Humans , Male , Female , Middle Aged , Aged , Aged, 80 and over , Quality of Life/psychology , Aged , Oral Health/education , Dental Care for Aged , Tooth Loss/pathology , Sickness Impact Profile , Social Class , Brazil/epidemiology , Demography , Cross-Sectional Studies/methods , Surveys and Questionnaires , Data Interpretation, Statistical , Mouth, Edentulous , Denture, Partial, Removable
5.
RGO (Porto Alegre) ; 70: e20220034, 2022. tab, graf
Article in English | LILACS-Express | LILACS, BBO | ID: biblio-1406501

ABSTRACT

ABSTRACT This study aimed to identify the instruments used to measure the quality of life related to oral health (HRQoL) as well as the measures that were adapted for the Portuguese language of Brazil. This is an integrative review whose inclusion criteria were papers in Portuguese, English and Spanish, published and indexed in databases Medline (PubMed) and Virtual Health Library (BVS). One thousand two hundred and sixty papers submitted, fifty-five were considered eligible for review, from which the following information was extracted: instrument; composition; community; sample size; measured domains / dimensions; and author, year, country. Subsequently, the data related to the translation and cultural adaptation processes for the Portuguese language of Brazil were collected in order to evaluate the psychometric properties of each study. The studies of this review show that the HRQoL theme has remained in evidence since the creation of the first instruments and seems not to be close to being exhausted. Of the 36 instruments presented, only 17 articles were identified in the databases assessed for cross-cultural adaptation to Brazilian Portuguese and validation of psychometric properties. Thus, despite the enormous dissemination of instruments, the need for translation, adaptation in the language and analysis of psychometric properties was pointed out in this study.


RESUMO Objetivou-se identificar os instrumentos utilizados para medir a qualidade de vida relacionada à saúde bucal (QVRSB) bem como as medidas que foram adaptadas para a língua portuguesa do Brasil. Trata-se de uma revisão integrativa, cujos critérios de inclusão foram artigos nos idiomas português, inglês e espanhol, publicados e indexados nas bases de dados Medline (PubMed) e Biblioteca Virtual em Saúde. Dentre os 1.260 artigos levantados, 55 foram considerados elegíveis para a revisão dos quais se extraíram as seguintes informações: instrumento; composição; público-alvo; tamanho da amostra; domínios/dimensões medidas; e autor, ano, local. Posteriormente, foram levantados os dados referentes aos processos de tradução e adaptação cultural para o idioma português do Brasil com a finalidade de avaliar os dados referentes às propriedades psicométricas de cada estudo. Os estudos desta revisão mostram que a temática QVRSB se mantem em evidência desde a criação dos primeiros instrumentos e parece não estar perto de se esgotar. Dos 36 instrumentos apresentados, apenas 17 artigos foram identificados nas bases de dados avaliadas quanto a adaptação transcultural para o idioma português do Brasil e validação das propriedades psicométricas. Assim, apesar da enorme difusão de instrumentos, a necessidade de tradução, adaptação no idioma e análise das propriedades psicométricas foi apontada neste estudo.

7.
Ciênc. Saúde Colet. (Impr.) ; 24(11): 4093-4102, nov. 2019. tab
Article in Portuguese | LILACS | ID: biblio-1039529

ABSTRACT

Resumo A dor dentária é um problema de saúde pública que causa grande incômodo aos usuários de substâncias psicoativas. Objetivou-se determinar a prevalência de dor dentária e suas associações em usuários de substâncias psicoativas dos CAPS AD dos municípios de Vitória, Vila Velha e Serra, ES, Brasil. Um estudo transversal foi realizado com 280 participantes, entre junho de 2015 e fevereiro de 2016, por meio de cinco roteiros, um para os dados sociodemográficos e percepção de saúde, outro para saúde bucal, o Oral Health Impact Profile, o Alcohol Smoking and Substance Involvement Screening Test e o World Health Organization Quality of Life. Os dados foram organizados em tabelas de frequência, analisados com o pacote estatístico SPSS 20, as comparações foram feitas com o teste de Fisher e Odds Ratio (OR) foi utilizado para verificar a força da associação entre as variáveis. A prevalência de dor na população estudada foi de 59,3% e os indivíduos que apresentaram impacto das condições bucais na qualidade de vida, tiveram 2,2 vezes mais chances de relatar dor de dente nos últimos 6 meses. A população estudada apresentou alta prevalência de dor dentária, o estudo aponta que a dor dentária interfere na qualidade de vida dos usuários de substâncias psicoativas que utilizam os serviços dos CAPS AD dos três municípios.


