Vulnerability and the psychosocial aspects of tooth loss in old age: a Southern Brazilian study.

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 theoretica...

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Published in:Journal of Cross-Cultural Gerontology Vol. 27; no. 3; pp. 239 - 259
Main Authors: De Marchi RJ, Leal AF, Padilha DM, Brondani MA, De Marchi, Renato J, Leal, Andréa F, Padilha, Dalva M, Brondani, Mario A
Format: research Journal Article
Published: Springer Nature Sep2012
Online Access:View this record in EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        atl: Vulnerability and the psychosocial aspects of tooth loss in old age: a Southern Brazilian study.
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        au:
          De Marchi RJ
          Leal AF
          Padilha DM
          Brondani MA
          De Marchi, Renato J
          Leal, Andréa F
          Padilha, Dalva M
          Brondani, Mario A
        affil: Department of Preventive and Social Dentistry, Faculty of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
      sug:
        subj:
          Aging Psychosocial Factors
          Attitude to Health
          Mouth, Edentulous Psychosocial Factors
          Tooth Extraction Psychosocial Factors
          Tooth Loss Psychosocial Factors
          Aged
          Aged, 80 and Over
          Brazil
          Dental Care for Older Persons
          Female
          Focus Groups
          Health Services Accessibility
          Human
          Interviews
          Male
          Middle Age
          Oral Health
          Perception
          Qualitative Studies
          Quality of Life Psychosocial Factors
          Rural Population
          Support, Psychosocial
          Socioeconomic Factors
          Special Populations
          Aged: 65+ years
          Aged, 80 & over
          Middle Aged: 45-64 years
          Female
          Male
      ab: 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.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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