TY - JOUR
T1 - Resilience and self-perceived oral health
T2 - A hierarchical approach
AU - Martins, Aline Blaya
AU - Dos Santos, Camila Mello
AU - Hilgert, Juliana Balbinot
AU - De Marchi, Renato José
AU - Hugo, Fernando Neves
AU - Pereira Padilha, Dalva Maria
PY - 2011/4
Y1 - 2011/4
N2 - OBJECTIVES: To determine whether positive self-perceived oral health is associated with sociodemographic health variables, with an emphasis on resilience, in community-dwelling older adults in southern Brazil. DESIGN: Cross-sectional study nested within a cohort study. SETTING: Carlos Barbosa in southern Brazil. PARTICIPANTS: Four hundred ninety-six community-dwelling adults aged 64 and older. MEASUREMENTS: Sociodemographic information, a health history, and health perceptions were assessed using a structured questionnaire. Resilience was assessed using a resilience scale. For each participant, a brief oral examination was performed to assess number of teeth. Positive self-perceived oral health was the outcome of interest. RESULTS: A final, fully adjusted Poisson regression model showed that high resilience potential (prevalence ratio (PR)=1.18, 95% confidence interval (CI)=1.06-1.32), income (PR=1.18, 95% CI=1.07-1.30), and no reported change in diet because of dental problems (PR=1.34, 95% CI=1.13-1.60) were associated with positive self-perceived oral health. Participants living in rural areas were less likely to report positive self-perceived oral health (PR=0.83, 95% CI=0.75-0.93). CONCLUSION: Using a hierarchical approach, positive self-perceived oral health was found to be associated with several variables included in the conceptual framework of oral health outcomes, such as resilience. Resilience may act as a potentiating agent in the positive adaptation to tooth loss.
AB - OBJECTIVES: To determine whether positive self-perceived oral health is associated with sociodemographic health variables, with an emphasis on resilience, in community-dwelling older adults in southern Brazil. DESIGN: Cross-sectional study nested within a cohort study. SETTING: Carlos Barbosa in southern Brazil. PARTICIPANTS: Four hundred ninety-six community-dwelling adults aged 64 and older. MEASUREMENTS: Sociodemographic information, a health history, and health perceptions were assessed using a structured questionnaire. Resilience was assessed using a resilience scale. For each participant, a brief oral examination was performed to assess number of teeth. Positive self-perceived oral health was the outcome of interest. RESULTS: A final, fully adjusted Poisson regression model showed that high resilience potential (prevalence ratio (PR)=1.18, 95% confidence interval (CI)=1.06-1.32), income (PR=1.18, 95% CI=1.07-1.30), and no reported change in diet because of dental problems (PR=1.34, 95% CI=1.13-1.60) were associated with positive self-perceived oral health. Participants living in rural areas were less likely to report positive self-perceived oral health (PR=0.83, 95% CI=0.75-0.93). CONCLUSION: Using a hierarchical approach, positive self-perceived oral health was found to be associated with several variables included in the conceptual framework of oral health outcomes, such as resilience. Resilience may act as a potentiating agent in the positive adaptation to tooth loss.
KW - aged
KW - oral health
KW - psychological resilience
KW - self-perception
UR - http://www.scopus.com/inward/record.url?scp=79954910851&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=79954910851&partnerID=8YFLogxK
U2 - 10.1111/j.1532-5415.2011.03350.x
DO - 10.1111/j.1532-5415.2011.03350.x
M3 - Article
C2 - 21438867
AN - SCOPUS:79954910851
SN - 0002-8614
VL - 59
SP - 725
EP - 731
JO - Journal of the American Geriatrics Society
JF - Journal of the American Geriatrics Society
IS - 4
ER -