Perceived social status, socioeconomic status, and preventive dental utilization among a low-income Medicaid adult population.
Perceived social status, socioeconomic status, and preventive dental utilization among a low-income Medicaid adult population.
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低收入医疗补助成年人口的社会地位、社会经济地位和预防性牙科使用情况。
DOI：
10.1111/jphd.12588
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发表时间：
2023
影响因子：
2.3
通讯作者：
McKernan,SusanC
中科院分区：
文献类型：
--
作者：
Sukalski,JenniferMC;Askelson,NatoshiaM;Reynolds,JulieC;Damiano,PeterC;Shi,Wei;Xie,XianJin;McKernan,SusanC
感知社会地位（PSS）是一种衡量累积社会经济情况的指标，它将感知自我控制考虑在内。与社会经济地位（SES）测量相比，它被假设为更好地捕捉社会阶层（即，教育、职业和收入）。本研究探讨了PSS和牙科利用之间的关联，比较牙科利用和PSS和SES措施之间的关联强度之间的低收入成年Medicaid population.MethodsA横断面调查管理到一个随机样本的低收入成年人在爱荷华州，美国医疗补助牙科保险（N= 18，000）在2018年春天。受访者被问及PSS、牙科利用和人口统计数据。一组多变量Logistic回归模型研究的PSS和SES的措施对牙科利用率的相对影响，控制年龄，性别，健康素养，无论是受访者知道他们有牙科保险，交通，并认为需要牙科care.ResultsThe调整后的响应率为25%，最终的样本量为2252。平均PSS（范围1-10）为5.3（SD 1.9）。PSS与牙科利用率（OR = 1.11; CI = 1.05，1.18）调整控制变量时，显着相关，而其他SES的措施，教育，就业和收入，没有。结果支持PSS的相对重要性，除了SES的措施，因为PSS可以捕捉社会阶层的方面，SES的措施不。结果表明，未来的研究需要考虑PSS对口腔健康结果和行为的影响。
ObjectivesPerceived Social Status (PSS) is a measure of cumulative socioeconomic circumstances that takes perceived self‐control into account. It is hypothesized to better capture social class compared to socioeconomic status (SES) measures (i.e., education, occupation, and income). This study examined the association between PSS and dental utilization, comparing the strength of associations between dental utilization and PSS and SES measures among a low‐income adult Medicaid population.MethodsA cross‐sectional survey was administered to a random sample of low‐income adults in Iowa, United States with Medicaid dental insurance (N= 18,000) in the spring of 2018. Respondents were asked about PSS, dental utilization, and demographics. A set of multivariable logistic regression models examined the relative effects of PSS and SES measures on dental utilization, controlling for age, sex, health literacy, whether the respondent was aware they had dental insurance, transportation, and perceived need of dental care.ResultsThe adjusted response rate was 25%, with a final sample size of 2252. Mean PSS (range 1–10) was 5.3 (SD 1.9). PSS was significantly associated with dental utilization (OR = 1.11; CI = 1.05, 1.18) when adjusting for control variables, whereas other SES measures—education, employment, and income—were not.ConclusionsPSS demonstrated a small positive association with dental utilization. Results support the relative importance of PSS, in addition to SES measures, as PSS may capture aspects of social class that SES measures do not. Results suggest the need for future research to consider the effects of PSS on oral health outcomes and behaviors.
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