Access to dental services in an elder population of African descent in Brazil

IF 2 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Gerodontology Pub Date : 2023-11-10 DOI:10.1111/ger.12726
Adriano Referino da Silva-Sobrinho, Nathália Larissa Bezerra Lima, Letícia Francine Silva Ramos, Stefania Ferreira Jerônimo, Fábio Andrey da Costa Araújo, Pedro Henrique Sette-de-Souza
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Abstract

Objectives

We investigated access to dental services and associated factors in a community of Quilombola older people.

Background

Quilombola populations are groups of individuals descended from black Africans subjected to slavery during part of Brazilian history. As marginalised and neglected individuals, they have high rates of negative indicators and require further attention to the social determinants that affect their health reality.

Materials and Methods

A cross-sectional quantitative study was conducted in the Quilombola community of Castainho, in the Northeast region of Brazil. In this community, 34 older people aged between 65 and 74 resided. We collected self-report data on sociodemographic and economic characteristics, along with oral examinations by the researchers. The primary dependent variable was regular access to dental services. Statistical analysis used Fisher's exact test (P = .05).

Results

Among the 32 participants in the final sample, 18.8% (n = 6) reported accessing dental services in the previous 6 months. Self-declared individuals of mixed race, with positive self-assessment of oral health, and those who did not self-perceive the need for treatment had lower rates of regular access to dental services (P < .05).

Conclusion

Use of dental services by older Quilombola people is low, and there are differences by ethnicity and individual perception of oral health.

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巴西非洲裔老年人获得牙科服务的机会。
目的:我们调查了Quilombola老年人社区获得牙科服务的情况和相关因素。背景:Quilombola人口是巴西历史上遭受奴役的非洲黑人后裔。作为被边缘化和被忽视的个体,他们的负面指标率很高,需要进一步关注影响他们健康现实的社会决定因素。材料和方法:在巴西东北部卡斯蒂尼奥的Quilombola社区进行了横断面定量研究。该社区居住着34名年龄在65岁至74岁之间的老年人。我们收集了关于社会人口和经济特征的自我报告数据,以及研究人员的口头检查。主要因变量是定期获得牙科服务。统计学分析采用Fisher精确检验(P = .结果:在最终样本的32名参与者中,18.8%(n = 6) 据报告,在过去6个月内获得了牙科服务。自我声明的混血个体,口腔健康自我评估积极,以及那些自我认为不需要治疗的人,定期获得牙科服务的比率较低(P 结论:Quilombola老年人对牙科服务的使用率较低,并且存在种族和个人口腔健康认知的差异。
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来源期刊
Gerodontology
Gerodontology 医学-老年医学
CiteScore
4.10
自引率
10.00%
发文量
50
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.
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