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Resilience and Self‐Perceived Oral Health: A Hierarchical Approach
Author(s) -
Martins Aline Blaya,
dos Santos Camila Mello,
Hilgert Juliana Balbinot,
de Marchi Renato José,
Hugo Fernando Neves,
Pereira Padilha Dalva Maria
Publication year - 2011
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/j.1532-5415.2011.03350.x
Subject(s) - medicine , psychological resilience , poisson regression , confidence interval , oral health , multilevel model , gerontology , cohort study , demography , environmental health , population , dentistry , psychology , pathology , machine learning , sociology , computer science , psychotherapist
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.