Autopercepção de saúde bucal em comunidades quilombolas no Rio Grande do Sul: um estudo transversal exploratório

Abstract

ABSTRACT:Objective: There's a shortage of evidence on the oral health of quilombolas. This study aims to describe oral health self-perception, as well as to verify its associated factors in quilombola communities in the state of Rio Grande do Sul. Methods: The data for this cross-sectional health survey were collected by application of a questionnaire. Since this study was part of a survey on nutritional security, the probabilistic cluster sample was estimated for the outcome of nutritional insecurity, comprising 583 individuals across quilombola communities in Rio Grande do Sul. The association between the outcome of negative oral health self-perception and sociodemographic, general health, and oral health variables was measured by prevalence ratios obtained through Poisson regressions with robust variance and 95% confidence intervals. Results: Negative self-rated oral health was reported by 313 (53.1%) of the individuals. Satisfaction with chewing ability and satisfaction with oral appearance were associated with a higher prevalence of negative perception of oral health, while there was no association between the outcome and number of teeth. Use of alcohol had a borderline association with the outcome. Conclusion: Satisfaction with appearance and chewing ability are factors associated with oral-health self-perception of the quilombolas in Rio Grande do Sul.

Prevalência de diagnóstico e tipos de câncer em idosos: dados da Pesquisa Nacional de Saúde 2013

“…With the increase in the proportion of elderly people in the population, it is expected that a greater number of elderly individuals will be diagnosed with cancer 1,5. It is noteworthy that both early detection and new forms of treatment increase the survival of people with this condition 4,16 . For the group of elderly Brazilians, on average, the identification of the disease occurred about nine years ago.…”

“…With regard to the question used for the outcome considered in this study, the research investigated the report of some medical diagnosis of cancer (in life). The prevalence of cancer therefore represents the proportion of people alive at any given time, who have already had a diagnosis of the disease 34 , regardless of how long ago the diagnosis was made, whether the patient is still on treatment, or whether he is "cured" 16,34 . Therefore, "survivor" is understood not only to an individual who has lived for a long period of time after treatment, but also those newly diagnosed, as well as those who are undergoing treatment, have completed treatment or are in remission.…”

Extrações dentárias autorrelatadas e fatores associados em comunidades quilombolas do Semiárido baiano, em 2016*

“…This result was not discussed directly in similar studies. 8,14 Only the study conducted by Kochergin et al, 25 when considering the 'has a source of income' variable, which could be indirectly related to having a job and working, did not reveal statistically significant association between the 'has a source of income' variable and tooth loss. New studies which take these aspects into consideration are needed.…”

“…However, age was not statistically significant in quilombolas in Rio Grande do Sul state, with regard to self-perception of overall oral health. 14 It is known that tooth loss prevalence among the elderly in Brazil is high, and among the highest worldwide, 1 which may be explained by the cumulative effect of mouth diseases, as a result of difficulty in accessing dental services to prevent and treat these health conditions, above all in the past. Notwithstanding, it should be emphasized that elderly quilombolas, differently to non-quilombola elderly, have a higher percentage of decayed and lost teeth, reflecting their greater difficulty in accessing health services, in addition to there being no fluoridated water supply in most quilombola communities.…”

“…11 With regard to oral health, research has demonstrated that self-assessment of one's health status, as well as other indicators of perceived morbidity, has differentiated impacts, depending on the variables used. [12][13] Studies on quilombola oral health are scarce; 14 there are no publications in the literature on this theme in the semi-arid region of Bahia state, for example. In view of the this gap in scientific knowledge and as this is a study of a vulnerable and specific population that lives distant from urban centers and, therefore, tends to have limited access to health services, its objective was to estimate prevalence of self-reported tooth extractions and analyze related factors in quilombola communities in the semi--arid region of Bahia state.…”