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Socioeconomic inequalities in adult oral health across different ethnic groups in England

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dc.contributor.author Delgado-Angulo, Elsa K.
dc.contributor.author Mangal, Munisha
dc.contributor.author Bernabé, Eduardo
dc.date.accessioned 2019-07-04T17:01:20Z
dc.date.available 2019-07-04T17:01:20Z
dc.date.issued 2019
dc.identifier.uri https://hdl.handle.net/20.500.12866/6909
dc.description.abstract BACKGROUND: Ethnic inequalities in oral health among British adults remain largely unexplored. This study explored the role of socioeconomic position (SEP) in explaining ethnic inequalities in oral health; and the consistency of socioeconomic inequalities in oral health across ethnic groups. METHODS: Data from 45,599 adults, aged 16 years and over, who participated in the Health Survey for England were pooled across 5 years. The seven ethnic groups included were White British, Irish, Black Caribbean, Indian, Pakistani, Bangladeshi and Chinese. Edentulousness and toothache were the outcome measures. A composite measure of SEP was developed based on education, social class, income and economic activity using confirmatory factor analysis. Ethnic inequalities in oral health were assessed in logistic regression adjusting for sex, age, survey year and SEP. RESULTS: Indian (OR: 0.55, 95%CI: 0.40-0.76), Pakistani (0.56, 0.38-0.83), Bangladeshi (0.35, 0.23-0.52) and Chinese (0.41, 0.25-0.66) were less likely to be edentulous than White British after controlling for SEP. Irish (1.22, 1.06-1.39) and Caribbean (1.37, 1.19-1.58) were more likely and Bangladeshi (0.83, 0.69-0.99) were less likely to have toothache than White British after controlling for SEP. Socioeconomic inequalities in edentulousness were consistently found across almost all ethnic groups while socioeconomic inequalities in toothache were found among White British and Irish only. CONCLUSION: This study shows that the role of SEP in explaining ethnic inequalities in oral health depended on the outcome being investigated. Socioeconomic inequalities in oral health among minority ethnic groups did not consistently reflect the patterns found in White British. en_US
dc.language.iso eng
dc.publisher BioMed Central
dc.relation.ispartofseries Health and Quality of Life Outcomes
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject adolescent en_US
dc.subject Adolescent en_US
dc.subject adult en_US
dc.subject Adult en_US
dc.subject African Caribbean en_US
dc.subject African Continental Ancestry Group en_US
dc.subject age en_US
dc.subject aged en_US
dc.subject Aged en_US
dc.subject Article en_US
dc.subject Asian continental ancestry group en_US
dc.subject Asian Continental Ancestry Group en_US
dc.subject Bangladeshi en_US
dc.subject Black person en_US
dc.subject British citizen en_US
dc.subject Caucasian en_US
dc.subject Chinese en_US
dc.subject controlled study en_US
dc.subject Cross-Sectional Studies en_US
dc.subject cross-sectional study en_US
dc.subject economics en_US
dc.subject edentulousness en_US
dc.subject education en_US
dc.subject England en_US
dc.subject epidemiology en_US
dc.subject ethnic group en_US
dc.subject Ethnic groups en_US
dc.subject ethnology en_US
dc.subject European Continental Ancestry Group en_US
dc.subject female en_US
dc.subject Female en_US
dc.subject health en_US
dc.subject health disparity en_US
dc.subject Health Status Disparities en_US
dc.subject health survey en_US
dc.subject Health Surveys en_US
dc.subject human en_US
dc.subject Humans en_US
dc.subject income en_US
dc.subject Indian en_US
dc.subject Irish (citizen) en_US
dc.subject Logistic Models en_US
dc.subject major clinical study en_US
dc.subject male en_US
dc.subject Male en_US
dc.subject middle aged en_US
dc.subject Middle Aged en_US
dc.subject Oral health en_US
dc.subject Oral Health en_US
dc.subject outcome assessment en_US
dc.subject Pakistani en_US
dc.subject quality of life en_US
dc.subject Quality of Life en_US
dc.subject sex en_US
dc.subject social class en_US
dc.subject Social Class en_US
dc.subject Socioeconomic factors en_US
dc.subject socioeconomic position en_US
dc.subject socioeconomics en_US
dc.subject statistical model en_US
dc.subject Tooth loss en_US
dc.subject tooth pain en_US
dc.subject Toothache en_US
dc.subject young adult en_US
dc.subject Young Adult en_US
dc.title Socioeconomic inequalities in adult oral health across different ethnic groups in England en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1186/s12955-019-1156-3
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.05
dc.relation.issn 1477-7525


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