Effect of Socioeconomic Status on Teeth and Dental Care - Evidence from a Population-based Study in Indonesia.

IF 1.4 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Oral health & preventive dentistry Pub Date : 2023-03-15 DOI:10.3290/j.ohpd.b3956549

Ninuk Hariyani, Dini Setyowati, Stefan Listl, Rahul Nair

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Abstract

Purpose: Education is well-known as a determinant of oral health and dental behaviours in high-income countries, but much less is known for countries with lower incomes. This study aimed to identify the extent to which education affects oral health and dental behaviours in Indonesia.

Materials and methods: This study used data from the Indonesian Basic Health Survey 2013. From this nationally representative sample of 945,057 people 5-100 years old, a series of mixed-effects Poisson regression models that accounted for sampling weights estimated the effect of educational attainment on edentulism, dental care utilisation, and toothbrushing behaviour.

Results: Consistent educational gradients were found for all outcomes and across all model specifications. People without a formal educational degree had a 1.03 (95% CI: 1.03-1.04) times higher risk of not utilising any dental care, a 3.15 (95% CI: 2.47-4.02) times higher risk of being edentulous, and a 15.6 (95% CI: 12.76-19.02) times higher risk of having low toothbrushing frequency than people having a university degree or higher.

Conclusions: Stark and consistent educational gradients were observed in the dentate status, dental services utilisation, and toothbrushing in Indonesia. Educational inequalities were much larger for toothbrushing behaviours than for dental care utilisation. Intervention points for health policy should urgently prioritise public health interventions to promote overall educational attainment, preventive services, and dental care targeted at those with lower educational attainment.

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社会经济地位对牙齿和牙科保健的影响--来自印度尼西亚一项基于人口的研究的证据。

目的：众所周知，在高收入国家，教育是口腔健康和牙科行为的决定因素，但对低收入国家的教育情况却知之甚少。本研究旨在确定教育在多大程度上影响印度尼西亚的口腔健康和牙科行为：本研究使用了 2013 年印度尼西亚基本健康调查的数据。从这一具有全国代表性的945 057名5-100岁人口样本中，通过一系列考虑了抽样权重的混合效应泊松回归模型，估算了教育程度对牙齿缺失、牙科保健利用率和刷牙行为的影响：在所有结果和所有模型规格中都发现了一致的教育梯度。与拥有大学或更高学历的人相比，没有正规教育学位的人不使用任何牙科护理的风险高出 1.03（95% CI：1.03-1.04）倍，无牙齿的风险高出 3.15（95% CI：2.47-4.02）倍，刷牙频率低的风险高出 15.6（95% CI：12.76-19.02）倍：在印度尼西亚，有牙状况、牙科服务利用率和刷牙频率都存在明显而一致的教育梯度。与牙科保健利用率相比，刷牙行为方面的教育不平等更大。卫生政策的干预点应紧急优先考虑公共卫生干预措施，以促进整体教育程度、预防服务和针对教育程度较低人群的牙科保健。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Oral health & preventive dentistry DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.00

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Clinicians, general practitioners, teachers, researchers, and public health administrators will find this journal an indispensable source of essential, timely information about scientific progress in the fields of oral health and the prevention of caries, periodontal diseases, oral mucosal diseases, and dental trauma. Central topics, including oral hygiene, oral epidemiology, oral health promotion, and public health issues, are covered in peer-reviewed articles such as clinical and basic science research reports; reviews; invited focus articles, commentaries, and guest editorials; and symposium, workshop, and conference proceedings.