Doralice Teixeira - Academia.edu (original) (raw)
Papers by Doralice Teixeira
Public Health, 2021
OBJECTIVES This study assessed the moderating role of education on the relationship between multi... more OBJECTIVES This study assessed the moderating role of education on the relationship between multimorbidity and mortality among older adults in Brazil. STUDY DESIGN This was a cohort study. METHODS This study used data from 1768 participants of the Health, Well-Being and Ageing Cohort Study (SABE) who were assessed between 2006 and 2015. The Cox Proportional Risks Model was used to evaluate the association between multimorbidity (two or more chronic diseases) and mortality. An interaction term between education and multimorbidity was included to test the moderating role of education in this association. RESULTS The average follow-up time was 4.5 years, with a total of 589 deaths in the period. Multimorbidity increased the risk of mortality (hazard ratio [HR] 1.55, 95% confidence interval [CI] 1.27-1.91), and this association was not moderated by education (HR 1.06, 95% CI 1.00-1.13; P value = 0.07). CONCLUSIONS The impact of education and multimorbidity on mortality emphasises the need for an integrated approach directed towards the social determinants of health to prevent multimorbidity and its burden among older adults.
International Journal of Dentistry, 2013
The aim of this cross-sectional study was to assess the factors associated with the impact of ora... more The aim of this cross-sectional study was to assess the factors associated with the impact of oral health on the quality of life in a sample of 504 Brazilian independent elderly. Data collection included oral examinations and structured interviews. The simplified form of the Oral Health Impact Profile (OHIP-14) was used to measure OHRQoL. Information on sociodemographic characteristics, use of dental services, and subjective measures of health was collected. Poisson regression within a hierarchical model was used to data analyses. The following variables were associated with a negative impact on OHRQoL: female gender (PR = 1.40; CI 95%: 1.11–1.77); lower class (PR = 1.58; CI 95%: 1.13–2.20); up to 3 occluding pairs of posterior teeth (PR = 1.88; CI 95%: 1.13–3.14); at least one untreated caries (PR = 1.28; CI 95%: 1.06–1.54); curative reasons for the last dental appointment (PR = 1.52; CI 95%: 1.15–2.00); poor self-perception of oral health (PR = 2.49; CI 95%: 1.92–3.24); and poor p...
PLOS ONE, May 19, 2022
To identify difficulties in accessing health services by the elderly in the city of São Paulo/Bra... more To identify difficulties in accessing health services by the elderly in the city of São Paulo/Brazil and the contributory factors that reflect inequalities. This is a cross-sectional study that used data from the Health, Well-being and Aging Study (SABE). The population is composed of elderly � 60 years old, of both sexes, living in the urban area of São Paulo. For this analysis, we used data from the 2015 cohort of the SABE study, containing a sample of 1,221 individuals. The proportions of access difficulty and, through logistic regression, the associated factors were verified, based on Andersen's Behavioral Model, which considers factors of predisposition, enabling and need as individual determinants of access to health care. It was observed that 37.0% of the elderly reported difficulty accessing health services when they needed it. This difficulty was greatest among females (42.3%), aged 60 to 69 years (40.9%), black race/color (58.8%), illiterate (44.5%), single/separated/divorced (44.3%), with income slower than one salary minimum (46.8%), without health insurance (51.9%), with poor/very poor self-assessment of health (54.7%), with multimorbidity (40.1%), frail (47.2%) and among those who used polypharmacy (40.8%). After multivariate analysis, in the final model, there was a positive association between difficulty of access and predisposing factors (female gender, age group 60 to 69 years, black race/color, illiterate), enabling factors (possession of health insurance) and need factors (regular and poor/very poor self-assessment of health and pre-fragility and frailty condition). The presence of difficulty in access associated with predisposing, enabling and need factors reflect the existence of inequalities caused by barriers that point to weaknesses in the organization of services. The identification of these barriers that hinder access highlights important points that can have an impact on the equity and resolution of care.
