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Socioeconomic inequalities in oral health in different European welfare state regimes

Identifieur interne : 000015 ( PascalFrancis/Corpus ); précédent : 000014; suivant : 000016

Socioeconomic inequalities in oral health in different European welfare state regimes

Auteurs : Carol C. Guarnizo-Herreno ; Richard G. Watt ; Hynek Pikhart ; Aubrey Sheiham ; Georgios Tsakos

Source :

RBID : Pascal:13-0275662

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English descriptors

Abstract

Background There is very little information about the relationship between welfare regimes and oral health inequalities. We compared socioeconomic inequalities in adults' oral health in five European welfare-state regimes: Scandinavian, Anglo-Saxon, Bismarckian, Southern and Eastern. Methods Using data from the oral health module of the Eurobarometer 72.3 survey, we assessed inequalities in two self-reported oral health measures: no functional dentition (less than 20 natural teeth) and edentulousness (no natural teeth). Occupational social class, education and subjective social status (SSS) were included as socioeconomic position indicators. We estimated age-standardised prevalence rates, ORs, the Relative Index of Inequality (RII) and the Slope Index of Inequality (SII). Results The Scandinavian regime showed the lowest prevalence rates of the two oral health measures while the Eastern showed the highest. In all welfare regimes there was a general pattern of social gradients by occupational social class and education. Relative educational inequalities in no functional dentition were largest in the Scandinavian welfare regime (RII=3.81; 95% CI 2.68 to 5.42). The Scandinavian and Southern regimes showed the largest relative inequalities in edentulousness by occupation and education, respectively. There were larger absolute inequalities in no functional dentition in the Eastern regime by occupation (SII=42.16; 95% CI 31.42 to 52.89) and in the Southern by SSS (SII=27.92; 95% CI 17.36 to 38.47). Conclusions Oral health inequalities in adults exist in all welfare-state regimes, but contrary to what may be expected from theory, they are not smaller in the Scandinavian regime. Future work should examine the potential mechanisms linking welfare provision and oral health inequalities.

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Pour connaître la documentation sur le format Inist Standard.