Abstract Toothache is a public health problem that causes great inconvenience to psychoactive substances users. The objective was to verify the prevalence of dental pain and its associations among psychoactive substances users from Alcohol and Drug Psychosocial Care Centers (CAPS AD) in Vitoria, Vila Velha and Serra, Espírito Santo, Brazil. A transversal study was conducted with 280 participants between June 2015 and February 2016, using five scripts: one for socio-demographic data and health perception; another for oral health; the Oral Health Impact Profile; the Alcohol Smoking and Substance Involvement Screening Test and the World Health Organization Quality of Life Test. Data were organized in frequency tables and analyzed with the SPSS 20 statistical package. Comparisons were made with Fisher's test and the Odds Ratio (OR) was used to check the strength of the association between the variables. The prevalence of pain in the population studied was 59.3%, and individuals whose quality of life was impacted due to their oral conditions were 2.2 times more likely to report toothache in the last 6 months. The population studied showed a high prevalence of dental pain and the study indicates that dental pain interferes in the quality of life of psychoactive substances users who are treated at CAPS AD services in these three cities.


Subject(s)
Humans , Male , Female , Adult , Aged , Aged, 80 and over , Young Adult , Quality of Life , Toothache/epidemiology , Oral Health , Substance-Related Disorders/epidemiology , Psychotropic Drugs/administration & dosage , Brazil/epidemiology , Prevalence , Cross-Sectional Studies , Middle Aged
8.
Article in English | LILACS, BBO | ID: biblio-1056828

ABSTRACT

Abstract Objective: To verify the impact produced by oral disorders on the quality of life of adolescents. Material and Methods: This is a cross-sectional study with a random sample of 680 individuals aged 15-19 years from public schools of Vitória, Brazil. The impact was assessed using the Oral Health Impact Profile (OHIP 14). Data were descriptively analyzed and then univariate analyses were performed with the Chi-square test and Fischer's exact test. The Mantel-Haenzsel test was used to evaluate the effects of the combined dimensions and Odds Ratio to evaluate the strength of the association. Logistic regression models were adjusted for each OHIP dimension Results: The impact on the quality of life was 26.2%, more frequently in the psychological discomfort dimension. The highest perception of impact was in female subjects, in physical pain (p=0.009, OR=1.998) and psychological discomfort dimensions (p=0.050, OR=1.495). In variable maternal education, children of mothers with only complete elementary education are 1.6 times more likely to have an impact on the quality of life in the psychological discomfort dimension (OR=1.6 95% CI=1.037, 2.474). Halitosis was the independent variable with the highest frequency of impact in the combined Mantel-Haenszel test, and OR was found to be 2.81 (95% CI=1.670, 3.366) for individuals who perceive halitosis. In the logistic regression analysis in the seven OHIP dimensions, the results confirm that the variables that explain impact are gender (p=0.035, OR = 1.502) and halitosis (p<0.001, OR=2.365) Conclusion: Oral health problems significantly affect the quality of life of adolescents and that subjective indicators are important tools to determine the need for treatment, improving oral health and quality of life of this population.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Quality of Life , Brazil/epidemiology , Oral Health , Adolescent Health , Malocclusion/diagnostic imaging , Chi-Square Distribution , Logistic Models , Cross-Sectional Studies/methods , Education, Primary and Secondary
9.
RGO (Porto Alegre) ; 67: e20190039, 2019. tab
Article in English | LILACS | ID: biblio-1040934

ABSTRACT

ABSTRACT Objective To evaluate the impact of oral health on quality of life and to examine the association with sociodemographic, clinical staging and dental variables in women diagnosed with breast cancer. Methods This is an observational cross-sectional study with sample composed of 89 women treated at a Reference Hospital in Vitória, Espírito Santo, Brazil, between January and December 2012. Two scripts in the form of interviews were used, one to record participants' information; and the Oral Health Impact Profile (OHIP-14), to evaluate the impacts produced by the oral condition on quality of life. Descriptive analysis of data was performed. The comparison of the percentage of the impact dimensions with independent variables was tested by the chi-square test or the Fisher exact test, when appropriate. To assess the strength of association between exposure and event, odds ratio was calculated. Significance level of 5% was adopted. Results The impact was 28.1%, there was a statistically significant association with variables income (p = 0.039) and reason for the visit to the oral health professional (p = 0.012). Conclusion Studies on quality of life of cancer patients are of fundamental importance for understanding the impact of oral health problems on quality of life.


