ArticleInternational journal for equity in health2017
Socioeconomic inequalities in dental health among middle-aged adults and the role of behavioral and psychosocial factors: evidence from the Spanish National Health Survey.
Article in International journal for equity in health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Systematic Review of the Literature on Dental Caries and Periodontal Disease in Socio-Economically Disadvantaged Individuals.International journal of environmental research and public health · 2021Pooled it
- Pooled it
- Pathways Linking Socioeconomic Circumstances to Childhood Dental Caries: The Mediating Role of Parenting and Oral Health Behaviours Before and After Childsmile Implementation.Community dentistry and oral epidemiology · 2026Article
- Impact of public health and patient-centered prevention strategies on periodontitis and caries as causes of tooth loss in high-income countries.Periodontology 2000 · 2025Review
- Socio-economic inequalities in oral health among Portuguese older adults: a cross-sectional study.BMC public health · 2024Article
- Oral health inequalities among geriatric population: A systematic review.Journal of family medicine and primary care · 2024Review
- The effect of education on dental service utilization patterns in different sectors: A multiple mediation analysis.Community dentistry and oral epidemiology · 2023Article
- Socioeconomic Inequalities as a Cause of Health Inequities in Spain: A Scoping Review.Healthcare (Basel, Switzerland) · 2023Article
- Inequalities in utilization and provision of dental services: a scoping review.Systematic reviews · 2021Article
- Income-related inequalities in unmet dental care needs in Spain: traces left by the Great Recession.International journal for equity in health · 2020Article
- Socioeconomic inequality in dental caries experience expressed by the significant caries index: cross-sectional results from the RaNCD Cohort Study.International dental journal · 2020Article
- 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
- Socioeconomic Inequalities in Oral Health among Middle-Aged and Elderly Japanese: NIPPON DATA2010.Journal of epidemiology · 2018Article
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Authors and funding
2 authors.
Funding
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Abstract
backgroundThe goal of this analysis was to describe socioeconomic inequalities in dental health among Spanish middle-aged adults, and the role of behavioral and psychosocial factors in explaining these inequalities.
methodsThis cross-sectional study used survey data from the 2006 Spanish National Health Survey and focused on adults ages 30 - 64. The outcome was dental health status based on the presence of self-reported dental problems. We used education, income, and occupational class as indicators of socioeconomic position and applied logistic regression analysis to estimate associations. We included behavioral and psychosocial variables in the models and compared non-adjusted to adjusted estimates to assess their potential role in explaining socioeconomic gradients.
resultsResults showed clear socioeconomic gradients in dental health among middle-aged adults. The percentage of people who reported more dental problems increased among those with lower levels of education, income, and occupation. These gradients were statistically significant (p < .001). Logistic regression showed that groups with lower education, income, and occupation had higher odds of reporting the outcome (p < .001). Associations were stronger when considering education as the indicator of socioeconomic position. Substantial unexplained associations remained significant after adjusting the model by behavioral and psychosocial variables.
conclusionsThis study shows significant socioeconomic gradients in dental health among middle-aged adults in Spain. Behavioral and psychosocial variables were insufficient to explain the inequalities described, suggesting the intervention of other factors. Further research should incorporate additional explanations to better understand and comprehensively address socioeconomic inequalities in dental health.
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