教育中介了父母社会经济地位与主观成人口腔健康之间的关系。
Education mediates the relationship of parental socioeconomic status with subjective adult oral health.
机构信息
Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, UK.
Centre for Dental Public Health and Primary Care, Institute of Dentistry, Queen Mary University of London, Turner street, E1 2AD, London, UK.
出版信息
Health Qual Life Outcomes. 2023 Aug 10;21(1):86. doi: 10.1186/s12955-023-02169-z.
BACKGROUND
Evidence shows that both socioeconomic status (SES) during childhood and education are associated with adult oral health. However, whether the range of opportunities families have regarding their children's education mediate the effect of childhood disadvantage on oral health later in life remains unknown. The aim of this study was to evaluate the mediating role of education in the association between parental SES and subjective oral health status in middle adulthood.
METHODS
Data from 6703 members of the British Cohort Study 1970 were analyzed. Parental SES was measured using the 7-class National Statistics Socio-Economic Classification (NS-SEC) at age 10 years. Five measures of education (type of high school, highest qualification, age left full-time education, status of institution and field of study) were obtained from ages 16 and 42 years. Subjective oral health was measured with a single global item at age 46 years. Causal mediation analysis was performed, using a weighting-based approach, to evaluate how much of the effect of parental SES on subjective oral health was mediated by the measures of education separately and jointly.
RESULTS
Overall, 23.6% of individuals reported poor oral health. Parental SES was associated with every measure of education, and they were also associated with subjective oral health in regression models adjusted for confounders. The effect of parental SES on subjective oral health was partially mediated by each measure of education, with a proportion mediated of 53.2% for the institution status, 46.5% for the field of study, 42.8% for the school type, 38.9% for the highest qualification earned and 38.4% for the age when full-time education was discontinued. The proportion of the effect of parental SES on subjective oral health jointly mediated by all measures of education was 81.1%.
CONCLUSION
This study found a substantial mediating role of education in the association between parental SES and subjective oral health in middle adulthood.
背景
有证据表明，儿童时期的社会经济地位（SES）和教育都与成年人的口腔健康有关。然而，家庭在孩子教育方面的机会范围是否会影响儿童时期的劣势对以后生活中的口腔健康的影响仍不清楚。本研究旨在评估教育在父母 SES 与中年时期主观口腔健康状况之间的关联中的中介作用。
方法
对英国队列研究 1970 年的 6703 名成员的数据进行了分析。父母 SES 使用 10 岁时的 7 级国家统计局社会经济分类（NS-SEC）进行测量。从 16 岁和 42 岁时获得了 5 项教育指标（高中类型、最高学历、离开全日制教育的年龄、机构地位和学习领域）。在 46 岁时使用单一的全球项目来衡量主观口腔健康。使用基于加权的方法进行因果中介分析，以评估父母 SES 对主观口腔健康的影响有多少分别和共同通过教育指标来中介。
结果
总体而言，23.6%的人报告口腔健康状况不佳。父母 SES 与每种教育指标均相关，并且在校正了混杂因素的回归模型中，他们与主观口腔健康也相关。父母 SES 对主观口腔健康的影响部分由每种教育指标来中介，机构地位的中介比例为 53.2%，学习领域为 46.5%，高中类型为 42.8%，最高学历为 38.9%，以及完全停止全日制教育的年龄为 38.4%。父母 SES 对主观口腔健康的影响通过所有教育指标联合中介的比例为 81.1%。
结论
本研究发现教育在父母 SES 与中年时期主观口腔健康状况之间的关联中具有重要的中介作用。
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