Donaldson A N, Everitt B, Newton T, Steele J, Sherriff M, Bower E
King's College London Dental Institute, Weston Education Centre, Off 262 Cutcombe Road, Denmark Hill, London SE5 9RJ, UK.
J Dent Res. 2008 Jan;87(1):60-4. doi: 10.1177/154405910808700110.
The relationship between socio-economic status (SES) and oral health is well-established. We investigated whether the association between SES and the number of sound teeth in adults is explained by dental attendance patterns, in turn determined by the effect of SES on barriers to dental attendance. Data on 3817 participants from the 1998 Adult Dental Health Survey in the UK were analyzed. Using structural equation modeling, we found a model with 4 factors (aging, SES, attendance-profile, and barriers-to-dental-attendance) providing an adequate fit to the covariance matrix of the 9 covariates. The final model suggests that the association between SES and the number of sound teeth in adults in the UK is partially explained by the pathway [SES --> barriers-to-dental-attendance --> dental-attendance-profile --> number-of-sound-teeth]. A direct relationship, SES --> number-of-sound-teeth, is also significant.
社会经济地位（SES）与口腔健康之间的关系已得到充分证实。我们调查了SES与成年人健全牙齿数量之间的关联是否可由就诊模式来解释，而就诊模式又是由SES对就诊障碍的影响所决定的。对来自英国1998年成人牙齿健康调查的3817名参与者的数据进行了分析。使用结构方程模型，我们发现一个包含4个因素（衰老、SES、就诊概况和就诊障碍）的模型能够很好地拟合9个协变量的协方差矩阵。最终模型表明，英国SES与成年人健全牙齿数量之间的关联部分可由以下路径解释：[SES→就诊障碍→就诊概况→健全牙齿数量]。SES与健全牙齿数量之间的直接关系也很显著。
