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1.
Rev Saude Publica ; 53: 105, 2019.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31826174

RESUMO

OBJECTIVE: To evaluate the factors associated with tooth loss in adults from the position and number of teeth lost in the dental arches. METHODS: This is a cross-sectional, population-based study with adults participating in the epidemiological survey of oral health of São Paulo in 2015. The outcome of the study was tooth loss, assessed by the proposed classification, namely: I) lost up to 12 back teeth; II) lost up to 12 teeth (including front teeth); and III) lost more than 12 teeth. A four-block analysis was conducted, supported by a conceptual theoretical model adapted for tooth loss. For the multinomial logistic regression, "individuals who did not lose teeth due to caries or periodontal disease" was used as reference (p < 0.05). RESULTS: Of 6,051 adults evaluated, 25.3% (n = 1,530) were classified in category I, 32.7% (n = 1,977) in II, 9.4% (n = 568) in III, and 1.9% (n = 117) were edentulous. Lower income and schooling, the perception of need for treatment and the last appointment motivated by routine, pain or extraction were associated with tooth loss, regardless of the classification. The negative evaluation of the dental service was associated with individuals who lost up to 12 teeth, both front and back. The presence of women and periodontal pocket were associated with tooth loss of up to 12 teeth, including front, and more than 12 teeth. Caries were associated with adults who lost up to 12 teeth, including front teeth. CONCLUSION: The proposed classification allowed the identification of differences between the associated factors. Thus, the need to consider such classification in future studies is evident.


Assuntos
Perda de Dente/epidemiologia , Adulto , Fatores Etários , Brasil/epidemiologia , Estudos Transversais , Cárie Dentária/epidemiologia , Cárie Dentária/fisiopatologia , Feminino , Humanos , Masculino , Saúde Bucal , Doenças Periodontais/classificação , Bolsa Periodontal/epidemiologia , Bolsa Periodontal/fisiopatologia , Fatores de Risco , Fatores Sexuais , Fatores Socioeconômicos , Perda de Dente/etiologia
2.
Gerodontology ; 2019 Dec 09.
Artigo em Inglês | MEDLINE | ID: mdl-31815316

RESUMO

AIM: To investigate factors that influence the oral health-related quality of life of older people (65 years and over) in Brazil. BACKGROUND: Population-based studies should be conducted to support health-planning interventions. MATERIALS AND METHODS: Data from the São Paulo State Survey on Oral Health (SBSP-2015), which consisted of 5951 individuals, were used. A theoretical-conceptual model was built based on the impact of family socio-economic characteristics, individual social-demographic features and self-perceived and clinical oral health status on the oral impact on daily performance (OIDP). Multivariate binary logistic regression analysis was conducted at 5% significance level. Statistically significant variables included within the adjusted logistic regression model entered the multiple correspondence analysis (MCA). RESULTS: Oral health impact on daily activities was observed in 34.6% of older people. Characteristics significantly related to impact on OIDP score were as follows: family income up to R$ 500 (OR = 2.73), self-perceived treatment need (OR = 1.33), self-perceived toothache (OR = 1.52), self-perception of denture replacement need (OR = 1.27), dissatisfaction (OR = 1.50) or very dissatisfied (OR = 2.57) with own oral health, partial lower denture use (OR = 1.34) and needing partial lower dentures (OR = 1.28). Increased number of people living in the same house (B = 0.05, OR = 1.06), number of bedrooms in the house (B = -0.10, OR = 0.90), age (B = -0.03, OR = 0.97) and number of teeth needing treatment (B = 0.08, OR = 1.08) contributed significantly to OIDP. CONCLUSION: Prevalence of OIDP of older people in the state of São Paulo was related to factors other than their clinical and self-perceived oral health status.

3.
Artigo em Inglês | MEDLINE | ID: mdl-31828838

RESUMO

OBJECTIVES: The aim of the present study was to analyse the factors associated with self-perceived need for dental treatment among adolescents. METHODS: A representative sample in the state of São Paulo, Brazil, comprising 5558 adolescents, was evaluated in 2015. The adolescents were selected by probabilistic sampling by conglomerates in two stages. The outcome evaluated was self-perceived treatment need measured via a validated questionnaire. Independent variables included sociodemographic factors, type, frequency and reason for last dental visit, and examination of oral conditions. Statistical analysis was based on the multiple hierarchical logistic regression model. RESULTS: Of the total sample, 3340 (62.6%) adolescents reported needing dental treatment. After fitting the model, the self-perceived need for treatment was associated with adolescents with family income of up to $1,500 BRL (OR 1.39; [95% CI = 1.20-1.60]; P < .001), who sought dental services solely for curative treatment (OR 1.58; [95% CI = 1.46-1.72]; P < .001), reported toothaches in the previous six months (OR 2.88; [95% CI = 2.53-3.28]; P < .001), were dissatisfied with the appearance of their teeth and mouth (OR 5.94; [95% CI = 5.03-7.01]; P < .001), had caries in the posterior teeth only (OR 3.04; [95% CI = 2.77-3.33]; P < .001) or had caries in the anterior teeth (OR 4.75; [95% CI = 4.05-5.56]; P < .001). CONCLUSIONS: The self-perceived need for dental treatment among Brazilian adolescents was associated with normative and subjective needs, and sociodemographic context factors. This finding provides important evidence for collective health planning.

