Life course social mobility, race and tooth loss in adulthood: The role of dental health services.

IF 2.9 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Oral diseases Pub Date : 2024-10-01 Epub Date: 2024-03-04 DOI:10.1111/odi.14918

Roger Keller Celeste, Antonio Fernando Boing, Karen Glazer Peres, Marco Aurelio Peres

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引用次数: 0

Abstract

Objectives: To evaluate the extent to which dental care factors in adulthood modify and, at the same time, mediate the association between race/ethnicity and social mobility from childhood to adulthood with two oral health outcomes in adults.

Methods: In 2012, 1222 individuals 20-59 years old participated in the second wave of the Epi-Floripa Study in Florianopolis, Brazil. Exposures included social mobility based on adulthood and childhood events, dental care in previous years, type of dental care coverage, reason for dental visits and race. The number of missing and decayed teeth were dichotomised as MT >0 and DT >0.

Results: The prevalence of missing and decayed teeth was 61.9% and 23.0%, respectively. Age-sex adjusted inequalities in decayed and missing teeth among Black and White individuals were 41.2 percentage points (pp) (95% CI: 3.9-78.7) and 53.1 pp (19.5:86.7), respectively. Inequalities between those persistently higher and lower in socioeconomic position were 42.6 pp (14.6-70.7) and 90.0 pp (62.1-100). The Relative Excess of Risk due to Interaction (RERI) was not statistically significant (p < 0.05). Oaxaca-Blinder decomposition analyses showed that dental care variables accounted for a small proportion of inequalities.

Conclusions: This result implies that dental care is unlikely to significantly reduce or increase oral health inequalities in this particular population.

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生活过程中的社会流动性、种族和成年后牙齿脱落：牙科保健服务的作用。

目的评估成年后的牙科保健因素在多大程度上改变了种族/民族和从童年到成年的社会流动性与成年后两种口腔健康结果之间的关系，同时又在多大程度上起到了中介作用：2012年，巴西弗洛里亚诺波利斯有1222名20-59岁的人参加了第二波Epi-Floripa研究。暴露因素包括基于成年和童年事件的社会流动性、前几年的牙科保健、牙科保健覆盖类型、看牙的原因和种族。缺牙和蛀牙的数量被二分为 MT >0 和 DT >0：结果：缺牙和蛀牙的发生率分别为 61.9% 和 23.0%。经年龄-性别调整后，黑人和白人在蛀牙和缺牙方面的不平等分别为 41.2 个百分点（95% CI：3.9-78.7）和 53.1 个百分点（19.5:86.7）。社会经济地位持续较高和较低人群之间的不平等分别为 42.6 个百分点（14.6-70.7）和 90.0 个百分点（62.1-100）。交互作用导致的风险相对过剩率（RERI）在统计上并不显著（P 结论）：这一结果表明，牙科保健不太可能显著减少或增加这一特定人群的口腔健康不平等。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Oral diseases 医学-牙科与口腔外科

CiteScore

7.60

自引率

5.30%

发文量

325

审稿时长

4-8 weeks

期刊介绍： Oral Diseases is a multidisciplinary and international journal with a focus on head and neck disorders, edited by leaders in the field, Professor Giovanni Lodi (Editor-in-Chief, Milan, Italy), Professor Stefano Petti (Deputy Editor, Rome, Italy) and Associate Professor Gulshan Sunavala-Dossabhoy (Deputy Editor, Shreveport, LA, USA). The journal is pre-eminent in oral medicine. Oral Diseases specifically strives to link often-isolated areas of dentistry and medicine through broad-based scholarship that includes well-designed and controlled clinical research, analytical epidemiology, and the translation of basic science in pre-clinical studies. The journal typically publishes articles relevant to many related medical specialties including especially dermatology, gastroenterology, hematology, immunology, infectious diseases, neuropsychiatry, oncology and otolaryngology. The essential requirement is that all submitted research is hypothesis-driven, with significant positive and negative results both welcomed. Equal publication emphasis is placed on etiology, pathogenesis, diagnosis, prevention and treatment.