Department of Epidemiology and Public Health, UCL, 1-19 Torrington Place, London, WC1E 6BT, United Kingdom.
Prev Med. 2013 Aug;57(2):102-6. doi: 10.1016/j.ypmed.2013.04.018. Epub 2013 May 3.
We used secondary analysis of the Adult Dental Health Survey 2009 data. Health behaviors referred to smoking, tooth brushing frequency, dental visits and sugar consumption. Clustering was assessed by pairwise correlations, counts of clustering of health compromising behaviors and comparison of observed/expected ratios. Logistic regression was used to assess variation in clustering of oral health related behaviors by socioeconomic position crudely and adjusted for age, gender and self-rated oral health.
There were weak correlations between four health behaviors. Very low prevalence of clustering was reported. Higher observed to expected ratio was observed for clustering patterns with lower prevalence. Multivariate logistic regression showed clear, strong and significant educational gradients in associations between different clustering patterns of health compromising behaviors and educational attainment. These educational gradients remained significant after adjusting for age, gender and self-reported oral health.
Very clear and strong educational gradients were observed throughout patterns of clustering of oral health compromising behaviors, suggesting chances of having detrimental behavioral clustering are lower in more educated groups in population.
我们使用了 2009 年成人牙科健康调查的二次分析数据。健康行为包括吸烟、刷牙频率、看牙医的次数和糖的摄入量。通过两两相关性、健康危害行为的聚类计数以及观察到的/预期的比值比较来评估聚类。使用逻辑回归来粗略评估社会经济地位对口腔健康相关行为聚类的影响，并根据年龄、性别和自我报告的口腔健康状况进行调整。
四种健康行为之间存在弱相关性。报告的聚类现象的发生率非常低。观察到的聚类模式与较低的发生率之间存在更高的观察到的/预期的比值。多变量逻辑回归显示，在不同的健康危害行为聚类模式与教育程度之间的关联方面，存在明显、强烈和显著的教育梯度。在调整年龄、性别和自我报告的口腔健康状况后，这些教育梯度仍然显著。
在口腔健康危害行为的聚类模式中观察到非常明显和强烈的教育梯度，这表明在人口中，受教育程度较高的群体中出现有害行为聚类的可能性较低。
