Autopercepção da saúde bucal de idosos de um município de médio porte do Nordeste brasileiro

Abstract

<jats:p>Este estudo objetivou identificar a autopercepção da saúde bucal de idosos e investigar as variáveis associadas a essa autopercepção. Foram pesquisados 321 indivíduos, de 60 anos ou mais, funcionalmente independentes, residentes do Município de Parnaíba, Piauí, Brasil. Realizaram-se exames clínicos bucais e aplicaram-se formulários durante visitas domiciliares. Os idosos apresentaram precárias condições de saúde bucal, com média CPOD de 29,41, (DP = 4,10). A autopercepção da saúde bucal, medida pelo Geriatric Oral Health Assessment Index (GOHAI), no entanto, foi positiva, 52% dos idosos obtiveram escores altos no GOHAI. Resultados da análise multivariada demonstraram que os preditores da autopercepção foram necessidade de prótese superior, alterações em tecido mole e autoavaliação de saúde bucal. A preditora mais importante foi a autoavaliação de saúde bucal, com um peso de 20% na variação da autopercepção. Concluiu-se que a medida subjetiva relacionada à saúde bucal dos idosos está menos associada às situações clínicas que eles apresentam e mais ligada a outros fatores subjetivos.</jats:p>

Associação entre resiliência e qualidade de vida relacionada à saúde bucal em idosos

“…However, it is worth to question to what point dental loss and the sequels of history of oral health mutilation can be considered as a stress factor for this population. It is known that many elderly people consider their oral health to be good or excellent, despite losses 31 , that is, they are adapted to a situation by "activating their resilience potential" by not considering oral health to be an issue; that is, if these impacts do not reflect on their oral health-related quality of life. Culturally, past generations considered tooth loss as something acceptable.…”

“…This leads us to question what the meaning of resilience in this context is. In case the elderly do not consider their oral health condition to be a stress factor, they may consider that poor oral health is not a problem 31 , especially if tooth loss happened a long time ago. Therefore, the lack of association between resilience and oral healthrelated quality of life may be because usually the study of resilience is based on major events, usually related to grief 33 , catastrophes and war combats.…”

Autopercepção da saúde bucal entre adultos na região Nordeste do Brasil

“…It is based on information and knowledge of health and disease, modifi ed by the experience and social and cultural norms of each individual. 4,11,22 The importance of social and psychological aspects is recognized and interest is growing in understanding the impact of these factors on the individual's oral health. Thus, many research tools, such as questionnaires, are being developed to study the infl uence of the condition of the individual's teeth on their quality of life.…”

“…For example, Gift et al 6 (1998) conjectured a theoretical conceptual model in which selfperceived oral health is a function of multiple factors, including individual demographic characteristics (age and skin color), predisposition and facilitating factors (schooling, income, overall self-perceived health and guidance perceived), factors related to oral health conditions and self-perceived need for treatment. 22 They also noted that in order for self-perceived oral health to be observed, as well as the multiple factors which affect this process, a variety of indices have also been created to evaluate functional, social and psychological problems due to oral health problems. As examples they cite the Geriatric Oral Health Assessment Index, 2 the Oral Health Impact Profi le 20 and the Dental Impact of Daily Living.…”

Oral health self-perception among adults at a primary healthcare unit

“…In a research performed with elderly aged from de 60 years, in which most (54.5%) of the participants were classified into low socioeconomic level, the oral health self-perception was considered as positive, even in low conditions of oral health. Even with signs and symptoms of pain, difficult in mastication, appearance impairment, the health perception of the elderly is affected by the belief that some pain and impairments are natural of the aging process [7,17]. This characteristic, so-called resignation, was also found in a study conducted in a Brazilian metropolis with 45 institutionalized elderlies from different social classes.…”