4.
Braz Oral Res ; 33: e118, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31859707

RESUMO

The objective of this study was to investigate the experience of caries related to social capital and associated factors in adults in large-scale population-based study. A Cross-sectional study was performed in 163 municipalities in the State of São Paulo, Brazil (SBSP-2015). 17,560 people were evaluated, of which 6051 were adults aged 35-44 years. Hierarchical logistic regression analysis was proposed. Outcome variables (decayed teeth, missing teeth and DMFT) and independent variables were included in the model, considering the distal (income and schooling); intermediate (social capital) and proximal levels (sex and ethnicity). Results showed that income up to 1,500 reais - US$ 367.6 in 11/11/2019 - (OR = 1.91;1.75-2.08), schooling up to 8 years (OR = 1.32;1.12-1.56) and non-white ethnicity (OR = 1.54;1.35-1.76) were more likely to have decayed teeth. Income up to 1500 reais (OR = 1.29;1.15-1.44), schooling up to 8 years (OR = 2.13;1.90-2.38), low social capital (OR = 1.84;1.65-2.04), medium social capital (OR = 1.15;1.01-1.30) and females were more likely to have lost teeth (OR = 1.13;1.03-1.23). Schooling up to 8 years (OR = 1.51;1.35-1.69), low social capital (OR = 1.25; 1.14-1.37) and female (OR = 1.40,1.19-1.53) were associated with DMFT. It was concluded that sociodemographic factors and low social capital were associated with the experience of caries, which should be taken into account in the formulation of public policies.


Assuntos
Cárie Dentária/epidemiologia , Capital Social , Adulto , Brasil/epidemiologia , Estudos Transversais , Índice CPO , Feminino , Humanos , Modelos Logísticos , Masculino , Prevalência , Distribuição por Sexo , Fatores Socioeconômicos , Inquéritos e Questionários
5.
Rev Bras Epidemiol ; 22: e190013, 2019 Mar 21.
Artigo em Português, Inglês | MEDLINE | ID: mdl-30916141

RESUMO

INTRODUCTION: Oral and oropharyngeal cancer are diseases strongly influenced by socioeconomic factors. The risk of developing these diseases increases with age and most cases occur in the elderly, with higher mortality rates. This study aimed to analyze the influence of municipal socioeconomic indices on mortality rates for oral (OC) and oropharyngeal cancer (OPC) in elderly residents from 645 cities in the State of São Paulo, Brazil, from 2013 to 2015. METHOD: Secondary data on deaths were obtained in the Mortality Information System from the Brazilian Ministry of Health. The number of elderly, as well as per capita median income values and Human Development Index by municipality (HDI-M) values were obtained from data by the SEADE Foundation. Descriptiveand exploratory analysis of data was performed, followed by negative binomial models described by the Proc Genmod procedure and evaluated by the corrected AIC (Akaike Information Criterion), the likelihood level, and the Wald test (α = 0.05). RESULTS: Around 30% of the cities notified deaths in 2013, 16.74% in 2014, and 18.61% in 2015. Founded mortality mean rates from OC and OPC were, respectively, 20.0 (± 430.9) and 10.7 (± 17.5) deaths per 100,000 inhabitants. Meanincome ranged, in local currency, from 434.2 to 2,009.00. HDI-M ranged from 0.65 to 0.89. There was a significant decrease (p<0.05) in mortality rates for OC and OPC in elderly with the increase in the cities' mean income and HDI-M values. CONCLUSION: Socioeconomic inequalities in the cities the on mortality rates for OC and OPC in elderly residents.


Assuntos
Neoplasias Bucais/mortalidade , Neoplasias Orofaríngeas/mortalidade , Idoso , Brasil/epidemiologia , Cidades/economia , Humanos , Saúde Bucal , Características de Residência , Fatores Socioeconômicos
6.
Braz Oral Res ; 33: e014, 2019 Mar 18.
Artigo em Inglês | MEDLINE | ID: mdl-30892410

RESUMO

Satisfaction with dental aesthetics is a subjective indicator used in epidemiological studies and is related to health behaviours. Little is known about the factors that influence this indicator, particularly among adolescents who live in a situation of social vulnerability. The aim of this study was to investigate the relationship between malocclusion and dental appearance in underprivileged Brazilian adolescents. This analytical cross-sectional study was conducted in Piracicaba, Brazil, and evaluated 884 adolescents from 13 to 19 years of age. The dependent variable was satisfaction with dental appearance, and the independent variables were classified as individual (components of the Dental Aesthetic Index - DAI, sex and age) and contextual (social exclusion index). For statistical analysis, multilevel regression models were estimated. The individual variables were considered Level 1, and the contextual variable was considered Level 2, with a level of significance of 5%. The mean age of the adolescents was 15.3 years. Female adolescents more frequently affirmed that they were satisfied with their dental appearance than did male individuals. There was an increase in dissatisfaction with oral health with the increase in anterior maxillary overjet, midline diastema, larger anterior irregularity in the maxilla, larger anterior irregularity in the mandible, anterior open bite and antero-posterior molar relation. Satisfaction with dental appearance was associated with individual factors such as sex and DAI components.


