Relationship between oral mucosal lesions in the elderly and urban sociospatial exclusion in Piracicaba, Brazil
a new complementary diagnostic approach in public health dentistry
DOI:
https://doi.org/10.7308/aodontol/2016.52.2.02Keywords:
Dental care for aged, Spatial analysisAbstract
Aim: To analyze the spatial distribution pattern of cases of oral mucosa lesions (OML) according to the sociospatial exclusion of elderly residents in the urban area of Piracicaba, SP, Brazil.
Methods: This study consisted of a convenience non-probability sample with 1,848 elders evaluated in 30 Piracicaba neighborhoods. The methodology used in this research is based on the ecological study of spatial analyses of cases of OML evaluated during the campaign for the prevention and early diagnosis of oral cancer conducted in 2012. Social exclusion was measured by the Social Exclusion Index (SEI). This study analyzed the average annual prevalence and the intensity and significance of urban agglomerations according to social exclusion, using Moran’s Global Index and LISAMap.
Results: The prevalence of OML in the elderly in Piracicaba was 8.00%, whereas the annual average for OML reached 1.20 cases/neighborhood, given that the neighborhoods of Jardim Planalto (5.00) and Jardim Sao Francisco (9.00) registered the highest rates. Moran’s Global Index was -0.238, suggesting the existence of an inverse spatial correlation. Clustering was also observed in neighborhoods located in the Central, East, and West regions of the city.
Conclusion: In 2012, in the urban area of Piracicaba, a correlation was found between the sociospatial standard and the prevalence of OML, with the formation of clusters, which should be given priority by public policy efforts towards oral health for senior citizens.
Downloads
References
Hendricks J, Hatch LR. Lifestyle and aging. In: Binstock RH, George LK. Handbook of Aging and the Social Sciences. Boston: Academic Press; 2006. p. 301-19.
Organização Panamericana de Saúde/Organização Mundial da Saúde. Classificação Internacional de funcionalidade, incapacidade e saúde. São Paulo: Editora Edusp; 2011.
Riley M, Kahn RI, Foner A. Age and structural lag. Society¹s failure to provide meaningful opportunities in work, family and leisure. New York: Wiley; 1994.
Widener MJ, Metcalf SS, Northridge ME, Chakraborty E, Marshall SM, Lamster IB. Exploring the role of peer density in the self-reported oral health outcomes of older adults: a kernel density based approach. Health place. 2012 Jul;18(4):782–8.
Metcalf SS, Northridge ME, Widener MJ, Chakraborty B, Marshall SE, Lamster IB. Modeling social dimensions of oral health among older adults in urban environments. Health Educ Behav. 2013 Oct;40(1):63S-73S.
Kossioni, A.E. Current status and trends in oral health in community dwelling older adults: A global perspective. Oral Health Prev Dent. 2013; 11:331–40.
Rihs LB, Costa AM, Tôrres LHN, Neri AL, Guariento ME, Cintra FA, et al. Oral health of elderly with different frailty levels from the city of Campinas, Brazil. Rev Ciênc Méd. 2013 Sep; 22(3):157-65.
Instituto de Pesquisa e Planejamento de Piracicaba. Mapa de exclusão/inclusão social de Piracicaba. [acesso em 2012 nov 20]. Disponível em: http://www.ipplap.com.br/
Costa AM, Torres LHN, Fonseca DAV, Wada RS, Sousa ML. Campanha de Prevenção e diagnóstico precoce do câncer de boca: perfil dos idosos participantes. Rev Bras Odontol. 2013;70(2):130-5.
Costa AM, Fonseca EP, Fonseca DAV, Sousa MLR. Distribuição espacial da xerostomia e índice de exclusão social em idosos de Piracicaba, SP. Arq odontol. 2015;51(1):39-46.
World Health Organization. Guide to epidemiology and diagnosis of oral mucosal diseases and conditions. Community Dent Oral Epidemiol. 1980;8(1):1-26.
Ministério da Saúde. Secretaria de Atenção à Saúde, Departamento de Atenção Básica. Cadernos de Atenção Básica, n. 17. Brasília: Ministério da Saúde. 2006. p. 92. (Série A. Normas e Manuais Técnicos)
Organização Mundial da Saúde. Levantamentos básicos em saúde bucal. 4. ed. São Paulo: Santos; 1999.
Terraview Política Social. Centro de Estudos da Metrópole. São Paulo, SP.
