Department of Epidemiology and Public Health, University College London, London, UK.
J Clin Periodontol. 2011 Jan;38(1):25-32. doi: 10.1111/j.1600-051X.2010.01647.x. Epub 2010 Nov 8.
To assess the relationship between education level and several oral health outcomes in Finnish adults, using three conceptual lifecourse models.
This study analysed data from 7112 subjects, aged 30 years or over, who participated in the nationally representative Finnish Health 2000 Survey. Parental and own education levels were the childhood and adulthood socioeconomic measures, respectively. Oral health was indicated by edentulousness, perceived oral health and levels of dental caries and periodontal disease. Three conceptual lifecourse models, namely critical period, accumulation and social trajectories, were separately tested in regression models.
In line with the critical period model, parental and own education levels were independently associated with oral health after mutual adjustment. There was also a graded linear relationship between the number of periods of socioeconomic disadvantage and oral health, corresponding to the accumulation model. Gradual declines in oral health were evident between social trajectories from persistently high to upwardly mobile, downwardly mobile and persistently low groups.
There was similar support for the lifecourse models of critical period, accumulation and social trajectories. They collectively contribute to a better understanding of oral health inequalities.
使用三种概念性生命历程模型评估芬兰成年人的教育水平与几种口腔健康结果之间的关系。
本研究分析了来自参加全国代表性的芬兰健康 2000 调查的 7112 名年龄在 30 岁及以上的受试者的数据。父母和自身的教育水平分别是儿童期和成年期的社会经济衡量标准。口腔健康状况由无牙、口腔健康感知和龋齿及牙周病程度来表示。分别在回归模型中测试了三个概念性生命历程模型，即关键期、积累和社会轨迹。
与关键期模型一致，在相互调整后，父母和自身的教育水平与口腔健康独立相关。在社会经济劣势期数与口腔健康之间也存在着一种渐进的线性关系，符合积累模型。在从持续高到向上流动、向下流动和持续低的社会轨迹中，口腔健康逐渐下降。
关键期、积累和社会轨迹的生命历程模型都得到了类似的支持。它们共同有助于更好地理解口腔健康不平等现象。