Assuntos
Estética Dentária/psicologia , Má Oclusão/psicologia , Autoimagem , Adolescente , Estudos Transversais , Feminino , Humanos , Masculino , Satisfação do Paciente , Fatores Sexuais , Fatores Socioeconômicos , Inquéritos e Questionários , Adulto Jovem
7.
BMC Health Serv Res ; 19(1): 133, 2019 Feb 26.
Artigo em Inglês | MEDLINE | ID: mdl-30808367

RESUMO

BACKGROUND: The state of São Paulo recorded a significant reduction in infant mortality from 1990 to 2013, but the desired reduction in maternal mortality was not achieved. Knowledge of the factors with impact on these indicators would be of help in formulating public policies. The aims of this study were to evaluate the relations between socioeconomic and demographic factors, health care model and both infant mortality (considering the neonatal and post-neonatal dimensions) and maternal mortality in the state of São Paulo, Brazil. METHODS: In this ecological study, data from national official open sources were used to conduct a population-based study. The units analyzed were 645 municipalities in the state of São Paulo, Brazil. For each municipality, the infant mortality (in both neonatal and post-neonatal dimensions) and maternal mortality rates were calculated for every 1000 live births, referring to 2013. Subsequently, the association between these rates, socioeconomic variables, demographic models and the primary care organization model in the municipality were verified. For statistical analysis, we used the zero-inflated negative binomial model. Gross analysis was performed and then multiple regression models were estimated. For associations, we adopted "p" at 5%. RESULTS: The increase in the HDI of the city and proportion of Family Health Care Strategy implemented were significantly associated with the reduction in both infant mortality (neonatal + post-neonatal) and maternal mortality rates. In turn, the increase in birth and caesarean delivery rates were associated with the increase in infant and maternal mortality rates. CONCLUSIONS: It was concluded that the Family Health Care Strategy was a Primary Care organization model that contributed to the reduction in infant (neonatal + post-neonatal) and maternal mortality rates, and so did actors such as HDI and cesarean section. Thus, public health managers should prefer this model when planning the organization of Primary Care services for the population.


Assuntos
Mortalidade Materna , Atenção Primária à Saúde , Adulto , Brasil/epidemiologia , Cesárea/mortalidade , Feminino , Inquéritos Epidemiológicos , Humanos , Lactente , Recém-Nascido , Mortalidade Materna/tendências , Modelos Estatísticos , Análise Multivariada , Gravidez
8.
Braz. oral res. (Online) ; 33: e014, 2019. tab
Artigo em Inglês | LILACS-Express | ID: biblio-989469

RESUMO

Abstract Satisfaction with dental aesthetics is a subjective indicator used in epidemiological studies and is related to health behaviours. Little is known about the factors that influence this indicator, particularly among adolescents who live in a situation of social vulnerability. The aim of this study was to investigate the relationship between malocclusion and dental appearance in underprivileged Brazilian adolescents. This analytical cross-sectional study was conducted in Piracicaba, Brazil, and evaluated 884 adolescents from 13 to 19 years of age. The dependent variable was satisfaction with dental appearance, and the independent variables were classified as individual (components of the Dental Aesthetic Index - DAI, sex and age) and contextual (social exclusion index). For statistical analysis, multilevel regression models were estimated. The individual variables were considered Level 1, and the contextual variable was considered Level 2, with a level of significance of 5%. The mean age of the adolescents was 15.3 years. Female adolescents more frequently affirmed that they were satisfied with their dental appearance than did male individuals. There was an increase in dissatisfaction with oral health with the increase in anterior maxillary overjet, midline diastema, larger anterior irregularity in the maxilla, larger anterior irregularity in the mandible, anterior open bite and antero-posterior molar relation. Satisfaction with dental appearance was associated with individual factors such as sex and DAI components.

9.
Rev. bras. epidemiol ; 22: e190013, 2019. tab, graf
Artigo em Português | LILACS-Express | ID: biblio-990731

RESUMO

RESUMO: Introdução: O câncer de boca e o câncer de orofaringe são doenças influenciadas por fatores socioeconômicos. O risco de desenvolver essas doenças aumenta com a idade, e a maioria dos casos ocorre em idosos, com elevadas taxas de mortalidade. O objetivo deste estudo foi analisar a influência dos índices socioeconômicos municipais nas taxas de mortalidade por câncer de boca (CB) e de orofaringe (CO) em idosos nas 645 cidades do estado de São Paulo, Brasil, nos anos de 2013 a 2015. Método: Dados secundários de óbitos foram obtidos pelo Sistema de Informações sobre Mortalidade (SIM) do Ministério da Saúde. O número de idosos e os valores da renda média per capita e do índice de desenvolvimento humano por município (IDH-M) foram obtidos a partir dos dados da Fundação SEADE. Realizou-se a análise descritiva e exploratória dos dados, seguida de modelos binomiais negativos descritos pelo procedimento PROC GENMOD e avaliados pelo critério de informação de Akaike corrigido (AICc), pelo grau de liberdade e pelo teste de Wald (α=0,05). Resultados: Cerca de 30% das cidades notificaram óbitos em 2013, 16,74% em 2014 e 18,61% em 2015. Astaxas médias de mortalidade por CB e CO foram, respectivamente, de 20,0 (± 30,9) e 10,7 (± 17,5) por 100milhabitantes. A renda média variou de R$ 434,20 a R$ 2.009,00 e o IDH-M, de 0,65 a 0,89. Houve decréscimo significativo (p < 0,05) nas taxas de mortalidade por CB e CO em idosos com o aumento dos valores das rendas médias e do IDH-M. Conclusão: As desigualdades socioeconômicas das cidades influenciam nas taxas de mortalidade por CB e CO em idosos.


