Dissertação
Influência de determinantes sociais de saúde na saúde bucal da população adulta com idade superior a 50 anos no Brasil
Fecha
2020-08-12Autor
Amaral Júnior, Orlando Luiz do
Institución
Resumen
The present dissertation was structured by two hypotheses. The first is that different
socioeconomic indicators can influence the results presented in oral health research.
Therefore, the objective of the first study is to assess the influence of the use of different
socioeconomic indicators (individual income, family income per capita and wealth) in oral
health research associated with the results “Self-reported oral health (n = 9,365) and
Edentulism (n = 9,073) “there is a reduction in the prevalence of individuals who perceive
themselves to have poor oral health self-reports and to be edentulous, when compared to the
poorest quintiles. The indicators of individual income and family income per capita have been
shown to be less sensitive when associated with oral health outcomes. The second hypothesis
that involves this dissertation, is that conceptual dimensions (structural and cognitive) of
social capital, can influence the oral health self- reported, therefore the aim was to verify
associated between social capital considered two conceptual dimensions (Structural and
Cognitive) and oral health self- reported. As the outcome we used self-reported oral health (n
= 9,365) and as the main predictive variables used four individual social capital variables
(Structural: Volunteering and Social Participation), (Cognitive: Trust in the neighborhood
residents and Perception of friendship). The results suggest that individuals with less
cognitive social capital have a higher prevalence of poor oral health self-reported. The
structural dimension was not associated with oral health self-reported. For both studies, data
were collected from the Brazilian Longitudinal Study on Aging. The baseline survey was
carried out between 2015 and 2016. Were utilized hierarchical models of Poisson regression
to have crude and adjusted prevalence ratios. We conclude that the wealth index was the
indicator that best identifies the inequalities in oral health in Brazilian adults over 50 years of
age. About influence of social capital in oral health self-reported, we ressalted the plausibility
of initiatives that promote the development of health policies that stimulate cognitive social
capital in society and consequently collaboration with improvements in the oral health of
adults aged 50 or over in Brazil.