A cross-national comparison of income gradients in oral health quality of life in four welfare states: application of the Korpi and Palme typology
A cross-national comparison of income gradients in oral health quality of life in four welfare states: application of the Korpi and Palme typology
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DOI：
10.1136/jech.2008.083238
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发表时间：
2009-07-01
影响因子：
6.3
通讯作者：
Allen, P. Finbarr
中科院分区：
文献类型：
--
作者：
Sanders, A. E.;Slade, G. D.;Allen, P. Finbarr
背景：福利国家可能影响健康结果的程度尚未探讨。据推测，针对穷人的政策与更大的收入不平等，口腔健康的生活质量比那些提供收入相关的福利，以所有citizen.Methods：数据来自全国代表性的调查，在英国（n = 4064），芬兰（n = 5078），德国（n = 1454）和澳大利亚（n = 2292）从1998年至2002年进行。Korpi和Palme的类型学将这些国家分为四个不同的福利国家。在每次调查中，受试者完成了口腔健康影响概况（OHIP-14）问卷，该问卷评估了牙齿状况对生活质量的不良影响。对于每个国家，调查估计命令被用来创建线性回归模型，估计四个四分位数的收入和OHIP-14严重程度评分之间的梯度斜率。使用Wald chi（2）检验比较了各国收入梯度的参数估计值，该检验指定临界p值为0.008，相当于Bonferroni校正p
Background: The extent to which welfare states may influence health outcomes has not been explored. It was hypothesised that policies which target the poor are associated with greater income inequality in oral health quality of life than those that provide earnings-related benefits to all citizens.Methods: Data were from nationally representative surveys in the UK (n=4064), Finland (n=5078), Germany (n=1454) and Australia (n=2292) conducted from 1998 to 2002. The typology of Korpi and Palme classifies these countries into four different welfare states. In each survey, subjects completed the Oral Health Impact Profile (OHIP-14) questionnaire, which evaluates the adverse consequence of dental conditions on quality of life. For each country, survey estimation commands were used to create linear regression models that estimated the slope of the gradient between four quartiles of income and OHIP-14 severity scores. Parameter estimates for income gradients were contrasted across countries using Wald chi(2) tests specifying a critical p value of 0.008, equivalent to a Bonferroni correction of p