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|Title:||Adult oral health inequalities described using area-based and household-based socioeconomic status measures|
|Citation:||Journal of Public Health Dentistry, 2006; 66(2):104-109|
|Publisher:||AAPHD National Office|
|Lisa M. Jamieson and W. Murray Thomson|
|Abstract:||Objectives: To describe adult oral health inequalities using an area-based and household-based measure of socioeconomic status (SES). Methods: Self-report questionnaires (seeking information on sociodemographic, oral health and oral self-care) were sent to a random sample of adults from the Dunedin South Electorate, New Zealand. Household- and area-based SES measures were collected. The main outcome measures were edentulism prevalence, average-poor self-rated oral health and not having visited a dentist for 2+ years. Data were weighted to produce population-based estimates. Results: The response rate was 78.2%; the sample mean age was 47 years (sd, 17; range 18–92 years) and females comprised 54.0%. Edentulism was most prevalent among those from low-SES households who were resident in high-deprivation areas (P>0.0001). Poor self-rated oral health (P>0.0001) and 2+ years since the last dental visit (P>0.0001) were also most prevalent among these same individuals. In contrast, respondents from high-SES households located in the least deprived areas had the lowest prevalence of edentulism, poor self-repotted oral health or 2+ years since their last dental visit. Those from the other household/area SES combinations occupied intermediate positions. Conclusions: There may be added value to dental public health in using a dual socio-economic measurement approach to population research, with greater oral health gains perhaps being possible by concentrating resources and clinical effort on people living in low-SES households in highly—deprived areas, rather than those living in low-SES households in areas that are not deprived.|
|Keywords:||deprivation; socioeconomic status; oral health; edentulism; dental utilization|
|Description:||The definitive version is available at www.blackwell-synergy.com|
|Appears in Collections:||Dentistry publications|
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