Oral health and welfare state regimes: a cross-national analysis of European countries
Identifieur interne : 000544 ( Pmc/Curation ); précédent : 000543; suivant : 000545Oral health and welfare state regimes: a cross-national analysis of European countries
Auteurs : Carol C. Guarnizo-Herre O [Royaume-Uni, Colombie] ; Georgios Tsakos [Royaume-Uni] ; Aubrey Sheiham [Royaume-Uni] ; Richard G. Watt [Royaume-Uni]Source :
- European Journal of Oral Sciences [ 0909-8836 ] ; 2013.
Abstract
Very little is known about the potential relationship between welfare state regimes and oral health. This study assessed the oral health of adults in a range of European countries clustered by welfare regimes according to Ferrera's typology and the complementary Eastern type. We analysed data from Eurobarometer wave 72.3, a cross-sectional survey of 31 European countries carried out in 2009. We evaluated three self-reported oral health outcomes: edentulousness, no functional dentition (<20 natural teeth), and oral impacts on daily living. Age-standardized prevalence rates were estimated for each country and for each welfare state regime. The Scandinavian regime showed lower prevalence rates for all outcomes. For edentulousness and no functional dentition, there were higher prevalence rates in the Eastern regime but no significant differences between Anglo-Saxon, Bismarckian, and Southern regimes. The Southern regime presented a higher prevalence of oral impacts on daily living. Results by country indicated that Sweden had the lowest prevalences for edentulousness and no functional dentition, and Denmark had the lowest prevalence for oral impacts. The results suggest that Scandinavian welfare states, with more redistributive and universal welfare policies, had better population oral health. Future research should provide further insights about the potential mechanisms through which welfare-state regimes would influence oral health.
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DOI: 10.1111/eos.12049
PubMed: 23659239
PubMed Central: 4255683
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Guarnizo-Herre O</name><affiliation wicri:level="1"><nlm:aff id="au1"><institution>Department of Epidemiology and Public Health, University College London</institution><addr-line>London, UK</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>London</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="au2"><institution>Departamento de Salud Colectiva, Facultad de Odontología, Universidad Nacional de Colombia</institution><addr-line>Bogotá, Colombia</addr-line></nlm:aff><country xml:lang="fr">Colombie</country><wicri:regionArea>Bogotá</wicri:regionArea></affiliation></author><author><name sortKey="Tsakos, Georgios" sort="Tsakos, Georgios" uniqKey="Tsakos G" first="Georgios" last="Tsakos">Georgios Tsakos</name><affiliation wicri:level="1"><nlm:aff id="au1"><institution>Department of Epidemiology and Public Health, University College London</institution><addr-line>London, UK</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>London</wicri:regionArea></affiliation></author><author><name sortKey="Sheiham, Aubrey" sort="Sheiham, Aubrey" uniqKey="Sheiham A" first="Aubrey" last="Sheiham">Aubrey Sheiham</name><affiliation wicri:level="1"><nlm:aff id="au1"><institution>Department of Epidemiology and Public Health, University College London</institution><addr-line>London, UK</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>London</wicri:regionArea></affiliation></author><author><name sortKey="Watt, Richard G" sort="Watt, Richard G" uniqKey="Watt R" first="Richard G" last="Watt">Richard G. Watt</name><affiliation wicri:level="1"><nlm:aff id="au1"><institution>Department of Epidemiology and Public Health, University College London</institution><addr-line>London, UK</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>London</wicri:regionArea></affiliation></author></analytic><series><title level="j">European Journal of Oral Sciences</title><idno type="ISSN">0909-8836</idno><idno type="eISSN">1600-0722</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Very little is known about the potential relationship between welfare state regimes and oral health. This study assessed the oral health of adults in a range of European countries clustered by welfare regimes according to Ferrera's typology and the complementary Eastern type. We analysed data from Eurobarometer wave 72.3, a cross-sectional survey of 31 European countries carried out in 2009. We evaluated three self-reported oral health outcomes: edentulousness, no functional dentition (<20 natural teeth), and oral impacts on daily living. Age-standardized prevalence rates were estimated for each country and for each welfare state regime. The Scandinavian regime showed lower prevalence rates for all outcomes. For edentulousness and no functional dentition, there were higher prevalence rates in the Eastern regime but no significant differences between Anglo-Saxon, Bismarckian, and Southern regimes. The Southern regime presented a higher prevalence of oral impacts on daily living. Results by country indicated that Sweden had the lowest prevalences for edentulousness and no functional dentition, and Denmark had the lowest prevalence for oral impacts. The results suggest that Scandinavian welfare states, with more redistributive and universal welfare policies, had better population oral health. Future research should provide further insights about the potential mechanisms through which welfare-state regimes would influence oral health.