ABSTRACT: Introduction: Oral and oropharyngeal cancer are diseases strongly influenced by socioeconomic factors. The risk of developing these diseases increases with age and most cases occur in the elderly, with higher mortality rates. This study aimed to analyze the influence of municipal socioeconomic indices on mortality rates for oral (OC) and oropharyngeal cancer (OPC) in elderly residents from 645 cities in the State of São Paulo, Brazil, from 2013 to 2015. Method: Secondary data on deaths were obtained in the Mortality Information System from the Brazilian Ministry of Health. The number of elderly, as well as per capita median income values and Human Development Index by municipality (HDI-M) values were obtained from data by the SEADE Foundation. Descriptiveand exploratory analysis of data was performed, followed by negative binomial models described by the Proc Genmod procedure and evaluated by the corrected AIC (Akaike Information Criterion), the likelihood level, and the Wald test (α = 0.05). Results: Around 30% of the cities notified deaths in 2013, 16.74% in 2014, and 18.61% in 2015. Founded mortality mean rates from OC and OPC were, respectively, 20.0 (± 430.9) and 10.7 (± 17.5) deaths per 100,000 inhabitants. Meanincome ranged, in local currency, from 434.2 to 2,009.00. HDI-M ranged from 0.65 to 0.89. There was a significant decrease (p<0.05) in mortality rates for OC and OPC in elderly with the increase in the cities' mean income and HDI-M values. Conclusion: Socioeconomic inequalities in the cities the on mortality rates for OC and OPC in elderly residents.

10.
Rev. ABENO ; 19(1): 73-79, 2019.
Artigo em Português | LILACS, BBO - Odontologia | ID: biblio-1022621

RESUMO

O objetivo deste estudo foi identificar a percepção de discentes de Odontologia acerca da contribuição dos preceptores no seu processo de formação acadêmica. Este estudo qualitativo abordou 69 estudantes de três Instituições de Ensino Superior públicas e privadas do município do Rio de Janeiro. Os voluntários responderam sobre suas percepções a respeito da contribuição do preceptor no processo formativo. As respostas foram avaliadas pela análise de conteúdo de Bardin e classificadas em 3 categorias temáticas: "A experiência/conhecimento clínico necessário no ensino", "O entendimento do processo de trabalho na Atenção Primária" e "A capacitação profissional". Concluise que, sob a perspectiva do discente, o preceptor é considerado um profissional com perfil necessário para atender às suas demandas acadêmicas, já que possui o conhecimento clínico necessário no ensino e conhece o processo de trabalho no serviço público. A falta de capacitação profissional pode influenciar o processo de aprendizado (AU).


The aim of the present study was to identify the perception of students of the Dentistry regarding the contribution of preceptors in their process of academic training. This qualitative study involved 69 volunteer students from three public and private higher education institutions in the city of Rio de Janeiro. The volunteers described their perceptions regarding the contribution of the preceptor in their training process. The answers were evaluated through Bardin's content analysis and classified into 3 thematic categories: "The clinical knowledge/experience required for teaching"; "The understanding of the process of working in Primary Care" and "Professional training". It was concluded that, from the perspective of the students, the preceptor is considered to have the necessary characteristics to meet their academic demands needs, as they have the necessary clinical knowledge and teaching knowledge and understand the working process in public service. A lack of professional training can influence the learning process (AU).


Assuntos
Humanos , Preceptoria/métodos , Estudantes de Odontologia , Educação em Odontologia , Capacitação Profissional , Atenção Primária à Saúde , Apoio ao Desenvolvimento de Recursos Humanos , Brasil , Pesquisa Qualitativa
11.
PLoS One ; 13(12): e0208900, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30557311

RESUMO

OBJECTIVE: This study aimed to verify whether the saddle seat provides lower ergonomic risk than conventional seats in dentistry. METHODS: This review followed the PRISMA statement and a protocol was created and registered in PROSPERO (CRD42017074918). Six electronic databases were searched as primary study sources. The "grey literature" was included to prevent selection and publication biases. The risk of bias among the studies included was assessed with the Joanna Briggs Institute Critical Appraisal Tool for Systematic Reviews. Meta-analysis was performed to estimate the effect of seat type on the ergonomic risk score in dentistry. The heterogeneity among studies was assessed using I2 statistics. RESULTS: The search resulted in 3147 records, from which two were considered eligible for this review. Both studies were conducted with a total of 150 second-year dental students who were starting their laboratory activities using phantom heads. Saddle seats were associated with a significantly lower ergonomic risk than conventional seats [right side (mean difference = -3.18; 95% CI = -4.96, -1.40; p < 0.001) and left side (mean difference = -3.12; 95% CI = -4.56, -1.68; p < 0.001)], indicating posture improvement. CONCLUSION: The two eligible studies for this review provide moderate evidence that saddle seats provided lower ergonomic risk than conventional seats in the examined population of dental students.


Assuntos
Equipamentos Odontológicos/efeitos adversos , Desenho de Equipamento/efeitos adversos , Ergonomia , Doenças Profissionais/etiologia , Postura , Odontologia , Humanos
12.
BMC Oral Health ; 18(1): 221, 2018 12 19.
Artigo em Inglês | MEDLINE | ID: mdl-30567580

RESUMO

BACKGROUND: Adolescents are vulnerable to behaviors that weaken health, by adopting habits that interfere with adherence to treatment. The aims of the present study were to investigate adolescents' adherence to dental treatment and the relations between this behavior and socioeconomic factors and consumption of licit and illicit chemical substances. METHODS: A longitudinal study was conducted with 474 adolescents from Piracicaba/SP/Brazil, who initially underwent a dental examination to verify the adherence for dental treatment. After 18 months, 325 adolescents were reassessed. Valid questions about socioeconomic conditions and use of alcohol and drugs were applied to participants. The chi-square test and Fisher's exact test were used. The prevalence ratios were estimated with the respective 95% confidence intervals, using generalized linear models with Poisson distribution. RESULTS: Eighteen (18) months after the first consultation, 325 adolescents were reassessed: 161 (49%) did not adhere to the treatment, and 164 (51%) adhered to it and answered the socioeconomic and alcohol and illicit drug questionnaires. Their mean age was 15 ± 1 years; of them, 189 (58%) were female. The prevalence of adherence to treatment decreased in patients without their own home (p = 0.034). In the individual analysis of the variables, drinking alcohol alone, experimenting with drugs, and proximity of friends who consumed illicit substances were associated with the outcome (p < 0.05). However, in the joint analysis, only proximity of friends who consumed drugs was the factor related to low adherence to dental treatment among the adolescents (p = 0.035). CONCLUSION: Adolescents who consumed alcohol and socialized with friends who used illicit drugs had greater difficulty in adhering to dental treatment.


