Demographics, social position, dental status and oral health-related quality of life in community-dwelling older adults

PURPOSE: To identify demographic, socioeconomic and dental clinical predictors of oral health-related quality of life (OHRQoL) in elderly people. METHODS: Cross-sectional study involving 613 elderly people aged 65–74 years in Manaus, Brazil. Interviews and oral examinations were carried out to collect demographic characteristics (age and sex) and socioeconomic data (income and education), dental clinical measures (DMFT, need of upper and lower dentures) and OHRQoL (GOHAI questionnaire). Structural equation modelling was used to estimate direct and indirect pathways between the variables. RESULTS: Being older predicted lower schooling but higher income. Higher income was linked to better dental status, which was linked to better OHRQoL. There were also indirect pathways. Age and education were linked to OHRQoL, mediated by clinical dental status. Income was associated with dental clinical status via education, and income predicted OHRQoL via education and clinical measures. CONCLUSION: Our findings elucidate the complex pathways between individual, environmental factors and clinical factors that may determine OHRQoL and support the application of public health approaches to improve oral health in older people

Psychometric Properties of the Brazilian Version of GOHAI among Community-Dwelling Elderly People

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Condição de Saúde Bucal em idosos residentes no municipio de Manaus / AM

Submitted by Ycaro Santos ([email protected]) on 2019-01-21T14:17:49Z No. of bitstreams: 1 Dissertação Evangeline.pdf: 822964 bytes, checksum: d26f372a21c0a0186e64d26f0fcae2af (MD5)Approved for entry into archive by Ycaro Santos ([email protected]) on 2019-01-21T14:18:17Z (GMT) No. of bitstreams: 1 Dissertação Evangeline.pdf: 822964 bytes, checksum: d26f372a21c0a0186e64d26f0fcae2af (MD5)Made available in DSpace on 2019-01-21T14:18:17Z (GMT). No. of bitstreams: 1 Dissertação Evangeline.pdf: 822964 bytes, checksum: d26f372a21c0a0186e64d26f0fcae2af (MD5) Previous issue date: 2009Fundação Oswaldo Cruz. Instituto de Pesquisas Leônidas e Maria Deane. Manaus, AM, Brasil.O objetivo deste estudo foi caracterizar a saúde bucal dos idosos residentes em Manaus/Amazonas/Brasil. Um estudo transversal de base populacional foi conduzido em 667 idosos de 65 a 74 anos de idade aleatoriamente selecionados. A metodologia foi baseada no Projeto SB-Brasil e informações sobre dados sócio-econômicos, acesso aos serviços odontológicos, autopercepção em saúde bucal e o índice GOHAI foram coletadas. Além disso, foram realizados exames clínicos para determinar a prevalência das principais doenças bucais. Inicialmente foi aplicado o Teste de Fluência Verbal para avaliar a função cognitiva quanto a capacidade de recuperar dados estabelecidos na memória de longo prazo. A maioria da amostra se constituiu do sexo feminino, de etnia parda, com ensino fundamental incompleto, casa própria, não possuindo automóvel e com renda pessoal média de R$711,24. O CPO-D médio encontrado foi 29,0(+ 4,3), com predomínio do componente perdido (95ótima sob todos os aspectos, com associação positiva para o menor número de dentes. A auto-percepção da saúde bucal da população estudada não foi condizente com a precária condição clínica encontrada, o que sugere a necessidade preeminente de atenção à saúde bucal dos idosos.The purpose of this study was to characterize the oral health conditions of elderly people residents in Manaus, Amazonas, Brazil. The study was a population based cross-sectional study involving 667 elderly people between 65 to 74 years of age randomly selected. The methodology based on “SB-Brasil” project was employed to collect data regarding socioeconomic characteristics, access to dental services, self-perception of oral health and GOHAI index. In addition, dental clinical examinations were conducted to determine the prevalence of the main oral health diseases. Firstly, the Verbal Fluency Test was applied to asses the cognitive function regarding the capacity to recover information from long term. The majority of the sample was female, with lighter-skinned black ethinicity and with less than 9 years of schooling. Furthermore, most participants reported not holding car with a mean per capita income of R$ 711,00. The mean of DMFT was 29.0(+ 4.3) and the missing component accounted for 95% of the index. The prevalence of edentulism was 52.2% and the prosthesis use was more frequent in upper arcade (87.7%). The frequency of total prosthesis need in upper arcade was 42.9%, while in lower arcade partial prosthesis need was 33.7%. Periodontal condition was assessed in only 14.3% of the sextants as other sextants were excluded due to edentulism. The frequency of dental calculus was the periodontal condition more prevalent. The access to dental services occurred mainly through private health system (61.3%) and the main reason for seeking dental services was routine visit. The assessment of self-perceived oral health was reported good and great in all aspects, with positive association with lower number of teeth. The self-perception of oral health in the studied population was not in accordance with the poor oral clinical condition observed. This suggests the paramount need of attention to oral health of older people

Situational analysis of the health surveillance of workers in the state of Amazonas

