A cross-national comparison of income gradients in oral health quality of life in four welfare states: application of the Korpi and Palme typology
Identifieur interne : 002694 ( Pmc/Corpus ); précédent : 002693; suivant : 002695A cross-national comparison of income gradients in oral health quality of life in four welfare states: application of the Korpi and Palme typology
Auteurs : A E Sanders ; G D Slade ; M T John ; J G Steele ; A L Suominen-Taipale ; S. Lahti ; N M Nuttall ; P Finbarr AllenSource :
- Journal of epidemiology and community health [ 0143-005X ] ; 2009.
Abstract
The extent to which welfare states may influence health outcomes has not been explored. It was hypothesised that policies which target the poor are associated with greater income inequality in oral health quality of life than those that provide earnings-related benefits to all citizens.
Data were from nationally representative surveys in the UK (n=4064), Finland (n=5078), Germany (n=1454) and Australia (n=2292) conducted from 1998 to 2002. The typology of Korpi and Palme classifies these countries into four different welfare states. In each survey, subjects completed the Oral Health Impact Profile (OHIP-14) questionnaire, which evaluates the adverse consequence of dental conditions on quality of life. For each country, survey estimation commands were used to create linear regression models that estimated the slope of the gradient between four quartiles of income and OHIP-14 severity scores. Parameter estimates for income gradients were contrasted across countries using Wald χ2 tests specifying a critical p value of 0.008, equivalent to a Bonferroni correction of p<0.05 for the six pairwise tests.
Statistically significant income gradients in OHIP-14 severity scores were found in all countries except Germany. A global test confirmed significant cross-national differences in the magnitude of income gradients. In Australia, where a flat rate of benefits targeted the poor, the mean OHIP-14 severity score reduced by 1.7 units (95% CI −2.15 to −1.34) with each increasing quartile of household income, a significantly steeper gradient than in other countries.
The coverage and generosity of welfare state benefits appear to influence levels of inequality in population oral health quality of life.
Url:
DOI: 10.1136/jech.2008.083238
PubMed: 19351621
PubMed Central: 3740759
Links to Exploration step
PMC:3740759Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">A cross-national comparison of income gradients in oral health quality of life in four welfare states: application of the Korpi and Palme typology</title><author><name sortKey="Sanders, A E" sort="Sanders, A E" uniqKey="Sanders A" first="A E" last="Sanders">A E Sanders</name><affiliation><nlm:aff id="A1">University of North Carolina at Chapel Hill, North Carolina, USA</nlm:aff></affiliation></author><author><name sortKey="Slade, G D" sort="Slade, G D" uniqKey="Slade G" first="G D" last="Slade">G D Slade</name><affiliation><nlm:aff id="A1">University of North Carolina at Chapel Hill, North Carolina, USA</nlm:aff></affiliation></author><author><name sortKey="John, M T" sort="John, M T" uniqKey="John M" first="M T" last="John">M T John</name><affiliation><nlm:aff id="A2">Department of Diagnostic and Biological Sciences, University of Minnesota, Minneapolis, USA</nlm:aff></affiliation></author><author><name sortKey="Steele, J G" sort="Steele, J G" uniqKey="Steele J" first="J G" last="Steele">J G Steele</name><affiliation><nlm:aff id="A3">Department of Restorative Dentistry, School of Dental Sciences, University of Newcastle upon Tyne, Newcastle upon Tyne, UK</nlm:aff></affiliation></author><author><name sortKey="Suominen Taipale, A L" sort="Suominen Taipale, A L" uniqKey="Suominen Taipale A" first="A L" last="Suominen-Taipale">A L Suominen-Taipale</name><affiliation><nlm:aff id="A4">National Institute of Health and Welfare, Helsinki, Finland</nlm:aff></affiliation></author><author><name sortKey="Lahti, S" sort="Lahti, S" uniqKey="Lahti S" first="S" last="Lahti">S. Lahti</name><affiliation><nlm:aff id="A5">Department of Community Dentistry, Institute of Dentistry, University of Oulu, Oulu, Finland</nlm:aff></affiliation></author><author><name sortKey="Nuttall, N M" sort="Nuttall, N M" uniqKey="Nuttall N" first="N M" last="Nuttall">N M Nuttall</name><affiliation><nlm:aff id="A6">Dental Public Health & Health Psychology, University of Dundee, Dundee Dental Hospital & School, Dundee, UK</nlm:aff></affiliation></author><author><name sortKey="Allen, P Finbarr" sort="Allen, P Finbarr" uniqKey="Allen P" first="P Finbarr" last="Allen">P Finbarr Allen</name><affiliation><nlm:aff id="A7">Department of Restorative Dentistry, University Dental School & Hospital, Wilton, Cork, Ireland</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">19351621</idno><idno type="pmc">3740759</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3740759</idno><idno type="RBID">PMC:3740759</idno><idno type="doi">10.1136/jech.2008.083238</idno><date when="2009">2009</date><idno type="wicri:Area/Pmc/Corpus">002694</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002694</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">A cross-national comparison of income gradients in oral health quality of life in four welfare states: application of the Korpi and Palme