Social Gradients in Oral Health in Older Adults: Findings From the English Longitudinal Survey of Aging
Social Gradients in Oral Health in Older Adults: Findings From the English Longitudinal Survey of Aging
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DOI：
10.2105/ajph.2011.300215
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发表时间：
2011-10-01
影响因子：
12.7
通讯作者：
Watt, Richard G.
中科院分区：
文献类型：
--
作者：
Tsakos, Georgios;Demakakos, Paneyotes;Watt, Richard G.
目标.我们研究了社会经济地位（SEP）标志物和口腔健康结果之间的前瞻性关联在英格兰的老年人的国家样本。数据来自英国老龄化纵向调查，这是一项针对50岁及以上社区居民的全国性队列研究。SEP标志物（教育，职业，家庭收入，家庭财富，主观社会地位和儿童SEP）和社会人口学混杂因素（年龄，性别和婚姻状况）来自第1波。我们在第3波收集了3个自我报告的口腔健康结果：拥有天然牙齿（有牙与无牙），自我评价的口腔健康和口腔对日常生活的影响。使用多变量逻辑回归模型，我们估计每个SEP指标和每个口腔健康结果之间的相关性，调整混杂因素。不考虑SEP标记物，SEP和无齿症之间存在负相关，在每个较低的SEP水平上，有更多的无齿症参与者。低SEP也与有齿人群的口腔健康状况和口腔影响相关，但在无齿人群中则不相关。有一致的和明确的社会梯度在英格兰的老年人的口腔健康，在整个SEP层次结构的差距明显。(Am J公共卫生。2011;101：1892-1899. doi：10.2105/AJPH.2011.300215）
Objectives. We examined prospective associations between socioeconomic position (SEP) markers and oral health outcomes in a national sample of older adults in England.Methods. Data were from the English Longitudinal Survey of Aging, a national cohort study of community-dwelling people aged 50 years and older. SEP markers (education, occupation, household income, household wealth, subjective social status, and childhood SEP) and sociodemographic confounders (age, gender, and marital status) were from wave 1. We collected 3 self-reported oral health outcomes at wave 3: having natural teeth (dentate vs edentate), self-rated oral health, and oral impacts on daily life. Using multivariate logistic regression models, we estimated associations between each SEP indicator and each oral health outcome, adjusted for confounders.Results. Irrespective of SEP marker, there were inverse graded associations between SEP and edentulousness, with proportionately more edentate participants at each lower SEP level. Lower SEP was also associated with worse selfrated oral health and oral impacts among dentate, but not among edentate, participants.Conclusions. There are consistent and clear social gradients in the oral health of older adults in England, with disparities evident throughout the SEP hierarchy. (Am J Public Health. 2011;101:1892-1899. doi:10.2105/AJPH.2011.300215)