ArticleJournal of preventive medicine and hygiene2020
What explains socioeconomic inequalities in dental flossing? Cross-sectional results from the RaNCD cohort study.
Article in Journal of preventive medicine and hygiene, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 10 citations in OpenAlex.
- Adjuvant effects of injectable platelet-rich fibrin (i-PRF) in the non-surgical periodontal therapy: a split-mouth randomized controlled clinical trial.Clinical oral investigations · 2025Trial
- Awareness and Usage of Water Irrigation Devices Among Implant Patients: A Cross-Sectional Study.International journal of dental hygiene · 2026Article
- Is the Sense of Coherence Associated With Flossing Among Southern Brazilian Male Adolescents? A Cross-Sectional Study.International journal of dental hygiene · 2026Article
- Global Trends in Adolescent Health Inequalities and Their Social Determinants: A Bibliometric and Scoping Review.Healthcare (Basel, Switzerland) · 2026Review
- Understanding and predicting flossing behavior in a rural Appalachian community using the multi-theory model.Scientific reports · 2025Article
- Inequality in dental flossing behavior among Korean adults based on household income levels.Epidemiology and health · 2024Article
- Socioeconomic Inequalities in Oral Health-related Behaviors in 18-Year-Old Adolescents: A Cross-sectional Study.Journal of International Society of Preventive & Community DentistryArticle
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe magnitude and underlying determinants of socioeconomic inequality in dental flossing are poorly understood in Iran. This study aimed to measure and decompose socioeconomic inequalities in dental flossing in Ravansar, Iran.
methodsData of 10,002 individuals aged 35-65 years who participated in the Ravansar Non- communicable Diseases (RaNCD) cohort study in Kermanshah province, western Iran, were analyzed. Based on an asset-based method, socioeconomic status (SES) was measured using principal component analysis (PCA). The concentration index and curve were employed to measure socioeconomic inequality in dental flossing. Decomposition analysis was used to estimate the contribution of each determinant to the overall inequality.
resultsOf 10,002 participants, 11.74% were found to practice dental floss. The normalized CI for dental flossing was 0.327 in the entire population, 0.323 in females and 0.329 in males, indicating that the use of dental floss is more concentrated among high-SES individuals. The decomposition analysis indicated that SES (50.58%) and level of education (44.90%) respectively contributed the most to this inequality. Place of residence (10.55%) and age group (2.7%) were the next main contributors, respectively.
conclusionsWe found a low prevalence of dental flossing among participants in RaNCD study. We also observed a relatively high degree of pro-rich inequality in dental flossing. The observed inequality was mainly explained by socioeconomic status, level of education and place of residence. Policy interventions should consider these factors to reduce inequalities in dental flossing.
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