ARCPOH, Adelaide Dental School, University of Adelaide, Australia.
Community Dent Health. 2021 Feb 25;38(1):59-63. doi: 10.1922/CDH_00100-2020Brennan05.
While social status and health have been investigated, there is less focus on the effects of objective and subjective social status and psychosocial factors. This study aimed to investigate oral health impacts by subjective social status (SSS) and psychosocial predictors stratified by subjective social status.
A random cross-sectional sample of 45-54-year old South Australians was surveyed in 2004-05. Oral health impact was assessed using OHIP-14. Socio-economic status was determined using objective (income) and subjective (McArthur scale) measures. Psychosocial variables comprised social support, health self-efficacy, coping and affectivity.
Responses were collected from 986 persons (response rate=44.4%). Lower SSS was more frequently observed in the low (70.2%) than high-income group (28.5%). Lower SSS was associated (p⟨0.05) with lower education, social support, health competence, and coping, but higher negative affect within income groups. The interaction of SSS and income showed OHIP was consistently lower at high SSS regardless of higher or lower income, but at low SSS, OHIP was higher (p⟨0.05) in the lower than higher income group.
SSS was associated with income. Their interaction indicated low SSS in combination with low income was associated with higher oral health impacts.
虽然社会地位和健康状况已经得到了研究，但对于客观和主观社会地位以及心理社会因素的影响关注较少。本研究旨在调查主观社会地位（SSS）和心理社会预测因子对口腔健康的影响，并按主观社会地位进行分层。
2004-05 年，对南澳大利亚州 45-54 岁的随机横断面样本进行了调查。使用 OHIP-14 评估口腔健康影响。使用客观（收入）和主观（麦克阿瑟量表）措施来确定社会经济地位。心理社会变量包括社会支持、健康自我效能、应对和情感。
共收集了 986 人的回复（回复率为 44.4%）。低 SSS 组（70.2%）比高收入组（28.5%）更频繁地出现低 SSS。低 SSS 与较低的教育水平、社会支持、健康能力和应对能力相关（p⟨0.05），但在收入组内，与较高的负性情绪相关。SSS 和收入的相互作用表明，无论收入高低，高 SSS 始终与 OHIP 较低相关，但在低 SSS 时，OHIP 在低收入组中更高（p⟨0.05）。
SSS 与收入相关。它们的相互作用表明，低 SSS 与低收入相结合与更高的口腔健康影响相关。
