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2013 年至 2019 年期间巴西成年人自评口腔健康的社会经济差异缩小:全国健康调查结果。

Decrease in Socioeconomic Disparities in Self-Rated Oral Health among Brazilian Adults between 2013 and 2019: Results from the National Health Survey.

机构信息

Department of Social and Community Dentistry, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte 31270-901, MG, Brazil.

Department of Maternal and Child Nursing and Public Health, School of Nursing, Universidade Federal de Minas Gerais, Belo Horizonte 30130-100, MG, Brazil.

出版信息

Int J Environ Res Public Health. 2024 Sep 10;21(9):1198. doi: 10.3390/ijerph21091198.

Abstract

This cross-sectional study assessed the magnitude of inequalities in self-rated oral health (SROH) among different socioeconomic groups in Brazil. Secondary data from interviews with a sample of adults (≥18 years) from the national health survey 2013 ( = 64,308) and 2019 ( = 88,531) were analyzed. Positive SROH was considered when participants selected the good or very good options. Socioeconomic indicators were monthly household income and years of education. The magnitude of inequalities among socioeconomic groups was estimated using the Slope (SII) and Relative Index of Inequality (RII). Interaction term assessed changes in SII/RII over time. Estimates were adjusted for sex and age. The prevalence of SROH was 67.50% in 2013 and 69.68% in 2019. Individuals with lower socioeconomic indicators had a lower prevalence of positive SROH. Significant reductions in the magnitude of the education-based RII between 2013 (1.58) and 2019 (1.48) in Brazil, as well as in north (1.70; 1.45) and northeast (1.50; 1.41) regions and reduction in the income-based RII in the north (1.71; 1.51) were observed. Socioeconomic inequalities in SROH persist across different Brazilian regions, although there was a reduction in disparities among education groups in 2019 compared with 2013. The findings of this study suggest that equitable Brazilian oral health policies may have contributed to reducing SROH inequality over time.

摘要

本横断面研究评估了巴西不同社会经济群体间自评口腔健康(SROH)不平等的程度。使用 2013 年(n=64308)和 2019 年(n=88531)全国健康调查中对成年人进行访谈的二次数据进行分析。当参与者选择良好或非常好选项时,被认为具有良好的 SROH。社会经济指标为家庭月收入和受教育年限。使用斜率(SII)和相对不平等指数(RII)来评估社会经济群体间不平等的程度。交互项评估了 SII/RII 随时间的变化。估计值调整了性别和年龄。2013 年 SROH 的患病率为 67.50%,2019 年为 69.68%。社会经济指标较低的个体具有较低的 SROH 阳性率。巴西 2013 年(1.58)和 2019 年(1.48)之间基于教育的 RII 以及北部(1.70;1.45)和东北部(1.50;1.41)地区基于教育的 RII 以及北部地区收入的 RII(1.71;1.51)的幅度均显著降低。尽管与 2013 年相比,2019 年教育群体之间的差异有所缩小,但巴西不同地区 SROH 的社会经济不平等仍然存在。本研究的结果表明,巴西公平的口腔健康政策可能有助于减少 SROH 不平等。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7d1/11431346/f8ba2581d318/ijerph-21-01198-g001.jpg

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