Desigualdades na autoavaliacao da saude bucal em adultos

Abstract

OBJECTIVE: To investigate the link between self-rated oral health and sociodemographic inequalities.METhOdS: Cross-sectional study, carried out with 2,016 adults between 20 and 59 years of age in 2009, in Florianopolis, SC, Southern Brazil. We adopted a two-stage sampling design (census tracts and households). Data were collected through face-to-face interviews, conducted in the participants' households. The outcome was self-rated oral health. The exploratory variables were demographic characteristics, indicators of socioeconomic position, dental service utilization and adverse self-reported oral health conditions. Analysis was performed using multivariable poisson regression, which allowed the estimation of prevalence ratios and 95% confidence intervals. RESuLTS:The prevalence of negative self-rated oral health was 33.2% (95%CI 29.8;36.6). In the adjusted analysis, being of an older age, self-classifying as light-skinned black, lower education, the most recent dental appointment being three years or more ago, attending public dental surgeries, having less than 10 natural teeth in at least one arch, self-reporting need for dental treatment, reporting dry mouth, and difficulty eating due to tooth problems were associated with negative self-rated oral health. COnCLuSIOnS: Self-rated oral health reflects social inequalities in health, and it is associated with low socioeconomic status, less frequent use of dental services and poorer self-reported oral health conditions.

Oral health self-perception among adults at a primary healthcare unit

“…Although the low socioeconomic conditions are provenly associated with the negative oral health self-perception [6,8,13,14], in the present study, a significant association between income and negative self-perception did not occur, even with 69.9% of the individuals dissatisfied with the oral health received below two minimum wages. This lack of association may be related to the small sample size.…”

“…Most of the studied individuals (79.1%) showed negative oral health self-perception, a result different from other study on similar age range with a negative oral health self-perception of 33.2% [8]. The different prevalence can be explained by the different socioeconomic conditions of different areas.…”

“…While this present study was conducted in a Northeastern city of Brazil, with unfavorable socioeconomic situation for most of the population, the study of Luchi et al. [8] was conducted in a Southern city of Brazil, with one of the highest indexes of human development among the Brazilian cities.…”

“…Factors as low educational level, unemployment, long period since the last dental appointment, treatment requirements, lost teeth, dry mouth, and difficulty in eating are related to the negative self-perception [6,8,[12][13][14]. Other studies found that the positive oral health self-perception is associated with low ages, high income, higher educational level, low DMFT index and small time elapsed since the last appointment [4,11].…”

Saúde bucal no EpiFloripa: estudo prospectivo das condições de saúde de adultos de Florianópolis, Sul do Brasil

“…Os critérios diagnósticos empregados nos exames periodontais foram os preconizados pela OMS 10 . Resultados podem ser encontrados em outras publicações [12][13][14][15][16][17] .…”