Journal of Oral and Maxillofacial Surgery, 2012
The aim of this study was to verify possible associations between oral health-related quality of ... more The aim of this study was to verify possible associations between oral health-related quality of life (QoL) and the position of the lower third molar among patients undergoing lower third molar surgery during the first postoperative week. Materials and Methods: We performed an interventional prospective study of 86 patients for whom the preoperative treatment plan included the removal of 2 third molar teeth from the same side in a 1-time procedure. The patients were divided into 2 groups depending on the position of the lower third molar. QoL was evaluated before and after the surgical procedure (during the first 7 days) with the Oral Health Impact Profile (OHIP) 14 questionnaire. Data were treated according to Stata 10.0 (StataCorp, College Station, TX). Variables were evaluated by use of split-plot analysis of variance for the repeatedmeasures analysis to identify the association between QoL and the position of the lower third molar. Results: Patients can have deterioration in their QoL immediately after surgery, especially during the first and second postoperative days, and subsequently show rapid improvement. The variation in the total OHIP score during the days after surgery was significant, whereas a decrease in QoL was observed immediately after the procedure (P ϭ .001), which returned to initial value (preoperative) levels after the sixth postoperative day. The OHIP domains with higher scores (ie, those that had an impact) were physical pain, psychological discomfort, and physical disability (domains 2, 3, and 4, respectively). Conclusions: Teeth considered to be associated with technical difficulties for extraction based on their position had a higher score on the OHIP-14 questionnaire and worse health-related QoL score. QoL outcomes may be as important as clinical signs in decisions regarding third molar extractions.
Cadernos De Saude Publica, 2020
A multimorbidade foi caracterizada como ≥ 2 condições crônicas com base em uma lista de 15 morbid... more A multimorbidade foi caracterizada como ≥ 2 condições crônicas com base em uma lista de 15 morbidades consideradas de risco para COVID-19 grave. As análises incluíram cálculo de prevalência e estimativa do número absoluto de pessoas na população em risco. Autoavaliação do estado de saúde, fragilidade e atividades básicas da vida diária foram utilizadas como marcadores da situação de saúde. Sexo, idade, região geopolítica e escolaridade foram usados como covariáveis. Cerca de 80% dos indivíduos da amostra apresentaram pelo menos alguma das morbidades avaliadas, o que representa cerca de 34 milhões de indivíduos; a multimorbidade foi referida por 52% da população em estudo, com maior proporção nas regiões Centro-oeste, Sudeste e Sul. Doenças cardiovasculares e obesidade foram as condições crônicas mais frequentes. Estima-se que 2,4 milhões de brasileiros estejam em risco grave de saúde. Desigualdades segundo a escolaridade foram observadas. O número de pessoas com 50 anos ou mais que apresentam morbidades de risco para COVID-19 grave é elevado tanto em termos relativos quanto absolutos. A estimativa apresentada é importante para planejar as estratégias de monitoramento das pessoas com morbidades crônicas e de prevenção no enfrentamento do novo coronavírus.
Cad. Saúde Pública (Online), 2020
To measure the occurrence of protective behaviors for COVID-19 and sociodemographic factors accor... more To measure the occurrence of protective behaviors for COVID-19 and sociodemographic factors according to the occurrence of multimorbidity in the Brazilian population aged 50 or over was the objective of this study. We used data from telephone surveys among participants of ELSI-Brazil (Brazilian Longitudinal Study of Aging), conducted between May and June 2020. The use of non-pharmacological prevention measures for COVID-19, reasons for leaving home according to the presence of multimorbidity and sociodemographic variables were evaluated. among 6,149 individuals. Multimorbidity was more frequent in females, married, aged 50-59 years and residents of the urban area. Most of the population left home between once and twice in the last week, increasing according to the number of morbidities (22.3% no morbidities and 38% with multimorbidity). Leaving home every day was less common among individuals with multimorbidity (10.3%) and 9.3% left home in the last week to access health care. Hand hygiene (> 98%) and always wearing a mask when leaving home (> 96%) were almost universal habits. Greater adherence to social isolation was observed among women with multimorbidity when compared to men (PR = 1.49, 95%CI: 1.23-1.79). This adherence increased proportionally with age and inversely with the level of education. The protective behavior in people with multimorbidity seems to be greater in relation to the others, although issues related to social isolation and health care deserve to be highlighted. These findings can be useful in customizing strategies for coping with the current pandemic.
