title: Resilience and self-perceived oral health: a hierarchical approach.
abstract: OBJECTIVE
  To determine whether positive self-perceived oral health is associated with sociodemographic health variables, with an emphasis on resilience, in community-dwelling older adults in southern Brazil.
  
  
  METHODS
  Cross-sectional study nested within a cohort study.
  
  
  METHODS
  Carlos Barbosa in southern Brazil.
  
  
  METHODS
  Four hundred ninety-six community-dwelling adults aged 64 and older.
  
  
  METHODS
  Sociodemographic information, a health history, and health perceptions were assessed using a structured questionnaire. Resilience was assessed using a resilience scale. For each participant, a brief oral examination was performed to assess number of teeth. Positive self-perceived oral health was the outcome of interest.
  
  
  RESULTS
  A final, fully adjusted Poisson regression model showed that high resilience potential (prevalence ratio (PR)=1.18, 95% confidence interval (CI)=1.06-1.32), income (PR=1.18, 95% CI=1.07-1.30), and no reported change in diet because of dental problems (PR=1.34, 95% CI=1.13-1.60) were associated with positive self-perceived oral health. Participants living in rural areas were less likely to report positive self-perceived oral health (PR=0.83, 95% CI=0.75-0.93).
  
  
  CONCLUSIONS
  Using a hierarchical approach, positive self-perceived oral health was found to be associated with several variables included in the conceptual framework of oral health outcomes, such as resilience. Resilience may act as a potentiating agent in the positive adaptation to tooth loss.
authors: Department of Preventive and Social Dentistry, Faculty of Dentistry Postgraduate Studies Program in Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
authors: Aline Blaya
authors: AB
authors: Martins
authors: Camila Mello
authors: CM
authors: Dos Santos
authors: Juliana Balbinot
authors: JB
authors: Hilgert
authors: Renato José
authors: RJ
authors: de Marchi
authors: Fernando Neves
authors: FN
authors: Hugo
authors: Dalva Maria
authors: DM
authors: Pereira Padilha
mesh_terms: D000223:Adaptation, Psychological / Q000502:physiology*; D000368:Aged; D001938:Brazil; D003430:Cross-Sectional Studies; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D009909:Oral Health / Q000592:standards*; D012189:Retrospective Studies; D020377:Self Efficacy; D012944:Social Support; D011795:Surveys and Questionnaires