Luale Leão Ferreira

Coesão familiar associada à saúde bucal, fatores socioeconômicos e comportamentos em saúde

A doenca de Parkinson e universal, sendo a segunda doenca neurodegenerativa mais comum em idosos e tem alta prevalencia, afetando entre 0,5 e 1% da populacao com idade entre 65 e 69 anos. A adesao a terapia medicamentosa e considerada o principal determinante para a efetividade do tratamento, porem apenas recentemente vem sendo estudado em pacientes com doenca de Parkinson. Trata-se de estudo transversal e descritivo que avaliou a adesao a terapia com levodopa em 112 pacientes com doenca de Parkinson que frequentavam regularmente o ambulatorio de disturbios do movimento do Hospital das Clinicas da Faculdade de Medicina de Ribeirao Preto da Universidade de Sao Paulo utilizando o teste Morisky e Green e o instrumento que avalia atitudes frente a tomada dos remedios (IAAFTR). Dos pacientes entrevistados, 53% nao apresentaram adesao ao tratamento e 52% nao tomam a medicacao no horario correto. Os pacientes devem ser orientados sobre a importância de ingerir sua medicacao no horario correto, entendendo os beneficios que a adesao pode proporcionar estando cientes de que doses nao tomadas, tomadas em excesso, ou em horarios diferentes dos prescritos podem diminuir sua resposta ao tratamento, afetando negativamente sua evolucao clinica e qualidade de vida, gerando maiores custos a saude publica do pais.Pesquisas sobre saude geral tem relacionado coesao familiar a fatores socioeconomicos e comportamentais. O objetivo deste estudo foi investigar a associacao entre coesao familiar e fatores socioeconomicos, comportamentais e de saude bucal. Este foi um estudo transversal com amostra por conglomerados em dois estagios. A amostra randomizada de 524 adolescentes era proveniente de escolas publicas da cidade de Piracicaba-SP. As variaveis foram avaliadas por questionarios autoaplicaveis e os dados de saude bucal, pelos indices CPO e CPI. A coesao familiar percebida pelo adolescente foi avaliada por meio da escala de adaptabilidade e coesao familiar. Analise univariada e regressao logistica multinominal mostraram que adolescentes com baixa coesao familiar apresentaram mais chance de terem baixa renda (OR 2,28 IC95% 1,14-4,55), presenca de carie (OR 2,23 IC95% 1,21-4,09) e baixa frequencia de escovacao diaria (OR 1,91 IC95% 1,03-3,54). Adolescentes com alta coesao familiar apresentaram mais chance que adolescentes com media coesao de terem alta renda e fator de protecao contra o habito de tabagismo. Desta forma, a coesao familiar percebida pelo adolescente associou-se com variaveis comportamentais, socioeconomicas e de saude bucal, indicando a importância de uma abordagem integral da saude do paciente.Overall health surveys have related family cohesion to socio-economic status and behavioral factors. The scope of this study was to investigate the association between family cohesion and socio-economic, behavioral and oral health factors. This was a, cross-sectional study with two-stage cluster sampling. The random sample consisted of 524 adolescents attending public schools in the city of Piracicaba-SP. Variables were evaluated by self-applied questionnaires and caries and periodontal disease were assessed by DMF-T and CPI indices. The adolescents perception of family cohesion was assessed using the family adaptability and cohesion scale. Univariate and multinomial logistic regression shows that adolescents with low family cohesion were more likely than those with medium family cohesion to have low income (OR 2,28 95% CI 1,14- 4,55), presence of caries (OR 2,23 95% CI 1,21-4,09), less than two daily brushings (OR 1,91 95% CI 1,03-3,54). Adolescents with high family cohesion were more likely than those with medium family cohesion to have high income and protective behavior against the habit of smoking. Thus, the data shows that adolescent perception of family cohesion was associated with behavioral, socio-economic and oral health variables, indicating the importance of an integral approach to patient health.

[Family cohesion associated with oral health, socioeconomic factors and health behavior].

