Social inequality in oral health and use of dental care in Sweden.

Autor: Hjern, Anders, Grindefjord, Margaret, Sundberg, Hans, Rosén, Måns
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Zdroj: Community Dentistry & Oral Epidemiology; Jun2001, Vol. 29 Issue 3, p167, 8p
Abstrakt: Abstract – Objective: To describe oral health and use of dental care in relation to socio-economic determinants over time in Sweden. Methods: Cross-sectional study based on interview data on two randomly sampled sequential populations consisting of 7610 Swedish adult (25–64 years) residents and 4315 children (3–15 years) in their households from the Survey of Living Conditions 1996–97, and 7649 adult Swedish residents (25–64 years) from the survey of 1988–89. Results: Low educational level, having no cash margin and being born outside of Sweden was associated with higher odds of problems with chewing, wearing a prosthesis and not having been treated by a dentist during the 24 months preceding the interview, in a logistic regression analysis of data from the 1996–97 survey in the adult study population (adjusted odds ratios 1.6–2.9). The same socio-economic determinants were associated with caries in children (adjusted odds ratios 1.2–1.5). The socio-economic differences in dental treatment and problems with chewing were greater in the age group 45–64 years compared to 25–44-year-olds. The prevalence of problems with chewing increased from 7.1% (95% CI 6.5–8.1) in the 1988–89 survey to 9.1% (8.4–9.8) in the 1996–97 survey. A similar increase, from 2.4% (2.2–2.6) to 4.4% (3.9–4.9) was observed for individuals not having been in dental treatment during the last 24 months. The socio-economic distribution of oral health and use of dental care in the adult population was similar in the two surveys. Conclusion: This study demonstrates that socio-economic differences in oral health and use of dental care are most marked in older (45–64 years) adults in Sweden, but are significant in young adults and, in terms of oral health, in children as well. A steep increase in user charges during the 1990s has been paralleled by a moderate increase in problems with chewing and the proportion of the population that has no regular dental care, which suggests a link that needs to be evaluated in further studies. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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