收入和社交网络的变化是否会影响巴西公务员的自评口腔健康轨迹？来自纵向 Pró-Saúde 研究的证据。
Do changes in income and social networks influence self-rated oral health trajectories among civil servants in Brazil? Evidence from the longitudinal Pró-Saúde study.
机构信息
Department of Health and Nursing Sciences, University of Agder (UiA), Campus Kristiansand, Universitetsveien 25, 4630, Kristiansand, Norway.
Department of Social and Preventive Dentistry, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil.
出版信息
BMC Oral Health. 2022 Apr 29;22(1):153. doi: 10.1186/s12903-022-02191-5.
BACKGROUND
Social factors are important determinants of health. However, evidence from longitudinal studies on the possible role of changes in socioeconomic circumstances on adult's oral health is scarce. This study aimed to test whether changes in income and changes in social networks of family members and friends were associated with trajectories of self-rated oral health (SROH) among adults over a 13-year period.
METHODS
A prospective cohort study (Pro-Saude Study) was conducted involving non-faculty civil servants at university campi in Rio de Janeiro, Brazil. Individual data was collected through self-completed questionnaires in four waves (1999, 2001, 2007 and 2012). SROH trajectories between 2001 and 2012 were "Good-stable SROH", "Changed SROH", "Poor-stable SROH". Per capita family income and social networks of family members and friends data obtained in 1999 and 2012 were grouped into "High stable", "Increase", "Decrease", "Low stable". Ordinal logistic regression using complete data of 2118 participants was used to estimate odds ratio (OR) and 95% CIs of changes in income and changes in social networks with SROH trajectories, adjusted for age, sex, skin colour and marital status.
RESULTS
Participants in the low income-stable and small social networks-stable groups showed 2.44 (95% CI 1.68-3.55) and 1.98 (95% CI 1.38-2.85) higher odds for worst trajectory of SRHO than those in the respective high-stable groups. Those in the decrease income group and decrease social networks group were 78% (95% CI 1.25-2.54) and 58% (95% CI 1.07-2.34) more likely to worst trajectory of SRHO than those in the high income-stable and high social networks-stable groups.
CONCLUSIONS
Adults reporting low income and low social networks of family members and friends over 13 years and those with income and social networks decrease during the study period were at higher risk of having worsened their self-rated oral health.
背景
社会因素是健康的重要决定因素。然而，关于社会经济状况变化对成年人口腔健康可能产生的影响的纵向研究证据很少。本研究旨在检验收入变化以及家庭成员和朋友社交网络的变化是否与成年人在 13 年内的自我报告口腔健康（SROH）轨迹有关。
方法
本前瞻性队列研究（Pro-Saude 研究）涉及巴西里约热内卢大学校园内的非教职公务员。通过四次问卷调查（1999 年、2001 年、2007 年和 2012 年）收集个人数据。2001 年至 2012 年期间的 SROH 轨迹为“良好稳定 SROH”、“变化 SROH”、“较差稳定 SROH”。1999 年和 2012 年获得的人均家庭收入和家庭成员及朋友社交网络数据分为“高稳定”、“增加”、“减少”、“低稳定”。采用完整数据的 2118 名参与者的有序逻辑回归估计收入变化和社交网络变化与 SROH 轨迹之间的比值比（OR）和 95%CI，调整因素为年龄、性别、肤色和婚姻状况。
结果
低收入稳定组和小社交网络稳定组的参与者，其 SROH 最差轨迹的 OR 分别为 2.44（95%CI 1.68-3.55）和 1.98（95%CI 1.38-2.85），比各自的高稳定组高。收入减少组和社交网络减少组的参与者发生 SROH 最差轨迹的风险比高收入稳定组和高社交网络稳定组分别高 78%（95%CI 1.25-2.54）和 58%（95%CI 1.07-2.34）。
结论
13 年内报告收入低和家庭成员及朋友社交网络少，以及在此期间收入和社交网络减少的成年人，自我报告口腔健康恶化的风险更高。
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