Assuntos
Assistência Odontológica/psicologia , Cooperação do Paciente , Transtornos Relacionados ao Uso de Substâncias/psicologia , Adolescente , Consumo de Bebidas Alcoólicas/epidemiologia , Consumo de Bebidas Alcoólicas/psicologia , Brasil/epidemiologia , Assistência Odontológica/estatística & dados numéricos , Feminino , Humanos , Masculino , Cooperação do Paciente/psicologia , Cooperação do Paciente/estatística & dados numéricos , Prevalência , Fatores Socioeconômicos , Transtornos Relacionados ao Uso de Substâncias/complicações , Inquéritos e Questionários
13.
Cien Saude Colet ; 23(11): 3881-3890, 2018 Nov.
Artigo em Português | MEDLINE | ID: mdl-30427458

RESUMO

The prevalence of dissatisfaction with dental services and its association with normative and subjective oral health conditions among adult Brazilians was evaluated. This cross-sectional study used data from the last Brazilian National Oral Health Survey (SBBrasil), conducted in 2010. It was considered a representative sample of the adult Brazilian population. Data were analyzed by descriptive, univariate and multiple statistics (OR / 95% CI), with correction by the design effect. Among the 4539 adults included in the study, 614 (13.4%) reported dissatisfaction with dental services. Dissatisfaction was higher among adults who had any decayed teeth (1.61 / 1.06; 2.44), adults who were dissatisfied with their teeth and mouth (2.36 / 1.39; 4.02) and adults who had reported toothache in the previous six months (1.99 / 1.29, 3.07). The conclusion drawn was that the prevalence of dissatisfaction with dental services among Brazilian adults was low and associated to normative and subjective oral health conditions.


Assuntos
Assistência Odontológica/normas , Doenças da Boca/terapia , Satisfação do Paciente , Adulto , Brasil/epidemiologia , Estudos Transversais , Cárie Dentária/epidemiologia , Inquéritos de Saúde Bucal , Autoavaliação Diagnóstica , Feminino , Humanos , Masculino , Doenças da Boca/epidemiologia , Prevalência , Odontalgia/epidemiologia
14.
PLoS One ; 13(9): e0203777, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30212507

RESUMO

OBJECTIVE: This study aimed to assess the oral impact on daily performance and its association with sociodemographic characteristics, tooth pain, need for prosthesis, and periodontal disease of adults in the state of São Paulo, Brazil. METHODS: This was a cross-sectional epidemiological study with secondary data obtained from the Oral Health Conditions Project- 2015 conducted in 163 municipalities in the state of São Paulo with the participation of 17,560 individuals. This study evaluated adults in the age-range between 35-44 years (n = 5,855), selected by means of probabilistic cluster sampling in two stages. The outcome variable was the OIDP (Oral Impacts on Daily Performances), obtained by using this instrument to assess daily activities (eating, speaking, oral hygiene, relaxation, sports practice, smile, study/work, social contact, and sleep). The independent variables were collected and grouped into three blocks: Block 1 (sex, age group, and ethnic group); Block 2 (household income and education); and Block 3 (tooth pain, need for prosthesis, bleeding, calculus, and periodontal pockets). A hierarchical multiple logistic regression analysis was performed considering the complex cluster sampling plan. Each observation was assigned a specific weight, depending on the location, which resulted in weighted frequencies adjusted for the effect of outlining. RESULTS: the female sex (p<0.0001), ethnic group black/mulatto (p<0.0001), low household income (p = 0.0112), up to 8 years of education (p<0.0001), tooth pain (p<0.0001), presence of bleeding (p<0.0001), and presence of periodontal pockets (p<0.0001) had greater oral impact on daily performance. CONCLUSION: sociodemographic characteristics, tooth pain, and presence of periodontal disease were associated with oral impact on daily performance of the adult population in the state of São Paulo, Brazil.


Assuntos
Atividades Cotidianas , Saúde Bucal/estatística & dados numéricos , Doenças Periodontais/patologia , Adulto , Brasil/epidemiologia , Estudos Transversais , Demografia , Escolaridade , Feminino , Hemorragia/complicações , Hemorragia/diagnóstico , Hemorragia/epidemiologia , Hemorragia/patologia , Humanos , Renda , Modelos Logísticos , Masculino , Razão de Chances , Saúde Bucal/etnologia , Dor/diagnóstico , Dor/etiologia , Doenças Periodontais/epidemiologia , Doenças Periodontais/etnologia , Bolsa Periodontal/complicações , Bolsa Periodontal/diagnóstico , Bolsa Periodontal/epidemiologia , Próteses e Implantes/estatística & dados numéricos , Qualidade de Vida , Fatores Sexuais
15.
Rev Saude Publica ; 52: 44, 2018.
Artigo em Português, Inglês | MEDLINE | ID: mdl-29668813

