Grembowski David, Spiekerman Charles, Milgrom Peter
Department of Oral Health Sciences, University of Washington, Seattle, WA 98195-7660, USA.
J Health Care Poor Underserved. 2012 May;23(2):570-88. doi: 10.1353/hpu.2012.0054.
For low-income mothers of children aged 3-6 years, we estimate whether social gradients exist between mothers' income, education, and employment status and mothers' perceptions of self and child dental and general health, and whether these relationships differ by racial/ethnic group. Disproportionate stratified sampling by racial/ethnic group selected 10,909 eligible children aged 3 to 6 in Medicaid in Washington State. Mothers (n=4,373) completed a mixed-mode (web, mail, telephone) survey. Mothers' education had a strong, gradient relationship with mother ratings of self and child dental health that was not explained by other measures. Similar gradients were found for mothers' employment status and income, but some associations were no longer significant (p>.05) after adjusting for oral health beliefs and behaviors, dental insurance, and regular dental care. Associations did not differ significantly by racial/ethnic group.
对于3至6岁儿童的低收入母亲,我们估计母亲的收入、教育程度和就业状况与母亲对自身及孩子口腔和总体健康的认知之间是否存在社会梯度,以及这些关系在不同种族/族裔群体中是否存在差异。通过按种族/族裔群体进行不成比例的分层抽样,在华盛顿州医疗补助计划中选取了10909名3至6岁符合条件的儿童。母亲们(n = 4373)完成了一项混合模式(网络、邮寄、电话)调查。母亲的教育程度与母亲对自身及孩子口腔健康的评分之间存在强烈的梯度关系,这一关系无法用其他指标来解释。在母亲的就业状况和收入方面也发现了类似的梯度,但在调整了口腔健康观念和行为、牙科保险以及定期牙科护理等因素后,一些关联不再显著(p>0.05)。这些关联在不同种族/族裔群体之间没有显著差异。