Souza Eliane Helena Alvim de, Oliveira Pierre Andrade Pereira de, Paegle Ana Claudia, Goes Paulo Sávio Angeiras de
Universidade de Pernambuco, Camaragibe, PE, 1028, Brazil.
Cien Saude Colet. 2012 Aug;17(8):2063-70. doi: 10.1590/s1413-81232012000800017.
We analyze if race can be considered a limiting factor in the use of dental services by the elderly. This study is of an analytical nature, with the use of secondary data collected by the National Survey of Oral Health in 2003. Those examined who declared themselves as being white, brown or black in the 65 to 74-year-old age bracket were included. The sample was composed of 5,108 elderly people: 2,575 whites and 2,533 blacks. Of the whites, 3.8% stated that they had never been to the dentist, while this figure was 7.8% for the blacks. Even after the adjustment for interception for prosthetics and dental pain, the chance of elderly blacks not having used dental services at least once in their life is 0.62 OR less than for elderly whites. Of those who used the services, 21.2% of the elderly whites visited the dentist in the last year, while for elderly blacks the figure was 14.2%, in the adjusted model for interception for prosthetics and dental pain the OR was 0.60. All the relations were statistically significant (p<0,001). Race is a limiting factor in the use of dental services by the elderly and even after the adjustments the elderly blacks continue to manifest greater resistance to the use of oral health services.
我们分析种族是否可被视为老年人使用牙科服务的限制因素。本研究具有分析性质，使用了2003年全国口腔健康调查收集的二手数据。纳入了那些在65至74岁年龄段中自称为白人、棕色人种或黑人的受调查者。样本由5108名老年人组成：2575名白人以及2533名黑人。在白人中，3.8%表示他们从未看过牙医，而黑人的这一比例为7.8%。即使在对假牙修复和牙痛进行截尾调整之后，老年黑人一生中至少从未使用过牙科服务的几率比老年白人低0.62倍或更低。在使用过服务的人群中，21.2%的老年白人在过去一年看过牙医，而老年黑人的这一比例为14.2%，在对假牙修复和牙痛进行截尾调整的模型中，比值比为0.60。所有关系均具有统计学意义（p<0.001）。种族是老年人使用牙科服务的限制因素，即使经过调整，老年黑人在使用口腔健康服务方面仍表现出更大的抵触情绪。