RESUMO

OBJECTIVE: Analyze if clinical, sociodemographic and access to dental services variables influence the impact of oral health on the daily activities of adolescents, adults and older adults. METHODS: A cross-sectional study with secondary data from the State Oral Health Survey (SB São Paulo 2015) conducted in 163 cities of São Paulo. A total of 17,560 individuals from three age groups: 15-19-year-old (n = 5,558), 35-44-year-old (n = 6,051), and older people of 65 years or more (n = 5,951) participated in the survey. The selection was made by probabilistic sample by conglomerates in two stages. The endpoint variable was the impact of oral health on daily activities, evaluated by the Oral Impacts on Daily Performances questionnaire, containing questions about eating, talking, oral hygiene, relaxation, sports practice, smile, study or work, social contact, and sleep. Oral Impacts on Daily Performances was dichotomized with and without impact. The independent variables were sociodemographic, clinical and access variables, divided into three blocks. A hierarchical multiple logistic regression analysis was performed considering the complex sampling plan of clusters. Each observation received a specific weight, depending on the location that resulted in weighted frequencies and adjusted for the design effect. RESULTS: The presence of oral health impact was observed in 27.9% of the individuals. In block 1, female gender and black/brown ethnic group had a greater chance of impact of oral health on quality of life, as well as the adults and the older adults in relation to adolescents. In block 2, family income up to R$1,500 was associated with the presence of impact. In block 3, individuals who reported toothache, used the public service and sought dental treatment had a greater chance of impact. CONCLUSIONS: Sociodemographic, clinical and access to health services variables influence the impact of oral health on the daily activities of adolescents, adults and older adults.


Assuntos
Atividades Cotidianas , Saúde Bucal/estatística & dados numéricos , Adolescente , Adulto , Fatores Etários , Idoso , Brasil/etnologia , Estudos Transversais , Inquéritos de Saúde Bucal , Feminino , Acesso aos Serviços de Saúde , Humanos , Masculino , Saúde Bucal/etnologia , Qualidade de Vida , Fatores Sexuais , Fatores Socioeconômicos , Adulto Jovem
16.
Ciênc. Saúde Colet ; 23(11): 3881-3890, Oct. 2018. tab
Artigo em Português | LILACS-Express | ID: biblio-974755

RESUMO

Resumo Avaliou-se a prevalência da insatisfação com os serviços odontológicos e sua associação com condições normativas e subjetivas de saúde bucal entre adultos brasileiros. Trata-se de um estudo transversal que utilizou dados do inquérito nacional de saúde bucal (SB Brasil) realizado em 2010. Considerou-se uma amostra representativa da população adulta brasileira. Foram conduzidas análises descritivas, bivariadas e múltiplas (OR/IC 95%) com correção pelo efeito desenho. Dentre os 4.539 adultos incluídos, 614 (13,4%) relataram a insatisfação com os serviços odontológicos utilizados. A insatisfação foi maior entre aqueles que apresentavam algum dente cariado (1,61/1,06 ; 2,44), que estavam insatisfeitos com seus dentes e boca (2,36/1,39 ; 4,02) e que haviam relatado dor de dente nos últimos 6 meses (1,99/1,29 ; 3,07). Conclui-se que a prevalência da insatisfação com os serviços odontológicos entre adultos brasileiros foi baixa e esteve associada a condições normativas e subjetivas de saúde bucal.


Abstract The prevalence of dissatisfaction with dental services and its association with normative and subjective oral health conditions among adult Brazilians was evaluated. This cross-sectional study used data from the last Brazilian National Oral Health Survey (SBBrasil), conducted in 2010. It was considered a representative sample of the adult Brazilian population. Data were analyzed by descriptive, univariate and multiple statistics (OR / 95% CI), with correction by the design effect. Among the 4539 adults included in the study, 614 (13.4%) reported dissatisfaction with dental services. Dissatisfaction was higher among adults who had any decayed teeth (1.61 / 1.06; 2.44), adults who were dissatisfied with their teeth and mouth (2.36 / 1.39; 4.02) and adults who had reported toothache in the previous six months (1.99 / 1.29, 3.07). The conclusion drawn was that the prevalence of dissatisfaction with dental services among Brazilian adults was low and associated to normative and subjective oral health conditions.

17.
Rev. saúde pública (Online) ; 52: 44, 2018. tab, graf
Artigo em Inglês | LILACS-Express | ID: biblio-903456

RESUMO

ABSTRACT OBJECTIVE: Analyze if clinical, sociodemographic and access to dental services variables influence the impact of oral health on the daily activities of adolescents, adults and older adults. METHODS: A cross-sectional study with secondary data from the State Oral Health Survey (SB São Paulo 2015) conducted in 163 cities of São Paulo. A total of 17,560 individuals from three age groups: 15-19-year-old (n = 5,558), 35-44-year-old (n = 6,051), and older people of 65 years or more (n = 5,951) participated in the survey. The selection was made by probabilistic sample by conglomerates in two stages. The endpoint variable was the impact of oral health on daily activities, evaluated by the Oral Impacts on Daily Performances questionnaire, containing questions about eating, talking, oral hygiene, relaxation, sports practice, smile, study or work, social contact, and sleep. Oral Impacts on Daily Performances was dichotomized with and without impact. The independent variables were sociodemographic, clinical and access variables, divided into three blocks. A hierarchical multiple logistic regression analysis was performed considering the complex sampling plan of clusters. Each observation received a specific weight, depending on the location that resulted in weighted frequencies and adjusted for the design effect. RESULTS: The presence of oral health impact was observed in 27.9% of the individuals. In block 1, female gender and black/brown ethnic group had a greater chance of impact of oral health on quality of life, as well as the adults and the older adults in relation to adolescents. In block 2, family income up to R$1,500 was associated with the presence of impact. In block 3, individuals who reported toothache, used the public service and sought dental treatment had a greater chance of impact. CONCLUSIONS: Sociodemographic, clinical and access to health services variables influence the impact of oral health on the daily activities of adolescents, adults and older adults.