RESUMO Objetivo Avaliar o impacto produzido por problemas bucais na qualidade de vida; e examinar a associação com as variáveis sociodemográficas, odontológicas e de estadiamento clínico em mulheres com diagnóstico de câncer de mama. Métodos Estudo observacional transversal. Amostra composta por 89 mulheres atendidas em um hospital de referência em Vitória, Espírito Santo, Brasil, entre janeiro e dezembro de 2012. Utilizaram-se dois roteiros na forma de entrevista, um para registro das informações das participantes; e o Oral Health Impact Profile (OHIP-14), para avaliar os impactos produzidos pela condição bucal sobre a qualidade de vida. Realizou-se análise descritiva dos dados. A comparação dos percentuais das dimensões do impacto com as variáveis independentes foi verificada pelo teste qui-quadrado ou pelo teste exato de Fisher, quando apropriado. Para avaliar a força da associação entre evento e exposição, calculou-se o odds ratio. Adotou-se o nível de significância de 5%. Resultados O impacto foi de 28,1%, houve associação estatisticamente significante com as variáveis renda (p=0,039) e motivo da visita ao profissional de saúde bucal (p=0,012). Conclusão Estudos sobre qualidade de vida em pacientes oncológicos são de fundamental importância na compreensão do impacto dos problemas bucais em sua vida.

10.
Ciênc. Saúde Colet. (Impr.) ; 23(2): 471-480, Fev. 2018. tab, graf
Article in Portuguese | LILACS | ID: biblio-890532

ABSTRACT

Resumo Objetivou-se examinar a associação entre os eventos de vida pós-diagnóstico de câncer de mama e o aparecimento de metástase. Estudo transversal realizado com 300 mulheres atendidas em um hospital de referência em oncologia no Espírito Santo. Utilizou-se o instrumento "Life Events Units- LEU/VAS", para avaliar os eventos de vida relatados pelas mulheres. Os dados foram analisados através dos testes não paramétrico de Wilcoxon e qui-quadrado. Foi realizado cálculo de "odds ratio" para as variáveis associadas à metástase. Identificou-se que 21% da amostra relatou pelo menos um evento de vida após o diagnóstico. Das 46 mulheres que evoluíram para metástase, 20 relataram um ou mais eventos de vida (p = 0,001). O "odds ratio" calculado aponta que ter eventos de vida pós-diagnóstico aumenta em 2,59 (1,37 - 4,91; p = 0,003) vezes a chance de desenvolver metástase. Quando considerado o tempo transcorrido entre o diagnóstico e o surgimento da metástase observou-se uma mediana de 18,0 meses. O estudo mostra uma relação entre eventos de vida e metástase, entretanto, ressalta-se a importância de uma análise mais complexa para compreender melhor os impactos causados por esses eventos no surgimento e na progressão do câncer de mama.


Abstract The objective was to examine the association between life events post diagnosis of breast câncer and metastasis. Cross-sectional study with 300 women attending a reference hospital in oncology in the Espírito Santo. Was used the instrument Life Events Units-LEU/VAS to evaluate life events reported by women. Data were analyzed by using the nonparametric Wilcoxon and chi-square tests. It was performed odds ratio calculation for the variables associated with metastasis. It was found that 21% of the sample reported at least one life event post diagnosis. Of the 46 women who developed metastases, 20 reported one or more life events (p = 0.001). The odds ratio calculated shows that having life events post diagnosis increases by 2.59 (1,37 - 4,91; p = 0,003) times the chance of developing metastasis. When considering the time between diagnosis and the onset of metastasis there was a median of 18.0 months. The study shows a relationship between life events and metastasis, however emphasize the importance of a more complex analysis to better understand the impacts of these events on the onset and progression of breast cancer.


Subject(s)
Humans , Female , Adult , Aged , Breast Neoplasms/pathology , Life Change Events , Time Factors , Brazil/epidemiology , Cross-Sectional Studies , Risk Factors , Statistics, Nonparametric , Disease Progression , Middle Aged , Neoplasm Metastasis
11.
Pesqui. bras. odontopediatria clín. integr ; 18(1): 3800, 15/01/2018. tab
Article in English | LILACS, BBO | ID: biblio-966888

ABSTRACT

Objective: To verify the knowledge of dental students about the correct use of fluoride dentifrices above 1000 pmm fluorine for children aged 0-6 years old. Material and Methods: This is a cross-sectional study in which self-administered questionnaires were administered to 355 dental students from sixth to ninth or tenth graduation period. The questionnaires included questions regarding knowledge of the need to use, concentration, amount, frequency and potential adverse effects of the use of conventional fluoride dentifrices above 1000 ppm of fluorine by children up to six years of age, as well as the mechanism of action and the method of using fluorides that has the most scientific evidence. A descriptive analysis of data was performed. Results: 83.1% of students reported receiving content on the use of fluoride dentifrices in early childhood. Most students consider the use of fluoride dentifrice as important for the age group from zero to three years (73.8%) and from three to six years (96.4%). Only 17.7% would indicate fluoride toothpaste above 1000 ppm fluoride for children from zero to three years and 40.6% for three to six years. 76.9% believe that the amount of ideal refers to a grain of rice (0-3 years) and 61.7% of pea grain (3-6 years). 43.4% of students believe that fluoride dentifrices as an adverse effect the potential to cause fluorosis independent of concentration. Conclusion: The students evaluated were misleading about the fluoride concentration of the dentifrices indicated for children up to six years of age; on the toxicity of fluorine; action mechanism of fluorides and the scientific method of greater scientific evidence on caries disease. Failures in training and need to update fluoride contents to be taught to future dentistry professionals are evident.


