Evidence map›Paper›PMID 34821390›Full record

ArticleJournal of public health dentistry2022

Comparing the magnitude of oral health inequality over time in Canada and the United States.

Malini Chari, Vahid Ravaghi, Wael Sabbah, Noha Gomaa, Sonica Singhal, Carlos Quiñonez

Abstract read
In one paragraph

Article in Journal of public health dentistry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
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  4. Canada's oral health and dental care inequalities and the Canadian Dental Care Plan.Canadian journal of public health = Revue canadienne de sante publique · 2023
    Article
  5. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Malini ChariFaculty of Dentistry, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-6696-9469
Vahid RavaghiSchool of Dentistry, University of Birmingham, Birmingham, UK.
Wael SabbahFaculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, UK.ORCID 0000-0002-6339-9480
Noha GomaaSchulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.
Sonica SinghalFaculty of Dentistry, University of Toronto, Toronto, Ontario, Canada.
Carlos QuiñonezFaculty of Dentistry, University of Toronto, Toronto, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess the magnitude of, and changes in, absolute and relative oral health inequality in Canada and the United States, from the 1970s till the first decade of the new millennium.

methodsData were obtained from four national surveys; two Canadian (NCNS 1970-1972 and CHMS 2007-2009) and two American (HANES 1971-1974 and NHANES 2007-2008). The slope and relative index of inequality were used to measure absolute and relative inequality, respectively. Percentage change in inequality was also calculated.

resultsRelative inequality for untreated decay increased by 91% in Canada and 189% in the United States, while for filled teeth it declined by 63% in Canada and 16% in the United States. Relative inequality in edentulism rose by 200% and 78% in Canada and United States, respectively. Absolute inequality declined in both countries.

conclusionsThere was persistent absolute and relative inequality in Canada and the United States. An increase in relative inequality for adverse outcomes suggests that improvements in oral health were occurring primarily among the rich, while reductions in relative inequality for filled teeth indicate higher utilization of restorative services among the poor. These results point to the necessity of tackling the sociopolitical determinants of health to mitigate oral health inequality in Canada and the United States.

Indexed as

Health Status DisparitiesOral HealthCanadaDental CareHumansIncomeNutrition SurveysSocioeconomic FactorsUnited Statescountry comparisonsdental caredental health surveysincome distributioninequalityoral healthpolitical factors

Identifiers

PMID34821390
PMCPMC10078632

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.