RESUMO OBJETIVO: Analisar se variáveis clínicas, sociodemográficas e de acesso aos serviços odontológicos influenciam o impacto da saúde bucal nas atividades diárias de adolescentes, adultos e idosos. MÉTODOS: Estudo transversal com dados secundários da Pesquisa Estadual de Saúde Bucal (SB São Paulo 2015) realizada em 163 municípios de São Paulo. Participaram do inquérito 17.560 indivíduos de três grupos etários: adolescentes de 15-19 anos (n = 5.558), adultos de 35-44 anos (n = 6.051) e idosos de 65 anos ou mais (n = 5.951). A seleção foi feita por amostra probabilística por conglomerados em dois estágios. A variável desfecho foi o impacto da saúde bucal sobre as atividades diárias, avaliado pelo questionário Oral Impacts on Daily Performances, contendo questões sobre comer, falar, higiene bucal, relaxamento, prática esportiva, sorriso, estudo ou trabalho, contato social e sono. O Oral Impacts on Daily Performances foi dicotomizado em com e sem impacto. As variáveis independentes foram as sociodemográficas, clínicas e de acesso, divididas em três blocos. Realizou-se análise de regressão logística múltipla hierarquizada considerando o plano amostral complexo de conglomerados. Cada observação recebeu um peso específico, dependendo da localização que resultou em frequências ponderadas e ajustadas para o efeito do delineamento. RESULTADOS: A presença de impacto da saúde bucal foi constatada em 27,9% dos indivíduos. No bloco 1, o sexo feminino e o grupo étnico preto/pardo tiveram maior chance de impacto da saúde bucal na qualidade de vida, bem como os adultos e idosos em relação aos adolescentes. No bloco 2, a renda familiar até R$1.500 teve associação com a presença de impacto. No bloco 3, os indivíduos que relataram dor de dente, frequentaram o serviço público e procuraram tratamento odontológico tiveram maior chance de impacto. CONCLUSÕES: As variáveis sociodemográficas, clínica e de acesso ao serviço de saúde influenciam o impacto da saúde bucal nas atividades diárias de adolescentes, adultos e idosos.

18.
Rev. saúde pública (Online) ; 52: 44, 2018. tab, graf
Artigo em Inglês | LILACS-Express | ID: biblio-903517

RESUMO

ABSTRACT OBJECTIVE: Analyze if clinical, sociodemographic and access to dental services variables influence the impact of oral health on the daily activities of adolescents, adults and older adults. METHODS: A cross-sectional study with secondary data from the State Oral Health Survey (SB São Paulo 2015) conducted in 163 cities of São Paulo. A total of 17,560 individuals from three age groups: 15-19-year-old (n = 5,558), 35-44-year-old (n = 6,051), and older people of 65 years or more (n = 5,951) participated in the survey. The selection was made by probabilistic sample by conglomerates in two stages. The endpoint variable was the impact of oral health on daily activities, evaluated by the Oral Impacts on Daily Performances questionnaire, containing questions about eating, talking, oral hygiene, relaxation, sports practice, smile, study or work, social contact, and sleep. Oral Impacts on Daily Performances was dichotomized with and without impact. The independent variables were sociodemographic, clinical and access variables, divided into three blocks. A hierarchical multiple logistic regression analysis was performed considering the complex sampling plan of clusters. Each observation received a specific weight, depending on the location that resulted in weighted frequencies and adjusted for the design effect. RESULTS: The presence of oral health impact was observed in 27.9% of the individuals. In block 1, female gender and black/brown ethnic group had a greater chance of impact of oral health on quality of life, as well as the adults and the older adults in relation to adolescents. In block 2, family income up to R$1,500 was associated with the presence of impact. In block 3, individuals who reported toothache, used the public service and sought dental treatment had a greater chance of impact. CONCLUSIONS: Sociodemographic, clinical and access to health services variables influence the impact of oral health on the daily activities of adolescents, adults and older adults.


RESUMO OBJETIVO: Analisar se variáveis clínicas, sociodemográficas e de acesso aos serviços odontológicos influenciam o impacto da saúde bucal nas atividades diárias de adolescentes, adultos e idosos. MÉTODOS: Estudo transversal com dados secundários da Pesquisa Estadual de Saúde Bucal (SB São Paulo 2015) realizada em 163 municípios de São Paulo. Participaram do inquérito 17.560 indivíduos de três grupos etários: adolescentes de 15-19 anos (n = 5.558), adultos de 35-44 anos (n = 6.051) e idosos de 65 anos ou mais (n = 5.951). A seleção foi feita por amostra probabilística por conglomerados em dois estágios. A variável desfecho foi o impacto da saúde bucal sobre as atividades diárias, avaliado pelo questionário Oral Impacts on Daily Performances, contendo questões sobre comer, falar, higiene bucal, relaxamento, prática esportiva, sorriso, estudo ou trabalho, contato social e sono. O Oral Impacts on Daily Performances foi dicotomizado em com e sem impacto. As variáveis independentes foram as sociodemográficas, clínicas e de acesso, divididas em três blocos. Realizou-se análise de regressão logística múltipla hierarquizada considerando o plano amostral complexo de conglomerados. Cada observação recebeu um peso específico, dependendo da localização que resultou em frequências ponderadas e ajustadas para o efeito do delineamento. RESULTADOS: A presença de impacto da saúde bucal foi constatada em 27,9% dos indivíduos. No bloco 1, o sexo feminino e o grupo étnico preto/pardo tiveram maior chance de impacto da saúde bucal na qualidade de vida, bem como os adultos e idosos em relação aos adolescentes. No bloco 2, a renda familiar até R$1.500 teve associação com a presença de impacto. No bloco 3, os indivíduos que relataram dor de dente, frequentaram o serviço público e procuraram tratamento odontológico tiveram maior chance de impacto. CONCLUSÕES: As variáveis sociodemográficas, clínica e de acesso ao serviço de saúde influenciam o impacto da saúde bucal nas atividades diárias de adolescentes, adultos e idosos.