Subject(s)
Humans , Male , Female , Infant , Child, Preschool , Child , Students, Dental , Brazil , Child, Preschool , Dental Caries/prevention & control , Dentifrices/administration & dosage , Fluorides , Fluorine/toxicity , Child , Cross-Sectional Studies/methods , Surveys and Questionnaires , Data Interpretation, Statistical
12.
Pesqui. bras. odontopediatria clín. integr ; 18(1): 3769, 15/01/2018. tab
Article in English | LILACS, BBO | ID: biblio-966893

ABSTRACT

Objective: To evaluate the impact on quality of life caused by oral health problems among administrative sector employees of a mixed-economy company, residents in Vitória, Brazil. Material and Methods: This cross-sectional study used a random sample of 167 individuals. Quality of life measured by the subjective indicator OHIP-14, was the outcome considered; independent variables were sociodemographic, oral health dental services use and perceived prosthesis need. OHIP evaluates impairments in the three dimensions of social, psychological and physical functional conditions. To evaluate differences between groups, Chi-Square and Fisher's Exact Tests were used (p<0.05). To assess the strength of association, Odds-Ratio was calculated. Results: The health professional most sought by individuals in the last 12 months was the dentist (88.5%), agreed by the company (62.6%) due to prevention reasons (62.6%). The prevalence of impact caused by oral health problems was 7.8% and most recorded dimensions were physical pain (6%) and psychological discomfort (5.4%). Impact perception was greater among individuals who declared need for partial removable denture at functional limitation and psychological incapacity dimensions. Subjects that used urgency oral health services presented more impact at psychological discomfort dimension. Conclusion: The impact frequency was low. Objective and subjective measures can provide accurate analysis to support health policies directed to the real population needs.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Quality of Life/psychology , Brazil/epidemiology , Oral Health , Occupational Health/statistics & numerical data , Sickness Impact Profile , Socioeconomic Factors , Chi-Square Distribution , Cross-Sectional Studies/methods , Health Personnel
13.
Rev. bras. ciênc. saúde ; 22(3): 203-212, 2018. tab
Article in Portuguese | LILACS | ID: biblio-914456

ABSTRACT

Objetivos: Avaliar prevalência de doenças bucais e sua associação com variáveis sociodemográficas e clínicas em mulheres com diagnóstico de câncer de mama e em tratamento. Material e Métodos: Trata-se de um estudo analítico, transversal, composto por 89 participantes. Foi realizado exame clínico ­ cárie, xerostomia, gengivite e afta; entrevista utilizando um roteiro semiestruturado para coleta de dados. Realizou-se análise descritiva dos dados. Os testes exato de Fisher e qui-quadrado foram utilizados para verificar possíveis associações, considerou-se nível de significância de 5%. Resultados: Mulheres acima de 50 anos de idade representaram 25,8% da população estudada, ensino fundamental incompleto (36%), raça/cor branca (64%), condição socioeconômica C (57,3%) e renda de até dois salários mínimos (38,2%). Houve predomínio da necessidade de uso de prótese (60,7%) devido ao grande número de dentes perdidos (média de 17,9). As pacientes com maior faixa etária apresentaram maior prevalência de xerostomia e maior número de dentes extraídos. Conclusão: Houve alterações bucais de associação aos tratamentos do câncer, como a necessidade de próteses dentárias, xerostomia, gengivites e aftas. Com o aumento da faixa etária, aumentouse também a extração dos dentes, a prevalência da xerostomia e da gengivite. Xerostomia esteve associada a raça/cor branca e uso de anti-hipertensivos. (AU)


Objective: To evaluate the prevalence of oral diseases and their association with sociodemographic and clinical variables in women diagnosed with breast cancer undergoing treatment. Material and Methods: This is an analytical, crosssectional study, composed of 89 participants. Clinical examination was performed to check for dental caries, xerostomia, gingivitis and cold sore. Participants were interviewed using a semistructured script and the data were analyzed descriptively. Fisher's exact and chi-square tests were used to verify possible associations, with a 5%significance level. Results: Women aged over 50 years accounted for 25.8% of the study population, with a predominance of incomplete elementary school (36%), White race (64%), socioeconomic condition "C class" (57.3%) and income up to two minimum wages (38.2%). There was a predominance of the use of dentures(60.7%) due to the large number of missing teeth (mean of 17.9). Older patients had a higher prevalence of xerostomia and a higher number of extracted teeth. Conclusion: There were oral alterations associated with cancer treatment, such as the need for dentures, xerostomia, gingivitis and canker sores. As the age range increased, tooth extraction, xerostomia prevalence and gingivitis were also increased. Xerostomia was associated with white race and use of anti hyper tensives. (AU)


