Association between frailty and oral health services use in Brazilian older adults

• Published in: Gerodontology Vol. 41; no. 1; pp. 46 - 53
• Main Authors: Vasconcellos, Natália Boessio Tex, Fagundes, Maria Laura Braccini, Menegazzo, Gabriele Rissotto, Amaral Júnior, Orlando Luiz, Hilgert, Juliana Balbinot, Amaral Giordani, Jessye Melgarejo
• Format: Journal Article
• Language: English
• Published: England 01.03.2024
• Subjects: ageing; frailty; oral health; oral health services; frailty; oral health; ageing; oral health services
• ISSN: 0734-0664; 1741-2358
• DOI: 10.1111/ger.12716

Objectives To assess the association between frailty and oral health services use in Brazilian older adults. Methods This cross‐sectional study analysed the baseline data from the Longitudinal Study on Brazilian Ageing (ELSI‐Brazil) representative of Brazilians aged 50 or over. The outcome was oral health services used in the year prior to the interview. The main exposure variable was Frailty defined by the frailty phenotype. Age, skin colour, wealth, sex, education, type of service, health insurance, number of teeth and self‐perceived oral health were included as covariates. Prevalence ratios (PR) with their respective 95% confidence intervals (CI) were estimated using Poisson regression with robust variance. Results 8405 individuals were included in this study. The prevalence of frailty was 7.5%. Regarding frailty status, the prevalence of dental service use was 47.0%, 48.5% and 4.5% for robust, pre‐frail and frail individuals, respectively. Frail individuals had a 7% higher prevalence of not using dental (PR: 1.07; 95% CI: 1.01–1.13) than robust individuals. Frailty was independently associated with not using oral health services. Conclusion Given the complexity of the determinants of dental service use, frailty adds another dimension to be examined in older adults. Public health strategies considering a common risk factor approach should be endorsed.