ArticleCanadian journal of public health = Revue canadienne de sante publique2017
Inequalities in oral health: Understanding the contributions of education and income.
Article in Canadian journal of public health = Revue canadienne de sante publique, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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16 citing papers in PubMed, 37 citations in OpenAlex.
- Sociodemographic, lifestyle, overall health and oral health factors associated with negative self-perception of oral health among the elderly: a cross-sectional study, Brazil, 2019.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2026Article
- Knowledge, Attitudes, and Practices to Periodontal Health of the Northeast Chinese Public: Cross-Sectional Study.JMIR public health and surveillance · 2025Article
- Sociodemographic, general health and oral health factors associated with difficulty in eating among elderly people: a cross-sectional study, Brazil, 2019.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2025Article
- Evaluating socioeconomic inequalities in self-rated oral health and its contributing factors in Brazilian older adults.PloS one · 2025Article
- Decrease in Socioeconomic Disparities in Self-Rated Oral Health among Brazilian Adults between 2013 and 2019: Results from the National Health Survey.International journal of environmental research and public health · 2024Article
- Assessment of Oral Health Status and Pregnancy Outcomes Among Women in Saudi Arabia.Patient preference and adherence · 2024Article
- Oral health-related quality of life and depressive symptoms in adults: longitudinal associations of the English Longitudinal Study of Ageing (ELSA).BMC oral health · 2023Article
- The educational gradient in dental caries experience in Northern- Norway: a cross-sectional study from the seventh survey of the Tromsø study.BMC oral health · 2023Article
- Access to oral health care for children with fetal alcohol spectrum disorder: a cross-sectional study.BMC oral health · 2022Article
- A study of socio-economic inequalities in self-reported oral and general health in South-East Norway.Scientific reports · 2022Article
- Oral health inequality among Indonesian workers in South Korea: role of health insurance and discrimination factors.BMC oral health · 2022Article
- Predictors of self-rated oral health in Canadian Indigenous adults.BMC oral health · 2021Article
- What makes inequality in the area of dental and oral health in developing countries? A scoping review.Cost effectiveness and resource allocation : C/E · 2021Article
- Malocclusion of Molar Teeth Is Associated with Activities of Daily Living Loss and Delirium in Elderly Critically Ill Older Patients.Journal of clinical medicine · 2021Article
- Providing dental insurance can positively impact oral health outcomes in Ontario.BMC health services research · 2020Article
- Special section on dental public health: A collaboration between the Canadian Journal of Public Health and the Canadian Association of Public Health Dentistry.Canadian journal of public health = Revue canadienne de sante publique · 2017Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo quantify the extent to which income and education explain gradients in oral health outcomes.
methodsUsing data from the Canadian Community Health Survey (CCHS 2003), binary logistic regression models were constructed to examine the relationship between income and education on self-reported oral health (SROH) and chewing difficulties (CD) while controlling for age, sex, ethnicity, employment status and dental insurance coverage. The relative index of inequality (RII) was utilized to quantify the extent to which income and education explain gradients in poor SROH and CD.
resultsIncome and education gradients were present for SROH and CD. From fully adjusted models, income inequalities were greater for CD (RIIinc = 2.85) than for SROH (RIIinc = 2.75), with no substantial difference in education inequalities between the two. Income explained 37.4% and 42.4% of the education gradient in SROH and CD respectively, whereas education explained 45.2% and 6.1% of income gradients in SROH and CD respectively. Education appears to play a larger role than income when explaining inequalities in SROH; however, it is the opposite for CD.
conclusionIn this sample of the Canadian adult population, income explained over one third of the education gradient in SROH and CDs, whereas the contribution of education to income gradients varied by choice of self-reported outcome. Results call for stakeholders to improve affordability of dental care in order to reduce inequalities in the Canadian population.
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