Bernabé Eduardo, Watt Richard G, Sheiham Aubrey, Suominen-Taipale Anna L, Nordblad Anne, Savolainen Jarno, Kivimäki Mika, Tsakos Georgios
Department of Epidemiology and Public Health, University College London, London, UK.
Community Dent Oral Epidemiol. 2009 Aug;37(4):357-65. doi: 10.1111/j.1600-0528.2009.00483.x.
To assess the role of adulthood socioeconomic status (SES) and sense of coherence (SOC) in the relationship between childhood SES and adult oral health-related behaviours.
This study analysed responses of 5318 dentate subjects aged 30 years and over who participated in the Finnish Health 2000 Survey. Participants provided information on their demographic characteristics (sex, age, marital status and urbanization), childhood SES (parental education), adulthood SES (years of education and household income), the SOC scale and four oral health-related behaviours (dental attendance, toothbrushing frequency, sugar intake frequency and daily smoking). Structural equation modelling was used to test a model including adult SES and SOC as mediating factors of the relationship between childhood SES and adult oral health-related behaviours. Multi-group comparison was conducted to test the model within each sex and age group.
Childhood SES was related to adult oral health-related behaviours (P < 0.001) but only indirectly, via adulthood SES (P < 0.001) and adult SOC (P = 0.001). However, the relationship via adulthood SES was much stronger than that via SOC (standardized path coefficients were 0.24 and 0.01 respectively). In the multi-group comparison, the model was invariant across sex and age groups.
The relationship between childhood SES and adult oral health-related behaviours was mainly mediated by adulthood SES, and to a much less extent by SOC. A stronger SOC was significantly associated with better adult oral health-related behaviours, after controlling for the effect of adulthood SES and demographic characteristics of the participants.
评估成年期社会经济地位（SES）和连贯感（SOC）在儿童期SES与成人口腔健康相关行为之间关系中的作用。
本研究分析了5318名年龄在30岁及以上的有牙受试者的回答，这些受试者参与了芬兰2000年健康调查。参与者提供了关于其人口统计学特征（性别、年龄、婚姻状况和城市化程度）、儿童期SES（父母教育程度）、成年期SES（受教育年限和家庭收入）、SOC量表以及四种口腔健康相关行为（看牙医频率、刷牙频率、糖摄入频率和每日吸烟情况）的信息。采用结构方程模型来检验一个模型，该模型将成年期SES和SOC作为儿童期SES与成人口腔健康相关行为之间关系的中介因素。进行多组比较以在每个性别和年龄组内检验该模型。
儿童期SES与成人口腔健康相关行为有关（P < 0.001），但只是间接相关，通过成年期SES（P < 0.001）和成年期SOC（P = 0.001）。然而，通过成年期SES的关系比通过SOC的关系要强得多（标准化路径系数分别为0.24和0.01）。在多组比较中，该模型在性别和年龄组之间具有不变性。
儿童期SES与成人口腔健康相关行为之间的关系主要由成年期SES介导，而由SOC介导的程度要小得多。在控制了成年期SES的影响和参与者的人口统计学特征后，更强的SOC与更好的成人口腔健康相关行为显著相关。
