Determining the most appropriate socioeconomic status indicator for describing inequalities in dental visits by Japanese older people.

IF 2 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Gerodontology Pub Date : 2024-05-08 DOI:10.1111/ger.12755

Hiroo Morohoshi, Yusuke Matsuyama, Takashi Zaitsu, Akiko Oshiro, Katsunori Kondo, Jun Aida

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引用次数: 0

Abstract

Objectives: This study examined the association between various socioeconomic status (SES) indicators and dental visits among older Japanese.

Background: When examining health inequalities, an adequate indicator of SES should be applied. In older adults, wealth and pensions are considered more appropriate indicators of SES than education and income, but few studies have examined.

Methods: This cross-sectional study used data from 12 391 individuals aged 65 years or older from the 2016 Japan Gerontological Evaluation Study (JAGES). The Slope Index of Inequality (SII) and the Relative Index of Inequality (RII) were applied to examine the association of education, income, wealth and pensions with dental visits for treatment and check-up adjusting for covariates.

Results: The mean age of the participants was 74.0 ± 6.2 years. In the previous year, 56.3% of participants had visited a dentist for a check-up, and 65.9% had visited for treatment. Inequalities in dental treatment visits were observed for wealth, pensions and income rather than education. Income was not significantly associated with check-up visits. Wealth showed the largest association with dental visits for treatment [(SII 0.09, 95% CI 0.06 to 0.13), (RII 1.14, 95% CI 1.09 to 1.21)] and check-up [(SII 0.08, 95% CI 0.05 to 0.12), (RII 1.16, 95% CI 1.09 to 1.23)].

Conclusion: When measuring inequalities in access to dental care among the older population, wealth and pensions could be important indicators of SES.

查看原文本刊更多论文

确定最适合描述日本老年人牙科就诊不平等现象的社会经济地位指标。

研究目的本研究探讨了各种社会经济地位（SES）指标与日本老年人看牙医之间的关系：背景：在研究健康不平等问题时，应采用适当的 SES 指标。在老年人中，财富和养老金被认为是比教育和收入更合适的社会经济地位指标，但很少有研究对此进行研究：这项横断面研究使用了 2016 年日本老年学评估研究（JAGES）中 12 391 名 65 岁及以上老年人的数据。采用不平等斜率指数（SII）和不平等相对指数（RII）来研究教育、收入、财富和养老金与牙科就诊治疗和检查的关系，并对协变量进行调整：参与者的平均年龄为 74.0 ± 6.2 岁。在过去一年中，56.3%的参与者曾去牙医处做过检查，65.9%的参与者曾去牙医处接受过治疗。牙科治疗就诊率的不平等主要体现在财富、养老金和收入方面，而非教育程度。收入与牙医检查次数的关系不大。财富与牙科治疗[（SII 0.09，95% CI 0.06 至 0.13），（RII 1.14，95% CI 1.09 至 1.21）]和检查[（SII 0.08，95% CI 0.05 至 0.12），（RII 1.16，95% CI 1.09 至 1.23）]的相关性最大：结论：在衡量老年人口在获得牙科保健方面的不平等时，财富和养老金可能是衡量社会经济地位的重要指标。

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

Gerodontology 医学-老年医学

CiteScore

4.10

自引率

10.00%

发文量

审稿时长

3-6 weeks

期刊介绍： The ultimate aim of Gerodontology is to improve the quality of life and oral health of older people. The boundaries of most conventional dental specialties must be repeatedly crossed to provide optimal dental care for older people. In addition, management of other health problems impacts on dental care and clinicians need knowledge in these numerous overlapping areas. Bringing together these diverse topics within one journal serves clinicians who are seeking to read and to publish papers across a broad spectrum of specialties. This journal provides the juxtaposition of papers from traditional specialties but which share this patient-centred interest, providing a synergy that serves progress in the subject of gerodontology.