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A01 01  1    @0 0143-005X
A03   1    @0 J. epidemiol. community health : (1979)
A05       @2 67
A06       @2 9
A08 01  1  ENG  @1 Socioeconomic inequalities in oral health in different European welfare state regimes
A11 01  1    @1 GUARNIZO-HERRENO (Carol C.)
A11 02  1    @1 WATT (Richard G.)
A11 03  1    @1 PIKHART (Hynek)
A11 04  1    @1 SHEIHAM (Aubrey)
A11 05  1    @1 TSAKOS (Georgios)
A14 01      @1 Department of Epidemiology and Public Health, University College London @2 London @3 GBR @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 4 aut. @Z 5 aut.
A14 02      @1 Departamento de Salud Colectiva, Facultad de Odontología, Universidad Nacional de Colombia @2 Bogotá @3 COL @Z 1 aut.
A20       @1 728-735
A21       @1 2013
A23 01      @0 ENG
A43 01      @1 INIST @2 9272 @5 354000506586170050
A44       @0 0000 @1 © 2013 INIST-CNRS. All rights reserved.
A45       @0 65 ref.
A47 01  1    @0 13-0275662
A60       @1 P
A61       @0 A
A64 01  1    @0 Journal of epidemiology and community health : (1979)
A66 01      @0 GBR
C01 01    ENG  @0 Background There is very little information about the relationship between welfare regimes and oral health inequalities. We compared socioeconomic inequalities in adults' oral health in five European welfare-state regimes: Scandinavian, Anglo-Saxon, Bismarckian, Southern and Eastern. Methods Using data from the oral health module of the Eurobarometer 72.3 survey, we assessed inequalities in two self-reported oral health measures: no functional dentition (less than 20 natural teeth) and edentulousness (no natural teeth). Occupational social class, education and subjective social status (SSS) were included as socioeconomic position indicators. We estimated age-standardised prevalence rates, ORs, the Relative Index of Inequality (RII) and the Slope Index of Inequality (SII). Results The Scandinavian regime showed the lowest prevalence rates of the two oral health measures while the Eastern showed the highest. In all welfare regimes there was a general pattern of social gradients by occupational social class and education. Relative educational inequalities in no functional dentition were largest in the Scandinavian welfare regime (RII=3.81; 95% CI 2.68 to 5.42). The Scandinavian and Southern regimes showed the largest relative inequalities in edentulousness by occupation and education, respectively. There were larger absolute inequalities in no functional dentition in the Eastern regime by occupation (SII=42.16; 95% CI 31.42 to 52.89) and in the Southern by SSS (SII=27.92; 95% CI 17.36 to 38.47). Conclusions Oral health inequalities in adults exist in all welfare-state regimes, but contrary to what may be expected from theory, they are not smaller in the Scandinavian regime. Future work should examine the potential mechanisms linking welfare provision and oral health inequalities.
C02 01  X    @0 002B30A11
C02 02  X    @0 002B01
C03 01  X  FRE  @0 Pathologie dentaire @5 01
C03 01  X  ENG  @0 Dental disease @5 01
C03 01  X  SPA  @0 Diente patología @5 01
C03 02  X  FRE  @0 Socioéconomie @5 02
C03 02  X  ENG  @0 Socioeconomics @5 02
C03 02  X  SPA  @0 Socioeconomía @5 02
C03 03  X  FRE  @0 Aspect économique @5 03
C03 03  X  ENG  @0 Economic aspect @5 03
C03 03  X  SPA  @0 Aspecto económico @5 03
C03 04  X  FRE  @0 Aspect social @5 05
C03 04  X  ENG  @0 Social aspect @5 05
C03 04  X  SPA  @0 Aspecto social @5 05
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C03 05  X  ENG  @0 Public health @5 06
C03 05  X  SPA  @0 Salud pública @5 06
C03 06  X  FRE  @0 Statut socioéconomique @5 08
C03 06  X  ENG  @0 Socioeconomic status @5 08
C03 06  X  SPA  @0 Estatuto socioeconómico @5 08
C03 07  X  FRE  @0 Inégalité @5 09
C03 07  X  ENG  @0 Inequality @5 09
C03 07  X  SPA  @0 Desigualdad @5 09
C03 08  X  FRE  @0 Cavité buccale @5 11
C03 08  X  ENG  @0 Oral cavity @5 11
C03 08  X  SPA  @0 Cavidad bucal @5 11
C03 09  X  FRE  @0 Santé bucco-dentaire @5 12
C03 09  X  ENG  @0 Bucco-dental health @5 12
C03 09  X  SPA  @0 Salud bucodental @5 12
C03 10  X  FRE  @0 Europe @2 NG @5 17
C03 10  X  ENG  @0 Europe @2 NG @5 17
C03 10  X  SPA  @0 Europa @2 NG @5 17
C03 11  X  FRE  @0 Européen @5 18
C03 11  X  ENG  @0 European @5 18
C03 11  X  SPA  @0 Europeo @5 18
C03 12  X  FRE  @0 Bien être économique @5 19
C03 12  X  ENG  @0 Welfare @5 19
C03 12  X  SPA  @0 Bienestar económico @5 19
C03 13  X  FRE  @0 Assurance maladie @5 20
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Format Inist (serveur)

