Abstract:
:The aim of this study was to estimate the prevalence of chewing difficulty and associated factors in adults aged 20 to 59 years in Patos, in the State of Paraiba in the Northeast Region of Brazil. A cross-sectional study was conducted with a random sample of 532 participants. The outcome chewing impairment was assessed using the question "How often do you have difficulty eating due to problems with your teeth or dentures?". Crude and adjusted prevalence ratios were estimated using Poisson regression. The prevalence of chewing difficulty was 30.5%. An association remained between the following variables and chewing difficulty in the final multivariate models: age group, schooling, being a smoker/non-smoker, length of time since last visit to the dentist, severe tooth loss, absence of functional dentitions, dental prosthesis use, need for a dental prosthesis, oral pain, and signs and symptoms of TMJ dysfunction. The magnitude of the associations between the variables and chewing difficulty, notably tooth loss and the need for a dental prosthesis, emphasize the importance of subjective indicators for assessing the oral health status of adults and shows that chewing difficulty is associated with a range of multi-dimensional factors. :O objetivo deste estudo foi estimar a prevalência de dificuldade na mastigação e fatores associados em adultos de 20 a 59 anos em Patos, PB, Nordeste, Brasil. Foi realizado um estudo transversal com uma amostra aleatória de 532 indivíduos. A dificuldade na mastigação foi avaliada por meio de pergunta sobre dificuldade causada por problemas com dentes ou dentadura. Foram realizadas análises descritiva, bivariada e multivariada por meio de regressão de Poisson. A prevalência de dificuldade na mastigação foi de 30,5%. Na análise multivariada, os fatores associados à dificuldade na mastigação foram: faixa etária, escolaridade, tempo desde a última consulta, perda dentária severa, ausência de dentição funcional, uso e necessidade de prótese dentária, dor de origem dental e sinais e sintomas de alterações na ATM. A magnitude das associações entre as variáveis, com destaque para perda dentária e necessidade de prótese dentária, reforça a importância deste indicador subjetivo na avaliação da condição de saúde bucal dos indivíduos adultos e mostra que a dificuldade na mastigação está associada a uma estrutura multidimensional de fatores.
journal_name
Cien Saude Coletjournal_title
Ciencia & saude coletivaauthors
Cavalcante FT,Moura C,Perazzo PAT,Cavalcante FT,Cavalcante MTdoi
10.1590/1413-81232018243.10122017subject
Has Abstractpub_date
2019-03-01 00:00:00pages
1101-1110issue
3eissn
1413-8123issn
1678-4561pii
S1413-81232019000301101journal_volume
24pub_type
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