The role of health-related behaviors in the socioeconomic disparities in oral health
The role of health-related behaviors in the socioeconomic disparities in oral health
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DOI：
10.1016/j.socscimed.2008.10.030
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发表时间：
2009-01-01
影响因子：
5.4
通讯作者：
Watt, Richard G.
中科院分区：
文献类型：
--
作者：
Sabbah, Wael;Tsakos, Georgios;Watt, Richard G.
这项研究旨在检查健康相关行为的社会经济差异，并评估行为是否消除了口腔健康方面的社会经济差异，这是一个具有全国代表性的美国成年人样本。数据来自美国第三次全国健康和营养检查调查(1988-1994)。通过吸烟、看牙、吃新鲜水果和蔬菜的频率以及结石的程度来指示行为，作为口腔卫生的标志。口腔健康结果是牙龈出血、牙周附着丧失、牙齿脱落和口腔健康。受教育程度和收入表明了他们的社会经济地位。在回归分析中调整了性别、年龄、种族、牙科保险和糖尿病。回归分析被用来评估行为的社会经济差异。对调整和不调整行为的回归模型进行了比较，以评估口腔健康中社会经济差异的变化。结果显示，所有行为都存在明显的社会经济差异。在调整了行为之后，口腔健康和社会经济指标之间的联系减弱了，但并没有消失。这些发现表明，健康相关行为的改善可能会减少但不能消除口腔健康中的社会经济差异，并表明这些差异存在更复杂的决定因素，应通过口腔健康预防政策加以解决。(C)2008爱思唯尔有限公司。保留所有权利。
This study aimed to examine the socioeconomic disparities in health-related behaviors and to assess if behaviors eliminate socioeconomic disparities in oral health in a nationally representative sample of adult Americans. Data are from the US Third National Health and Nutrition Examination Survey (1988-1994). Behaviors were indicated by smoking, dental visits, frequency of eating fresh fruits and vegetables and extent of calculus, used as a marker for oral hygiene. Oral health outcomes were gingival bleeding, loss of periodontal attachment, tooth loss and perceived oral health. Education and income indicated socioeconomic position. Sex, age, ethnicity, dental insurance and diabetes were adjusted for in the regression analysis. Regression analysis was used to assess socioeconomic disparities in behaviors. Regression models adjusting and not adjusting for behaviors were compared to assess the change in socioeconomic disparities in oral health. The results showed clear socioeconomic disparities in all behaviors. After adjusting for behaviors, the association between oral health and socioeconomic indicators attenuated but did not disappear. These findings imply that improvement in health-related behaviors may lessen, but not eliminate socioeconomic disparities in oral health, and suggest the presence of more complex determinants of these disparities which should be addressed by oral health preventive policies. (C) 2008 Elsevier Ltd. All rights reserved.