Revista Brasileira De Epidemiologia, 2018
Introduction: Understanding racial disparities in Brazil has been very complex and poorly investi... more Introduction: Understanding racial disparities in Brazil has been very complex and poorly investigated in some population segments, such as the elderly individuals. Objective: This study aimed to present descriptively a comparative analysis in a racial perspective of sociodemographic profile, health conditions, and health service use by older people in the city of São Paulo. Methods: This is a cross-sectional analysis of the Health, Welfare and Aging Study (SABE). For this study, 1,345 elderly individuals were considered in the cohort of 2010. Data about the black, brown, and white elders were selected. The data were addressed in three major axes: sociodemographic, health conditions, and health service use. The chosen epidemiological measure of association was the prevalence ratio (PR), as well as the percentage values for expressing differences among the groups. Results and conclusion: The results showed a more favorable scenario for the aging of the white elderly compared to those of brown or black color, considering sociodemographic indicators, health conditions or use and access to health services.
Revista Brasileira de Epidemiologia, 2019
RESUMO: Introdução: O uso de prótese e a perda dentária em idosos estão associados a impactos sig... more RESUMO: Introdução: O uso de prótese e a perda dentária em idosos estão associados a impactos significativos na saúde geral e na qualidade de vida. A avaliação contínua do perfil de saúde bucal dessa população é importante para o planejamento das ações e políticas da área. Objetivo: Foram objetivos deste trabalho avaliar a prevalência de perda dentária e uso de próteses entre idosos em diferentes períodos, verificar as características sociodemográficas associadas à dentição funcional (mais de 20 dentes) e avaliar o impacto do uso de prótese e da perda dentária na autoavaliação da saúde bucal. Métodos: A amostra foi composta por pessoas de 60 anos ou mais, participantes do Estudo Saúde, Bem-Estar e Envelhecimento (SABE). A avaliação da prevalência de perda dental e uso de próteses foi feita a partir da comparação dos dados coletados nos anos de 2000, 2006 e 2010. As análises dos fatores associados à dentição funcional e autoavaliação de saúde bucal foram realizadas com base nos dados...
Revista de Saúde Pública, 2013
OBJETIVO: Analisar a tendência de prevalência de fluorose dentária em crianças de 12 anos em cont... more OBJETIVO: Analisar a tendência de prevalência de fluorose dentária em crianças de 12 anos em contexto de exposição a múltiplas fontes de flúor. MÉTODOS: Realizou-se análise de tendência da prevalência de fluorose dentária no período de 1998 a 2010 na cidade de São Paulo, SP. As prevalências foram calculadas para diferentes anos (1998, 2002, 2008 e 2010), a partir de dados secundários obtidos em levantamentos epidemiológicos com amostras representativas da população de 12 anos de idade. A ocorrência de fluorose foi avaliada sob luz natural utilizando o índice de Dean, preconizado pela Organização Mundial da Saúde e categorizada em normal, questionável, muito leve, leve, moderada e severa. Em 1998 foram examinadas 125 crianças; 249 em 2002; 4.085 em 2008; e 231 em 2010. RESULTADOS: Em 1998 a prevalência de fluorose foi de 43,8% (IC95%35,6;52,8), em 2002 de 33,7% (IC95% 28,2;39,8), de 40,3% (IC95% 38,8;41,8) em 2008 e de 38,1% (IC95% 32,1;44,5) em 2010. As categorias muito leve + leve ...
Cadernos De Saude Publica, 2020
Aim: To assess factors associated with the deterioration of self-rated chewing ability among adul... more Aim: To assess factors associated with the deterioration of self-rated chewing ability among adults aged 60 years and older over a 6-year period. Methods: We carried out a case–control study nested in a cohort involving 890 individuals living in the city of Sao Paulo from 2000 to 2006. The outcome was the reduction of self-rated chewing ability. Covariates on demographic, socioeconomic, behavior, cognitive, and functional and physical status variables were investigated. Simple and multiple analyses were carried out using unconditional logistic regression with hierarchical selection of variables. Results: We analyzed 236 cases and 654 controls. In the unadjusted assessment, the reduction of self-rated chewing ability was associated with being aged older than 74 years, widowed, low schooling/income, not having a microwave oven or a car, physical inactivity, poor/regular self-rated health, to feel disgusted, poor/regular self-rated memory, one or more compromised daily life activities,...
