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[巴西东南部老年人无牙症的空间风险及相关因素]

[Spatial risk and factors associated with edentulism among elderly persons in Southeast Brazil].

作者信息

Moreira Rafael da Silveira, Nico Lucélia Silva, Tomita Nilce Emy

机构信息

Centro de Pesquisa Aggeu Magalhães, Fundação Oswaldo Cruz, Recife, Brasil.

出版信息

Cad Saude Publica. 2011 Oct;27(10):2041-54. doi: 10.1590/s0102-311x2011001000017.

Abstract

This study aimed to identify factors associated with edentulism and spatial risk of tooth loss in the elderly. A cross-sectional study was conducted using a random sample (n = 372) of individuals 60 years and older in Botucatu, São Paulo State, Southeast Brazil, in 2005. Crude and adjusted prevalence ratios were estimated by Poisson regression with robust variance. Spatial analysis was performed using Kernel intensity estimation. Prevalence of edentulism was 63.17%. Socio-demographic factors associated with edentulism according to multiple regression were low schooling, household crowding, not owning a car, older age, lack of a regular dentist, and the last dental visit three previously or longer. Spatial analysis showed greater risk of edentulism in the peripheral areas of the city. The results help understand the high prevalence of tooth loss among the elderly, thus providing essential information for planning oral health interventions.

摘要

本研究旨在确定与老年人无牙症及牙齿缺失空间风险相关的因素。2005年,在巴西东南部圣保罗州博图卡图对372名60岁及以上的个体进行随机抽样,开展了一项横断面研究。采用稳健方差的泊松回归估计粗患病率和调整患病率。使用核密度估计进行空间分析。无牙症患病率为63.17%。多元回归显示,与无牙症相关的社会人口学因素包括受教育程度低、家庭拥挤、没有汽车、年龄较大、没有固定牙医以及上次看牙时间在三年前或更久以前。空间分析表明,城市周边地区无牙症风险更高。这些结果有助于了解老年人牙齿缺失的高患病率,从而为规划口腔健康干预措施提供重要信息。

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