Vulnerability and the psychosocial aspects of tooth loss in old age: a Southern Brazilian study.
Identifieur interne : 002E86 ( Main/Exploration ); précédent : 002E85; suivant : 002E87Vulnerability and the psychosocial aspects of tooth loss in old age: a Southern Brazilian study.
Auteurs : Renato J. De Marchi [Brésil] ; Andréa F. Leal ; Dalva M. Padilha ; Mario A. BrondaniSource :
- Journal of cross-cultural gerontology [ 1573-0719 ] ; 2012.
Descripteurs français
- KwdFr :
- Accessibilité des services de santé, Adulte d'âge moyen, Bouche édentée (psychologie), Brésil, Connaissances, attitudes et pratiques en santé, Entretiens comme sujet, Extraction dentaire (psychologie), Facteurs socioéconomiques, Femelle, Groupes focalisés, Humains, Mâle, Perception, Perte dentaire (psychologie), Population rurale, Populations vulnérables, Qualité de vie (psychologie), Recherche qualitative, Santé buccodentaire, Soins dentaires pour personnes âgées, Soutien social, Sujet âgé, Sujet âgé de 80 ans ou plus, Vieillissement (psychologie).
- MESH :
- psychologie : Bouche édentée, Extraction dentaire, Perte dentaire, Qualité de vie, Vieillissement.
- Accessibilité des services de santé, Adulte d'âge moyen, Brésil, Connaissances, attitudes et pratiques en santé, Entretiens comme sujet, Facteurs socioéconomiques, Femelle, Groupes focalisés, Humains, Mâle, Perception, Population rurale, Populations vulnérables, Recherche qualitative, Santé buccodentaire, Soins dentaires pour personnes âgées, Soutien social, Sujet âgé, Sujet âgé de 80 ans ou plus.
- Wicri :
- geographic : Brésil.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Aging (psychology), Brazil, Dental Care for Aged, Female, Focus Groups, Health Knowledge, Attitudes, Practice, Health Services Accessibility, Humans, Interviews as Topic, Male, Middle Aged, Mouth, Edentulous (psychology), Oral Health, Perception, Qualitative Research, Quality of Life (psychology), Rural Population, Social Support, Socioeconomic Factors, Tooth Extraction (psychology), Tooth Loss (psychology), Vulnerable Populations.
- MESH :
- geographic : Brazil.
- psychology : Aging, Mouth, Edentulous, Quality of Life, Tooth Extraction, Tooth Loss.
- Aged, Aged, 80 and over, Dental Care for Aged, Female, Focus Groups, Health Knowledge, Attitudes, Practice, Health Services Accessibility, Humans, Interviews as Topic, Male, Middle Aged, Oral Health, Perception, Qualitative Research, Rural Population, Social Support, Socioeconomic Factors, Vulnerable Populations.
Abstract
Extensive tooth loss and edentulism can have a negative impact on the general health and quality of life of older adults. The extent to which psychological and social factors affect an individual's decision to undergo tooth extraction and mouth clearance (extraction of all teeth), and the theoretical relationships between social structure, social life and oral health can be unraveled through qualitative research. This study aimed to explore the social and psychological factors involved in tooth extraction and mouth clearance within a historical perspective among rural Southern Brazilian older adults. It is based on qualitative data gathered via a series of eight focus groups among 41 older adults. Underlying the focus group discussions of different levels of health risks and resources for prevention of disease was the concept of vulnerability. Participants' responses illustrated that tooth loss and mouth clearance were related to a lack of public dental health policies and programs, were influenced by social norms (including values pertaining to gender), and were associated with a low level of oral health knowledge. The social and program-dependent contexts of vulnerability were shown to have played a major role in the development of norms and values towards tooth extraction and mouth clearance. Vulnerability must be reduced in order to prevent disease particularly among rural populations. The influence of fatalistic beliefs about the inevitable loss of teeth with age may negatively influence the acceptance of dental treatment and predilection for oral health self-care.
DOI: 10.1007/s10823-012-9170-5
PubMed: 22870826
Affiliations:
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Le document en format XML
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<term>Focus Groups</term>
<term>Health Knowledge, Attitudes, Practice</term>
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<front><div type="abstract" xml:lang="en">Extensive tooth loss and edentulism can have a negative impact on the general health and quality of life of older adults. The extent to which psychological and social factors affect an individual's decision to undergo tooth extraction and mouth clearance (extraction of all teeth), and the theoretical relationships between social structure, social life and oral health can be unraveled through qualitative research. This study aimed to explore the social and psychological factors involved in tooth extraction and mouth clearance within a historical perspective among rural Southern Brazilian older adults. It is based on qualitative data gathered via a series of eight focus groups among 41 older adults. Underlying the focus group discussions of different levels of health risks and resources for prevention of disease was the concept of vulnerability. Participants' responses illustrated that tooth loss and mouth clearance were related to a lack of public dental health policies and programs, were influenced by social norms (including values pertaining to gender), and were associated with a low level of oral health knowledge. The social and program-dependent contexts of vulnerability were shown to have played a major role in the development of norms and values towards tooth extraction and mouth clearance. Vulnerability must be reduced in order to prevent disease particularly among rural populations. The influence of fatalistic beliefs about the inevitable loss of teeth with age may negatively influence the acceptance of dental treatment and predilection for oral health self-care.</div>
</front>
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