Vale Edivânia Barbosa do, Mendes Antônio da Cruz Gouveia, Moreira Rafael da Silveira
Rev Saude Publica. 2013 Dec;47 Suppl 3:98-108. doi: 10.1590/s0034-8910.2013047004893.
To identify self-perceived oral health in adults and associated variables.
The study involved primary data from the Brazilian Oral Health Survey (SBBrasil) 2010 with 2,456 adults aged 35 to 44 in the Northeastern Brazil. The dependent variable was self-perceived oral health and the independent variables were grouped into four blocks: demographic, predisposing/facilitation, oral health status and those related to self-perceived need for treatment. The Rao and Scott test was used to test the association between these variables. To test the effect of the independent variables on the outcome, a multinomial logistic regression model was used according to the hierarchical model, resulting in an analysis divided into two stages: simple analysis and hierarchical multiple regression analysis.
Positive self-perception of oral health was observed in 37% of the participants. In the final model, the features directly associated with this perception were being white, having a household income exceeding R$ 500.00, owning goods number above the median, having more sound teeth, not experiencing bleeding, not requiring prosthesis, Oral Imparcts on Daily Performances = 0, not requiring treatment, having gone to the dentist less than 3 years ago.
The results show that self-perceived oral health in adults living in the Northeast is directly associated with a multidimensional structure of factors. The poor economic conditions associated with poor clinical conditions impact heavily on this population's self-perception of oral health.
确定成年人自我认知的口腔健康状况及相关变量。
该研究采用了来自2010年巴西口腔健康调查(SBBrasil)的原始数据,涉及巴西东北部2456名年龄在35至44岁之间的成年人。因变量为自我认知的口腔健康状况,自变量分为四个组块:人口统计学因素、诱发/促进因素、口腔健康状况以及与自我认知的治疗需求相关的因素。使用Rao和Scott检验来测试这些变量之间的关联。为了测试自变量对结果的影响,根据分层模型使用多项逻辑回归模型,分析分为两个阶段:简单分析和分层多元回归分析。
37%的参与者对口腔健康有积极的自我认知。在最终模型中,与这种认知直接相关的特征包括:白人、家庭收入超过500雷亚尔、拥有的物品数量高于中位数、牙齿更健康、无出血情况、不需要假牙、日常表现的口腔影响评分为0、不需要治疗、在不到3年前看过牙医。
结果表明,生活在东北部的成年人自我认知的口腔健康状况与多维度的因素结构直接相关。与不良临床状况相关的经济条件差对该人群的口腔健康自我认知有很大影响。