Made available in DSpace on 2016-03-15T14:15:00Z (GMT). No. of bitstreams: 2 356.pdf: 1644050 bytes, checksum: bcb5f7c94897b4d6eb4ea183455b9237 (MD5) license.txt: 1748 bytes, checksum: 8a4605be74aa9ea9d79846c1fba20a33 (MD5) Previous issue date: 2014Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil.A política de saúde do trabalhador, no Brasil, se intensificou a partir da Constituição Federal que consolidou a saúde e o trabalho como direitos de cidadania, culminando com a publicação da Política Nacional de Saúde do Trabalhador e da Trabalhadora, processo que se fortaleceu no Amazonas com a implantação do Centro de Referência em Saúde do Trabalhador - Cerest. A Vigilância em Saúde do Trabalhador Visat foi estabelecida como estratégia prioritária para garantir proteção à saúde dos trabalhadores. Nesse sentido, tomamos como objeto as ações da Visat no Amazonas com a finalidade de compreender sua atuação, contextualizar seu processo de desenvolvimento e refletir sobre as estratégias para a sua implementação. A tese foi construída com base em três eixos: análise de dados secundários, revisão documental e da literatura e pesquisa de campo. O método priorizado foi a hermenêutica-dialética; as técnicas, entrevista semiestruturada e grupo focal; e por categoria de análise: o conceito de Visat, a institucionalidade do Cerest, capilaridade das ações e a ética como fundamento para a construção coletiva das ações de Visat. Os resultados apresentam relativo domínio do conceito de Visat, porém contradições no que concerne ao seu campo de ação e competências. A diversidade de inserção do Cerest na estrutura organizacional das secretarias e a baixa cobertura da rede de atenção básica comprometeram a capilaridade das ações. A dualidade de políticas não foi identificada como problema, mas sim a falta de tradição estadual na elaboração de normas locais. As ações intra e intersetoriais foram identificadas como necessárias, porém sem proatividade para sua efetivação. A carência de recursos humanos, a alta rotatividade dos profissionais e as mudanças decorrentes de períodos eleitorais foram apontadas como responsáveis pela dificuldade de articulação. O controle social foi identificado como frágil e desmobilizado, o reconhecimento do saber operário, apesar de considerado essencial, houve resistência à participação dos trabalhadores. Concluímos que a Visat não foi reconhecida como prioridade para o gestor, há um esforço para execução das ações, mas sem contemplar plenamente seus pressupostos. O Cerest não se restringiu ao papel de irradiador das ações de Visat, mas assumiu sua execução na busca de expertise para se tornar centro de inteligência em saúde do trabalhador.The policy of workers' health in Brazil has intensified since the Federal Constitution which consolidated health and labor ascitizenship rights, culminating in the publication of National Policy on Occupational Health and Working, a process that strengthened the Amazon with the implementation of the Reference Center for Occupational Health - CerestThe Occupational Health Surveillance Visat was established as a strategic priority for ensure protection of workers' health. In this sense, the actions we take as an object in Visat Amazonin order tounderstand their actions, their process of contextualizing development and reflect on the strategies for its implementation.The thesis was built based on three axes: secondary data analysis, document review and literature, and field research. The method was prioritized hermenêutica-dialética techniques, semi interview structured interviews and focus groups, and by the analysis: the concept of Visat the institutionalization of Cerest capillary actions and ethics as the foundation for the construction of collective actions Visat.The results show the field concept Visat but contradictions in regard to its scope and powers. The diversity of the insertion Cerest organizational structure of the departments and the low coverage of basic health care network committed capillarity of the shares.The duality of policies was not identified as a problem but rather the lack of state tradition in developing local standards. The intra and intersectoral action was identified as necessary but without housekeepers for their enforcement.The lack of resources humans, the high turn over of professionals and the changes resulting from electoral periods have been identified as responsible for the difficulty of articulation. Social control was identified as frail and demobilized, the recognition of knowledge workers despite considered essential, there was resistance to employee participation. We conclude that Visat not been recognized as a priorityfor the manager, there is an effort to implement the actions, but without fully contemplating their assumptions. The Cerest not restricted to the role of irradiator shares Visat but to ok his execution in search of expertise to become the center of intelligence in occupational health

Morbimortalidade relacionada ao trabalho no estado do Amazonas, Brasil, 2000-2011

OBJETIVO:descrever a ocorrência e a mortalidade por acidentes de trabalho no estado do Amazonas, Brasil.MÉTODOS:estudo descritivo, com dados do sistema de informações do Anuário Estatístico da Previdência (AEPS), do Sistema de Informação de Agravos de Notificação (Sinan) e do Sistema de Informações sobre Mortalidade (SIM) referentes ao período 2000-2011; calculou-se a ocorrência, a mortalidade, a letalidade e o indicador de anos potenciais de vida perdidos (APVP).RESULTADOS:no AEPS, foram contabilizados 56.365 acidentes, 371 deles fatais, com redução da mortalidade e letalidade no período; o Sinan registrou 1.542 agravos; e o SIM, 567 óbitos relacionados ao trabalho, 70% deles por causas externas, sendo a informação sobre sua relação com o trabalho ignorada; foram estimados 21.291,50 APVP por acidentes de trabalho.CONCLUSÃO:observou-se grave fragmentação das informações, subnotificação de registros e baixa adesão dos profissionais à notificação compulsória, dificultando a análise epidemiológica

