ArticleInternational dental journal2019
Contextual income inequality and adolescents' oral-health-related quality of life: A multi-level analysis.
Article in International dental journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Association between oral health-related quality of life and structural determinants of health among elderly populations. a systematic review and meta-analysis.International journal for equity in health · 2025Pooled it
- Fermentable carbohydrates intake and dental caries in adolescents under household food insecurity: a counterfactual analysis.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026Article
- Global Trends in Adolescent Health Inequalities and Their Social Determinants: A Bibliometric and Scoping Review.Healthcare (Basel, Switzerland) · 2026Review
- Neighborhood factors and use of dental services among young adults in Southern Brazil: a 5-year cohort study.Brazilian oral research · 2026Article
- Is there an association between body image and self-rated oral health in a sample of Brazilian adolescents?Brazilian oral research · 2025Article
- Income-related inequalities in the prevalence of dental pain intensity in adults: gender differences.Frontiers in oral health · 2025Article
- Article
- Unemployment and expenditure on health and education as mediators of the association between toothbrushing and global income inequalities.BMC oral health · 2022Article
- Oral health-related quality of life determinants throughout adolescence: a cohort study in Brazil.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022Article
- An empirical analysis of the impact of income inequality and social capital on physical and mental health - take China's micro-database analysis as an example.International journal for equity in health · 2021Article
- Key factors associated with oral health-related quality of life in Sri Lankan adolescents: a cross sectional study.BMC oral health · 2021Article
- Monitoring of oral health teams after National Primary Care Policy 2017.Revista de saude publica · 2020Article
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2 authors.
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Abstract
objectivesThe aim of this study was to test the association of current contextual income inequality, contextual income inequality experienced during childhood, and individual factors with oral-health-related quality of life (OHRQoL) in adolescents.
methodsIndividual data of 3,854 adolescents aged 15-19 years from the Brazilian Oral Health Survey (SB Brasil Project) nested within 27 cities and contextual income inequality were analysed. OHRQoL was assessed using the Oral Impacts on Daily Performance (OIDP) questionnaire. The individual variables were demographic characteristics, socio-economic factors, and oral clinical measures. The Gini Index was used to evaluate city-level income inequality in 2003 (during childhood) and in 2010 (current) according to the tertiles of distribution. Multi-level Poisson regression was used to test the association of contextual income inequality and individual characteristics with OIDP extent according to the WHO framework on social determinants of health.
resultsThe prevalence of OIDP was 34.5%. In the adjusted analysis, adolescents living in the cities with high-level income inequality during childhood were 1.75 times more likely (95% confidence interval 1.23-2.48) to have a higher mean of OIDP extent. Current income inequality was not associated with OIDP extent in adolescents.
conclusionsContextual income inequality during childhood was a structural determinant of OHRQoL among Brazilian adolescents after adjustment for individual demographic characteristics, socio-economic factors and oral clinical measures. Reducing social inequalities through inter-sectoral actions should be on the political agenda to improve adolescents' oral health.
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