Borrell Luisa N, Burt Brian A, Neighbors Harold W, Taylor George W
Department of Epidemiology, Mailman School of Public Health, Columbia University, 722 W. 168th Street, New York, NY 10032, USA.
Am J Public Health. 2004 May;94(5):748-54. doi: 10.2105/ajph.94.5.748.
We assessed the prevalences of periodontitis by education and income levels among US adults with data from the third National Health and Nutrition Examination Survey.
The study was limited to non-Hispanic Blacks, Mexican Americans, and non-Hispanic Whites 50 years of age or older with a complete periodontal assessment during the dental examination.
Blacks with higher education and income levels had a significantly higher prevalence of periodontitis than their White and Mexican-American counterparts. The relationship between income level and periodontitis was modified by race/ethnicity. High-income Blacks exhibited a higher prevalence of periodontitis than did low-income Blacks and high-income Whites.
Our findings call attention to the importance of recognizing socioeconomic status-related health differences across racial/ethnic groups within the social, political, and historical context.
我们利用第三次全国健康与营养检查调查的数据,评估了美国成年人中按教育程度和收入水平划分的牙周炎患病率。
该研究仅限于年龄在50岁及以上、在牙科检查中接受了全面牙周评估的非西班牙裔黑人、墨西哥裔美国人以及非西班牙裔白人。
教育程度和收入水平较高的黑人牙周炎患病率显著高于其白人及墨西哥裔美国同龄人。收入水平与牙周炎之间的关系因种族/族裔而异。高收入黑人的牙周炎患病率高于低收入黑人及高收入白人。
我们的研究结果提醒人们,在社会、政治和历史背景下,认识不同种族/族裔群体中与社会经济地位相关的健康差异具有重要意义。