Early life-course socioeconomic position, adult work-related factors and oral health disparities: cross-sectional analysis of the J-SHINE study
Identifieur interne : 000456 ( Pmc/Curation ); précédent : 000455; suivant : 000457Early life-course socioeconomic position, adult work-related factors and oral health disparities: cross-sectional analysis of the J-SHINE study
Auteurs : Toru Tsuboya [États-Unis, Japon] ; Jun Aida [Japon] ; Ichiro Kawachi [États-Unis] ; Kazuo Katase [Japon] ; Ken Osaka [Japon]Source :
- BMJ Open [ 2044-6055 ] ; 2014.
Abstract
We examined the association between socioeconomic position (SEP) and oral health, and the associations of economic difficulties in childhood and workplace-related factors on these parameters.
Cross-sectional study.
A total of 3201 workers aged 25–50 years, living in and around Tokyo, Japan, from the J-SHINE (Japanese study of Stratification, Health, Income, and Neighborhood) study. The response rate was 31.6%.
Self-rated oral health (SROH)—A logistic regression model was used to estimate ORs for the association between poor SROH and each indicator of SEP (annual household income, wealth, educational attainment, occupation and economic situation in childhood). Multiple imputation was used to address missing values.
Each indicator of SEP, including childhood SEP, was significantly inversely associated with SROH, and all of the workplace-related factors (social support in the workplace, job stress, working hours and type of employment) were also significantly associated with SROH. Compared with professionals, blue-collar workers had a significantly higher OR of poor SROH and the association was substantially explained by the workplace-related factors; ORs ranged from 1.44 in the age-adjusted and sex-adjusted model to 1.18 in the multivariate model. Poverty during childhood at age 5 and at age 15 was associated with poorer SROH, and these two factors seemed to be independently associated with SROH.
We found oral health disparity across SEP among workers in Japan. Approximately 60% of the association between occupation and SROH was explained by job-related factors. Economic difficulties during childhood appear to affect SROH in adulthood separately from sex, age and the current workplace-related factors.
Url:
DOI: 10.1136/bmjopen-2014-005701
PubMed: 25280807
PubMed Central: 4187658
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Toru" sort="Tsuboya, Toru" uniqKey="Tsuboya T" first="Toru" last="Tsuboya">Toru Tsuboya</name><affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Department of Social and Behavioral Sciences</addr-line>,<institution>Harvard School of Public Health</institution>,<addr-line>Boston</addr-line>,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="af2"><addr-line>Department of International and Community Oral Health</addr-line>,<institution>Tohoku University Graduate School of Dentistry</institution>,<addr-line>Sendai</addr-line>,<country>Japan</country></nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Aida, Jun" sort="Aida, Jun" uniqKey="Aida J" first="Jun" last="Aida">Jun Aida</name><affiliation wicri:level="1"><nlm:aff id="af2"><addr-line>Department of International and Community Oral Health</addr-line>,<institution>Tohoku University Graduate School of Dentistry</institution>,<addr-line>Sendai</addr-line>,<country>Japan</country></nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Kawachi, Ichiro" sort="Kawachi, Ichiro" uniqKey="Kawachi I" first="Ichiro" last="Kawachi">Ichiro Kawachi</name><affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Department of Social and Behavioral Sciences</addr-line>,<institution>Harvard School of Public Health</institution>,<addr-line>Boston</addr-line>,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Katase, Kazuo" sort="Katase, Kazuo" uniqKey="Katase K" first="Kazuo" last="Katase">Kazuo Katase</name><affiliation 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when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objectives</title><p>We examined the association between socioeconomic position (SEP) and oral health, and the associations of economic difficulties in childhood and workplace-related factors on these parameters.</p></sec><sec><title>Design</title><p>Cross-sectional study.</p></sec><sec><title>Participants</title><p>A total of 3201 workers aged 25–50 years, living in and around Tokyo, Japan, from the J-SHINE (Japanese study of Stratification, Health, Income, and Neighborhood) study. The response rate was 31.6%.</p></sec><sec><title>Outcome measures</title><p>Self-rated oral health (SROH)—A logistic regression model was used to estimate ORs for the association between poor SROH and each indicator of SEP (annual household income, wealth, educational attainment, occupation and economic situation in childhood). Multiple imputation was used to address missing values.</p></sec><sec><title>Results</title><p>Each indicator of SEP, including childhood SEP, was significantly inversely associated with SROH, and all of the workplace-related factors (social support in the workplace, job stress, working hours and type of employment) were also significantly associated with SROH. Compared with professionals, blue-collar workers had a significantly higher OR of poor SROH and the association was substantially explained by the workplace-related factors; ORs ranged from 1.44 in the age-adjusted and sex-adjusted model to 1.18 in the multivariate model. Poverty during childhood at age 5 and at age 15 was associated with poorer SROH, and these two factors seemed to be independently associated with SROH.</p></sec><sec><title>Conclusions</title><p>We found oral health disparity across SEP among workers in Japan. Approximately 60% of the association between occupation and SROH was explained by job-related factors. Economic difficulties during childhood appear to affect SROH in adulthood separately from sex, age and the current workplace-related factors.