Resilience and Self‐Perceived Oral Health: A Hierarchical Approach

Martins, Aline Blaya; Santos, Camila Mello dos; Hilgert, Juliana Balbinot; Marchi, Renato José De; Hugo, Fernando Neves; Padilha, Dalva Maria Pereira

doi:10.1111/j.1532-5415.2011.03350.x

Cited by 49 publications

(69 citation statements)

References 29 publications

(44 reference statements)

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“…This concept strengthens the hypothesis confirmed by this study considering that, during the analysis, high resilience potential presented a statistically significant association in different strengths when considering other variables. This finding agrees with the observations by Martins et al 17 , who found an increasing statistical association as a greater number of variables were included in an analytical model. Hence, it is possible that resilience is one of the factors capable of explaining the paradox that the elderly are satisfied with dental services, even when facing limitations in accessing dental treatment and having poor oral health conditions.…”

Section: Discussionsupporting

confidence: 93%

Can more resilient elderly people be more satisfied with dental services?

Neves

Martins

D’Ávila

et al. 2015

Rev. odontol. UNESP

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ResumoIntrodução: No que diz respeito aos Serviços de Saúde Bucal, poucos estudos têm sido desenvolvidos na ambição de conhecer a satisfação deste grupo etário com tais serviços. Objetivo: Investigar a associação entre a resiliência e satisfação com serviços odontológicos entre os idosos, por meio de um modelo ajustado para fatores de confusão. Material e método: O lócus da pesquisa foi Lomba-Partenon, em Porto Alegre -RS, onde 771 idosos foram identificados em seus domicílios por meio de amostragem por conglomerado. Os indivíduos responderam a um questionário sócio-demográfico e de comportamentos em saúde, à Escala de Resiliência e a questões relativas ao Serviço Odontológico acessado e à satisfação com o mesmo; além disso, foi realizado um breve exame bucal para contagem do número de dentes e identificação do uso de prótese dentária. Resultado: Baseado em uma abordagem hierárquica realizada através de Regressão Logística Multivariada, as odds ratios estimadas das variáveis que ficaram significativamente associadas com o desfecho em estudo, satisfação com o Serviço Odontológico, após a análise totalmente ajustada, foram: 1) obtenção de consulta odontológica classificada como regular: OR= 1,85, 95% IC (1,10 a 3,12); 2) obtenção de consulta odontológica classificada como ruim: OR= 2,17, 95% IC (1,05 a 4,50) e 3) alto potencial de resiliência: OR= 0,60, 95% IC (0,37 a 0,97). Conclusão: Os resultados confirmam a hipótese de associação entre elevado potencial de resiliência e satisfação com os Serviços Odontológicos acessados por idosos.Descritores: Avaliação de serviços de saúde; resiliência psicológica; assistência odontológica para idosos; saúde do idoso; satisfação do paciente. AbstractIntroduction: With respect to dental health services, few studies have been developed to understand the satisfaction of this age group with these services. Objective: To investigate the association between resilience and satisfaction with dental services among elderly people, using a model adjusted for confounding factors. Material and method: The locus of the research was the Lomba-Parthenon district management, in Porto Alegre, Rio Grande do Sul, Brazil. 771 elderly people living in their homes were identified through cluster sampling. The subjects responded to a socio-demographic and health behaviors questionnaire, the Resilience Scale and to questions regarding their satisfaction with dental care accessed. Furthermore, a brief oral examination was conducted to count the number of teeth and to identify the use of dental prostheses. Result: Based on a hierarchical approach conducted using Multivariate Logistic Regression and after fully adjusted analysis, the estimated odds ratios of the variables that were significantly associated with the outcome of this study, satisfaction with dental care, were: 1) obtaining a dental appointment, classified as regular: OR= 1.85, 95% CI (1.10 to 3.12); 2) obtaining a dental appointment, classified as bad: OR= 2.17, 95% CI (1.05 to 4.50); and, 3) high potential for resilience: OR= 0.60, 95% CI...

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Section: Discussionsupporting

confidence: 93%

Can more resilient elderly people be more satisfied with dental services?

Neves

Martins

D’Ávila

et al. 2015

Rev. odontol. UNESP

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“…Self-reported tooth loss was related to negative self-perception of oral health in the univariate analysis, in agreement with other studies that carried out clinical examination involving elderly populations 13 , as well as the adult population of Brazil 20 . After multivariate analysis, the number of teeth had no significant relationship with the outcome, also correlated with results of clinical studies involving elderly Brazilians 21 and, more specifically, Rio Grande do Sul dwellers 22 . The lack of association can be explained by the lack of data on the location of these teeth in the dental arch, since the presence of functional occlusal pairs is important in the construction of oral health self-perception 23 , or the perception of tooth loss as a solution to pain and as prevention for future problems and expenses with oral health 24 .…”

Section: Discussionmentioning

confidence: 82%

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

Bidinotto

D’Ávila

Martins

et al. 2017

Rev. bras. epidemiol.

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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.

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“…This result is in agreement with the findings reported by Jain et al 30 , that the impact of oral health problems on the quality of life reduces with the increase of age. The older people evaluated in this study lived in a period in which edentulism and poor oral health seemed to have been considered a part of "normal" ageing 8,31 .…”

Section: Discussionmentioning

confidence: 99%