Functional dentition and associated factors in Brazilian elderly people: A multilevel generalised structural equation modelling approach

Bomfim, Rafael Aiello; Frias, Antônio Carlos; Cascaes, Andréia Morales; Pereira, Antônio Carlos

doi:10.1111/ger.12355

Cited by 11 publications

(16 citation statements)

References 27 publications

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“…35 Divergent results have been verified in noninstitutionalized elderly individuals, in which the impact of tooth loss on nutritional status and OHRQoL has been found. 36 These findings strengthen that oral health has a secondary role in the OHRQoL of institutionalized elderly individuals. Nonetheless, the results of this study indicate that some clinical parameters can influence OHRQoL.…”

Section: Discussionsupporting

confidence: 52%

Factors associated with oral health-related quality of life of institutionalized elders

et al. 2021

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Section: Discussionsupporting

confidence: 52%

Factors associated with oral health-related quality of life of institutionalized elders

et al. 2021

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“…In Hawaii, for instance, native Hawaiians have an excess tooth loss 36 compared to Whites, with income and education playing an important role in this association. Among older Brazilian adults, socioeconomic status also plays an important role in tooth loss and functional dentition 37,38 . Moreover, wealthier people are more likely to know the risks and have the resources (money, knowledge, power, prestige and beneficial social connections) to engage in prevention or treatment 39 …”

Section: Discussionmentioning

confidence: 99%

Racial inequities in tooth loss among older Brazilian adults: A decomposition analysis

Bomfim

Schneider

Andrade

et al. 2020

Comm Dent Oral Epid

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Objective To determine the extent to which racial inequities in tooth loss and functional dentition are explained by individual socioeconomic status, smoking status and frequency/reason for the use of dental services. Methods Data came from the Brazilian Longitudinal Study of Ageing, a nationally representative sample of community‐dwelling people aged 50 years and over. Tooth loss and functional dentition (ie 20+ natural teeth) were the outcomes. The main explanatory variable was self‐classified race. Covariates included dental visits in the past 12 months, dental visits for check‐ups only, smoking status, self‐reported chronic conditions, depression and cognitive function. Logistic regression and Blinder‐Oaxaca decomposition analysis were used to estimate the share of each factor in race‐related tooth loss inequities. Results The analytical sample comprised of 7126 respondents. While the prevalence of functional dentition in White Brazilians was 37% (95% CI: 33.5;40.9), it was 29% (95% CI: 26.4;31.6) among Browns and 30% (95% CI: 25.1;35.4) among Blacks. The average number of lost teeth among Whites, Browns and Blacks were 18.7 (95% CI: 17.8;19.6), 20.4 (95% CI: 19.7;21.1) and 20.8 (95% CI: 19.5;22.0), respectively. Decomposition analysis showed that the selected covariates explained 71% of the racial inequalities in tooth loss. Dental visits in the previous year and smoking status explained nearly half of race‐related gaps. Other factors, such as per capita income, education and cognitive status, also had an important contribution to the examined inequalities. The proportion of racial inequities in tooth loss that was explained by dental visits (frequency and reason) and smoking status decreased from 40% for those 50‐59 years of age to 22% among participants aged 70‐79 years. Conclusions Frequency and reason for dental visits and smoking status explained nearly half of the racial inequity in tooth loss among Brazilian older adults. The Brazilian Family Health Strategy Program should target older adults from racial groups living in deprived areas.

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“…According to Papapanou (2017)[ 33 ], periodontitis should no longer be defined solely by gingival/periodontal inflammation in the presence of increased probing depths and clinical attachment loss, but should incorporate additional dimensions capturing impaired function, esthetics, and impact on general health and quality of life. This multidimensional approach with social support variables, is a first step to understand that feeling happy could improve periodontal status and oral health related quality of life of Elders [ 34 ].…”

Section: Discussionmentioning

confidence: 99%

Socio-economic factors associated with periodontal conditions among Brazilian elderly people - Multilevel analysis of the SBSP-15 study

et al. 2018

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The objective of the present study was to analyze individual, contextual and social support factors associated with periodontal condition among 2332 dentate elderly Brazilian participants from the São Paulo State Oral Health Survey 2015 (SBSP-15). Methods: This study used the database compiled by the SBSP-15, conducted from January to December in 2015. The associations were made by relative risk (RR), with Multilevel Poisson Regressions, among individual, contextual and social support variables, and had periodontal diseases as outcomes. Results: The mean age of elders was 70.13 years (SD 5.67). The risk factors for all outcomes of periodontal diseases were male gender and self-perceived color of non-white skin. Regarding social support, feeling unhappy was a risk factor for the presence of shallow periodontal pockets (3–5mm) RR 1.43(CI 95% 1.10–1.86). The coverage of the Family Health Strategy (FHS) was a protective factor for gingival bleeding RR = 0.7(CI 95% 0.44–0.99) and calculus RR = 0.75(CI 95% 0.60–0.95), and a risk factor for the number of lost sextants (sextants with only one tooth or without any teeth) RR = 1.12(CI 95% 1.00–1.28). Living in municipalities with more than 90% fluoridation coverage was a protective factor for the number of lost sextants RR = 0.89(CI 95% 0.78–0.99). Conclusions: The study showed evidence that individual (gender and self-perceived skin color), contextual (coverage of the family health strategy and water fluoridation) and social support factors (feeling unhappy) are associated with the clinical outcomes of periodontal diseases in Brazilian elders. This reinforces the need for transdisciplinary actions in the FHS, stimulating work together and intersectoral collaboration between FHS and NASF (Family Health Support Center).

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Functional dentition and associated factors in Brazilian elderly people: A multilevel generalised structural equation modelling approach

Abstract: All definitions of FD were good at mediating the effects of SES on OHRQoL, showing the importance of occlusal and periodontal statuses of elderly individuals.

Cited by 11 publications

References 27 publications

Factors associated with oral health-related quality of life of institutionalized elders

Factors associated with oral health-related quality of life of institutionalized elders

Racial inequities in tooth loss among older Brazilian adults: A decomposition analysis

Socio-economic factors associated with periodontal conditions among Brazilian elderly people - Multilevel analysis of the SBSP-15 study

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