Socioeconomic inequalities in adult oral health across different ethnic groups in England
Socioeconomic inequalities in adult oral health across different ethnic groups in England
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DOI：
10.1186/s12955-019-1156-3
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发表时间：
2019-05-17
影响因子：
3.6
通讯作者：
Bernabe, Eduardo
中科院分区：
文献类型：
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作者：
Delgado-Angulo, Elsa K.;Mangal, Munisha;Bernabe, Eduardo
背景：英国成年人口腔健康方面的种族不平等在很大程度上仍未得到探索。本研究探讨了社会经济地位（SEP）在解释口腔健康方面的种族不平等方面的作用；方法：汇总了 5 年期间参与英格兰健康调查的 45,599 名 16 岁及以上成年人的数据。这七个民族包括英国白人、爱尔兰人、加勒比黑人、印度人、巴基斯坦人、孟加拉国人和华人。无牙颌和牙痛是结果指标。采用验证性因素分析，根据教育、社会阶层、收入和经济活动制定了 SEP 的综合衡量标准。通过调整性别、年龄、调查年份和 SEP 的逻辑回归来评估口腔健康方面的种族不平等。结果：印度人（OR：0.55，95％CI：0.40-0.76）、巴基斯坦人（0.56，0.38-0.83）、孟加拉国人（0.35，0.23-0.52）和中国人（0.41，0.25-0.66）较少控制 SEP 后，可能比英国白人无牙颌。在控制 SEP 后，与英国白人相比，爱尔兰人 (1.22, 1.06-1.39) 和加勒比人 (1.37, 1.19-1.58) 出现牙痛的可能性更大，孟加拉国人 (0.83, 0.69-0.99) 出现牙痛的可能性较小。无牙颌方面的社会经济不平等现象在几乎所有种族群体中都存在，而牙痛方面的社会经济不平等现象仅在英国白人和爱尔兰人中发现。结论：本研究表明，SEP 在解释口腔健康方面的种族不平等方面的作用取决于所调查的结果。少数族裔群体口腔健康方面的社会经济不平等并没有始终如一地反映英国白人的模式。
Background: Ethnic inequalities in oral health among British adults remain largely unexplored. This study explored the role of socioeconomic position (SEP) in explaining ethnic inequalities in oral health; and the consistency of socioeconomic inequalities in oral health across ethnic groups.Methods: Data from 45,599 adults, aged 16years and over, who participated in the Health Survey for England were pooled across 5 years. The seven ethnic groups included were White British, Irish, Black Caribbean, Indian, Pakistani, Bangladeshi and Chinese. Edentulousness and toothache were the outcome measures. A composite measure of SEP was developed based on education, social class, income and economic activity using confirmatory factor analysis. Ethnic inequalities in oral health were assessed in logistic regression adjusting for sex, age, survey year and SEP.Results: Indian (OR: 0.55, 95%CI: 0.40-0.76), Pakistani (0.56, 0.38-0.83), Bangladeshi (0.35, 0.23-0.52) and Chinese (0.41, 0.25-0.66) were less likely to be edentulous than White British after controlling for SEP. Irish (1.22, 1.06-1.39) and Caribbean (1.37, 1.19-1.58) were more likely and Bangladeshi (0.83, 0.69-0.99) were less likely to have toothache than White British after controlling for SEP. Socioeconomic inequalities in edentulousness were consistently found across almost all ethnic groups while socioeconomic inequalities in toothache were found among White British and Irish only.Conclusion: This study shows that the role of SEP in explaining ethnic inequalities in oral health depended on the outcome being investigated. Socioeconomic inequalities in oral health among minority ethnic groups did not consistently reflect the patterns found in White British.