Department of Conservative Dentistry, University of Heidelberg, Im Neuenheimer Feld 400, 69120 Heidelberg, Germany.
J Dent Res. 2012 Jul;91(7 Suppl):91S-97S. doi: 10.1177/0022034512447953.
The purpose of this study was to identify socio-economic inequalities in regular dental attendance throughout the life-course. The analyses relied on data from SHARE (waves 1 to 3 of the Survey of Health, Ageing, and Retirement in Europe), which includes retrospective information on life-course dental attendance of 26,525 persons currently aged 50 years or greater from 13 European countries (Austria, Poland, Spain, Italy, the Netherlands, Belgium, Greece, the Czech Republic, France, Denmark, Switzerland, Germany, and Sweden). Inequalities in dental attendance were assessed by means of Concentration Indices. Socio-economic disparities in regular dental attendance were identified as early as childhood. Moreover, higher educational attainment resulted in increased probabilities of regular dental attendance throughout subsequent life-years in all nations. In most countries, inequality levels remained relatively inelastic throughout the life-course. These findings suggest that a considerable proportion of inequalities in dental care use is already established at childhood and persists throughout the life-course.
本研究旨在确定整个生命历程中定期看牙医的社会经济不平等现象。分析依赖于 SHARE（欧洲健康、老龄化和退休调查的第 1 至 3 波）的数据，该调查包括来自 13 个欧洲国家（奥地利、波兰、西班牙、意大利、荷兰、比利时、希腊、捷克共和国、法国、丹麦、瑞士、德国和瑞典）的 26525 名目前年龄在 50 岁或以上的人一生中定期看牙医的回溯信息。通过集中指数来评估定期看牙医的不平等现象。早在儿童时期就发现了定期看牙医方面的社会经济差异。此外，在所有国家，受教育程度越高，在随后的一生中定期看牙医的可能性就越大。在大多数国家，整个生命历程中的不平等水平相对缺乏弹性。这些发现表明，在儿童时期就已经存在相当一部分牙科保健利用方面的不平等现象，并且这种不平等现象会持续整个生命历程。
