The scarcity of epidemiological studies in the rural population may compromise information on oral health. For these, access to public services in general, schools, hospitals and health facilities can be difficult due to the distance of properties and precarious transport services. 7,14 These and other factors, such as the absence of water treatment systems, 6,15 sewage and garbage collection may also compromise the health of this population. A British study involving 876 elderly people over 65 years old was conducted to identify the relationship between social support, oral health status and behavior in relation to the maintenance of this. This study found a close relationship between them that influences the decision making between the demand for dental care and the type of treatment performed. 16

The aim of this study was to determine the cognition, degree of functional independence, physical health (diagnosed diseases, medications) and social functions and relationships of elderly people living in a rural area of Araraquara (Sao Paulo, Brazil). Seventy-six elderly individuals were interviewed and completed a structured questionnaire based on BOMFAQ and adapted from the OARS questionnaire. Mini Mental State Exam (MMSE) was used to assess the cognitive status, and the functional condition by combining the scales of basic and instrumental activities of daily living. Considering the educational level, 17.1% of the elderly presented cognitive impairment and did not consider schooling 92.1%; 76.3% had dependence on at least one activity of daily life, 88.2% reported having a diagnosed disease, and the most frequent condition was hypertension (37.5%). It was concluded that the elderly who live in the settlement evaluated need a broader approach to social and health conditions that may contribute substantially to family education and training in elder care, periodic medical follow-up, and provision of specific care.