Sabbah W, Tsakos G, Chandola T, Sheiham A, Watt R G
Department of Epidemiology and Public Health, University College London, 1-19 Torrington Place, London, WC1E 6BT, UK.
J Dent Res. 2007 Oct;86(10):992-6. doi: 10.1177/154405910708601014.
There are social gradients in general health and oral health. However, there have been few studies addressing whether similarities exist in the gradients in oral and general health in the same individuals. We set out to test, using data from NHANES III, whether there are social gradients in oral health, and whether they resemble the gradients in general health. Income, indicated by poverty-income ratio, and education gradients were examined in periodontal diseases, ischemic heart disease, and perceived oral/general health. Our analysis demonstrated consistent income and education gradients in all outcomes assessed. In the adjusted regression models, the probabilities of having poorer clinical and perceived health were attenuated, but remained significantly higher at each lower level of income and education for most outcomes. The results showed similar income and education gradients in oral and general health, implying commonalities of the social determinants of both oral and general health.
总体健康和口腔健康存在社会梯度差异。然而，很少有研究探讨同一个体的口腔健康和总体健康梯度是否存在相似之处。我们利用美国国家健康和营养检查调查（NHANES III）的数据，着手测试口腔健康是否存在社会梯度差异，以及它们是否与总体健康梯度相似。通过贫困收入比来表示的收入以及教育梯度在牙周疾病、缺血性心脏病以及自我感知的口腔/总体健康方面进行了研究。我们的分析表明，在所有评估结果中，收入和教育梯度是一致的。在调整后的回归模型中，临床健康状况较差和自我感知健康较差的概率有所降低，但在大多数结果中，在收入和教育水平较低的每一层级，这些概率仍然显著更高。结果显示，口腔健康和总体健康在收入和教育梯度方面相似，这意味着口腔健康和总体健康的社会决定因素存在共性。
