Barbato Paulo Roberto, Muller Nagano Helen Cristhiane, Zanchet Fabiane Nunes, Boing Antonio Fernando, Peres Marco Aurélio
Centro de Ciências da Saúde, Universidade Federal de Santa Catarina, Florianópolis, Brasil.
Cad Saude Publica. 2007 Aug;23(8):1803-14. doi: 10.1590/s0102-311x2007000800007.
The aim of this study was to estimate the prevalence of tooth loss among Brazilian adults aged 35 to 44 years. The study also tested the association between tooth loss and demographic, socioeconomic, and dental-care utilization variables. Data were analyzed from 13,431 individuals submitted to dental examination and interviewed in the National Oral Health Survey in 2002-2003. The number of lost teeth (<or=12 and > 12) was the outcome. Exploratory variables included geographic area, gender, skin color, age, per capita income, schooling, time since last dental appointment, and type of dental service used. Crude and adjusted prevalence ratios were estimated using a Poisson regression model. The prevalence of edentulism was 9%, while median tooth loss was 11. Tooth loss was strongly associated with living in rural areas, female gender, poor socioeconomic status, low schooling, and older age. Individuals who attended public dental care services and those with more time elapsed since their last dental appointment showed a higher prevalence of tooth loss than their counterparts after controlling for demographic and socioeconomic factors.
本研究的目的是估计35至44岁巴西成年人的牙齿缺失患病率。该研究还测试了牙齿缺失与人口统计学、社会经济和牙科护理利用变量之间的关联。对2002年至2003年全国口腔健康调查中接受牙科检查并接受访谈的13431名个体的数据进行了分析。牙齿缺失数量(≤12颗和>12颗)为研究结果。探索性变量包括地理区域、性别、肤色、年龄、人均收入、受教育程度、距上次牙科就诊的时间以及所使用的牙科服务类型。使用泊松回归模型估计粗患病率和调整患病率比。无牙患病率为9%,而牙齿缺失中位数为11颗。牙齿缺失与生活在农村地区、女性性别、社会经济地位低下、受教育程度低和年龄较大密切相关。在控制了人口统计学和社会经济因素后,接受公共牙科护理服务的个体以及距上次牙科就诊时间较长的个体的牙齿缺失患病率高于其对应个体。