Subject(s)
Humans , Female , Breast Neoplasms , Dental Caries , Gingivitis , Oral Health , Xerostomia
14.
Arq. odontol ; 52(2): 111-116, abr.-jun. 2016. tab
Article in Portuguese | LILACS, BBO | ID: biblio-827367

ABSTRACT

Objetivo: Verificar a prevalência de mordida aberta anterior e possíveis associações com variáveis sociodemográficas, hábitos de sucção não nutritivos e mamadeira em crianças de 3 a 5 anos. Métodos: Estudo transversal utilizou uma amostra aleatória obtida de uma população de 388 crianças matriculadas em escolas públicas da zona rural e urbana de um município da Região Sudeste. Para o cálculo amostral utilizou-se como parâmetros uma prevalência de 20%, nível de confiança de 95% e margem de erro de 5%. Foi calculada uma amostra mínima de 150 crianças e adotado um critério de substituição para garantir o poder amostral, envolvendo o sorteio de uma nova criança sorteada da mesma escola. A coleta de dados foi realizada em duas etapas. A primeira constituiu-se de um questionário dirigido aos responsáveis para obter dados sobre escolaridade materna, idade, gênero e a presença de hábitos deletérios ­ uso de mamadeira e sucção digital e chupeta; a segunda etapa, de um exame clínico conduzido por três examinadores previamente treinados, para detectar a presença de mordida aberta anterior. O exame foi realizado com a criança sentada de frente para o examinador, utilizando espátulas de madeira com 2 mm de espessura e sob luz natural. Para a confirmação da presença de mordida aberta anterior, o examinado deveria estar em oclusão cêntrica e não ocorrer a apreensão da espátula. O Teste Qui-quadrado foi utilizado para verificar a possível associação entre as variáveis. O projeto de pesquisa foi aprovado pelo CEP da UFES. Resultados: Foi encontrada uma prevalência de 16% de mordida aberta anterior, associada ao gênero masculino (p=0,008), sucção digital (p=0,011), ao uso de mamadeiras (p=0,026) e chupetas (p<0,001). Conclusão: A prevalência de mordida aberta em crianças pré- escolares foi considerada importante e significativamente associada com hábitos de sucção.(AU)


Aim: This study aimed to assess the prevalence of anterior open bite and possible associations with sociodemographic variables as regards non-nutritive sucking habits and the use of baby bottles in 3-5-year-old children. Methods: Cross sectional study with longitudinal design used a random sample selected from a population of 388 children, enrolled in public schools, in rural and urban areas of a southeastern Brazilian city. This sample was calculated based on the following parameters: prevalence of 20%, a confidence interval of 95%, and a 5% error, which resulted in a final sample of 150 children. A substitution criteria was adopted considering a new child that was randomly selected from the same school. Data collection was performed in two stages. The first consisted of a questionnaire directed towards the parents to obtain information about mother's education, age, gender, sucking habits, and bottlefeeding; the second stage was a clinical examination, carried out by three previously trained examiners to detect the presence of anterior open bite. The exams were performed with children seated in front of the examiner using a 2 mm wooden spatula and under natural light. To confirm the presence of anterior open bite, the examined child should present centric occlusion and not bit the spatula. The chi-square test was used to verify the possible association among the variables. The research project was approved by the Ethics Committee of UFES. Results: A prevalence of 16 % of anterior open bite was found, and it was associated with male gender (p=0.008), finger sucking (p=0.011), use of bottles (p=0.026) and pacifiers (p<0.001). Conclusion: Prevalence of anterior open bite in preschool children was considered important and significantly associated with sucking habits.(AU)


Subject(s)
Humans , Child, Preschool , Child , Malocclusion , Open Bite , Cross-Sectional Studies , Nursing Bottles , Sucking Behavior
15.
Pesqui. bras. odontopediatria clín. integr ; 16(1): 269-278, jan.-dez. 2016. tab
Article in English | LILACS, BBO | ID: biblio-912452

ABSTRACT

Objective: To evaluate the impact of oral problems on the quality of life of women before and during chemotherapy for breast cancer. Material and Methods: A longitudinal study was conducted on women with breast cancer at a Hospital reference, Espírito Santo, Brazil from January 2012 to January 2013. Assessment was performed at three time-points, the first before the onset of therapeutic intervention, the second after the first chemotherapy session, and the third after the second chemotherapy session. The volunteers were assessed using interviews that included the application of the subjective indicator Oral Health Impact Profile (OHIP-14). The data were subjected to descriptive analysis based on tables of absolute and percentage frequencies relative to the OHIP-14 dimensions. McNemar's test assessed the direction of discordance, and the Kappa test measured the levels of concordance among the three assessments. The significance level was established at 5%. Results: The percent frequency of the impact of oral problems on the quality of life increased from the first (27%) to the second (49%) time-point, and functional limitation (p=0.001), physical pain (p=0.039), and physical disability (p=0.039) were statistically significant. Conclusion: Oral problems exerted a substantial impact on the volunteers' quality of life before the onset of chemotherapy, and quality of life became poorer after the onset of treatment. Patients with breast cancer require specific oral care and should be monitored before, during, and after anticancer treatment to minimize the deleterious effects of chemotherapy and improve their quality of life.


