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https://hdl.handle.net/2440/22624
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Type: | Journal article |
Title: | Evaluating the role of dental behaviour in oral health inequalities |
Author: | Sanders, A. Spencer, A. Slade, G. |
Citation: | Community Dentistry and Oral Epidemiology, 2006; 34(1):71-79 |
Publisher: | Blackwell Munksgaard |
Issue Date: | 2006 |
ISSN: | 0301-5661 1600-0528 |
Statement of Responsibility: | Anne E. Sanders, A. John Spencer and Gary D. Slade |
Abstract: | Objective: The aim of this study was to describe differences in dental attendance and dental self-care behaviour between socioeconomic groups and to investigate the extent to which the socioeconomic gradient in oral health was explained by these behaviours. Methods: We used data from a representative sample of adults in Australia, surveyed by telephone interview and by self-complete questionnaire. The dependent variables were self-reported missing teeth and the social impact of oral conditions evaluated with the 14-item Oral Health Impact Profile (OHIP-14). Socioeconomic position was measured at the small-area level. We conducted bivariate analysis using one-way analysis of variance and 95% confidence intervals (95% CI) and adjusted for the effect of age. After adjusting for age, dental behavioural variables were entered individually into multivariate linear regression models. Results: Data were obtained for 3678 dentate adults aged 18–91 years. Missing teeth and OHIP-14 scores followed a social gradient with poorer adults experiencing poorer outcomes. Routine dental attendance and diligent dental self-care were associated with inverse monotonic gradients in missing teeth (P < 0.05) and OHIP-14 scores (P < 0.05). Although adults living in areas with the least disadvantage had a preventive dental attendance orientation, no socioeconomic pattern was found for dental self-care. In multivariate analysis, the slope of the socioeconomic gradient [β estimate for Index of Relative Socioeconomic Disadvantage (IRSD)] in missing teeth was not significantly attenuated by either dental attendance or dental self-care. For OHIP-14 scores, the slope of the socioeconomic gradient was significantly attenuated by dental visiting, but not by dental self-care and not by the combined effect of both behaviours. Conclusion: The commonly held view that the poor oral health of poor people is explained by personal neglect was not supported in this study. |
Keywords: | health behaviours inequalities quality of life small-area socioeconomic status |
Description: | The definitive version is available at www.blackwell-synergy.com Copyright © 2006 Blackwell Munksgaard |
DOI: | 10.1111/j.1600-0528.2006.00261 |
Published version: | http://dx.doi.org/10.1111/j.1600-0528.2006.00261.x |
Appears in Collections: | Aurora harvest 2 Dentistry publications |
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