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">BMJ Open</journal-id><journal-id journal-id-type="iso-abbrev">BMJ Open</journal-id><journal-id journal-id-type="hwp">bmjopen</journal-id><journal-id journal-id-type="publisher-id">bmjopen</journal-id><journal-title-group><journal-title>BMJ Open</journal-title></journal-title-group><issn pub-type="epub">2044-6055</issn><publisher><publisher-name>BMJ Publishing Group</publisher-name><publisher-loc>BMA House, Tavistock Square, London, WC1H 9JR</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25280807</article-id><article-id pub-id-type="pmc">4187658</article-id><article-id pub-id-type="publisher-id">bmjopen-2014-005701</article-id><article-id pub-id-type="doi">10.1136/bmjopen-2014-005701</article-id><article-categories><subj-group subj-group-type="heading"><subject>Occupational and Environmental Medicine</subject><subj-group><subject>Research</subject></subj-group></subj-group><subj-group subj-group-type="hwp-journal-coll"><subject>1506</subject><subject>1716</subject><subject>1686</subject></subj-group></article-categories><title-group><article-title>Early life-course socioeconomic position, adult work-related factors and oral health disparities: cross-sectional analysis of the J-SHINE study</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Tsuboya</surname><given-names>Toru</given-names></name><xref ref-type="aff" rid="af1">1</xref><xref ref-type="aff" rid="af2">2</xref></contrib><contrib contrib-type="author"><name><surname>Aida</surname><given-names>Jun</given-names></name><xref ref-type="aff" rid="af2">2</xref></contrib><contrib contrib-type="author"><name><surname>Kawachi</surname><given-names>Ichiro</given-names></name><xref ref-type="aff" rid="af1">1</xref></contrib><contrib contrib-type="author"><name><surname>Katase</surname><given-names>Kazuo</given-names></name><xref ref-type="aff" rid="af3">3</xref></contrib><contrib contrib-type="author"><name><surname>Osaka</surname><given-names>Ken</given-names></name><xref ref-type="aff" rid="af2">2</xref></contrib></contrib-group><aff id="af1"><label>1</label><addr-line>Department of Social and Behavioral Sciences</addr-line>,<institution>Harvard School of Public Health</institution>,<addr-line>Boston</addr-line>,<country>USA</country></aff><aff id="af2"><label>2</label><addr-line>Department of International and Community Oral Health</addr-line>,<institution>Tohoku University Graduate School of Dentistry</institution>,<addr-line>Sendai</addr-line>,<country>Japan</country></aff><aff id="af3"><label>3</label><addr-line>Department of Human Science</addr-line>,<institution>Tohoku Gakuin University</institution>,<addr-line>Sendai</addr-line>,<country>Japan</country></aff><author-notes><corresp><label>Correspondence to</label> Dr Toru Tsuboya; <email>tsubo828@gmail.com</email></corresp></author-notes><pub-date pub-type="collection"><year>2014</year></pub-date><pub-date pub-type="epub"><day>3</day><month>10</month><year>2014</year></pub-date><volume>4</volume><issue>10</issue><elocation-id>e005701</elocation-id><history><date date-type="received"><day>14</day><month>5</month><year>2014</year></date><date date-type="rev-recd"><day>2</day><month>9</month><year>2014</year></date><date date-type="accepted"><day>4</day><month>9</month><year>2014</year></date></history><permissions><copyright-statement>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</copyright-statement><copyright-year>2014</copyright-year><license license-type="open-access"><license-p>This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/4.0/">http://creativecommons.org/licenses/by-nc/4.0/</ext-link></license-p></license></permissions><self-uri xlink:title="pdf" xlink:href="bmjopen-2014-005701.pdf"></self-uri><self-uri content-type="draft-revisions-pdf" xlink:href="bmjopen-2014-005701.draft_revisions.pdf"></self-uri><self-uri content-type="reviewers-comments-pdf" xlink:href="bmjopen-2014-005701.reviewer_comments.pdf"></self-uri><abstract><sec><title>Objectives</title><p>We examined the association between socioeconomic position (SEP) and oral health, and the associations of economic difficulties in childhood and workplace-related factors on these parameters.</p></sec><sec><title>Design</title><p>Cross-sectional study.</p></sec><sec><title>Participants</title><p>A total of 3201 workers aged 25–50 years, living in and around Tokyo, Japan, from the J-SHINE (Japanese study of Stratification, Health, Income, and Neighborhood) study. The response rate was 31.6%.</p></sec><sec><title>Outcome measures</title><p>Self-rated oral health (SROH)—A logistic regression model was used to estimate ORs for the association between poor SROH and each indicator of SEP (annual household income, wealth, educational attainment, occupation and economic situation in childhood). Multiple imputation was used to address missing values.</p></sec><sec><title>Results</title><p>Each indicator of SEP, including childhood SEP, was significantly inversely associated with SROH, and all of the workplace-related factors (social support in the workplace, job stress, working hours and type of employment) were also significantly associated with SROH. Compared with professionals, blue-collar workers had a significantly higher OR of poor SROH and the association was substantially explained by the workplace-related factors; ORs ranged from 1.44 in the age-adjusted and sex-adjusted model to 1.18 in the multivariate model. Poverty during childhood at age 5 and at age 15 was associated with poorer SROH, and these two factors seemed to be independently associated with SROH.</p></sec><sec><title>Conclusions</title><p>We found oral health disparity across SEP among workers in Japan. Approximately 60% of the association between occupation and SROH was explained by job-related factors. Economic difficulties during childhood appear to affect SROH in adulthood separately from sex, age and the current workplace-related factors.</p></sec></abstract><kwd-group><kwd>OCCUPATIONAL & INDUSTRIAL MEDICINE</kwd><kwd>SOCIAL MEDICINE</kwd><kwd>PUBLIC HEALTH</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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