Subject(s)
Humans , Male , Female , Breast Neoplasms/drug therapy , Drug Therapy , Oral Manifestations , Quality of Life/psychology , Sickness Impact Profile , Women , Brazil , Chi-Square Distribution , Interviews as Topic/methods , Longitudinal Studies
16.
Pesqui. bras. odontopediatria clín. integr ; 16(1): 393-402, jan.-dez. 2016. tab
Article in English | LILACS, BBO | ID: biblio-912889

ABSTRACT

Objective: To verify the association between early weaning, sociodemographic variables and deleterious oral habits in 3-5 year-old Brazilian children. Material and Methods: Retrospective observational study with longitudinal design used a random sample of 150 children representing a population of 388 children enrolled in public schools of Domingos Martins, Brazil. Data collection was performed using a questionnaire aimed at parents / guardians. The dependent variable considered for analysis was the presence of habits - pacifier and finger sucking - and as explanatory variables: gender, age, early weaning and socioeconomic status. Early weaning was considered when exclusive breastfeeding was suspended before six months of age. Chisquare test was used to verify association among variables. Significance level adopted was 5%. To check the strength of association, Odds Ratio and 95% confidence intervals were used. Results: Significant association was found between variables age of 4 and 5 years (p = 0.030, OR = 2.193, CI = 1.029; 4.673) and early weaning (p = 0.001, OR = 5.045, CI = 2.087; 12.199) with pacifier sucking habit. Conclusion: Association between age, early weaning and pacifier sucking habits was observed. Early weaning can be considered a risk factor for pacifier sucking habit.


Subject(s)
Humans , Child, Preschool , Breast Feeding , Feeding Behavior , Fingersucking , Pacifiers , Weaning , Brazil , Chi-Square Distribution , Observational Studies as Topic/methods , Risk Factors , Surveys and Questionnaires
17.
Invest. educ. enferm ; 33(2): 343-354, May-Aug. 2015. ilus, tab
Article in English | LILACS, BDENF | ID: lil-760935

ABSTRACT

Objetivo. Evaluar la calidad de vida de los niños y adolescentes a quienes se aplicó la escala Pediatric Quality of Life Inventory 3.0 Cancer Module. Metodología. Se hizo búsqueda en las bases de datos Scopus, Web of Science, BIREME, EBSCO host y PsycoInfo de los artículos en español, inglés o portugués publicados entre 1998 a 2013 que utilizaron la escala. Resultados. Se seleccionaron 21 artículos, de los cuales el 47.6% se realizó en América y un 61.9% se publicó en el período 2011-2013. El rango de puntuaciones para las dimensiones, en general, fue probablemente relacionado con la selección de los grupos de comparación porque se pueden observar la diversidad de los criterios de inclusión y variables para el análisis en cada estudio. No se puede comprobar la existencia de un patrón de una dimensión presente en las puntuaciones más pequeñas o más grandes en relación a otras dimensiones en la información de los niños / adolescentes o en la de los familiares. Conclusión. De lo anterior se desprende que las puntuaciones medias de las dimensiones globales no llegaron a valores por debajo de 30, y mayores puntuaciones por dimensiones están por encima de 80. La enfermera, quien se convierte en presencia constante en la vida de niños y adolescentes con cáncer, puede proporcionar una mejor calidad de vida. Por lo tanto, el desarrollo de las actividades de enfermería y del el equipo puede llevar a desmitificar, clarificar y ayudar a abordar todas las fases del proceso de la enfermedad y del tratamiento.


