Bernabé Eduardo, Kivimäki Mika, Tsakos Georgios, Suominen-Taipale Anna L, Nordblad Anne, Savolainen Jarno, Uutela Antti, Sheiham Aubrey, Watt Richard G
Department of Epidemiology and Public Health, University College London, London, UK.
Eur J Oral Sci. 2009 Aug;117(4):413-8. doi: 10.1111/j.1600-0722.2009.00655.x.
This study assessed the independent and interactive associations between sense of coherence (SOC) and socio-economic status (SES) with oral health-related behaviours. Data from 5,399 dentate adults regarding their demographic characteristics, years of education, SOC score, and oral health-related behaviours were analysed. Household income was obtained from tax authorities. Logistic regression was used to test the adjusted association of SOC with each behaviour and to test the statistical interaction between each SES indicator and the SOC score. Subjects were 1.20 [95% confidence interval (95% CI): 1.11-1.28] and 1.22 (95% CI: 1.12-1.32) times more likely to visit dentists regularly for check-ups and to brush their teeth twice daily or more often, respectively, and were 1.11 (95% CI: 1.03-1.20) and 1.21 (95% CI: 1.12-1.32) times less likely to be daily smokers and to consume sugar-added products on a daily basis, respectively, for every unit increase in SOC score. The findings provide strong support for an association between higher levels of SOC and more favourable oral health-related behaviours, independently of current SES and demographic characteristics of the participants and across the four behaviours assessed. By contrast, the findings give limited support for the moderating role of SOC on the relationship between SES and oral health-related behaviours.
本研究评估了连贯感(SOC)和社会经济地位(SES)与口腔健康相关行为之间的独立关联和交互作用。分析了5399名有牙成年人的人口统计学特征、受教育年限、SOC得分及口腔健康相关行为的数据。家庭收入来自税务机关。采用逻辑回归分析来检验SOC与每种行为之间的校正关联,并检验每个SES指标与SOC得分之间的统计交互作用。对于SOC得分每增加一个单位,受试者定期看牙医进行检查以及每天刷牙两次或更频繁的可能性分别高出1.20倍[95%置信区间(95%CI):1.11 - 1.28]和1.22倍(95%CI:1.12 - 1.32),而每天吸烟以及每天食用添加糖产品的可能性分别降低1.11倍(95%CI:1.03 - 1.20)和1.21倍(95%CI:1.12 - 1.32)。研究结果有力支持了较高水平的SOC与更有利的口腔健康相关行为之间的关联,这一关联独立于参与者当前的SES和人口统计学特征,且涵盖所评估的四种行为。相比之下,研究结果对SOC在SES与口腔健康相关行为关系中的调节作用支持有限。