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Type: Journal article
Title: Self-rated oral health and associated factors in Brazilian elders
Author: Pattussi, M.
Glazer De Anselmo Peres, K.
Boing, A.
De Anselmo Peres, M.
da Costa, J.
Citation: Community Dentistry and Oral Epidemiology, 2010; 38(4):348-359
Publisher: Wiley
Issue Date: 2010
ISSN: 0301-5661
Statement of
Pattussi MP, Peres KG, Boing AF, Peres MA, da Costa JSD
Abstract: Objective:  Self-rating provides a simple direct way of capturing perceptions of health. The objective of this study was to estimate the prevalence and associated factors of poor self-rated oral health among elders. Methods:  National data from a cross-sectional population-based study with a multistage random sample of 4786 Brazilian older adults (aged 65–74) in 250 towns were analysed. Data collection included oral examinations (WHO 1997) and struct-ured interviews at elderly households. The outcome was measured by a single five-point-response-scale question dichotomized into ‘poor’ (fair/poor/very poor) and ‘good’ (good/very good) self-rated oral health. Data analyses used Poisson regression models stratified by sex. Results:  The prevalence of poor self-rated oral health was 46.6% (95% CI: 45.2–48%) in the whole sample, 50.3% (48–52.5) in men and 44.2% (42.4–46) in women. Higher prevalence ratios (PR) were found in elders reporting unfavourable dental appearance (PR = 2.31; 95% CI: 2.02–2.65), poor chewing ability (PR = 1.64; CI: 1.48–1.8) and dental pain (PR = 1.44; CI: 1.04–1.23) in adjusted analysis. Poor self-perception was also associated with being men, black, unfavourable socioeconomic circumstances, unfavourable clinical oral health and with not using or needing a dental prosthesis. Conclusion:  Assessment and understanding of self-rated oral health should take into account social factors, subjective and clinical oral symptoms.
Keywords: aged; dental health surveys; elderly; oral health; risk factors; self-concept; self-perception
Rights: © 2010 John Wiley & Sons A/S
DOI: 10.1111/j.1600-0528.2010.00542.x
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Dentistry publications

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