19.
Health Qual Life Outcomes ; 15(1): 173, 2017 Aug 30.
Artigo em Inglês | MEDLINE | ID: mdl-28854934

RESUMO

BACKGROUND: Oral disorders may negatively affect the quality of life (QoL) of adolescents. To investigate how social vulnerability and oral-health status factors affect QoL in 15-19 years olds who participated in the "SB São Paulo 2015" state survey. METHODS: The relationship of several independent variables, namely Paulista Social Vulnerability Index (PSVI) score, gender, skin color, family income, age, untreated caries, tooth loss [determined by the Decayed, Missing, Filled-Teeth (DMF-T) index], toothache, periodontal condition [determined by the Community Periodontal Index (CPI)], and malocclusion (maxillary overjet, cross bite, or open bite) affect daily life, measured by the Oral Impacts on Daily Performance (OIDP) instrument. Logistic regression analyses were carried out based on a hierarchical model. RESULTS: The final sample consisted of 5402 adolescents. The prevalence of at least one negative impact of oral health on QoL was 37.3%. After adjustment, demographic factors that were found to influence this impact significantly (p < 0.01) were female gender [odds ratio (OR) 1.78, 95% confidence interval (CI) = 1.59-2.0], non-white skin color (OR 1.66, 95% CI = 1.47-1.88), and a low family income (OR 1.28, 95% CI = 1.28-1.29). Additionally, oral conditions associated with oral health impact on QoL included the presence of at least one untreated tooth decay lesion (OR 1.42, 95% CI = 1.25-1.61), loss of at least one tooth (OR 1.49; 95% CI = 1.25-1.78), toothache (OR 4.87, 95% CI = 4.25-5.59), bleeding on probing (OR 1.45, 95% CI = 1.25-1.68), and severe maxillary overjet (OR 1.68, 95% CI = 1.15-2.45). CONCLUSION: Social vulnerability (PSVI score) was not associated with the OIDP score, but oral health conditions and socio-demographic variables, including gender, skin color, and income, were found to affect adolescents' daily activities. Strategies that consider the perceptions of this segment of the population should be implemented to strengthen their autonomy and totality of care.


Assuntos
Cárie Dentária/psicologia , Má Oclusão/psicologia , Doenças Periodontais/psicologia , Qualidade de Vida , Perda de Dente/psicologia , Odontalgia/psicologia , Adolescente , Estudos Transversais , Feminino , Inquéritos Epidemiológicos , Humanos , Masculino , Análise de Regressão , Fatores Sexuais
20.
RGO (Porto Alegre) ; 63(3): 283-290, July-Sept. 2015. tab
Artigo em Inglês | LILACS-Express | ID: lil-765064

RESUMO

Objective: Assess the oral health indicators in the Family Health Units (Unidades de Saúde da Família - USFs) with scheduled demand in comparison with Family Health Units with spontaneous demand in oral health care, in Piracicaba.Methods: 10 Family Health Units located in Piracicaba, were randomly chosen: 5 Units with spontaneous demand and 5 Units with scheduled demand. Secondary data in daily production spreadsheets were collected from the information system, from February to September 2013. These were organized into indicators: 1) access; 2) resolutivity; 3) ratio of dental emergency per inhabitant; 4) mean number of individual preventive and curative dental procedures; 5) ratio of dental extraction per dental procedure; 6) ratio of dental extraction per inhabitant; 7) mean number of supervised toothbrushing sessions. Data were compared and statistically analyzed with the BioStat 5.0 program, by applying the Student's-t test (p ≤ 0.05).Results: There were significant differences in the indicators of dental emergency, dental extraction per clinical procedure, and dental extractions per inhabitant, and these values were higher in Family Health Units with spontaneous demand.Conclusion: The model of scheduling the demand for dental care adopted by the USFs interferes in the number of users seeking dental emergency treatments and reasons for extractions.


Objetivo: Analisar a influência de dois modelos de organização do atendimento odontológico clínico em indicadores de saúde bucal para as Equipes de Saúde Bucal.Métodos: Dez Unidades de Saúde da Família (USF) localizadas em Piracicaba foram escolhidas aleatoriamente. Cinco Unidades com modelo de demanda espontânea e 5 Unidades com modelo de demanda organizada em Saúde Bucal. Dados secundários da produção odontológica ambulatorial foram coletados a partir do sistema de informação, de fevereiro a setembro de 2013. Depois foram organizados em indicadores: a) acesso; b) resolutividade; c) razão de urgência odontológica; d) procedimentos clínicos individuais preventivos e curativos e) razão de exodontias por procedimentos clínicos individuais preventivos e curativos f) razão de exodontias por habitante g) média de escovação dental supervisionada. Os dados foram comparados e analisados estatisticamente através do BioStat 5.0 através da aplicação do teste t de Student (p ≤0,05).Resultados: Houve diferenças significativas nos indicadores de razão de urgências, razão de exodontia por procedimentos clínicos e razão de exodontias por habitante, sendo estes valores maiores no modelo da demanda espontânea.Conclusão: O modelo de organização da demanda odontológica adotado pelas Equipes de Saúde Bucal interfere na procura de urgências odontológicas e razão de exodontias.

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