Abstract
The objectives of this study were to evaluate the use of and need for dental prostheses among elderly Brazilians (65-74 years of age) and to verify associated factors. Data were analyzed from 7,496 elderly participants in the National Oral Health Survey in 2010 (SBBrazil 2010). Use of and need for dental prosthesis were the outcomes. The exposure variables included demographic and socioeconomic characteristics, dental services use, and self-rated oral health. Descriptive, bivariate, and multivariate analyses were performed. Prevalence rates for use of and need for dental prostheses were 78.2% and 68.7%, respectively. The Southeast Region had the highest prevalence of use (71.3%) and the greatest need for dental prostheses (82.9%). Multivariate Poisson regression analyses showed greater use of dental prostheses by women, individuals with 5 to 7 years of schooling, and users of private dental services, and lower use by black individuals and those with self-reported need for dental prostheses. Less need for dental prostheses was seen in women and in users of private services, and greater need in those with self-reported need for dental prostheses. Regional differences were seen in the distribution of use and need for dental prostheses. Still, the findings showed high prevalence rates for both outcomes in all regions of Brazil. Socioeconomic and demographic variables and use of dental services influenced the use of and need for dental prostheses.
Highlights
Still, the findings showed high prevalence rates for both outcomes in all regions of Brazil
Perdas dentárias e fatores sociais, demográficos e de serviços associados em adultos brasileiros: uma análise dos dados do Estudo Epidemiológico Nacional (Projeto SB Brasil 2002-2003)
Summary
O objetivo deste estudo foi avaliar o uso e a necessidade de prótese dentária entre os idosos brasileiros (65-74 anos) e verificar fatores associados. As análises multivariadas por meio de regressão de Poisson revelaram maior uso de prótese dentária em mulheres, naqueles com 5 a 7 anos de estudos e nos que foram a serviço particular, e houve menor uso em indivíduos pretos e com necessidade autorreferida de prótese dentária. A necessidade de prótese foi maior nos idosos do sexo masculino, de cor da pele preta, com renda igual ou inferior a R$ 500,00, que tinham até 4 anos de estudos, que referiram necessidade de tratamento quanto ao uso ou troca da prótese total (dentadura) e usuários do serviço odontológico público. Após ajuste para variáveis confundidoras, o sexo feminino foi associado com maior uso de prótese (RP = 1,19; IC95%: 1,10-1,29), assim como aqueles que tinham de [5,6,7] anos de estudos (RP = 1,11; IC95%: 1,03-1,19), em relação aos com menos anos de estudos.
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