Acessibilidade a serviços de saúde bucal por pessoas idosas: uma revisão integrativa

Austregésilo, Sílvia Carréra; Leal, Márcia Carrera de Campos; Marques, Ana Paula de Oliveira; Vieira, Júlia de Cássia Miguel; Alencar, Danielle Lopes de

doi:10.1590/1809-9823.2015.13179

Cited by 14 publications

(26 citation statements)

References 15 publications

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“…Despite its growing importance in the field of health, the area of oral health still has room to develop, focusing on actions aimed at groups who previously lacked access to dental care or suffered invasive treatment, as is the case with the elderly population. Reinserting or inserting these individuals into public health policies is a constant challenge for administrators 24,27,28 , as oral health conditions lead to negative outcomes for nutritional, social and health aspects 29 .…”

Section: Discussionmentioning

confidence: 99%

Factors determining the negative perception of the health of Brazilian elderly people

Zanesco

Bordin

Santos

et al. 2018

Rev. bras. geriatr. gerontol.

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Objective: To identify factors that determine the negative perception of the health of the Brazilian elderly, considering sociodemographic conditions, functional limitations and illness, patterns of utilization of health services and oral health condition. Method: A cross-sectional study with data from the National Health Survey (2013), involving 23,815 elderly persons was carried out. Once the database was treated, dimensionality reduction was performed using the Waikato Environment for Knowledge Analysis. The variables related to health perception were evaluated through logistic regression to measure the magnitude of the associations. Health perception and 36 independent variables were considered as outcome variables. Results: The variables most strongly related to the negative perception of the health of the elderly were illiteracy (OR=1.48), low educational level, total difficulty in performing instrumental activities of daily living (OR=2.04), impossibility of performing any activity (OR=3.20), presence of a diagnosis of physical or mental illness (OR=2.44), negative self-perception of oral health (OR=1.92), an increased need for health services in recent weeks (OR=1.16), medical visits and hospitalization in the last 12 months (OR=1.40). Conclusion: The use of multidimensional methodologies can identify the influence of determinants of a negative perception of health among Brazilian elderly persons, and can support the formulation of public health policies aimed at the elderly population.

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Section: Discussionmentioning

confidence: 99%

Factors determining the negative perception of the health of Brazilian elderly people

Zanesco

Bordin

Santos

et al. 2018

Rev. bras. geriatr. gerontol.

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“…The main oral illnesses, caries and periodontal disease have a cumulative nature and can compromise quality of oral health and result in significant tooth losses and complex and costly rehabilitation needs [1][2][3][4] . In this context, offering universal access is one of the main challenges faced by the Sistema Único de Saúde (the Unified Health System) (SUS) if it is to serve as a model of public health care policy for the elderly population 1,2,5 .…”

Section: Introductionmentioning

confidence: 99%

“…Overall, 14.7% have never visited the dentist at any time in their lives and 42.3% of those who have used the dentist last did so more than three years prior to the survey 3 . Recent studies have indicated that access to dental services is modulated by contextual factors relating to both the oral health services and the individual 2,[5][6][7][8][9] . The regular use of dental services contributes to the maintenance of oral health by means of less complex and preventive treatment, the early detection of diseases in distinct stages of life and improving the quality of life of the elderly 2 .…”

Section: Introductionmentioning

confidence: 99%

Factors associated with the use of dental care by elderly residents of the state of São Paulo, Brazil

Fonseca

Meneghim

2017

Rev. bras. geriatr. gerontol.

