Social gradients in oral and general health

Social gradients in oral and general health
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DOI:
10.1177/154405910708601014
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发表时间:
2007-10-01
影响因子:
7.6
通讯作者:
Watt, R. G.
Watt, R. G.
中科院分区:
医学1区
文献类型:
--
作者:
Sabbah, W.;Tsakos, G.;Watt, R. G.

文献摘要

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一般健康和口腔健康存在社会梯度。然而,很少有研究涉及同一个体的口腔和一般健康梯度是否存在相似性。我们开始测试,使用NHANES III的数据,口腔健康是否存在社会梯度,以及它们是否类似于一般健康的梯度。收入,贫困收入比,和教育梯度进行了检查牙周病,缺血性心脏病,口腔/一般健康的感觉。我们的分析表明,在所有评估结果中,收入和教育梯度一致。在调整后的回归模型中,临床和感知健康状况较差的概率有所减弱,但在大多数结果中,收入和教育水平较低的患者的概率仍显着较高。结果表明,在口腔和一般健康的收入和教育梯度相似,这意味着共同的口腔和一般健康的社会决定因素。
There are social gradients in general health and oral health. However, there have been few studies addressing whether similarities exist in the gradients in oral and general health in the same individuals. We set out to test, using data from NHANES III, whether there are social gradients in oral health, and whether they resemble the gradients in general health. Income, indicated by poverty-income ratio, and education gradients were examined in periodontal diseases, ischemic heart disease, and perceived oral/general health. Our analysis demonstrated consistent income and education gradients in all outcomes assessed. In the adjusted regression models, the probabilities of having poorer clinical and perceived health were attenuated, but remained significantly higher at each lower level of income and education for most outcomes. The results showed similar income and education gradients in oral and general health, implying commonalities of the social determinants of both oral and general health.