Dalazen Chaiane Emilia, Carli Alessandro Diogo De, Bomfim Rafael Aiello
Faculdade de Odontologia, Universidade Federal de Mato Grosso do Sul, Campo Grande, MS, Brasil,
Cien Saude Colet. 2018 Apr;23(4):1119-1130. doi: 10.1590/1413-81232018234.27462015.
The aims of this study were to estimate the prevalence of prosthetic requirements and dental treatment needs among the elderly Brazilian population and the associations with contextual and individual determinants. Data were taken from the Brazilian Oral Health Survey (SB Brasil 2010) and a sample of 7,619 Brazilian people aged 65-74 years were investigated. Multilevel logistic regression models were used to estimate the odds ratio (OR) and 95% confidence intervals between treatment needs and contextual variables (Municipal Human Development Index, Gini coefficient and oral health coverage in the Family Health Strategy) and individual (gender, income, education and skin color). The prevalence of treatment need ranged from municipalities (p < 0.05). Of the individual variables, gender was associated with dental treatment need (OR = 1.18, 95% CI 1.05 to 1.31); lower education and non-white skin were risk factors (OR = 1.18; 95% CI 1.05 to 1.31 and OR = 1.28, 95% CI 1.15 to 1.43); the non-white skin color represented a risk factor (OR = 1.83; 95% CI 1,38- 2,42) and for the need for prosthesis income was a protection factor (OR = 0.39; 95% CI 0, 30-.51). The results showed an association between the individual factors and treatment needs.
本研究的目的是估计巴西老年人群中义齿需求和牙科治疗需求的患病率，以及与背景和个体决定因素之间的关联。数据取自巴西口腔健康调查（2010年巴西口腔健康调查），对7619名65 - 74岁的巴西人进行了抽样调查。采用多水平逻辑回归模型估计治疗需求与背景变量（市人类发展指数、基尼系数和家庭健康战略中的口腔健康覆盖率）以及个体因素（性别、收入、教育程度和肤色）之间的优势比（OR）和95%置信区间。治疗需求的患病率在各市之间存在差异（p < 0.05）。在个体变量中，性别与牙科治疗需求相关（OR = 1.18，95%置信区间为1.05至1.31）；较低的教育程度和非白色肤色是危险因素（OR = 1.18；95%置信区间为1.05至1.31和OR = 1.28，95%置信区间为1.15至1.43）；非白色肤色是一个危险因素（OR = 1.83；95%置信区间为1.38 - 2.42），而对于义齿需求，收入是一个保护因素（OR = 0.39；95%置信区间为0.30 - .51）。结果显示个体因素与治疗需求之间存在关联。