A doenca de Parkinson e universal, sendo a segunda doenca neurodegenerativa mais comum em idosos e tem alta prevalencia, afetando entre 0,5 e 1% da populacao com idade entre 65 e 69 anos. A adesao a terapia medicamentosa e considerada o principal determinante para a efetividade do tratamento, porem apenas recentemente vem sendo estudado em pacientes com doenca de Parkinson. Trata-se de estudo transversal e descritivo que avaliou a adesao a terapia com levodopa em 112 pacientes com doenca de Parkinson que frequentavam regularmente o ambulatorio de disturbios do movimento do Hospital das Clinicas da Faculdade de Medicina de Ribeirao Preto da Universidade de Sao Paulo utilizando o teste Morisky e Green e o instrumento que avalia atitudes frente a tomada dos remedios (IAAFTR). Dos pacientes entrevistados, 53% nao apresentaram adesao ao tratamento e 52% nao tomam a medicacao no horario correto. Os pacientes devem ser orientados sobre a importância de ingerir sua medicacao no horario correto, entendendo os beneficios que a adesao pode proporcionar estando cientes de que doses nao tomadas, tomadas em excesso, ou em horarios diferentes dos prescritos podem diminuir sua resposta ao tratamento, afetando negativamente sua evolucao clinica e qualidade de vida, gerando maiores custos a saude publica do pais.Pesquisas sobre saude geral tem relacionado coesao familiar a fatores socioeconomicos e comportamentais. O objetivo deste estudo foi investigar a associacao entre coesao familiar e fatores socioeconomicos, comportamentais e de saude bucal. Este foi um estudo transversal com amostra por conglomerados em dois estagios. A amostra randomizada de 524 adolescentes era proveniente de escolas publicas da cidade de Piracicaba-SP. As variaveis foram avaliadas por questionarios autoaplicaveis e os dados de saude bucal, pelos indices CPO e CPI. A coesao familiar percebida pelo adolescente foi avaliada por meio da escala de adaptabilidade e coesao familiar. Analise univariada e regressao logistica multinominal mostraram que adolescentes com baixa coesao familiar apresentaram mais chance de terem baixa renda (OR 2,28 IC95% 1,14-4,55), presenca de carie (OR 2,23 IC95% 1,21-4,09) e baixa frequencia de escovacao diaria (OR 1,91 IC95% 1,03-3,54). Adolescentes com alta coesao familiar apresentaram mais chance que adolescentes com media coesao de terem alta renda e fator de protecao contra o habito de tabagismo. Desta forma, a coesao familiar percebida pelo adolescente associou-se com variaveis comportamentais, socioeconomicas e de saude bucal, indicando a importância de uma abordagem integral da saude do paciente.Overall health surveys have related family cohesion to socio-economic status and behavioral factors. The scope of this study was to investigate the association between family cohesion and socio-economic, behavioral and oral health factors. This was a, cross-sectional study with two-stage cluster sampling. The random sample consisted of 524 adolescents attending public schools in the city of Piracicaba-SP. Variables were evaluated by self-applied questionnaires and caries and periodontal disease were assessed by DMF-T and CPI indices. The adolescents perception of family cohesion was assessed using the family adaptability and cohesion scale. Univariate and multinomial logistic regression shows that adolescents with low family cohesion were more likely than those with medium family cohesion to have low income (OR 2,28 95% CI 1,14- 4,55), presence of caries (OR 2,23 95% CI 1,21-4,09), less than two daily brushings (OR 1,91 95% CI 1,03-3,54). Adolescents with high family cohesion were more likely than those with medium family cohesion to have high income and protective behavior against the habit of smoking. Thus, the data shows that adolescent perception of family cohesion was associated with behavioral, socio-economic and oral health variables, indicating the importance of an integral approach to patient health.

Odontalgia associada a variáveis socioeconômicas, psicossociais e saúde bucal

BACKGROUND AND OBJECTIVES: Knowing factors associated with dental pain is important to provide adequate intervention and attention to this major health care problem. This study aimed at understanding the prevalence of dental pain as reason for the latest dental appointment among 15-year old adolescents and at checking its association with socioeconomic factors, behavioral variables and oral health. METHOD: The probabilistic sample was made up of 592 students of 10 state schools. Dental pain variable was evaluated by questionnaires applied at the school. Clinical oral exam was performed according to World Health Organizations criteria and remaining variables were investigated by self-applicable questionnaires. Data were classified by the Excel program and Odds Ratio was used to associate variables. RESULTS: From 592 participants, 33.44% have reported dental pain as reason for their latest dental appointment. After statistical analysis, dental pain was associated with low income (p = 0.04), higher number of people living in the same home (p < 0.01), low frequency of daily tooth brushing (p = 0.01), long interval between dental appointments (p < 0.001), longer time elapsed since last dental appointment (p < 0.001), dental anxiety (p < 0.01), consumption of cariogenic food (p = 0.03), high dental caries experience (p < 0.01) and with the presence of untreated dental caries (p < 0.001). CONCLUSION: Dental pain is related to dental caries experience and activity and to socioeconomic and psychosocial factors, showing the need for further attention to these conditions.