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Income gradients in oral health according to child age

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Bibliographic Details
Title: Income gradients in oral health according to child age
Authors: Wael Sabbah, Eduardo Bernabé, Stuart A. Gansky, Elsa K. Delgado-Angulo, Jason E. Murasko
Source: European Journal of Oral Sciences, vol 123, iss 4
Publisher Information: Wiley, 2015.
Publication Year: 2015
Subject Terms: Male, cross-sectional, Adolescent, Poverty/statistics & numerical data, Oral Health, Dental Caries, Health Services Accessibility, Tooth Fractures, 03 medical and health sciences, 0302 clinical medicine, Humans, Income/statistics & numerical data, Dental Care/statistics & numerical data, Child, Dental Care, Poverty, Gingival Hemorrhage/epidemiology, Oral Health/statistics & numerical data, Insurance, Health, Toothache/epidemiology, Health Services Accessibility/statistics & numerical data, Tooth Fractures/epidemiology, Age Factors, Child Health, Infant, Toothache, Health Status Disparities, Child Health/statistics & numerical data, United States/epidemiology, public health dentistry, 3. Good health, parental reports, Dentistry, Child, Preschool, Income, oral health, Female, family income, Gingival Hemorrhage, Insurance, Health/statistics & numerical data, Dental Caries/epidemiology
Description: This study aimed to confirm whether the well‐known income disparities in oral health seen over the life course are indeed absent in 9‐ to 11‐yr‐old children, and to explore the role of access to dental care in explaining the age‐profile of the income gradient in child oral health. We used data from the 2007 United States National Survey of Children's Health. Income gradients in parental reports of children's decayed teeth or cavities, toothache, broken teeth, bleeding gums, and fair/poor condition of teeth were assessed in stratified analyses according to age of child (1–5, 6–8, 9–11, 12–14, and 15–17 yr), using survey logistic regression to control for family‐, parental‐, and child‐level covariates. Health insurance status and use of preventive dental care were the indicators for children's access to dental care. The adjusted ORs for the effect of family income on having decayed teeth or cavities, toothache, and fair/poor condition of teeth were not significant in 9‐ to 11‐yr‐old children. Different age‐patterns were found for broken teeth and bleeding gums. The attenuation of the income gradients in having decayed teeth or cavities, toothache, and fair/poor condition of teeth, previously seen in 9‐ to 11‐yr‐old children, was also seen in 15‐ to 17‐, 12‐ to 14‐, and 6‐ to 8‐yr‐old children, respectively, after controlling for children's access to dental care. This study supports the attenuation of income inequalities in oral health in 9‐ to 11‐yr‐old children. Access to dental care could attenuate income gradients in oral health in other age groups.
Document Type: Article
Language: English
ISSN: 1600-0722
0909-8836
DOI: 10.1111/eos.12194
Access URL: https://pubmed.ncbi.nlm.nih.gov/26031837
https://pubmed.ncbi.nlm.nih.gov/26031837/
https://core.ac.uk/display/29947839
https://www.onlinelibrary.wiley.com/doi/abs/10.1111/eos.12194
https://www.ncbi.nlm.nih.gov/pubmed/26031837
https://escholarship.org/uc/item/355194wg
Rights: Wiley Online Library User Agreement
Accession Number: edsair.doi.dedup.....f1c7d5e1591cc3a2eb6975f06f55268e
Database: OpenAIRE
Description
Abstract:This study aimed to confirm whether the well‐known income disparities in oral health seen over the life course are indeed absent in 9‐ to 11‐yr‐old children, and to explore the role of access to dental care in explaining the age‐profile of the income gradient in child oral health. We used data from the 2007 United States National Survey of Children's Health. Income gradients in parental reports of children's decayed teeth or cavities, toothache, broken teeth, bleeding gums, and fair/poor condition of teeth were assessed in stratified analyses according to age of child (1–5, 6–8, 9–11, 12–14, and 15–17 yr), using survey logistic regression to control for family‐, parental‐, and child‐level covariates. Health insurance status and use of preventive dental care were the indicators for children's access to dental care. The adjusted ORs for the effect of family income on having decayed teeth or cavities, toothache, and fair/poor condition of teeth were not significant in 9‐ to 11‐yr‐old children. Different age‐patterns were found for broken teeth and bleeding gums. The attenuation of the income gradients in having decayed teeth or cavities, toothache, and fair/poor condition of teeth, previously seen in 9‐ to 11‐yr‐old children, was also seen in 15‐ to 17‐, 12‐ to 14‐, and 6‐ to 8‐yr‐old children, respectively, after controlling for children's access to dental care. This study supports the attenuation of income inequalities in oral health in 9‐ to 11‐yr‐old children. Access to dental care could attenuate income gradients in oral health in other age groups.
ISSN:16000722
09098836
DOI:10.1111/eos.12194