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Objective: To investigate factors associated with the use of dental care services. Methods: A cross-sectional study with a representative sample of elderly individuals aged 65 years or older residing in the state of São Paulo in 2015 was performed. Hierarchical multivariate logistic regression analysis was used based on the theoretical model of access determination proposed by Andersen (1995) to predict dental care visits. Results: The prevalence of public service use by the elderly was 1.981 (37.8%), while 3.253 (62.2%) used the private service/ health plan/ other type of service. Hierarchical multiple analysis ( p≤0.05) identified that less schooling or never having studied, non-white, lower income and motivated by pain/extraction were associated with the use of public dental services. The study showed a reduced use of public dental care among elderly persons who required some type of upper dentures (except complete dentures), need for some type of lower dentures (including complete dentures) and demonstrated a positive self-perception of oral health condition. Conclusions: A higher prevalence of the use of private dental care/ health plan/other type of service was identified. Less schooling or never having studied, non-white skin color, lower income and seeking the dentist with pain or to extract teeth were factors associated with the use of public dental services by the elderly.

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“…Apesar de ser altamente maléfico ao indivíduo, o edentulismo parcial ou total ainda é interpretado, por muitos, como uma condição natural decorrente do envelhecimento 1,3 . Tal condição remete o público idoso à dispensabilidade de serviços odontológicos 2,7 .…”

Section: Discussionunclassified

“…Classificada em duas modalidades, as quais abarcam atividades relacionadas ao potencial físico para desempenhar ações rotineiras, nomeadas ' Atividades Básicas de Vida Diária' (ABVD), e a capacidade para atividades com enfoque cognitivo relacionadas à vida em comunidade, nomeadas ' Atividades Instrumentais de Vida Diária' (AIVD) 5,6 . A presença de DF, além de comprometer a autonomia do idoso, onera desgastes emocionais, físicos e financeiros ao próprio idoso, aos entes próximos e à sociedade em geral, interferindo negativamente na saúde pública 3,7 .…”

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Implicações da saúde bucal na esfera funcional de idosos brasileiros

Zanesco

Bordin

Santos

et al. 2018

Rev. odontol. UNESP

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Resumo Objetivo Objetivou-se, por meio do estudo da Pesquisa Nacional de Saúde (PNS-2013), identificar fatores com alto grau de associação com quadros de dificuldade funcional (DF) em idosos brasileiros. Material e método Estudo transversal, quantitativo, com fonte de dados provenientes da PNS-2013, considerando a amostra total de indivíduos com 60 ou mais anos (n=23.815). Para a análise, foram consideradas duas variáveis dependentes nomeadas de: Atividades Básicas de Vida Diária e Atividades Instrumentais de Vida Diária, e 30 variáveis independentes, relacionadas a condições sociodemográficas e de saúde bucal. O software Waikato Environment for Knowledge Analysis foi utilizado para realizar as análises. Inicialmente, realizou-se o balanceamento do conjunto de dados e, na sequência, foi realizado o teste de redução de dimensionalidade, por intermédio do método de validação cruzada de 10 Fold. Finalmente, as variáveis relacionadas com as variáveis dependentes foram avaliadas por meio da regressão logística. Resultado Os resultados apontam a direta associação de DF de idosos com aspectos etários, principalmente para octogenários (ABVD OR=2,19 e AIVD OR=2,82), seguidos de idosos sem escolaridade (AIVD OR=1,96), aqueles que não convivem com cônjuge ou companheiro (AIVD OR=1,65) e aspectos de saúde bucal, como: presença de dificuldade para se alimentar decorrente de problemas com dentes ou próteses (ABVD OR=1,73 e AIVD OR=1,59), não realização de consulta com cirurgião-dentista ao longo da vida (ABVD OR=1,69) e ausência de dentes naturais (AIVD OR=1,64). Conclusão Com base nos achados, ressalta-se a importância do fortalecimento de estratégias preventivas voltadas à parcela de indivíduos com 60 ou mais anos, incluindo a saúde bucal.

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Acessibilidade a serviços de saúde bucal por pessoas idosas: uma revisão integrativa

Cited by 14 publications

References 15 publications

Factors determining the negative perception of the health of Brazilian elderly people

Factors determining the negative perception of the health of Brazilian elderly people

Factors associated with the use of dental care by elderly residents of the state of São Paulo, Brazil

Implicações da saúde bucal na esfera funcional de idosos brasileiros

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