To measure the occurrence of protective behaviors for COVID-19 and sociodemographic factors accor... more To measure the occurrence of protective behaviors for COVID-19 and sociodemographic factors according to the occurrence of multimorbidity in the Brazilian population aged 50 or over was the objective of this study. We used data from telephone surveys among participants of ELSI-Brazil (Brazilian Longitudinal Study of Aging), conducted between May and June 2020. The use of non-pharmacological prevention measures for COVID-19, reasons for leaving home according to the presence of multimorbidity and sociodemographic variables were evaluated. among 6,149 individuals. Multimorbidity was more frequent in females, married, aged 50-59 years and residents of the urban area. Most of the population left home between once and twice in the last week, increasing according to the number of morbidities (22.3% no morbidities and 38% with multimorbidity). Leaving home every day was less common among individuals with multimorbidity (10.3%) and 9.3% left home in the last week to access health care. Hand...
Revista Brasileira de Epidemiologia
ABSTRACT: Objective: The aims of this study were: 1) to estimate the prevalence of multimorbidity... more ABSTRACT: Objective: The aims of this study were: 1) to estimate the prevalence of multimorbidity in 2013 and 2019 in adults aged 20–59 years; 2) to assess inequalities in the prevalence of multimorbidity in 2013 and 2019 according to educational level. Methods: Data from two cross-sectional surveys from the Brazilian National Health Survey in 2013 and 2019 were used. Multimorbidity was assessed from 14 lifetime self-reported morbidities (except back problems) and defined using the cutoff point of ≥2 diseases. The prevalence of multimorbidity and individual morbidities were described according to gender, age, skin color, and education. For education, crude, and relative inequalities in prevalence of multimorbidity were calculated using the Slope Index of Inequality and the Concentration Index, respectively. Results: The prevalence of multimorbidity increased from 18.7% (95%CI 18.0–19.3) in 2013 to 22.3% (95%CI 21.7–22.9) in 2019, being higher among women and adults between 30–59 yea...
Journal of Obesity & Metabolic Syndrome
Background: An increase in body mass index (BMI) is strongly associated with the occurrence of mu... more Background: An increase in body mass index (BMI) is strongly associated with the occurrence of multimorbidity, and overweight and obesity are contributing factors for the increase in morbidities. Thus, the present study aimed to evaluate the occurrence of multimorbidity and associated factors in Brazilian adults with and without overweight or obesity. Methods: This was a cross-sectional population-based study with data from the National Health Survey (2013) including individuals aged 18 years or older. Multimorbidity was defined as having ≥2 diseases from the list of 15 morbidities on the self-reported questionnaire (self-reported medical diagnosis in life). BMI was categorized as: ≤24.9 kg/m 2 (low weight and eutrophy), 25.0-29.9 kg/m 2 (overweight), and ≥30.0 kg/m 2 (obesity). Sex, age, and schooling were the covariates. Poisson regression was used for crude and adjusted analyses for the variables representing access to health services estimating the prevalence ratio (PR) and 95% confidence interval (CI). Results: The total sample consisted of 59,402 individuals. The prevalence of multimorbidity was 25% overall and was higher among overweight (25.8%) and obese (32.5%) individuals. Obese women 60 years or older had a higher occurrence of multimorbidity (80%). In the adjusted analysis, a lower prevalence of multimorbidity was observed among those with higher educational levels in all BMI classifications: low weight/eutrophy, PR=0.66 (95% CI, 0.58-0.75); overweight, PR=0.62 (95% CI, 0.56-0.70); and obesity, PR=0.75 (95% CI, 0.67-0.85). Conclusion: A higher prevalence of multimorbidity was found among obese women who were 60 years of age or older. Schooling was an associated factor regardless of BMI.
