Dias-da-Costa Juvenal Soares, Galli Rosângela, Oliveira Edilson Almeida de, Backes Vanessa, Vial Eloir Antonio, Canuto Raquel, Souza Leonardo Lemos de, Cremonese Cleber, Olinto Maria Teresa Anselmo, Pattussi Marcos Pascoal, Triches Jureci Machado
Universidade do Vale do Rio dos Sinos, São Leopoldo, Brasil.
Cad Saude Publica. 2010 Jan;26(1):79-88. doi: 10.1590/s0102-311x2010000100009.
We estimated the prevalence of poor self-rated mastication and associated factors among Brazilian elders. The study used data from a national survey of 5,124 Brazilian elderly in 250 cities. Data collection included dental examinations and household interviews with the elderly. The outcome was self-rated mastication. Data analyses used Poisson regression, and the prevalence of poor self-rated mastication was 49.7% (95%CI: 47.5-51.8). Adjusted analyses showed that increased prevalence was associated with: black color/race (PR = 1.13; 95%CI: 1.02-1.26); low income (PR = 1.22; 95%CI: 1.12-1.33.); high rates of tooth loss (PR = 1.66; 95%CI: 1.02-2.66); untreated caries (PR = 1.16; 95%CI: 1.08-1.25); never having visited a dentist (PR = 1.26; 95%CI: 1.10-1.44); toothache (PR = 1.47; 95%CI: 1.39-1.57); use of partial (PR = 0.87; 95%CI: 0.76-0.99) or total prostheses (PR = 0.81; 95%CI: 0.75-0.88); and need for partial (PR = 1.13; 95%CI: 1.03-1.25) or total prostheses (PR = 1.27; 95%CI: 1.16-1.39). The high prevalence emphasizes the dental care needs of this older group. Policies to deal with the problem should take the associated factors into account.
我们估算了巴西老年人自我评估咀嚼能力差的患病率及其相关因素。该研究使用了对巴西250个城市中5124名老年人进行的全国性调查数据。数据收集包括对老年人进行牙科检查和家庭访谈。结果指标是自我评估的咀嚼能力。数据分析采用泊松回归,自我评估咀嚼能力差的患病率为49.7%(95%置信区间:47.5 - 51.8)。校正分析显示,患病率增加与以下因素相关:黑人种族(PR = 1.13;95%置信区间:1.02 - 1.26);低收入(PR = 1.22;95%置信区间:1.12 - 1.33);高牙齿缺失率(PR = 1.66;95%置信区间:1.02 - 2.66);未治疗的龋齿(PR = 1.16;95%置信区间:1.08 - 1.25);从未看过牙医(PR = 1.26;95%置信区间:1.10 - 1.44);牙痛(PR = 1.47;95%置信区间:1.39 - 1.57);使用局部假牙(PR = 0.87;95%置信区间:0.76 - 0.99)或全口假牙(PR = 0.81;95%置信区间:0.75 - 0.88);以及需要局部假牙(PR = 1.13;95%置信区间:1.03 - 1.25)或全口假牙(PR = 1.27;95%置信区间:1.16 - 1.39)。高患病率凸显了这一年长群体的牙科护理需求。应对该问题的政策应考虑到相关因素。