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巴西南部老年人的连贯感与口腔健康

Sense of coherence and oral health in older adults in Southern Brazil.

作者信息

Possebon Anna Paula da Rosa, Martins Ana Paula Pinto, Danigno Júlia Freire, Langlois Caroline de Oliveira, Silva Alexandre Emidio Ribeiro

机构信息

Postgraduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil.

Dentistry Course, Federal University of Pelotas, Pelotas, Brazil.

出版信息

Gerodontology. 2017 Sep;34(3):377-381. doi: 10.1111/ger.12276. Epub 2017 May 17.

DOI:10.1111/ger.12276
PMID:28512757
Abstract

OBJECTIVE

The aim of this study was to evaluate the association between sense of coherence and oral health among older adults treated at family health units in southern Brazil.

MATERIAL AND METHODS

The sample was composed of 164 individuals aged 60 years old or older. Socio-demographic and oral health variables were collected using a standardised questionnaire. Sense of coherence (SOC) was measured with the questionnaire proposed by Antonovsky containing 29 closed-ended questions. Poisson regression analysis was employed to identify factors associated with SOC.

RESULTS

Among the 164 older adults, 53.9% were edentate, 54.5% did not need any type of dental prosthesis, and 82.1% had good/adequate self-assessed oral health. The multivariate analysis revealed lower SOC scores among non-white individuals [Mean Ratio (MR)=0.94; 95% CI: 0.91-0.97; P<.001], with poor/very poor self-assessed oral health (MR=0.85; 95% CI: 0.78-0.91; P<.001) and with one or more teeth present in the oral cavity (MR=0.94; 95% CI: 0.91-0.97; P<.001).

CONCLUSION

The present results show that older adults who are self-reported as non-white, with one or more teeth in the oral cavity and with poor/very poor self-assessed oral health have lower SOC scores.

摘要

目的

本研究旨在评估巴西南部家庭健康单位所治疗的老年人中,连贯感与口腔健康之间的关联。

材料与方法

样本由164名60岁及以上的个体组成。使用标准化问卷收集社会人口统计学和口腔健康变量。采用Antonovsky提出的包含29个封闭式问题的问卷来测量连贯感(SOC)。采用泊松回归分析来确定与SOC相关的因素。

结果

在164名老年人中,53.9%无牙,54.5%不需要任何类型的假牙,82.1%自我评估口腔健康良好/充足。多变量分析显示,非白人个体的SOC得分较低[平均比率(MR)=0.94;95%置信区间:0.91 - 0.97;P<0.001],自我评估口腔健康差/非常差的个体(MR=0.85;95%置信区间:0.78 - 0.91;P<0.001)以及口腔内有一颗或多颗牙齿的个体(MR=0.94;95%置信区间:0.91 - 0.97;P<0.001)。

结论

目前的结果表明,自我报告为非白人、口腔内有一颗或多颗牙齿且自我评估口腔健康差/非常差的老年人,其SOC得分较低。

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