Margozzini Paula, Berrios Rodrigo, García-Huidobro Rosario, Véliz Claudia, Del Valle Carolina, Vargas Juan Pablo, Padilla Oslando, Ortuño Duniel
Departamento de Salud Pública, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Escuela de Odontología, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Int J Dent. 2020 Aug 31;2020:8848190. doi: 10.1155/2020/8848190. eCollection 2020.
Several population studies have addressed oral health inequalities. Edentulism, functional dentition, and number of remaining teeth have been associated with different socioeconomic level measurements. The aim of this study was to evaluate the association between educational level and tooth loss in the Chilean population aged 15 years and above, based on the 2016-2017 National Health Survey (ENS 2016-2017). . The sample for this cross-sectional study comprised 5473 subjects. The main independent variable was educational level (LEL: low, MEL: medium, and HEL: high). To measure tooth loss, we considered the variables number of remaining teeth, edentulism, and functional dentition. We used logistic regressions to assess the condition of dentition according to the subject's EL. As to the number of teeth variable, linear regressions were conducted. The analyses were carried out considering the complex sampling design in SPSS 24.0.
When comparing LEL subjects with HEL subjects, the adjusted difference in number of remaining teeth was 3.11 for the maxilla and 1.72 for the mandible. An individual with LEL had a 7.51 [3.50-16.10] and 6.06 [2.68-13.68] times higher risk of upper edentulism and lower edentulism than a HEL individual, respectively. Regarding functional dentition, the adjusted OR in HEL subjects was 13.33 [8.02-22.15] and in MEL subjects was 2.81 [2.03-3.87], compared to LEL results.
LEL was associated with a significant tooth loss in the Chilean population. Subjects with LEL obtained a lower mean of number of remaining teeth and higher prevalence of edentulism and nonfunctional dentition.
多项人群研究探讨了口腔健康不平等问题。无牙状态、功能性牙列以及剩余牙齿数量已与不同的社会经济水平衡量指标相关联。本研究的目的是基于2016 - 2017年全国健康调查（ENS 2016 - 2017），评估智利15岁及以上人群的教育水平与牙齿缺失之间的关联。本横断面研究的样本包括5473名受试者。主要自变量为教育水平（低教育水平：LEL，中等教育水平：MEL，高教育水平：HEL）。为衡量牙齿缺失情况，我们考虑了剩余牙齿数量、无牙状态和功能性牙列这些变量。我们使用逻辑回归根据受试者的教育水平评估牙列状况。对于牙齿数量变量，进行了线性回归分析。分析是在SPSS 24.0中考虑复杂抽样设计进行的。
将低教育水平受试者与高教育水平受试者进行比较时，上颌剩余牙齿数量的调整差异为3.11，下颌为1.72。低教育水平个体上颌无牙和下颌无牙的风险分别比高教育水平个体高7.51[3.50 - 16.10]倍和6.06[2.68 - 13.68]倍。关于功能性牙列，与低教育水平结果相比，高教育水平受试者的调整比值比为13.33[8.02 - 22.15]，中等教育水平受试者为2.81[2.03 - 3.87]。
在智利人群中，低教育水平与显著的牙齿缺失相关。低教育水平的受试者剩余牙齿数量的平均值较低，无牙状态以及非功能性牙列的患病率较高。
