The Role of Area Deprivation in Explaining Ethnic Inequalities in Adult Oral Health in England.

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

Community dental health Pub Date : 2022-08-30 DOI:10.1922/CDH_00273Alobaidi07

F Alobaidi, E Bernabe, E K Delgado-Angulo

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引用次数: 0

Abstract

Background: The circumstances of the area where people live may affect their health and ethnic minority groups are often overrepresented in deprived areas. This study explored ethnic inequalities in adult oral health and the contribution of area deprivation to explain such inequalities.

Methods: Data from 15667 adults across 8 ethnicities (White British, Irish, Black Caribbean, Black African, Indian, Pakistani, Bangladeshi, Chinese) in the Health Survey for England 2010/2011 were analysed. Oral health was indicated by having a non-functional dentition, poor self-rated oral health and oral impacts on daily activities. Survey logistic regression and the Blinder-Oaxaca decomposition method were used.

Results: There were ethnic inequalities in the non-functional dentition, but not in self-rated oral health or oral impacts. Compared to White British adults (19.7%, 95% CI: 18.9, 20.6), a non-functional dentition was more common in Irish (33.1%, 95% CI: 25.9, 41.2) and less common in Black Caribbean (14.9%, 95% CI: 9.9, 21.7), Black African (6.9%, 95% CI: 3.9, 11.9), Indian (10.5%, 95% CI: 6.3, 17.2), Pakistani (7.2%, 95% CI: 4.5, 11.5), Bangladeshi (12.7%, 95% CI: 4.3, 32.3) and Chinese (2.2%, 95% CI: 0.6, 7.9) adults. In decomposition analysis, observed population characteristics explained over half of the ethnic inequalities in the non-functional dentition. Age, area deprivation and SEP were the main contributors, although results varied by ethnicity.

Conclusion: Ethnic inequalities in adult oral health varied according to oral health measure and ethnicity. Area deprivation and SEP contributed to, but did not fully, explain such inequalities.

查看原文本刊更多论文

地区剥夺在解释英格兰成人口腔健康的种族不平等中的作用。

背景:人们居住地区的环境可能影响到他们的健康，少数民族群体在贫困地区的代表性往往过高。本研究探讨了成人口腔健康的种族不平等以及地区剥夺对解释这种不平等的贡献。方法:分析2010/2011年英格兰健康调查中来自8个种族(英国白人、爱尔兰人、加勒比黑人、非洲黑人、印度人、巴基斯坦人、孟加拉国人、中国人)的15667名成年人的数据。口腔健康表现为牙列无功能、自评口腔健康状况差以及口腔对日常活动的影响。采用调查logistic回归和Blinder-Oaxaca分解方法。结果:非功能牙列存在种族不平等，但自评口腔健康和口腔影响不存在种族不平等。与英国白人成年人(19.7%，95% CI: 18.9, 20.6)相比，无功能牙列在爱尔兰人(33.1%，95% CI: 25.9, 41.2)中更常见，在加勒比黑人(14.9%，95% CI: 9.9, 21.7)、非洲黑人(6.9%，95% CI: 3.9, 11.9)、印度人(10.5%，95% CI: 6.3, 17.2)、巴基斯坦人(7.2%，95% CI: 4.5, 11.5)、孟加拉国人(12.7%，95% CI: 4.3, 32.3)和中国人(2.2%，95% CI: 0.6, 7.9)中更少见。在分解分析中，观察到的人口特征解释了非功能牙列中一半以上的种族不平等。年龄、地区剥夺和SEP是主要因素，尽管结果因种族而异。结论:成人口腔健康的种族不平等根据口腔健康测量和种族而有所不同。面积剥夺和最低工资对这种不平等有所贡献，但不能完全解释这种不平等。

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

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.