Social Gradients in Oral Health in Older Adults: Findings From the English Longitudinal Survey of Aging
Identifieur interne : 004A44 ( Main/Exploration ); précédent : 004A43; suivant : 004A45Social Gradients in Oral Health in Older Adults: Findings From the English Longitudinal Survey of Aging
Auteurs : Georgios Tsakos [Royaume-Uni] ; Panayotes Demakakos [Royaume-Uni] ; Elizabeth Breeze [Royaume-Uni] ; Richard G. Watt [Royaume-Uni]Source :
- American journal of public health : (1971) [ 0090-0036 ] ; 2011.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Statut social, Personne âgée, Santé publique.
English descriptors
- KwdEn :
Abstract
Objectives. We examined prospective associations between socioeconomic position (SEP) markers and oral health outcomes in a national sample of older adults in England. Methods. Data were from the English Longitudinal Survey of Aging, a national cohort study of community-dwelling people aged 50 years and older. SEP markers (education, occupation, household income, household wealth, subjective social status, and childhood SEP) and sociodemographic confounders (age, gender, and marital status) were from wave 1. We collected 3 self-reported oral health outcomes at wave 3: having natural teeth (dentate vs edentate), self-rated oral health, and oral impacts on daily life. Using multivariate logistic regression models, we estimated associations between each SEP indicator and each oral health outcome, adjusted for confounders. Results. Irrespective of SEP marker, there were inverse graded associations between SEP and edentulousness, with proportionately more edentate participants at each lower SEP level. Lower SEP was also associated with worse self-rated oral health and oral impacts among dentate, but not among edentate, participants. Conclusions. There are consistent and clear social gradients in the oral health of older adults in England, with disparities evident throughout the SEP hierarchy.
Affiliations:
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Watt</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Department of Epidemiology and Public Health, University College London</s1><s3>GBR</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Royaume-Uni</country><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName><orgName type="university">University College de Londres</orgName></affiliation></author></analytic><series><title level="j" type="main">American journal of public health : (1971)</title><title level="j" type="abbreviated">Am. j. publ. health : (1971)</title><idno type="ISSN">0090-0036</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">American journal of public health : (1971)</title><title level="j" type="abbreviated">Am. j. publ. health : (1971)</title><idno type="ISSN">0090-0036</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Ageing</term><term>Bucco-dental health</term><term>Dental disease</term><term>Elderly</term><term>English</term><term>Follow up study</term><term>Oral cavity</term><term>Public health</term><term>Senescence</term><term>Social status</term><term>Socioeconomic status</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Pathologie dentaire</term><term>Statut social</term><term>Statut socioéconomique</term><term>Cavité buccale</term><term>Santé bucco-dentaire</term><term>Personne âgée</term><term>Anglais</term><term>Etude longitudinale</term><term>Vieillissement</term><term>Sénescence</term><term>Santé publique</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Statut social</term><term>Personne âgée</term><term>Santé publique</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Objectives. We examined prospective associations between socioeconomic position (SEP) markers and oral health outcomes in a national sample of older adults in England. Methods. Data were from the English Longitudinal Survey of Aging, a national cohort study of community-dwelling people aged 50 years and older. SEP markers (education, occupation, household income, household wealth, subjective social status, and childhood SEP) and sociodemographic confounders (age, gender, and marital status) were from wave 1. We collected 3 self-reported oral health outcomes at wave 3: having natural teeth (dentate vs edentate), self-rated oral health, and oral impacts on daily life. Using multivariate logistic regression models, we estimated associations between each SEP indicator and each oral health outcome, adjusted for confounders. Results. Irrespective of SEP marker, there were inverse graded associations between SEP and edentulousness, with proportionately more edentate participants at each lower SEP level. Lower SEP was also associated with worse self-rated oral health and oral impacts among dentate, but not among edentate, participants. Conclusions. There are consistent and clear social gradients in the oral health of older adults in England, with disparities evident throughout the SEP hierarchy.</div></front></TEI><affiliations><list><country><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Grand Londres</li></region><settlement><li>Londres</li></settlement><orgName><li>University College de Londres</li></orgName></list><tree><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Tsakos, Georgios" sort="Tsakos, Georgios" uniqKey="Tsakos G" first="Georgios" last="Tsakos">Georgios Tsakos</name></region><name sortKey="Breeze, Elizabeth" sort="Breeze, Elizabeth" uniqKey="Breeze E" first="Elizabeth" last="Breeze">Elizabeth Breeze</name><name sortKey="Demakakos, Panayotes" sort="Demakakos, Panayotes" uniqKey="Demakakos P" first="Panayotes" last="Demakakos">Panayotes Demakakos</name><name sortKey="Watt, Richard G" sort="Watt, Richard G" uniqKey="Watt R" first="Richard G." last="Watt">Richard G. 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