Health Management and Policy, Graduate School of Public Health, San Diego State University, 5500 Campanile Dr, San Diego, CA 92182-4162, USA.
Am J Public Health. 2010 Apr 1;100 Suppl 1(Suppl 1):S246-55. doi: 10.2105/AJPH.2009.167783. Epub 2010 Feb 10.
We sought to better understand the determinants of oral health disparities by examining individual-level psychosocial stressors and resources and self-rated oral health in nationally representative samples of Black American, Caribbean Black, and non-Hispanic White adults.
We conducted logistic regression analyses on fair or poor versus better oral health using data from the National Survey of American Life (n = 6082).
There were no significant racial differences. Overall, 28% of adults reported having fair or poor oral health. Adults with lower income and less than a high school education were each about 1.5 times as likely as other adults to report fair or poor oral health. Higher levels of chronic stress, depressive symptoms, and material hardship were associated with fair or poor oral health. Adults living near more neighborhood resources were less likely to report fair or poor oral health. Higher levels of self-esteem and mastery were protective, and more-religious adults were also less likely to report fair or poor oral health.
Social gradients in self-rated oral health were found, and they have implications for developing interventions to address oral health disparities.
通过考察美国黑人群体、加勒比黑人以及非西班牙裔白人群体中具有代表性的个体水平的心理社会压力源和资源以及自我评估的口腔健康状况，我们试图更好地理解口腔健康差异的决定因素。
我们使用美国生活全国性调查（National Survey of American Life）的数据（n=6082），对口腔健康状况一般或较差与较好的人群进行了逻辑回归分析。
在种族方面没有显著差异。总体而言，28%的成年人报告其口腔健康状况一般或较差。收入较低和未接受过高中教育的成年人报告口腔健康状况一般或较差的可能性，大约是其他成年人的 1.5 倍。慢性压力、抑郁症状和物质困难程度较高与口腔健康状况一般或较差有关。居住在附近社区资源较多的成年人报告口腔健康状况一般或较差的可能性较低。自尊心和掌握感水平较高具有保护作用，而宗教信仰程度较高的成年人也较少报告口腔健康状况一般或较差。
自我评估的口腔健康状况存在社会梯度，这对制定干预措施以解决口腔健康差异具有重要意义。