Objetivo. Evaluar la calidad de vida de los niños y adolescentes a quienes se aplicó la escala Pediatric Quality of Life Inventory 3.0 Cancer Module. Metodología. Se hizo búsqueda en las bases de datos Scopus, Web of Science, BIREME, EBSCO host y PsycoInfo de los artículos en español, inglés o portugués publicados entre 1998 a 2013 que utilizaron la escala. Resultados. Se seleccionaron 21 artículos, de los cuales el 47.6% se realizó en América y un 61.9% se publicó en el período 2011-2013. El rango de puntuaciones para las dimensiones, en general, fue probablemente relacionado con la selección de los grupos de comparación porque se pueden observar la diversidad de los criterios de inclusión y variables para el análisis en cada estudio. No se puede comprobar la existencia de un patrón de una dimensión presente en las puntuaciones más pequeñas o más grandes en relación a otras dimensiones en la información de los niños / adolescentes o en la de los familiares. Conclusión. De lo anterior se desprende que las puntuaciones medias de las dimensiones globales no llegaron a valores por debajo de 30, y mayores puntuaciones por dimensiones están por encima de 80. La enfermera, quien se convierte en presencia constante en la vida de niños y adolescentes con cáncer, puede proporcionar una mejor calidad de vida. Por lo tanto, el desarrollo de las actividades de enfermería y del el equipo puede llevar a desmitificar, clarificar y ayudar a abordar todas las fases del proceso de la enfermedad y del tratamiento.


Objetivo. Avaliar a qualidade de vida de crianças e adolescentes com câncer de estudos que aplicaram o Pediatric Quality of Life Inventory 3.0 Cancer Module. Metodologia. Realizou-se a busca nas bases de dados Scopus, Web of Science, BIREME, EBSCO host y PsycoInfo de artigos em espanhol, inglês e português e publicados entre 1998 a 2013 que utilizararam Pediatric Quality of Life Inventory 3.0 Cancer Module. Resultados. Selecionou-se 21 artigos, dos +quais 47,6% foram realizados na América e 61,9% das publicações estavam compreendidas entre os anos de 2011 a 2013. A variação dos escores por dimensões e o geral provavelmente esteve relacionada com a seleção dos grupos de comparação pois, pode-se perceber a diversidade dos critérios de inclusão e das variáveis para a análise em cada estudo. Não se pode verificar a existência de um padrão de uma dimensão apresentar sempre a menor ou o maior escore em relação as outras dimensões nem para o relato das crianças/adolescentes nem o relato dos parentes. Conclusão. Conclui-se que as médias dos escores por dimensões e o geral não alcançaram valores abaixo de 30 e os maiores escores por dimensões estão acima de 80. A enfermagem que se torna presença constante na vida das crianças e adolescentes com câncer pode proporcionar uma melhor qualidade de vida; pois, ao desenvolver as atividades de enfermagem, a equipe pode desmistificar, esclarecer e auxiliar no enfrentamento de todas as fases do processo do adoecimento e do tratamento.


Subject(s)
Humans , Adolescent , Quality of Life , Surveys and Questionnaires , Child
18.
Rev. dor ; 16(2): 119-123, Jan-Mar/2015. tab
Article in English | LILACS | ID: lil-752095

ABSTRACT

ABSTRACT BACKGROUND AND OBJECTIVES: Dental pain is a major reason for looking for dental services. Toothache may prevent or impair daily activities, such as working, having fun or socializing. This study aimed at evaluating dental pain prevalence in the last six months, among employees of the Teaching Hospital, Vitoria, ES. METHODS: This was an analytical, observational cross-sectional study. Data were collected by six trained interviewers by means of standardized interviews filling a questionnaire previously used by other studies about toothache among employees of the state of Espirito Santo, which included demographic and social information, as well as toothache report, type of pain (spontaneous or induced), use of dental services and employment bond. Confidence level of 95%, error of 5% and expected prevalence of 50% were used for sample calculation. Final sample was made up of 265 employees. The association between studied variables and dental pain prevalence was observed using Pearson Chi-square test with significance level of 5%. Odds Ratio and respective confidence intervals (CI- 95%) were estimated for statistically significant variables. RESULTS: Dental pain prevalence was 65.7%. Employees with up to 39 years of age (p=0.004, OR=2.081 CI 95%=1.226; 3.530), of economic classes C and D (p=0.007, OR=1.968 CI 95%=1.173; 3.30) and those receiving up to three minimum wages have reported higher dental pain prevalence (p=0.000, OR=2.829 CI=1.611; 4.967). CONCLUSION: There has been high dental pain prevalence among employees. Strategies to decrease such event should be implemented aiming at improving quality of life of such employees. .


