ArticleCommunity dentistry and oral epidemiology2013
Measuring and decomposing oral health inequalities in an UK population.
Article in Community dentistry and oral epidemiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Oral Health Service Use in Older Peruvians Before and During the COVID-19 Pandemic.International dental journal · 2024Article
- Clustering of Signs and Symptoms of Oral Diseases in a Colombian Population.International dental journal · 2023Article
- A comparative examination of the role of need in the relationship between dental service use and socio-economic status across respondents with distinct needs using data from the Scottish Health Survey.BMC public health · 2023Article
- Does Oral Health-Related Quality of Life Differ by Income Group? Findings from a Nationally Representative Survey.International journal of environmental research and public health · 2022Article
- Demographic and Habitual Factors of Periodontal Disease among South Indian Adults.International journal of environmental research and public health · 2021Article
- The changing health needs of the UK population.Lancet (London, England) · 2021Article
- Hospital admissions for dental disorders in patients with severe mental illness in Southeast London: A register-based cohort study.European journal of oral sciences · 2021Article
- What explains socioeconomic inequalities in dental flossing? Cross-sectional results from the RaNCD cohort study.Journal of preventive medicine and hygiene · 2020Article
- Socioeconomic-related inequalities in oral hygiene behaviors: a cross-sectional analysis of the PERSIAN cohort study.BMC oral health · 2020Article
- Neighbourhood incidence rate of paediatric dental extractions under general anaesthetic in South West England.British dental journal · 2018Article
- Socioeconomic Inequalities in Oral Health among Middle-Aged and Elderly Japanese: NIPPON DATA2010.Journal of epidemiology · 2018Article
- Investigating social inequalities in older adults' dentition and the role of dental service use in 14 European countries.The European journal of health economics : HEPAC : health economics in prevention and care · 2018Article
- Inequalities in oral health: Understanding the contributions of education and income.Canadian journal of public health = Revue canadienne de sante publique · 2017Article
- Contextual and individual determinants of oral health-related quality of life in older Brazilians.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2017Article
- Does capitation affect the delivery of oral healthcare and access to services? Evidence from a pilot contact in Northern Ireland.BMC health services research · 2017Observational
- Towards an understanding of the structural determinants of oral health inequalities: A comparative analysis between Canada and the United States.SSM - population health · 2016Article
- Dental health among older Israeli adults: is this a reflection of a medical care model inadequately addressing oral health?International dental journal · 2015Article
- Socioeconomic differences in self-rated oral health and dental care utilisation after the dental care reform in 2008 in Sweden.BMC oral health · 2014Article
- Overall, gender and social inequalities in suicide mortality in Iran, 2006-2010: a time trend province-level study.BMJ open · 2014Article
- Socioeconomic position and subjective oral health: findings for the adult population in England, Wales and Northern Ireland.BMC public health · 2014Article
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3 authors.
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Abstract
objectivesWith health inequalities high on the policy agenda, this study measures oral health inequalities in the UK.
methodsWe compare an objective clinical measure of oral health (number of natural teeth) with a self-reported measure of the impact of oral health (the Oral Health Impact Profile, OHIP) to establish whether the type of measure affects the scale of inequality measured. Gini coefficients and Concentration Indices (CIs) are calculated with subsequent decompositions using data from the 1998 UK Adult Dental Health Survey. Because the information on OHIP is only available on dentate individuals, analyses on the number of natural teeth are conducted for two samples - the entire sample and the sample with dentate individuals only, the latter to allow direct comparison with OHIP.
resultsWe find considerable overall pure oral health inequalities (number of teeth: Gini = 0.68 (including edentate), Gini = 0.40 (excluding edentate); OHIP: Gini = 0.33) and income-related inequalities for both measures (number of teeth: CI = 0.35 (including edentate), CI = 0.15 (excluding edentate); OHIP: CI = 0.03), and the CI is generally higher for the number of teeth than for OHIP. There are differences across age groups, with CI increasing with age for the number of teeth (excluding edentate: 16-30 years: CI = 0.01, 65 + years: CI = 0.11; including edentate: 16-30 years: CI = 0.01, 65 + years: CI = 0.19). However, inequalities for OHIP were highest in the youngest age group (CI = 0.05). Number of teeth reflects the accumulation of damage over a lifetime, while OHIP records more immediate concerns.
conclusionsThere are considerable pure oral health inequalities and income-related oral health inequalities in the UK. Using sophisticated methods to measure oral health inequality, we have been able to compare inequality in oral health with inequality in general health. The results provide a benchmark for future comparisons but also indicate that the type of health measure may be of considerable significance in how we think about and measure oral health inequalities.
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