Public Health, 2021
OBJECTIVES This study assessed the moderating role of education on the relationship between multi... more OBJECTIVES This study assessed the moderating role of education on the relationship between multimorbidity and mortality among older adults in Brazil. STUDY DESIGN This was a cohort study. METHODS This study used data from 1768 participants of the Health, Well-Being and Ageing Cohort Study (SABE) who were assessed between 2006 and 2015. The Cox Proportional Risks Model was used to evaluate the association between multimorbidity (two or more chronic diseases) and mortality. An interaction term between education and multimorbidity was included to test the moderating role of education in this association. RESULTS The average follow-up time was 4.5 years, with a total of 589 deaths in the period. Multimorbidity increased the risk of mortality (hazard ratio [HR] 1.55, 95% confidence interval [CI] 1.27-1.91), and this association was not moderated by education (HR 1.06, 95% CI 1.00-1.13; P value = 0.07). CONCLUSIONS The impact of education and multimorbidity on mortality emphasises the need for an integrated approach directed towards the social determinants of health to prevent multimorbidity and its burden among older adults.
International Journal of Dentistry, 2013
The aim of this cross-sectional study was to assess the factors associated with the impact of ora... more The aim of this cross-sectional study was to assess the factors associated with the impact of oral health on the quality of life in a sample of 504 Brazilian independent elderly. Data collection included oral examinations and structured interviews. The simplified form of the Oral Health Impact Profile (OHIP-14) was used to measure OHRQoL. Information on sociodemographic characteristics, use of dental services, and subjective measures of health was collected. Poisson regression within a hierarchical model was used to data analyses. The following variables were associated with a negative impact on OHRQoL: female gender (PR = 1.40; CI 95%: 1.11–1.77); lower class (PR = 1.58; CI 95%: 1.13–2.20); up to 3 occluding pairs of posterior teeth (PR = 1.88; CI 95%: 1.13–3.14); at least one untreated caries (PR = 1.28; CI 95%: 1.06–1.54); curative reasons for the last dental appointment (PR = 1.52; CI 95%: 1.15–2.00); poor self-perception of oral health (PR = 2.49; CI 95%: 1.92–3.24); and poor p...
PLOS ONE, May 19, 2022
To identify difficulties in accessing health services by the elderly in the city of São Paulo/Bra... more To identify difficulties in accessing health services by the elderly in the city of São Paulo/Brazil and the contributory factors that reflect inequalities. This is a cross-sectional study that used data from the Health, Well-being and Aging Study (SABE). The population is composed of elderly � 60 years old, of both sexes, living in the urban area of São Paulo. For this analysis, we used data from the 2015 cohort of the SABE study, containing a sample of 1,221 individuals. The proportions of access difficulty and, through logistic regression, the associated factors were verified, based on Andersen's Behavioral Model, which considers factors of predisposition, enabling and need as individual determinants of access to health care. It was observed that 37.0% of the elderly reported difficulty accessing health services when they needed it. This difficulty was greatest among females (42.3%), aged 60 to 69 years (40.9%), black race/color (58.8%), illiterate (44.5%), single/separated/divorced (44.3%), with income slower than one salary minimum (46.8%), without health insurance (51.9%), with poor/very poor self-assessment of health (54.7%), with multimorbidity (40.1%), frail (47.2%) and among those who used polypharmacy (40.8%). After multivariate analysis, in the final model, there was a positive association between difficulty of access and predisposing factors (female gender, age group 60 to 69 years, black race/color, illiterate), enabling factors (possession of health insurance) and need factors (regular and poor/very poor self-assessment of health and pre-fragility and frailty condition). The presence of difficulty in access associated with predisposing, enabling and need factors reflect the existence of inequalities caused by barriers that point to weaknesses in the organization of services. The identification of these barriers that hinder access highlights important points that can have an impact on the equity and resolution of care.