Triantos D. Intra-oral findings and general health conditions among institutionalized and non-institutionalized elderly in Greece. J Oral Pathol Med. 2005;34:577-82.
Coelho CMP, Sousa YTCS, Dare AMZ. Denture related oral mucosal lesions in a Brazilian school of dentistry. J Oral Rehabil. 2004;31:135–9.
Costa AM, Tôrres LHN, Fonseca DAV, Wada RS, Sousa MLR. Oral mucosal lesions and the need for dentures in a brazilian elderly population. ROBRAC. 2014; 23 (67): 191-5.
Mendes DC, Poswar FO, Oliveira MVM, Haikal DS, Silveira MF, Martins AMEBL, et al. Analysis of socio-demographic and systemic health factors and the normative conditions of oral health care in a population of the Brazilian elderly. Gerodontology. 2012; 29: e206–14.
Dundar N, Ilhan Kal B. Oral mucosal conditions and risk factors among elderly in a Turkish school of dentistry. Gerontology. 2007;53(3):165-72.
Fonseca DAV, Mialhe FL, Ambrosano GMB, Pereira AC, Meneghin MC. Influência da organização da atenção básica e das características sociodemográficas da população na demanda pelo pronto atendimento odontológico municipal. Cienc Saúde Coletiva. 2014;19(1):269-77.
Silva DD, Held RB, Sousa MLR, Neri AL, Antunes JLF. Autopercepção da saúde bucal em idosos e fatores associados em Campinas, SP, 2008-2009. Rev Saúde Pública. 2011;45(6):1145-53.
Martin LG, Schoeni RF, Freedman VA, Andreski P. Feeling better? Trends in general health status. J Gerontol Ser B, Psychol Sci Soc Sci. 2007; 62(1):S11-21.
Blazer DG. How do you feel about...? Health outcomes in late life and self-perceptions of health and well-being. Gerontologist. 2008; 48(4):415-22.
Melo ALSF, Erdmann AL, Caetano JC. Saúde bucal do idoso: por uma política inclusiva. Texto & Contexto Enferm. 2008 Out;17(4):696-704.
Moskona D, Kaplan L, Leibovich P, Notzer N, Begleiter A. A three-year programme in oral diagnosis and treatment planning. A model using an interdisciplinary teaching team. Eur J Dent Educ. 1999. 3(1):27-30.
Medeiros JJ, Rodrigues LV, Azevedo AC, Lima Neto EA, Machado LS, Valença AMG. Edentulismo, uso e necessidade de prótese e fatores associados em município do nordeste brasileiro. Pesqui Bras Odontopediatria Clin Integr, 2012;12(4):573-8.
Castellanos JL, Diaz-Guzman L. Lesions of the oral mucosa: an epidemiological study of 23785 Mexican patients. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008; 105: 79–85.
Baran I, Nalcacı R. Self reported denture hygiene habits and oral tissue conditions of complete denture wearers. Arch Gerontol Geriatr. 2009; 49: 237–41.
Webb BC, Thomas CJ, Willcox MD, Harty DW, Knox KW. Candida-associated denture stomatitis. Aetiology and management: a review. Part 2. Oral diseases caused by Candida species. Aust Dent J. 1998; 43: 160–6.
Barbosa IR, Pereira LMS, Medeiros PFM, Valentem RS, Brito JM, Costa ICC. Análise da distribuição espacial da tuberculose na região Nordeste do Brasil, 2005-2010. Epidemiol Serv Saúde. 2013;22(4):687-95.
Programa das Nações Unidas para o desenvolvimento. Desenvolvimento humano e IDH. [acesso em 20 jul 2014]. Disponível em: http://www.pnud.org.br/IDH/DesenvolvimentoHumano.aspx?indiceAccordion=0&li=li_DH
Munro CL, Grap MJ, Jablonski R, Boyle A. Oral health mesurement in nursing research: state of the science. Biol Res Nurs. 2006 jul;8(1):35-42.
Ship JA, Pillemer SR, Baum BJ. Xerostomia and the geriatric patient. J Am Geriatric Soc. 2002;50(3):535-43. apud Cabrera MAS, Mesas AE, Rossato LA, Andrade SM. Fluxo salivar e uso de drogas psicoativas em idosos. Rev Assoc Med Bras. 2007; 53(2): 178-81.
Tôrres LHN, Sousa MLR. Edentulismo e autopercepção de saúde bucal em idosos. Rev ABO Nac. 2013;6:129-31.