NO : PASCAL 13-0275662 INIST
ET : Socioeconomic inequalities in oral health in different European welfare state regimes
AU : GUARNIZO-HERRENO (Carol C.); WATT (Richard G.); PIKHART (Hynek); SHEIHAM (Aubrey); TSAKOS (Georgios)
AF : Department of Epidemiology and Public Health, University College London/London/Royaume-Uni (1 aut., 2 aut., 3 aut., 4 aut., 5 aut.); Departamento de Salud Colectiva, Facultad de Odontología, Universidad Nacional de Colombia/Bogotá/Colombie (1 aut.)
DT : Publication en série; Niveau analytique
SO : Journal of epidemiology and community health : (1979); ISSN 0143-005X; Royaume-Uni; Da. 2013; Vol. 67; No. 9; Pp. 728-735; Bibl. 65 ref.
LA : Anglais
EA : Background There is very little information about the relationship between welfare regimes and oral health inequalities. We compared socioeconomic inequalities in adults' oral health in five European welfare-state regimes: Scandinavian, Anglo-Saxon, Bismarckian, Southern and Eastern. Methods Using data from the oral health module of the Eurobarometer 72.3 survey, we assessed inequalities in two self-reported oral health measures: no functional dentition (less than 20 natural teeth) and edentulousness (no natural teeth). Occupational social class, education and subjective social status (SSS) were included as socioeconomic position indicators. We estimated age-standardised prevalence rates, ORs, the Relative Index of Inequality (RII) and the Slope Index of Inequality (SII). Results The Scandinavian regime showed the lowest prevalence rates of the two oral health measures while the Eastern showed the highest. In all welfare regimes there was a general pattern of social gradients by occupational social class and education. Relative educational inequalities in no functional dentition were largest in the Scandinavian welfare regime (RII=3.81; 95% CI 2.68 to 5.42). The Scandinavian and Southern regimes showed the largest relative inequalities in edentulousness by occupation and education, respectively. There were larger absolute inequalities in no functional dentition in the Eastern regime by occupation (SII=42.16; 95% CI 31.42 to 52.89) and in the Southern by SSS (SII=27.92; 95% CI 17.36 to 38.47). Conclusions Oral health inequalities in adults exist in all welfare-state regimes, but contrary to what may be expected from theory, they are not smaller in the Scandinavian regime. Future work should examine the potential mechanisms linking welfare provision and oral health inequalities.
CC : 002B30A11; 002B01
FD : Pathologie dentaire; Socioéconomie; Aspect économique; Aspect social; Santé publique; Statut socioéconomique; Inégalité; Cavité buccale; Santé bucco-dentaire; Europe; Européen; Bien être économique; Assurance maladie; Médecine
FG : Stomatologie
ED : Dental disease; Socioeconomics; Economic aspect; Social aspect; Public health; Socioeconomic status; Inequality; Oral cavity; Bucco-dental health; Europe; European; Welfare; Health insurance; Medicine
EG : Stomatology
SD : Diente patología; Socioeconomía; Aspecto económico; Aspecto social; Salud pública; Estatuto socioeconómico; Desigualdad; Cavidad bucal; Salud bucodental; Europa; Europeo; Bienestar económico; Seguro enfermedad; Medicina
LO : INIST-9272.354000506586170050
ID : 13-0275662