Journal of Oral and Maxillofacial Surgery, 2012
The aim of this study was to verify possible associations between oral health-related quality of ... more The aim of this study was to verify possible associations between oral health-related quality of life (QoL) and the position of the lower third molar among patients undergoing lower third molar surgery during the first postoperative week. Materials and Methods: We performed an interventional prospective study of 86 patients for whom the preoperative treatment plan included the removal of 2 third molar teeth from the same side in a 1-time procedure. The patients were divided into 2 groups depending on the position of the lower third molar. QoL was evaluated before and after the surgical procedure (during the first 7 days) with the Oral Health Impact Profile (OHIP) 14 questionnaire. Data were treated according to Stata 10.0 (StataCorp, College Station, TX). Variables were evaluated by use of split-plot analysis of variance for the repeatedmeasures analysis to identify the association between QoL and the position of the lower third molar. Results: Patients can have deterioration in their QoL immediately after surgery, especially during the first and second postoperative days, and subsequently show rapid improvement. The variation in the total OHIP score during the days after surgery was significant, whereas a decrease in QoL was observed immediately after the procedure (P ϭ .001), which returned to initial value (preoperative) levels after the sixth postoperative day. The OHIP domains with higher scores (ie, those that had an impact) were physical pain, psychological discomfort, and physical disability (domains 2, 3, and 4, respectively). Conclusions: Teeth considered to be associated with technical difficulties for extraction based on their position had a higher score on the OHIP-14 questionnaire and worse health-related QoL score. QoL outcomes may be as important as clinical signs in decisions regarding third molar extractions.
Cadernos De Saude Publica, 2020
A multimorbidade foi caracterizada como ≥ 2 condições crônicas com base em uma lista de 15 morbid... more A multimorbidade foi caracterizada como ≥ 2 condições crônicas com base em uma lista de 15 morbidades consideradas de risco para COVID-19 grave. As análises incluíram cálculo de prevalência e estimativa do número absoluto de pessoas na população em risco. Autoavaliação do estado de saúde, fragilidade e atividades básicas da vida diária foram utilizadas como marcadores da situação de saúde. Sexo, idade, região geopolítica e escolaridade foram usados como covariáveis. Cerca de 80% dos indivíduos da amostra apresentaram pelo menos alguma das morbidades avaliadas, o que representa cerca de 34 milhões de indivíduos; a multimorbidade foi referida por 52% da população em estudo, com maior proporção nas regiões Centro-oeste, Sudeste e Sul. Doenças cardiovasculares e obesidade foram as condições crônicas mais frequentes. Estima-se que 2,4 milhões de brasileiros estejam em risco grave de saúde. Desigualdades segundo a escolaridade foram observadas. O número de pessoas com 50 anos ou mais que apresentam morbidades de risco para COVID-19 grave é elevado tanto em termos relativos quanto absolutos. A estimativa apresentada é importante para planejar as estratégias de monitoramento das pessoas com morbidades crônicas e de prevenção no enfrentamento do novo coronavírus.
Cad. Saúde Pública (Online), 2020
To measure the occurrence of protective behaviors for COVID-19 and sociodemographic factors accor... more To measure the occurrence of protective behaviors for COVID-19 and sociodemographic factors according to the occurrence of multimorbidity in the Brazilian population aged 50 or over was the objective of this study. We used data from telephone surveys among participants of ELSI-Brazil (Brazilian Longitudinal Study of Aging), conducted between May and June 2020. The use of non-pharmacological prevention measures for COVID-19, reasons for leaving home according to the presence of multimorbidity and sociodemographic variables were evaluated. among 6,149 individuals. Multimorbidity was more frequent in females, married, aged 50-59 years and residents of the urban area. Most of the population left home between once and twice in the last week, increasing according to the number of morbidities (22.3% no morbidities and 38% with multimorbidity). Leaving home every day was less common among individuals with multimorbidity (10.3%) and 9.3% left home in the last week to access health care. Hand hygiene (> 98%) and always wearing a mask when leaving home (> 96%) were almost universal habits. Greater adherence to social isolation was observed among women with multimorbidity when compared to men (PR = 1.49, 95%CI: 1.23-1.79). This adherence increased proportionally with age and inversely with the level of education. The protective behavior in people with multimorbidity seems to be greater in relation to the others, although issues related to social isolation and health care deserve to be highlighted. These findings can be useful in customizing strategies for coping with the current pandemic.
