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Dental attendance and behavioural pathways to adult oral health inequalities

Journal of epidemiology and community health (1979), 2021-11, Vol.75 (11), p.1063-1069 [Tạp chí có phản biện]

Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ. ;2021 Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ. ;ISSN: 0143-005X ;EISSN: 1470-2738 ;DOI: 10.1136/jech-2020-216072 ;PMID: 33893184

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  • Nhan đề:
    Dental attendance and behavioural pathways to adult oral health inequalities
  • Tác giả: Guarnizo-Herreño, Carol C ; Scholes, Shaun ; Heilmann, Anja ; O'Connor, Rhiannon ; Fuller, Elizabeth ; Shen, Jing ; Watt, Richard G ; Morris, Steve ; Wildman, John ; Tsakos, Georgios
  • Chủ đề: Adults ; Dental health ; Educational attainment ; Family income ; Health disparities ; Households ; Hygiene ; Maximum likelihood method ; Oral hygiene ; Response rates ; Sensitivity analysis ; Social classes ; Socioeconomic factors ; Teeth ; Variables
  • Là 1 phần của: Journal of epidemiology and community health (1979), 2021-11, Vol.75 (11), p.1063-1069
  • Mô tả: BackgroundWhile inequalities in oral health are documented, little is known about the extent to which they are attributable to potentially modifiable factors. We examined the role of behavioural and dental attendance pathways in explaining oral health inequalities among adults in England, Wales and Northern Ireland.MethodsUsing nationally representative data, we analysed inequalities in self-rated oral health and number of natural teeth. Highest educational attainment, equivalised household income and occupational social class were used to derive a latent socioeconomic position (SEP) variable. Pathways were dental attendance and behaviours (smoking and oral hygiene). We used structural equation modelling to test the hypothesis that SEP influences oral health directly and also indirectly via dental attendance and behavioural pathways.ResultsLower SEP was directly associated with fewer natural teeth and worse self-rated oral health (standardised path coefficients, −0.21 (SE=0.01) and −0.10 (SE=0.01), respectively). We also found significant indirect effects via behavioural factors for both outcomes and via dental attendance primarily for self-rated oral health. While the standardised parameters of total effects were similar between the two outcomes, for number of teeth, the estimated effect of SEP was mostly direct while for self-rated oral health, it was almost equally split between direct and indirect effects.ConclusionReducing inequalities in dental attendance and health behaviours is necessary but not sufficient to tackle socioeconomic inequalities in oral health.
  • Nơi xuất bản: England: BMJ Publishing Group LTD
  • Ngôn ngữ: English
  • Số nhận dạng: ISSN: 0143-005X
    EISSN: 1470-2738
    DOI: 10.1136/jech-2020-216072
    PMID: 33893184
  • Nguồn: ProQuest One Psychology
    Alma/SFX Local Collection
    ProQuest Central
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