RESUMO JUSTIFICATIVA E OBJETIVOS: A dor de origem dental é um dos principais motivos da utilização de serviços odontológicos. A dor de dente pode impedir ou dificultar atividades diárias, tais como trabalhar, se divertir e se relacionar com outras pessoas. O objetivo deste estudo foi verificar a prevalência de dor de origem dental nos últimos seis meses em funcionários do Hospital Universitário, Vitória, ES. MÉTODOS: Foi realizado um estudo analítico, do tipo observacional com delineamento transversal. Seis entrevistadores treinados coletaram os dados pelo método de entrevista padronizada preenchendo um questionário previamente utilizado em outros estudos sobre dor de dente em trabalhadores capixabas que incluía informações demográficas e sociais dos participantes, bem como o relato de dor de dente, tipo de dor (espontânea ou provocada), utilização de serviços odontológicos e tipo de vínculo empregatício. Para o cálculo amostral, os parâmetros utilizados foram nível de confiança de 95%, erro de 5% e prevalência esperada de 50%. A amostra final foi de 265 funcionários. A associação entre as variáveis do estudo e a prevalência de dor de dente foi verificada por meio do teste Qui-quadrado de Pearson com nível de significância de 5%. Estimaram-se os valores do Odds Ratio e respectivos intervalos de confiança (IC-95%) para as variáveis com significância estatística. RESULTADOS: A prevalência de dor de origem dental foi de 65,7%. Funcionários com até 39 anos (p=0,004, OR=2,081 IC95%=1,226;3,530), inseridos nas classes econômicas C e D, (p=0,007, OR=1,968 IC 95%=1,173;3,30) e aqueles que recebiam até 3 salários mínimos relataram maior prevalência de dor de origem dental (p=0,000, OR=2,829 IC=1,611;4,967). CONCLUSÃO: Observou-se alta prevalência de dor de dente em funcionários. Estratégias direcionadas à redução do evento devem ser implementadas com vistas à melhora da qualidade de vida desses trabalhadores. .

19.
Article in English | LILACS | ID: lil-796350

ABSTRACT

To evaluate the prevalence of posterior cross bite and the possible association with deleterious oral habits in 3-5-year-old children from Vitória, Espírito Santo,Brazil.Material and Methods:This retrospective observational study with a longitudinal design used as parameters for sample calculation prevalence of 35%, confidence level of 95% and error of 5%. The final random sample included 903 children, proportionally distributed according to the number of children enrolled per school. Thus, the representative sample of 9,829 children enrolled in public schools of Vitória was guaranteed. A questionnaire with six open and eighteen closed items was used to collect data on socioeconomic status, age, sex and deleterious habits. Clinical exams were carried out by trained examiners (Kappa 0.86) for posterior cross bite diagnosis. The association between variables was verified by the Chi-Square Test and Fisher Exact Test. Odds Ratio evaluated the association strength. This research was approved by the UFES Ethics Research Committee.Results:The prevalence of cross bite was of 16.2% and children that used pacifier were two times more likely to develop posterior cross bite (OR = 1.775; CI 95% = 1.242; 2.537).Conclusion:The prevalence of posterior cross bite was expressive, and thumb sucking and pacifier use were considered risk factors. Association was verified with the habit of using pacifier, increasing twice the likelihood of presenting malocclusion and posterior cross bite...


Subject(s)
Humans , Male , Female , Child , Habits , Malocclusion/diagnosis , Prevalence , Brazil , Chi-Square Distribution , Retrospective Studies
20.
Arq. odontol ; 51(3): 138-144, 2015. tab
Article in Portuguese | LILACS, BBO | ID: biblio-850200

ABSTRACT

Objetivo: Avaliar o conhecimento do acadêmico de Odontologia sobre maus-tratos infantis. Material e Métodos: O estudo é descritivo transversal com abordagem quantitativa. A amostra foi constituída por 100 acadêmicos do 5º ao 9º período do curso de Odontologia da Universidade Federal do Espírito Santo. O critério de inclusão era estar devidamente matriculados no segundo semestre de 2010. Os dados foram coletados utilizando um questionário autogerenciado, previamente validado, contendo questões abertas e fechadas referentes ao tema de maus-tratos infantis. A análise descritiva foi realizada por frequência absoluta e relativa. Resultados: Embora 74% dos acadêmicos afirma que a conduta correta em caso suspeito de maus-tratos seja fazer uma denúncia no Conselho Tutelar ou Delegacia, uma minoria (4%) afirmou que denunciaria a suspeita. Dos acadêmicos, apenas 30% afirmaram que a região de cabeça e pescoço seja a mais afetada nos casos de maus-tratos infantis. Um total de 9,26% dos alunos afirmou que só seria capaz de identificar um caso de maus-tratos se houvesse o relato do paciente. A maior parte dos alunos (74%) afirmou não ter obtido informações sobre maus-tratos infantis no curso de graduação, sendo que (96%) considera importante obter este conhecimento e (94%) relata desejo de conhecer melhor este tema. Conclusão: A maioria dos acadêmicos de Odontologia apresentou conhecimento deficiente sobre maus-tratos infantis. Faz-se necessário uma melhor abordagem do assunto durante a formação acadêmica do curso de odontologia, para obter um profissional melhor preparado para uma condução adequada em casos suspeitos de maus-tratos infantis.Descritores: Maus-tratos infantis. Violência. Odontologia.


Subject(s)
Humans , Male , Female , Child Abuse , Dentistry , Violence , Epidemiology, Descriptive , Cross-Sectional Studies
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