Ethnic Inequalities in the Functional Dentition Among British Adults: A Multilevel Analysis.

IF 0.9 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Community dental health Pub Date : 2024-11-06 DOI:10.1922/CDH_00153Alhejaili06

H Alhejaili, E K Delgado-Angulo

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引用次数: 0

Abstract

Objective: To explore the role of socioeconomic factors, area deprivation and behaviours in explaining ethnic differences in the functional dentition among East London adults using multilevel modelling.

Methods: Data from a community-based health survey in East London included information on 1898 adults aged between 16 to 65 years old and belonging to 9 ethnic groups. Supervised questionnaires gathered information on demographic characteristics, socioeconomic indicators, dental behaviours and area deprivation (IMD 2007). A functional dentition was defined as having all 6 anterior plus at least 4 posterior contacts in clinical examination.

Results: The multilevel logistic regression showed that Black Africans were 75% (95%CI: 1.21-2.52) and Black Caribbean 77% (95%CI: 1.05-2.98) more likely to have a non-functional dentition than White British participants in fully adjusted models. Other factors associated with a non-functional dentition were older age and no educational attainment.

Conclusion: Black adults are at greater risk of non-functional dentition independently from sociodemographic characteristics, oral health-related behaviours and area-level characteristics. Proportionate universalism could be effective in reducing these health gaps.

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英国成年人牙齿功能的种族不平等：多层次分析

目的利用多层次模型探讨社会经济因素、地区贫困和行为在解释东伦敦成年人功能性牙齿种族差异中的作用：东伦敦社区健康调查的数据包括 1898 名年龄在 16 岁至 65 岁之间、属于 9 个种族群体的成年人的信息。监督问卷收集了有关人口特征、社会经济指标、牙科行为和地区贫困程度（IMD 2007）的信息。功能性牙列的定义是在临床检查中拥有全部 6 个前牙接触点和至少 4 个后牙接触点：多层次逻辑回归结果表明，在完全调整模型中，非洲黑人和加勒比黑人的非功能性牙列缺失几率分别为 75% (95%CI：1.21-2.52) 和 77% (95%CI：1.05-2.98)，高于英国白人。与无功能性牙齿相关的其他因素还有年龄较大和未受过教育：黑人成年人患非功能性牙齿的风险更大，这与社会人口特征、口腔健康相关行为和地区特征无关。按比例普及可有效缩小这些健康差距。

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

Community dental health 医学-牙科与口腔外科

CiteScore

2.20

自引率

11.80%

发文量

审稿时长

6-12 weeks

期刊介绍： The journal is concerned with dental public health and related subjects. Dental public health is the science and the art of preventing oral disease, promoting oral health, and improving the quality of life through the organised efforts of society. The discipline covers a wide range and includes such topics as: -oral epidemiology- oral health services research- preventive dentistry - especially in relation to communities- oral health education and promotion- clinical research - with particular emphasis on the care of special groups- behavioural sciences related to dentistry- decision theory- quality of life- risk analysis- ethics and oral health economics- quality assessment. The journal publishes scientific articles on the relevant fields, review articles, discussion papers, news items, and editorials. It is of interest to dentists working in dental public health and to other professionals concerned with disease prevention, health service planning, and health promotion throughout the world. In the case of epidemiology of oral diseases the Journal prioritises national studies unless local studies have major methodological innovations or information of particular interest.