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

Autor: Celeste RK; Department of Preventive and Social Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil., Boing AF; Department of Public Health, Federal University of Santa Catarina, Florianópolis, Brazil., Peres KG; National Dental Centre Singapore, National Dental Research Institute Singapore, Singapore, Singapore.; Oral Health Academic Clinical Programme, Health Services and Systems Research Programme, Duke-NUS Medical School, Singapore, Singapore., Peres MA; National Dental Centre Singapore, National Dental Research Institute Singapore, Singapore, Singapore.; Oral Health Academic Clinical Programme, Health Services and Systems Research Programme, Duke-NUS Medical School, Singapore, Singapore.
Jazyk: angličtina
Zdroj: Oral diseases [Oral Dis] 2024 Oct; Vol. 30 (7), pp. 4782-4791. Date of Electronic Publication: 2024 Mar 04.
DOI: 10.1111/odi.14918
Abstrakt: 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.
(© 2024 Wiley Periodicals LLC.)
Databáze: MEDLINE
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