Revista Brasileira De Epidemiologia, 2018
Introduction: Understanding racial disparities in Brazil has been very complex and poorly investi... more Introduction: Understanding racial disparities in Brazil has been very complex and poorly investigated in some population segments, such as the elderly individuals. Objective: This study aimed to present descriptively a comparative analysis in a racial perspective of sociodemographic profile, health conditions, and health service use by older people in the city of São Paulo. Methods: This is a cross-sectional analysis of the Health, Welfare and Aging Study (SABE). For this study, 1,345 elderly individuals were considered in the cohort of 2010. Data about the black, brown, and white elders were selected. The data were addressed in three major axes: sociodemographic, health conditions, and health service use. The chosen epidemiological measure of association was the prevalence ratio (PR), as well as the percentage values for expressing differences among the groups. Results and conclusion: The results showed a more favorable scenario for the aging of the white elderly compared to those of brown or black color, considering sociodemographic indicators, health conditions or use and access to health services.
Revista Brasileira de Epidemiologia, 2019
RESUMO: Introdução: O uso de prótese e a perda dentária em idosos estão associados a impactos sig... more RESUMO: Introdução: O uso de prótese e a perda dentária em idosos estão associados a impactos significativos na saúde geral e na qualidade de vida. A avaliação contínua do perfil de saúde bucal dessa população é importante para o planejamento das ações e políticas da área. Objetivo: Foram objetivos deste trabalho avaliar a prevalência de perda dentária e uso de próteses entre idosos em diferentes períodos, verificar as características sociodemográficas associadas à dentição funcional (mais de 20 dentes) e avaliar o impacto do uso de prótese e da perda dentária na autoavaliação da saúde bucal. Métodos: A amostra foi composta por pessoas de 60 anos ou mais, participantes do Estudo Saúde, Bem-Estar e Envelhecimento (SABE). A avaliação da prevalência de perda dental e uso de próteses foi feita a partir da comparação dos dados coletados nos anos de 2000, 2006 e 2010. As análises dos fatores associados à dentição funcional e autoavaliação de saúde bucal foram realizadas com base nos dados...
Revista de Saúde Pública, 2013
OBJETIVO: Analisar a tendência de prevalência de fluorose dentária em crianças de 12 anos em cont... more OBJETIVO: Analisar a tendência de prevalência de fluorose dentária em crianças de 12 anos em contexto de exposição a múltiplas fontes de flúor. MÉTODOS: Realizou-se análise de tendência da prevalência de fluorose dentária no período de 1998 a 2010 na cidade de São Paulo, SP. As prevalências foram calculadas para diferentes anos (1998, 2002, 2008 e 2010), a partir de dados secundários obtidos em levantamentos epidemiológicos com amostras representativas da população de 12 anos de idade. A ocorrência de fluorose foi avaliada sob luz natural utilizando o índice de Dean, preconizado pela Organização Mundial da Saúde e categorizada em normal, questionável, muito leve, leve, moderada e severa. Em 1998 foram examinadas 125 crianças; 249 em 2002; 4.085 em 2008; e 231 em 2010. RESULTADOS: Em 1998 a prevalência de fluorose foi de 43,8% (IC95%35,6;52,8), em 2002 de 33,7% (IC95% 28,2;39,8), de 40,3% (IC95% 38,8;41,8) em 2008 e de 38,1% (IC95% 32,1;44,5) em 2010. As categorias muito leve + leve ...
Cadernos De Saude Publica, 2020
Aim: To assess factors associated with the deterioration of self-rated chewing ability among adul... more Aim: To assess factors associated with the deterioration of self-rated chewing ability among adults aged 60 years and older over a 6-year period. Methods: We carried out a case–control study nested in a cohort involving 890 individuals living in the city of Sao Paulo from 2000 to 2006. The outcome was the reduction of self-rated chewing ability. Covariates on demographic, socioeconomic, behavior, cognitive, and functional and physical status variables were investigated. Simple and multiple analyses were carried out using unconditional logistic regression with hierarchical selection of variables. Results: We analyzed 236 cases and 654 controls. In the unadjusted assessment, the reduction of self-rated chewing ability was associated with being aged older than 74 years, widowed, low schooling/income, not having a microwave oven or a car, physical inactivity, poor/regular self-rated health, to feel disgusted, poor/regular self-rated memory, one or more compromised daily life activities,...
