Association between frailty and oral health services use in Brazilian older adults

IF 2 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Gerodontology Pub Date : 2023-09-26 DOI:10.1111/ger.12716

Natália Boessio Tex de Vasconcellos, Maria Laura Braccini Fagundes, Gabriele Rissotto Menegazzo, Orlando Luiz do Amaral Júnior, Juliana Balbinot Hilgert, Jessye Melgarejo do Amaral Giordani

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Abstract

Objectives

To assess the association between frailty and oral health services use in Brazilian older adults.

Methods

This cross-sectional study analysed the baseline data from the Longitudinal Study on Brazilian Ageing (ELSI-Brazil) representative of Brazilians aged 50 or over. The outcome was oral health services used in the year prior to the interview. The main exposure variable was Frailty defined by the frailty phenotype. Age, skin colour, wealth, sex, education, type of service, health insurance, number of teeth and self-perceived oral health were included as covariates. Prevalence ratios (PR) with their respective 95% confidence intervals (CI) were estimated using Poisson regression with robust variance.

Results

8405 individuals were included in this study. The prevalence of frailty was 7.5%. Regarding frailty status, the prevalence of dental service use was 47.0%, 48.5% and 4.5% for robust, pre-frail and frail individuals, respectively. Frail individuals had a 7% higher prevalence of not using dental (PR: 1.07; 95% CI: 1.01–1.13) than robust individuals. Frailty was independently associated with not using oral health services.

Conclusion

Given the complexity of the determinants of dental service use, frailty adds another dimension to be examined in older adults. Public health strategies considering a common risk factor approach should be endorsed.

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巴西老年人虚弱与口腔保健服务使用之间的关系。

目的：评估巴西老年人虚弱与口腔健康服务使用之间的关系。方法：这项横断面研究分析了巴西老龄化纵向研究（ELSI Brazil）代表50岁或以上巴西人的基线数据。结果是访谈前一年使用的口腔健康服务。主要暴露变量是由虚弱表型定义的虚弱。年龄、肤色、财富、性别、教育、服务类型、健康保险、牙齿数量和自我感知的口腔健康被纳入协变量。使用具有稳健方差的泊松回归来估计患病率（PR）及其各自的95%置信区间（CI）。结果：8405人被纳入本研究。虚弱的患病率为7.5%。关于虚弱状况，强壮、前期虚弱和虚弱个体使用牙科服务的患病率分别为47.0%、48.5%和4.5%。虚弱个体不使用牙科的患病率比强壮个体高7%（PR:1.07；95%CI:1.01-1.13）。虚弱与不使用口腔健康服务独立相关。结论：考虑到牙科服务使用的决定因素的复杂性，虚弱增加了老年人需要检查的另一个维度。应认可考虑共同风险因素方法的公共卫生战略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Gerodontology 医学-老年医学

CiteScore

4.10

自引率

10.00%

发文量

审稿时长

3-6 weeks

期刊介绍： The ultimate aim of Gerodontology is to improve the quality of life and oral health of older people. The boundaries of most conventional dental specialties must be repeatedly crossed to provide optimal dental care for older people. In addition, management of other health problems impacts on dental care and clinicians need knowledge in these numerous overlapping areas. Bringing together these diverse topics within one journal serves clinicians who are seeking to read and to publish papers across a broad spectrum of specialties. This journal provides the juxtaposition of papers from traditional specialties but which share this patient-centred interest, providing a synergy that serves progress in the subject of gerodontology.