Silva Alexandre Emidio Ribeiro, Echeverria Mariana Silveira, Custódio Natália Baschirotto, Cascaes Andreia Morales, Camargo Maria Beatriz Junqueira de, Langlois Caroline de Oliveira
Faculdade de Odontologia, Universidade Federal de Pelotas. R. Gonçalves Chaves 457/510, Centro. 96015-560 Pelotas RS Brasil.
Cien Saude Colet. 2018 Dec;23(12):4269-4276. doi: 10.1590/1413-812320182312.30562016.
This study aimed to investigate the association between regular use of dental services and tooth loss by elderly linked to eleven Family Health Facilities in southern Brazil. This cross-sectional study evaluated 438 elderly. A standard questionnaire was used and oral health clinical variables were obtained by a trained dentist. The main study outcome, namely, the regular use of dental services, was obtained through a single question. Descriptive analyses and Poisson regression using Stata 12.0 were performed. The analysis of the exposure variables and the outcome in the unadjusted regression analysis revealed a positive association between regular use of oral health services for the elderly with 9-11 years of schooling (PR = 3.89; 95%CI 1.77-8.58) compared to individuals with 4 years of schooling, up to 9 teeth (PR = 2.50; 95%CI 19.0-5.72) and 10 or more teeth (PR = 3.89; 95%CI 1.58-9.57) compared to individuals who do not have teeth. When considering the primary exposure, tooth loss, through adjusted analysis, individuals with 10 or more teeth (PR = 3.51; 95%CI 1.37-8.99) have a higher prevalence of regular use of oral health services compared to individuals without teeth. The study identified that having teeth is positively associated with regular use of oral health services among the elderly.
本研究旨在调查巴西南部11个家庭健康机构中老年人定期使用牙科服务与牙齿脱落之间的关联。这项横断面研究评估了438名老年人。使用了标准问卷，并由一名经过培训的牙医获取口腔健康临床变量。主要研究结果，即定期使用牙科服务，通过一个单一问题获得。使用Stata 12.0进行了描述性分析和泊松回归。在未调整的回归分析中，对暴露变量和结果的分析显示，与接受4年教育的个体相比，接受9 - 11年教育的老年人定期使用口腔健康服务之间存在正相关（PR = 3.89；95%CI 1.77 - 8.58），与没有牙齿的个体相比，有9颗及以下牙齿的个体（PR = 2.50；95%CI 19.0 - 5.72）以及有10颗及以上牙齿的个体（PR = 3.89；95%CI 1.58 - 9.57）定期使用口腔健康服务之间存在正相关。在考虑主要暴露因素牙齿脱落时，通过调整分析发现，与没有牙齿的个体相比，有10颗及以上牙齿的个体（PR = 3.51；95%CI 1.37 - 8.99）定期使用口腔健康服务的患病率更高。该研究确定，有牙齿与老年人定期使用口腔健康服务呈正相关。
