ABSTRACT
Abstract We assessed the association between edentulism and all-cause mortality among community-dwelling older adults from São Paulo, Brazil, from 2006 to 2017. This prospective cohort study used data from the Health, Well-being and Aging Study (SABE, Portuguese acronym). Edentulism was evaluated by means of clinical oral examination and all-cause mortality data were obtained from state official records. Covariates included socioeconomic factors (age, sex, and schooling); health behavior (smoking, alcohol intake, and physical activity); dental care (prostheses use); general health (multimorbidity); and nutritional status (underweight). Kaplan-Meier survival curves were stratified by edentulism and compared using the log-rank test. Cox proportional hazards model was applied to calculate hazard ratios (HRs) for the association between edentulism and mortality after adjusting for covariates. The study sample included 1,687 participants (age, 60-102 years; edentulous: 47.2%). In the 11 years of follow-up, we analyzed 10,494 person-years and 566 deaths. In bivariate analysis, edentulous older adults were found to be at a higher risk of dying from all causes than the dentate participants (HR: 1.81; 95%CI: 1.53-2.15). After sequential adjustment for socioeconomic factors, health behavior, dental care, general health, and nutritional status, this association was attenuated, but remained significant (HR: 1.34; 95%CI: 1.10-1.63). In conclusion, edentulism is a significant predictor of all-cause mortality among older adults.
Subject(s)
Humans , Male , Female , Aged , Aged, 80 and over , Cause of Death , Mouth, Edentulous/mortality , Socioeconomic Factors , Time Factors , Brazil/epidemiology , Geriatric Assessment , Oral Health/statistics & numerical data , Nutritional Status , Prospective Studies , Risk Factors , Sex Distribution , Age Distribution , Kaplan-Meier Estimate , Independent Living/statistics & numerical data , Middle AgedABSTRACT
Objetivos: determinar a prevalência e as principais causas de absenteísmo entre os servidores públicos municipais de Vitória, Espírito Santo.Métodos: foi realizado um estudo transversal com uma amostra composta por 400 indivíduos os quais foram aleatoriamente selecionados entre os funcionários cadastrados no Departamento de Medicina do Trabalho da Prefeitura Municipal. A coleta de dados foi feita por meio de fichas padronizadas a partir das informações contidas nos prontuários dos participantes. Foram coletados dados sociodemográficos, informações referentes ao número de atestados médicos, número de dias afastados e motivos dos afastamentos de acordo com a Classificação Internacional de Doenças. O estudo foi aprovado pelo Comitê de Ética da Escola Superior de Ciências da Santa Casa de Misericórdia.Resultados: a maioria dos servidores (76,75%) apresentava vínculo efetivo com a instituição e possuía até cinco anos de trabalho (40,25%). Obser-vou-se uma alta prevalência de absenteísmo (75,25%), principalmente por doenças respiratórias (35,79%) sendo que as neoplasias e a diabetes foram as doenças que apresentaram maiores medianas de dias afastados (19 e 19, respectivamente). As mulheres apresentaram mais atestados, sendo a relação entre a presença de atestados e sexo estatisticamente significativa (p=0,043). Foi verificada associação estatisticamente significativa (p=0,015 entre o número de dias ausentes e os anos de trabalho, sendo os indivíduos entre 16 e 20 anos de idade os que apresentaram maior mediana de número de dias afastados.
Aims: To determine the prevalence of absenteeism among the municipal public workers of the city of Vitória, Espírito Santo State, Brazil.Methods: This was a cross sectional study with a sample of 400 individuals who were randomly selected among the employees registered in the database file of the Department of Occupational Medicine of the City Hall. Medical records from the Occupation Medicine Department were revised in order to obtain information about socio-demographic status, years of work in the institution, number of sick leave, number of absent days, and causes of sick leave according to the International Classification of Diseases. The study was approved by the Ethics Committee of theSuperior School of Science from the Santa Casa de Misericórdia. Results: About 76% of the individuals had a stable work contract and had up to five years of work (40.25%). There was a high prevalence of absenteeism (75.25%) and the respiratory diseases (35.79%) were identified as the main cause, although cancer and diabetes were the diseases which reached the higher median of absent days (19 and 19, respectively). Women had more sick leaves, and the relationship between sick leave and gender was statistically significant (p=0.043). A significant association (p=0.015) was verified between the number of absent days and years of work, with the individuals with 16 to 20 years of work accounting for the higher median of sick leaves.Conclusions: There was a high prevalence of absenteeism, highlighting the importance of investments for the promotion and protection of workers? health.