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Navarro, V" uniqKey="Navarro V">V Navarro</name></author><author><name sortKey="Muntaner, C" uniqKey="Muntaner C">C Muntaner</name></author><author><name sortKey="Borrell, C" uniqKey="Borrell C">C Borrell</name></author><author><name sortKey="Benach, J" uniqKey="Benach J">J Benach</name></author><author><name sortKey="Quiroga, A" uniqKey="Quiroga A">A Quiroga</name></author><author><name sortKey="Rodriguez Sanz, M" uniqKey="Rodriguez Sanz M">M Rodriguez-Sanz</name></author><author><name sortKey="Verges, N" uniqKey="Verges N">N Verges</name></author><author><name sortKey="Pasarin, Mi" uniqKey="Pasarin M">MI Pasarin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Borrell, C" 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Eur J Oral Sci</journal-id><journal-id journal-id-type="iso-abbrev">Eur. J. Oral Sci</journal-id><journal-id journal-id-type="publisher-id">eos</journal-id><journal-title-group><journal-title>European Journal of Oral Sciences</journal-title></journal-title-group><issn pub-type="ppub">0909-8836</issn><issn pub-type="epub">1600-0722</issn><publisher><publisher-name>BlackWell Publishing Ltd</publisher-name><publisher-loc>Oxford, UK</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">23659239</article-id><article-id pub-id-type="pmc">4255683</article-id><article-id pub-id-type="doi">10.1111/eos.12049</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Articles</subject></subj-group></article-categories><title-group><article-title>Oral health and welfare state regimes: a cross-national analysis of European countries</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Guarnizo-Herreño</surname><given-names>Carol C</given-names></name><xref ref-type="aff" rid="au1">1</xref><xref ref-type="aff" rid="au2">2</xref></contrib><contrib contrib-type="author"><name><surname>Tsakos</surname><given-names>Georgios</given-names></name><xref ref-type="aff" rid="au1">1</xref></contrib><contrib contrib-type="author"><name><surname>Sheiham</surname><given-names>Aubrey</given-names></name><xref ref-type="aff" rid="au1">1</xref></contrib><contrib contrib-type="author"><name><surname>Watt</surname><given-names>Richard G</given-names></name><xref ref-type="aff" rid="au1">1</xref></contrib><aff id="au1"><label>1</label><institution>Department of Epidemiology and Public Health, University College London</institution><addr-line>London, UK</addr-line></aff><aff id="au2"><label>2</label><institution>Departamento de Salud Colectiva, Facultad de Odontología, Universidad Nacional de Colombia</institution><addr-line>Bogotá, Colombia</addr-line></aff></contrib-group><author-notes><corresp id="cor1">Carol C. Guarnizo-Herreño, Department of Epidemiology and Public Health, University College London, 1-19 Torrington Place, Room 315, London WC1E 7HB, UK, E-mail: <email>c.guarnizo-herreno.11@ucl.ac.uk</email></corresp><fn><p>Guarnizo-Herreño CC, Tsakos G, Sheiham A, Watt RG. Oral health and welfare state regimes: a cross-national analysis of European countries.</p></fn></author-notes><pub-date pub-type="ppub"><month>6</month><year>2013</year></pub-date><pub-date pub-type="epub"><day>19</day><month>4</month><year>2013</year></pub-date><volume>121</volume><issue>3 Pt 1</issue><fpage>169</fpage><lpage>175</lpage><history><date date-type="accepted"><day>01</day><month>2</month><year>2013</year></date></history><permissions><copyright-statement>© 2013 The Authors. Eur J Oral Sci published by John Wiley & Sons Ltd</copyright-statement><copyright-year>2013</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/3.0/"><license-p>This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p>Very little is known about the potential relationship between welfare state regimes and oral health. This study assessed the oral health of adults in a range of European countries clustered by welfare regimes according to Ferrera's typology and the complementary Eastern type. We analysed data from Eurobarometer wave 72.3, a cross-sectional survey of 31 European countries carried out in 2009. We evaluated three self-reported oral health outcomes: edentulousness, no functional dentition (<20 natural teeth), and oral impacts on daily living. Age-standardized prevalence rates were estimated for each country and for each welfare state regime. The Scandinavian regime showed lower prevalence rates for all outcomes. For edentulousness and no functional dentition, there were higher prevalence rates in the Eastern regime but no significant differences between Anglo-Saxon, Bismarckian, and Southern regimes. The Southern regime presented a higher prevalence of oral impacts on daily living. Results by country indicated that Sweden had the lowest prevalences for edentulousness and no functional dentition, and Denmark had the lowest prevalence for oral impacts. The results suggest that Scandinavian welfare states, with more redistributive and universal welfare policies, had better population oral health. Future research should provide further insights about the potential mechanisms through which welfare-state regimes would influence oral health.</p></abstract><kwd-group><kwd>adults</kwd><kwd>Europe</kwd><kwd>oral health</kwd><kwd>welfare regimes</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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