Is there socioeconomic inequality in periodontal disease among adults with optimal behaviours
Is there socioeconomic inequality in periodontal disease among adults with optimal behaviours
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DOI：
10.1080/00016357.2019.1582795
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发表时间：
2019-07-04
影响因子：
2
通讯作者：
Sabbah, Wael
中科院分区：
文献类型：
--
作者：
Hakeem, Faisal F.;Sabbah, Wael
目的：检查具有最佳口腔健康行为的成年人的牙周病是否存在社会经济不平等。材料和方法：数据来自2009年成人牙科健康调查，这是英格兰、威尔士和北方爱尔兰的一项全国性调查。总体而言，4738名年龄在35岁及以上的参与者被纳入分析。牙周疾病表明袋深度或附着丧失4毫米，牙龈出血作为牙周的结果。教育和贫困表明社会经济地位。行为因素包括看牙医、刷牙和吸烟。有和没有最佳健康相关行为的成年人子集分别包括2916和1822名参与者。牙周病和社会经济地位之间的关联进行了测试调整人口和行为因素。额外的模型分层的样本，那些有和没有最佳的行为subgroup.Results：教育和剥夺显着相关的牙周病的部分调整模型。在对那些具有最佳行为的人的分析中，只有剥夺和最高教育水平与牙周炎（PD）显着相关，但与牙龈出血无关。在那些没有最佳的行为，所有的社会经济因素与所有的结果，除了剥夺和PD.Conclusions：口腔健康行为轻微的牙龈出血和牙周疾病的不平等。社会经济不平等现象在那些有最佳行为的人中有所减弱，在那些没有最佳行为的人中持续存在。行为似乎是牙周结果和社会经济因素之间的关系的影响修饰符。
Objective: To examine if socioeconomic inequalities exist in periodontal disease among adult with optimal oral health behaviours.Materials and methods: Data were from the Adult Dental Health Survey 2009, a national survey of England, Wales and Northern Ireland. Overall, 4738 participants aged 35 years and older were included in the analysis. Periodontal disease indicated by pocket depth or loss of attachment 4mm, and gingival bleeding were used as periodontal outcomes. Education and deprivation indicated socioeconomic position. Behavioural factors were dental visits, toothbrushing and smoking. The subset of adults with and without optimal health related behaviours included 2916 and 1822 participants, respectively. The associations between periodontal disease and socioeconomic position were tested adjusting for demographic and behavioural factors. Additional models stratifying the sample to those with and without optimal behaviour subgroup were constructed.Results: Education and deprivation were significantly associated with periodontal disease in the partially adjusted models. In the analysis of those with optimal behaviours, only deprivation and highest level of education showed significant association with periodontitis (PD), but not with gingival bleeding. Among those without optimal behaviours, all socioeconomic factors were associated with all outcomes except deprivation and PD.Conclusions: Oral health behaviours marginally contributed to inequalities in gingival bleeding and periodontal disease. Socioeconomic inequalities were attenuated among those with optimal behaviours and persisted among those without optimal behaviours. Behaviours appeared to be an effect modifier for the relationship between periodontal outcomes and socioeconomic factors.