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<div type="abstract" xml:lang="en">Background There is very little information about the relationship between welfare regimes and oral health inequalities. We compared socioeconomic inequalities in adults' oral health in five European welfare-state regimes: Scandinavian, Anglo-Saxon, Bismarckian, Southern and Eastern. Methods Using data from the oral health module of the Eurobarometer 72.3 survey, we assessed inequalities in two self-reported oral health measures: no functional dentition (less than 20 natural teeth) and edentulousness (no natural teeth). Occupational social class, education and subjective social status (SSS) were included as socioeconomic position indicators. We estimated age-standardised prevalence rates, ORs, the Relative Index of Inequality (RII) and the Slope Index of Inequality (SII). Results The Scandinavian regime showed the lowest prevalence rates of the two oral health measures while the Eastern showed the highest. In all welfare regimes there was a general pattern of social gradients by occupational social class and education. Relative educational inequalities in no functional dentition were largest in the Scandinavian welfare regime (RII=3.81; 95% CI 2.68 to 5.42). The Scandinavian and Southern regimes showed the largest relative inequalities in edentulousness by occupation and education, respectively. There were larger absolute inequalities in no functional dentition in the Eastern regime by occupation (SII=42.16; 95% CI 31.42 to 52.89) and in the Southern by SSS (SII=27.92; 95% CI 17.36 to 38.47). Conclusions Oral health inequalities in adults exist in all welfare-state regimes, but contrary to what may be expected from theory, they are not smaller in the Scandinavian regime. Future work should examine the potential mechanisms linking welfare provision and oral health inequalities.</div>
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<s0>Background There is very little information about the relationship between welfare regimes and oral health inequalities. We compared socioeconomic inequalities in adults' oral health in five European welfare-state regimes: Scandinavian, Anglo-Saxon, Bismarckian, Southern and Eastern. Methods Using data from the oral health module of the Eurobarometer 72.3 survey, we assessed inequalities in two self-reported oral health measures: no functional dentition (less than 20 natural teeth) and edentulousness (no natural teeth). Occupational social class, education and subjective social status (SSS) were included as socioeconomic position indicators. We estimated age-standardised prevalence rates, ORs, the Relative Index of Inequality (RII) and the Slope Index of Inequality (SII). Results The Scandinavian regime showed the lowest prevalence rates of the two oral health measures while the Eastern showed the highest. In all welfare regimes there was a general pattern of social gradients by occupational social class and education. Relative educational inequalities in no functional dentition were largest in the Scandinavian welfare regime (RII=3.81; 95% CI 2.68 to 5.42). The Scandinavian and Southern regimes showed the largest relative inequalities in edentulousness by occupation and education, respectively. There were larger absolute inequalities in no functional dentition in the Eastern regime by occupation (SII=42.16; 95% CI 31.42 to 52.89) and in the Southern by SSS (SII=27.92; 95% CI 17.36 to 38.47). Conclusions Oral health inequalities in adults exist in all welfare-state regimes, but contrary to what may be expected from theory, they are not smaller in the Scandinavian regime. Future work should examine the potential mechanisms linking welfare provision and oral health inequalities.</s0>
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<NO>PASCAL 13-0275662 INIST</NO>
<ET>Socioeconomic inequalities in oral health in different European welfare state regimes</ET>
<AU>GUARNIZO-HERRENO (Carol C.); WATT (Richard G.); PIKHART (Hynek); SHEIHAM (Aubrey); TSAKOS (Georgios)</AU>
<AF>Department of Epidemiology and Public Health, University College London/London/Royaume-Uni (1 aut., 2 aut., 3 aut., 4 aut., 5 aut.); Departamento de Salud Colectiva, Facultad de Odontología, Universidad Nacional de Colombia/Bogotá/Colombie (1 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Journal of epidemiology and community health : (1979); ISSN 0143-005X; Royaume-Uni; Da. 2013; Vol. 67; No. 9; Pp. 728-735; Bibl. 65 ref.</SO>
<LA>Anglais</LA>
<EA>Background There is very little information about the relationship between welfare regimes and oral health inequalities. We compared socioeconomic inequalities in adults' oral health in five European welfare-state regimes: Scandinavian, Anglo-Saxon, Bismarckian, Southern and Eastern. Methods Using data from the oral health module of the Eurobarometer 72.3 survey, we assessed inequalities in two self-reported oral health measures: no functional dentition (less than 20 natural teeth) and edentulousness (no natural teeth). Occupational social class, education and subjective social status (SSS) were included as socioeconomic position indicators. We estimated age-standardised prevalence rates, ORs, the Relative Index of Inequality (RII) and the Slope Index of Inequality (SII). Results The Scandinavian regime showed the lowest prevalence rates of the two oral health measures while the Eastern showed the highest. In all welfare regimes there was a general pattern of social gradients by occupational social class and education. Relative educational inequalities in no functional dentition were largest in the Scandinavian welfare regime (RII=3.81; 95% CI 2.68 to 5.42). The Scandinavian and Southern regimes showed the largest relative inequalities in edentulousness by occupation and education, respectively. There were larger absolute inequalities in no functional dentition in the Eastern regime by occupation (SII=42.16; 95% CI 31.42 to 52.89) and in the Southern by SSS (SII=27.92; 95% CI 17.36 to 38.47). Conclusions Oral health inequalities in adults exist in all welfare-state regimes, but contrary to what may be expected from theory, they are not smaller in the Scandinavian regime. Future work should examine the potential mechanisms linking welfare provision and oral health inequalities.</EA>
<CC>002B30A11; 002B01</CC>
<FD>Pathologie dentaire; Socioéconomie; Aspect économique; Aspect social; Santé publique; Statut socioéconomique; Inégalité; Cavité buccale; Santé bucco-dentaire; Europe; Européen; Bien être économique; Assurance maladie; Médecine</FD>
<FG>Stomatologie</FG>
<ED>Dental disease; Socioeconomics; Economic aspect; Social aspect; Public health; Socioeconomic status; Inequality; Oral cavity; Bucco-dental health; Europe; European; Welfare; Health insurance; Medicine</ED>
<EG>Stomatology</EG>
<SD>Diente patología; Socioeconomía; Aspecto económico; Aspecto social; Salud pública; Estatuto socioeconómico; Desigualdad; Cavidad bucal; Salud bucodental; Europa; Europeo; Bienestar económico; Seguro enfermedad; Medicina</SD>
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<ID>13-0275662</ID>
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