Condição de saúde bucal em idosos residentes no município de Manaus, Amazonas: estimativas por sexo Oral health conditions of elderly residents in the city of Manaus, Amazonas: estimates by sex

OBJETIVO: Caracterizar, segundo o sexo, as condições de saúde bucal em idosos residentes no município de Manaus, AM. MÉTODOS: Estudo seccional de base populacional com 667 indivíduos com idade entre 65-74 anos, aleatoriamente selecionados. As informações demográficas e socioeconômicas foram obtidas através de entrevista. O exame bucal para cárie, edentulismo, uso e necessidade de próteses foi conduzido de acordo com as normas da OMS. RESULTADOS: Participaram do estudo 206 homens e 461 mulheres, com idade média de 69,2 anos, e 71,8% se declararam de cor parda. Em média, os sujeitos apresentaram 4,6 anos de estudo e renda familiar de R$1586,27. O índice de dentes cariados, perdidos e obturados foi de 29,0 ± 4,3, com predomínio do componente perdido (95$ 916.92. The DMF-T mean was 29.0+4.3 and the "missing" component was the most common (95%). The mean number of teeth per individual was 4.1±5.7 and the prevalence of edentulism was 52.2%. Only 3% of the elderly had 20 or more teeth. The use of upper and lower total prostheses was 79.2% and 37.1%, respectively. The need for total prosthesis was 42.6% for the upper arch and 34.7% for the lower arch. Elderly men presented lower DMF-T, more teeth and less edentulism compared to women. The use of upper and lower total prosthesis was higher in the elderly women and the need of upper and lower unitary and partial denture was higher in elderly men. CONCLUSION: Oral health conditions of the elderly in Manaus revealed a high occurrence of tooth loss, mainly among women. The use and need for total prosthesis were high and different according to sex

Psychometric Properties of the Brazilian Version of GOHAI among Community-Dwelling Elderly People

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Reduced Cancer Incidence in Huntington's Disease: Analysis in the Registry Study

Background: People with Huntington's disease (HD) have been observed to have lower rates of cancers. Objective: To investigate the relationship between age of onset of HD, CAG repeat length, and cancer diagnosis. Methods: Data were obtained from the European Huntington's disease network REGISTRY study for 6540 subjects. Population cancer incidence was ascertained from the GLOBOCAN database to obtain standardised incidence ratios of cancers in the REGISTRY subjects. Results: 173/6528 HD REGISTRY subjects had had a cancer diagnosis. The age-standardised incidence rate of all cancers in the REGISTRY HD population was 0.26 (CI 0.22-0.30). Individual cancers showed a lower age-standardised incidence rate compared with the control population with prostate and colorectal cancers showing the lowest rates. There was no effect of CAG length on the likelihood of cancer, but a cancer diagnosis within the last year was associated with a greatly increased rate of HD onset (Hazard Ratio 18.94, p < 0.001). Conclusions: Cancer is less common than expected in the HD population, confirming previous reports. However, this does not appear to be related to CAG length in HTT. A recent diagnosis of cancer increases the risk of HD onset at any age, likely due to increased investigation following a cancer diagnosis

Clinical and genetic characteristics of late-onset Huntington's disease

Background: The frequency of late-onset Huntington's disease (&gt;59 years) is assumed to be low and the clinical course milder. However, previous literature on late-onset disease is scarce and inconclusive. Objective: Our aim is to study clinical characteristics of late-onset compared to common-onset HD patients in a large cohort of HD patients from the Registry database. Methods: Participants with late- and common-onset (30–50 years)were compared for first clinical symptoms, disease progression, CAG repeat size and family history. Participants with a missing CAG repeat size, a repeat size of ≤35 or a UHDRS motor score of ≤5 were excluded. Results: Of 6007 eligible participants, 687 had late-onset (11.4%) and 3216 (53.5%) common-onset HD. Late-onset (n = 577) had significantly more gait and balance problems as first symptom compared to common-onset (n = 2408) (P &lt;.001). Overall motor and cognitive performance (P &lt;.001) were worse, however only disease motor progression was slower (coefficient, −0.58; SE 0.16; P &lt;.001) compared to the common-onset group. Repeat size was significantly lower in the late-onset (n = 40.8; SD 1.6) compared to common-onset (n = 44.4; SD 2.8) (P &lt;.001). Fewer late-onset patients (n = 451) had a positive family history compared to common-onset (n = 2940) (P &lt;.001). Conclusions: Late-onset patients present more frequently with gait and balance problems as first symptom, and disease progression is not milder compared to common-onset HD patients apart from motor progression. The family history is likely to be negative, which might make diagnosing HD more difficult in this population. However, the balance and gait problems might be helpful in diagnosing HD in elderly patients