All indexed articles in BBO, LILACS, and MEDLINE databases from January 1998 toJuly 2001 were searched to analyze information on oral health among the elderly in Brazil. The year 1998 was used as a starting point, since this was the year the National Epidemiological Survey was published. Twenty-nine articles were found, of which 7 were analyzed in detail regarding key methodological aspects (age, sampling, data presentation)
OBJETIVO: Estimar a prevalência e severidade da cárie, a prevalência do edentulismo e do uso e necessidade de prótese na população de 60 anos ou mais no município de Biguaçu, SC. MÉTODOS: Utilizando-se uma amostra aleatória probabilística de base domiciliar, foram examinados 277 idosos residentes na área urbana e rural do município. Os exames e questionários foram realizados por dois cirurgiões-dentistas calibrados. Foram utilizados os critérios metodológicos determinados pela Organização Mundial da Saúde e Federação Dentária Internacional. RESULTADOS: Foi encontrado um índice CPOD médio de 28,9, com grande percentual de dentes extraídos (92,1%) e menor participação dos componentes "Cariado" (5,5%) e "Obturado" (2,4%). A prevalência de edêntulos foi de 48,4% da população. O uso de prótese foi mais freqüente no arco superior, onde apenas 1,8% não usava nem necessitava de prótese. Para o arco inferior, esse percentual foi de 4%. CONCLUSÃO: Ainda que a prevalência do edentulismo tenha sido baixa em relação aos dados disponíveis para o Brasil, o elevado índice CPOD ainda evidencia as precárias condições de saúde bucal dos idosos, que necessitam de programas assistenciais específicos para que em breve esse quadro epidemiológico se modifique positivamente.
the proposed classification grouped similar municipalities regarding influential factors in health management, which allowed the identification of comparable groups of municipalities, setting up a consistent alternative to performance evaluation studies.
The purpose of this study was to consider the criteria for establishing the need for prosthesis, by comparing the need perceived subjectively by a patient (self-perception) with that assessed by an examiner according to the WHO diagnosis criteria. The proposed domiciliary sample comprised 270 elderly (aged 60 years or older) residents in a municipality in southern Brazil. The interviews and oral examinations were conducted by two dentists following a period of training and calibration. The criteria used conformed to the WHO and FDI standards. Statistical treatment of data included bivariate and multivariate analysis using SPSS 10.0. Only five patients identified the need for a prosthesis when not identified by the examiner. In the case of 172 elderly subjects, there was agreement in the self-perceived and observed treatment needs. The need for prosthesis was found in 93 elderly subjects who did not perceive any need for prosthetic treatment. The multivariate analysis showed that the variables age, gender, residential area and form of service most sought after during their lives were significantly associated with a better self-perception of oral health. The professional criteria based on WHO guidelines differed from the self-perceived need. Elderly male subjects who lived in a rural area and were 70 years of age or more, who did not participate in third age groups, and who had not sought dental services for most of their lives were the least likely to perceive the need for prosthetic treatment, thereby underestimating their oral health needs.
Female sex and low educational level were the main risk factors for edentulousness in this population. Although various Brazilian studies suggest a decline in edentulousness in the country, methodologically robust research into edentulousness in Brazil is still limited, demanding further studies into this highly prevalent yet preventable health problem amongst the elderly.
This paper presents a model for assessing the quality of primary dental care and tests its applicability in municipalities in Santa Catarina State, Brazil. The model features
5Purpose: Thise purpose of this study was to examineexamined the effect of different menu labelling 6 formats on healthy food choices in a real restaurant setting. Design/methodology/approach: This 7 cross-sectional, randomised and controlled parallel-group trial was conducted in Brazil in 2013. 313 8 university students were randomly assigned to one of three parallel groups with different menu 9 labelling formats. Of these, data from 233 students were analysed. The others did not attend and were 10 excluded. Intervention group 1 (n=88) received information in the form of a traffic light system plus 11 guideline daily amounts, while intervention group 2 (n=74) was presented with an ingredients list plus 12 highlighted symbols. The control group (n=71) received a menu with no menu labelling. Data were 13 collected on one weekday in a restaurant setting. Trial outcomes were assessed by healthy food 14 choices. Findings: Healthy food choices were significantly higher amongof students who received the 15 menu showing an ingredients list plus highlighted symbols were significantly higher when compared to 16 the other groups. Thise same menu labelling format positively affected healthy food choices in women, 17 not overweight participants and in participants who often ate out more than twice a week. 18 Originality/value: MA menu labelling format presentingthat presented an ingredients list and 19 highlighted symbols was positively associated with healthy food choices among university students in 20Brazil. This type of labelling could be adopted in future legislation on menu labelling in Brazil and 21 around the world. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 The term menu labelling can be used in different contexts, as a synonym for calorie information 37 (Roberto et al., 2013; Brochu and Dovidio, 2014;), for nutritional information (Yoon and George, 38 2012;Auchincloss et al., 2013), for the coloured traffic light system (Gerlach, 2013; Morley et al., 39 2013), or for food and nutritional information (Thunstrom and Nordstrom, 2011; Feldman et al., 2013). 40For the purposes of the present study, menu labelling refers to all calorie information, nutritional 41 information (such as calories and nutrients), and food information (e.g. ingredients list, highlighted 42 symbols to designate 'vegetarian' and phrases like 'contains gluten'), as well as the traffic light system 43 plus guideline daily amounts. 44Menu labelling is a public health strategy that is debated around the world as a way to help prevent 45 obesity and other chronic diseases by informing consumers' choices (Bleich and Pollack, 2010; Malik 46 et al., 2013). However, only in the United States of America (USA) is it mandatory under federal law; 47 there, restaurants and similar food service establishments that are part of a chain of 20 or more must 48 prov...
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