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The role of health literacy as a factor associated with tooth loss
OBJECTIVE: The objective was to analyze the role of health literacy (HL) as a factor associated with tooth loss among users of the Brazilian Health System with chronic non-communicable diseases. METHODS: The cross-sectional analytical study was conducted with adult and elderly users chosen at ten Fa...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Faculdade de Saúde Pública da Universidade de São Paulo
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8664067/ https://www.ncbi.nlm.nih.gov/pubmed/34932703 http://dx.doi.org/10.11606/s1518-8787.2021055003506 |
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author | Tenani, Carla Fabiana Silva, Manoelito Ferreira Lino, Carolina Matteussi de Sousa, Maria da Luz Rosário Batista, Marília Jesus |
author_facet | Tenani, Carla Fabiana Silva, Manoelito Ferreira Lino, Carolina Matteussi de Sousa, Maria da Luz Rosário Batista, Marília Jesus |
author_sort | Tenani, Carla Fabiana |
collection | PubMed |
description | OBJECTIVE: The objective was to analyze the role of health literacy (HL) as a factor associated with tooth loss among users of the Brazilian Health System with chronic non-communicable diseases. METHODS: The cross-sectional analytical study was conducted with adult and elderly users chosen at ten Family Health Clinics in a draw in the town of Piracicaba, São Paulo State, Brazil. A questionnaire was applied with sociodemographic data (sex, age, skin color and education), behavioral data (brushing and flossing), determinants in health (type of dental health services and how often) and clinical data (pain). Mouth conditions were collected by intraoral examination of visible dental biofilm and community Pediodontal Index. The systemic clinical conditions (blood glucose, glycated hemoglobin and blood pressure) were extracted from the medical records. The explanatory variable was HL (low, medium and high), measured with the Health Literacy Scale (HLS-14). RESULTS: The outcome was tooth loss measured by the index of decayed, missing and filled teeth. Logistic regression was performed using a conceptual model for HL (p < 0.05). For the 238 subjects, the mean age was 62.7 years (± 10.55). Tooth loss was associated with HL in regression models adjusted by type of dental service, dental frequency, and dental floss. In the final model, the factors associated with tooth loss are older age (OR = 1,12; 95%CI: 1,07–1,17), a lower education (OR = 3,43; 95%CI: 1,17–10,10), irregular use of dental floss (OR = 4,58; 95%CI: 1.75 in–7,31), irregular use of dental services (n = 2,60; 95% 1,32–5,12), periodontal pocket (> 4 mm) (n = 0,31; 95%CI: 0,01–0,08), having visible dental biofilm (OR = 7,23; 95%CI: 3,19–16,41) and a higher level of blood sugar (glucose) (n = 1,98; 95%CI: 1.00–3,92). CONCLUSIONS: tooth loss was associated with HL when adjusted by health behaviors; when sociodemographic variables and clinical conditions were included, it was less significant. In the final model, behaviors, determinants in health and clinical conditions were risk indicators of tooth loss, showing the multifactorial nature of this phenomenon. |
format | Online Article Text |
id | pubmed-8664067 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Faculdade de Saúde Pública da Universidade de São Paulo |
record_format | MEDLINE/PubMed |
spelling | pubmed-86640672021-12-12 The role of health literacy as a factor associated with tooth loss Tenani, Carla Fabiana Silva, Manoelito Ferreira Lino, Carolina Matteussi de Sousa, Maria da Luz Rosário Batista, Marília Jesus Rev Saude Publica Original Article OBJECTIVE: The objective was to analyze the role of health literacy (HL) as a factor associated with tooth loss among users of the Brazilian Health System with chronic non-communicable diseases. METHODS: The cross-sectional analytical study was conducted with adult and elderly users chosen at ten Family Health Clinics in a draw in the town of Piracicaba, São Paulo State, Brazil. A questionnaire was applied with sociodemographic data (sex, age, skin color and education), behavioral data (brushing and flossing), determinants in health (type of dental health services and how often) and clinical data (pain). Mouth conditions were collected by intraoral examination of visible dental biofilm and community Pediodontal Index. The systemic clinical conditions (blood glucose, glycated hemoglobin and blood pressure) were extracted from the medical records. The explanatory variable was HL (low, medium and high), measured with the Health Literacy Scale (HLS-14). RESULTS: The outcome was tooth loss measured by the index of decayed, missing and filled teeth. Logistic regression was performed using a conceptual model for HL (p < 0.05). For the 238 subjects, the mean age was 62.7 years (± 10.55). Tooth loss was associated with HL in regression models adjusted by type of dental service, dental frequency, and dental floss. In the final model, the factors associated with tooth loss are older age (OR = 1,12; 95%CI: 1,07–1,17), a lower education (OR = 3,43; 95%CI: 1,17–10,10), irregular use of dental floss (OR = 4,58; 95%CI: 1.75 in–7,31), irregular use of dental services (n = 2,60; 95% 1,32–5,12), periodontal pocket (> 4 mm) (n = 0,31; 95%CI: 0,01–0,08), having visible dental biofilm (OR = 7,23; 95%CI: 3,19–16,41) and a higher level of blood sugar (glucose) (n = 1,98; 95%CI: 1.00–3,92). CONCLUSIONS: tooth loss was associated with HL when adjusted by health behaviors; when sociodemographic variables and clinical conditions were included, it was less significant. In the final model, behaviors, determinants in health and clinical conditions were risk indicators of tooth loss, showing the multifactorial nature of this phenomenon. Faculdade de Saúde Pública da Universidade de São Paulo 2021-12-09 /pmc/articles/PMC8664067/ /pubmed/34932703 http://dx.doi.org/10.11606/s1518-8787.2021055003506 Text en https://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Tenani, Carla Fabiana Silva, Manoelito Ferreira Lino, Carolina Matteussi de Sousa, Maria da Luz Rosário Batista, Marília Jesus The role of health literacy as a factor associated with tooth loss |
title | The role of health literacy as a factor associated with tooth loss |
title_full | The role of health literacy as a factor associated with tooth loss |
title_fullStr | The role of health literacy as a factor associated with tooth loss |
title_full_unstemmed | The role of health literacy as a factor associated with tooth loss |
title_short | The role of health literacy as a factor associated with tooth loss |
title_sort | role of health literacy as a factor associated with tooth loss |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8664067/ https://www.ncbi.nlm.nih.gov/pubmed/34932703 http://dx.doi.org/10.11606/s1518-8787.2021055003506 |
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