typology</title><author><name sortKey="Sanders, A E" sort="Sanders, A E" uniqKey="Sanders A" first="A E" last="Sanders">A E Sanders</name><affiliation><nlm:aff id="A1">University of North Carolina at Chapel Hill, North Carolina, USA</nlm:aff></affiliation></author><author><name sortKey="Slade, G D" sort="Slade, G D" uniqKey="Slade G" first="G D" last="Slade">G D Slade</name><affiliation><nlm:aff id="A1">University of North Carolina at Chapel Hill, North Carolina, USA</nlm:aff></affiliation></author><author><name sortKey="John, M T" sort="John, M T" uniqKey="John M" first="M T" last="John">M T John</name><affiliation><nlm:aff id="A2">Department of Diagnostic and Biological Sciences, University of Minnesota, Minneapolis, USA</nlm:aff></affiliation></author><author><name sortKey="Steele, J G" sort="Steele, J G" uniqKey="Steele J" first="J G" last="Steele">J G Steele</name><affiliation><nlm:aff id="A3">Department of Restorative Dentistry, School of Dental Sciences, University of Newcastle upon Tyne, Newcastle upon Tyne, UK</nlm:aff></affiliation></author><author><name sortKey="Suominen Taipale, A L" sort="Suominen Taipale, A L" uniqKey="Suominen Taipale A" first="A L" last="Suominen-Taipale">A L Suominen-Taipale</name><affiliation><nlm:aff id="A4">National Institute of Health and Welfare, Helsinki, Finland</nlm:aff></affiliation></author><author><name sortKey="Lahti, S" sort="Lahti, S" uniqKey="Lahti S" first="S" last="Lahti">S. Lahti</name><affiliation><nlm:aff id="A5">Department of Community Dentistry, Institute of Dentistry, University of Oulu, Oulu, Finland</nlm:aff></affiliation></author><author><name sortKey="Nuttall, N M" sort="Nuttall, N M" uniqKey="Nuttall N" first="N M" last="Nuttall">N M Nuttall</name><affiliation><nlm:aff id="A6">Dental Public Health & Health Psychology, University of Dundee, Dundee Dental Hospital & School, Dundee, UK</nlm:aff></affiliation></author><author><name sortKey="Allen, P Finbarr" sort="Allen, P Finbarr" uniqKey="Allen P" first="P Finbarr" last="Allen">P Finbarr Allen</name><affiliation><nlm:aff id="A7">Department of Restorative Dentistry, University Dental School & Hospital, Wilton, Cork, Ireland</nlm:aff></affiliation></author></analytic><series><title level="j">Journal of epidemiology and community health</title><idno type="ISSN">0143-005X</idno><idno type="eISSN">1470-2738</idno><imprint><date when="2009">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title><p id="P1">The extent to which welfare states may influence health outcomes has not been explored. It was hypothesised that policies which target the poor are associated with greater income inequality in oral health quality of life than those that provide earnings-related benefits to all citizens.</p></sec><sec id="S2"><title>Methods</title><p id="P2">Data were from nationally representative surveys in the UK (n=4064), Finland (n=5078), Germany (n=1454) and Australia (n=2292) conducted from 1998 to 2002. The typology of Korpi and Palme classifies these countries into four different welfare states. In each survey, subjects completed the Oral Health Impact Profile (OHIP-14) questionnaire, which evaluates the adverse consequence of dental conditions on quality of life. For each country, survey estimation commands were used to create linear regression models that estimated the slope of the gradient between four quartiles of income and OHIP-14 severity scores. Parameter estimates for income gradients were contrasted across countries using Wald χ<sup>2</sup> tests specifying a critical p value of 0.008, equivalent to a Bonferroni correction of p<0.05 for the six pairwise tests.</p></sec><sec id="S3"><title>Results</title><p id="P3">Statistically significant income gradients in OHIP-14 severity scores were found in all countries except Germany. A global test confirmed significant cross-national differences in the magnitude of income gradients. In Australia, where a flat rate of benefits targeted the poor, the mean OHIP-14 severity score reduced by 1.7 units (95% CI −2.15 to −1.34) with each increasing quartile of household income, a significantly steeper gradient than in other countries.</p></sec><sec id="S4"><title>Conclusion</title><p id="P4">The coverage and generosity of welfare state benefits appear to influence levels of inequality in population oral health quality of life.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">7909766</journal-id><journal-id journal-id-type="pubmed-jr-id">4717</journal-id><journal-id journal-id-type="nlm-ta">J Epidemiol Community Health</journal-id><journal-id journal-id-type="iso-abbrev">J Epidemiol Community Health</journal-id><journal-title-group><journal-title>Journal of epidemiology and community health</journal-title></journal-title-group><issn pub-type="ppub">0143-005X</issn><issn pub-type="epub">1470-2738</issn></journal-meta><article-meta><article-id pub-id-type="pmid">19351621</article-id><article-id pub-id-type="pmc">3740759</article-id><article-id pub-id-type="doi">10.1136/jech.2008.083238</article-id><article-id pub-id-type="manuscript">NIHMS501793</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>A cross-national comparison of income gradients in oral health quality of life in four welfare states: application of the Korpi and Palme typology</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Sanders</surname><given-names>A