To measure the occurrence of protective behaviors for COVID-19 and sociodemographic factors accor... more To measure the occurrence of protective behaviors for COVID-19 and sociodemographic factors according to the occurrence of multimorbidity in the Brazilian population aged 50 or over was the objective of this study. We used data from telephone surveys among participants of ELSI-Brazil (Brazilian Longitudinal Study of Aging), conducted between May and June 2020. The use of non-pharmacological prevention measures for COVID-19, reasons for leaving home according to the presence of multimorbidity and sociodemographic variables were evaluated. among 6,149 individuals. Multimorbidity was more frequent in females, married, aged 50-59 years and residents of the urban area. Most of the population left home between once and twice in the last week, increasing according to the number of morbidities (22.3% no morbidities and 38% with multimorbidity). Leaving home every day was less common among individuals with multimorbidity (10.3%) and 9.3% left home in the last week to access health care. Hand...
Revista Brasileira de Epidemiologia
ABSTRACT: Objective: The aims of this study were: 1) to estimate the prevalence of multimorbidity... more ABSTRACT: Objective: The aims of this study were: 1) to estimate the prevalence of multimorbidity in 2013 and 2019 in adults aged 20–59 years; 2) to assess inequalities in the prevalence of multimorbidity in 2013 and 2019 according to educational level. Methods: Data from two cross-sectional surveys from the Brazilian National Health Survey in 2013 and 2019 were used. Multimorbidity was assessed from 14 lifetime self-reported morbidities (except back problems) and defined using the cutoff point of ≥2 diseases. The prevalence of multimorbidity and individual morbidities were described according to gender, age, skin color, and education. For education, crude, and relative inequalities in prevalence of multimorbidity were calculated using the Slope Index of Inequality and the Concentration Index, respectively. Results: The prevalence of multimorbidity increased from 18.7% (95%CI 18.0–19.3) in 2013 to 22.3% (95%CI 21.7–22.9) in 2019, being higher among women and adults between 30–59 yea...
Journal of Obesity & Metabolic Syndrome
Background: An increase in body mass index (BMI) is strongly associated with the occurrence of mu... more Background: An increase in body mass index (BMI) is strongly associated with the occurrence of multimorbidity, and overweight and obesity are contributing factors for the increase in morbidities. Thus, the present study aimed to evaluate the occurrence of multimorbidity and associated factors in Brazilian adults with and without overweight or obesity. Methods: This was a cross-sectional population-based study with data from the National Health Survey (2013) including individuals aged 18 years or older. Multimorbidity was defined as having ≥2 diseases from the list of 15 morbidities on the self-reported questionnaire (self-reported medical diagnosis in life). BMI was categorized as: ≤24.9 kg/m 2 (low weight and eutrophy), 25.0-29.9 kg/m 2 (overweight), and ≥30.0 kg/m 2 (obesity). Sex, age, and schooling were the covariates. Poisson regression was used for crude and adjusted analyses for the variables representing access to health services estimating the prevalence ratio (PR) and 95% confidence interval (CI). Results: The total sample consisted of 59,402 individuals. The prevalence of multimorbidity was 25% overall and was higher among overweight (25.8%) and obese (32.5%) individuals. Obese women 60 years or older had a higher occurrence of multimorbidity (80%). In the adjusted analysis, a lower prevalence of multimorbidity was observed among those with higher educational levels in all BMI classifications: low weight/eutrophy, PR=0.66 (95% CI, 0.58-0.75); overweight, PR=0.62 (95% CI, 0.56-0.70); and obesity, PR=0.75 (95% CI, 0.67-0.85). Conclusion: A higher prevalence of multimorbidity was found among obese women who were 60 years of age or older. Schooling was an associated factor regardless of BMI.