加纳老年人健康素养和社会经济地位与口腔健康的关系：社会资本的调节分析。
Association of Health Literacy and Socioeconomic Status with Oral Health Among Older Adults in Ghana: A Moderation Analysis of Social Capital.
机构信息
Lingnan University, Tuen Mun, Hong Kong, SAR.
School of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong, SAR.
出版信息
J Appl Gerontol. 2022 Mar;41(3):671-679. doi: 10.1177/07334648211028391. Epub 2021 Jul 5.
We examined the moderating role of social capital (SC) in the association of socioeconomic status (SES) and health literacy (HL) with oral health (OH) status and the intentions to use OH services (IUOHS) among older Ghanaians. Data were derived from a cross-sectional survey ( = 522) and analyzed using ordinal and binary logistic regressions. Bridging SC moderated the relationship between HL and oral health status ( = 0. 0.117, < .05) and the association of SES with IUOHS (adjusted odds ratio [AOR] = 1.144; 95% confidence interval [CI] = [1.027, 3.599]). Trust modified the association between HL and IUOHS (AOR = 1.051; 95% CI = [1.014, 3.789]). Bonding SC moderated the association between SES and oral health status (B = 0.180, p < .05). However, bonding SC negatively modified the association between SES and IUOHS (AOR = 0.961; 95% CI = [0.727, 0.997]). Cognitive and structural SC modify the associations of SES and HL with OH and IUOHS.
我们考察了社会资本（SC）在调节经济社会地位（SES）和健康素养（HL）与口腔健康（OH）状况以及老年人使用 OH 服务（IUOHS）意向之间的关系中的作用。数据来自横断面调查（n=522），并使用有序和二元逻辑回归进行分析。桥接社会资本调节了 HL 和口腔健康状况之间的关系（β=0.0117，<0.05）以及 SES 与 IUOHS 之间的关联（调整后的优势比[OR] = 1.144；95%置信区间[CI] = [1.027, 3.599]）。信任改变了 HL 和 IUOHS 之间的关联（OR = 1.051；95% CI = [1.014, 3.789]）。粘结社会资本调节了 SES 和口腔健康状况之间的关联（B=0.180，p<0.05）。然而，粘结社会资本负向调节了 SES 和 IUOHS 之间的关联（OR = 0.961；95% CI = [0.727, 0.997]）。认知和结构社会资本调节 SES 和 HL 与 OH 和 IUOHS 的关联。
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