E</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Slade</surname><given-names>G D</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>John</surname><given-names>M T</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Steele</surname><given-names>J G</given-names></name><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Suominen-Taipale</surname><given-names>A L</given-names></name><xref ref-type="aff" rid="A4">4</xref></contrib><contrib contrib-type="author"><name><surname>Lahti</surname><given-names>S</given-names></name><xref ref-type="aff" rid="A5">5</xref></contrib><contrib contrib-type="author"><name><surname>Nuttall</surname><given-names>N M</given-names></name><xref ref-type="aff" rid="A6">6</xref></contrib><contrib contrib-type="author"><name><surname>Allen</surname><given-names>P Finbarr</given-names></name><xref ref-type="aff" rid="A7">7</xref></contrib></contrib-group><aff id="A1"><label>1</label>University of North Carolina at Chapel Hill, North Carolina, USA</aff><aff id="A2"><label>2</label>Department of Diagnostic and Biological Sciences, University of Minnesota, Minneapolis, USA</aff><aff id="A3"><label>3</label>Department of Restorative Dentistry, School of Dental Sciences, University of Newcastle upon Tyne, Newcastle upon Tyne, UK</aff><aff id="A4"><label>4</label>National Institute of Health and Welfare, Helsinki, Finland</aff><aff id="A5"><label>5</label>Department of Community Dentistry, Institute of Dentistry, University of Oulu, Oulu, Finland</aff><aff id="A6"><label>6</label>Dental Public Health & Health Psychology, University of Dundee, Dundee Dental Hospital & School, Dundee, UK</aff><aff id="A7"><label>7</label>Department of Restorative Dentistry, University Dental School & Hospital, Wilton, Cork, Ireland</aff><author-notes><corresp id="CR1">Correspondence to: Dr A Sanders, The University of North Carolina at Chapel Hill, North Carolina, NC 27599, USA; <email>anne_saunders@dentistry.unc.edu</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>2</day><month>8</month><year>2013</year></pub-date><pub-date pub-type="epub"><day>06</day><month>4</month><year>2009</year></pub-date><pub-date pub-type="ppub"><month>7</month><year>2009</year></pub-date><pub-date pub-type="pmc-release"><day>12</day><month>8</month><year>2013</year></pub-date><volume>63</volume><issue>7</issue><fpage>569</fpage><lpage>574</lpage><abstract><sec id="S1"><title>Background</title><p id="P1">The extent to which welfare states may influence health outcomes has not been explored. It was hypothesised that policies which target the poor are associated with greater income inequality in oral health quality of life than those that provide earnings-related benefits to all citizens.</p></sec><sec id="S2"><title>Methods</title><p id="P2">Data were from nationally representative surveys in the UK (n=4064), Finland (n=5078), Germany (n=1454) and Australia (n=2292) conducted from 1998 to 2002. The typology of Korpi and Palme classifies these countries into four different welfare states. In each survey, subjects completed the Oral Health Impact Profile (OHIP-14) questionnaire, which evaluates the adverse consequence of dental conditions on quality of life. For each country, survey estimation commands were used to create linear regression models that estimated the slope of the gradient between four quartiles of income and OHIP-14 severity scores. Parameter estimates for income gradients were contrasted across countries using Wald χ<sup>2</sup> tests specifying a critical p value of 0.008, equivalent to a Bonferroni correction of p<0.05 for the six pairwise tests.</p></sec><sec id="S3"><title>Results</title><p id="P3">Statistically significant income gradients in OHIP-14 severity scores were found in all countries except Germany. A global test confirmed significant cross-national differences in the magnitude of income gradients. In Australia, where a flat rate of benefits targeted the poor, the mean OHIP-14 severity score reduced by 1.7 units (95% CI −2.15 to −1.34) with each increasing quartile of household income, a significantly steeper gradient than in other countries.</p></sec><sec id="S4"><title>Conclusion</title><p id="P4">The coverage and generosity of welfare state benefits appear to influence levels of inequality in population oral health quality of life.</p></sec></abstract><funding-group><award-group><funding-source country="United States">National Institute of Dental and Craniofacial Research : NIDCR</funding-source><award-id>R21 DE018980 || DE</award-id></award-group></funding-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/EdenteV2/Data/Pmc/Corpus
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 002694 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Pmc/Corpus/biblio.hfd -nk 002694 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Santé
|area= EdenteV2
|flux= Pmc
|étape= Corpus
|type= RBID
|clé= PMC:3740759
|texte= A cross-national comparison of income gradients in oral health quality of life in four welfare states: application of the Korpi and Palme typology
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Pmc/Corpus/RBID.i -Sk "pubmed:19351621" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Pmc/Corpus/biblio.hfd \
| NlmPubMed2Wicri -a EdenteV2
| This area was generated with Dilib version V0.6.32. |  |