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Life course socioeconomic inequalities and oral health status in later life: ELSI-Brazil

de Andrade, FB; Ferreira Antunes, JL; Borges de Souza Junior, PR; Lima-Costa, MF; de Oliveira, C; (2018) Life course socioeconomic inequalities and oral health status in later life: ELSI-Brazil. Revista de Saúde Pública , 52 (2) , Article 7s. 10.11606/S1518-8787.2018052000628. Green open access

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Abstract

OBJECTIVE: To investigate the association between life course socioeconomic conditions and two oral health outcomes (edentulism and use of dental prostheses among individuals with severe tooth loss) among older Brazilian adults. METHODS: This was a cross-sectional study with data from the Brazilian Longitudinal Study of Aging (ELSI-Brazil) which includes information on persons aged 50 years or older residing in 70 municipalities across the five great Brazilian regions. Regression models using life history information were used to investigate the relation between childhood (parental education) and adulthood (own education and wealth) socioeconomic circumstances and edentulism and use of dental prostheses. Slope index of inequality and relative index of inequality for edentulism and use of dental prostheses assessed socioeconomic inequalities in both outcomes. RESULTS: Approximately 28.8% of the individuals were edentulous and among those with severe tooth loss 80% used dental prostheses. Significant absolute and relative inequalities were found for edentulism and use of dental prostheses. The magnitude of edentulism was higher among individuals with lower levels of socioeconomic position during childhood, irrespective of their current socioeconomic position. Absolute and relative inequalities related to the use of dental prostheses were not related to childhood socioeconomic position. CONCLUSIONS: These findings substantiate the association between life course socioeconomic circumstances and oral health in older adulthood, although use of dental prostheses was not related to childhood socioeconomic position. The study also highlights the long-lasting relation between childhood socioeconomic inequalities and oral health through the life course.

Type: Article
Title: Life course socioeconomic inequalities and oral health status in later life: ELSI-Brazil
Open access status: An open access version is available from UCL Discovery
DOI: 10.11606/S1518-8787.2018052000628
Publisher version: http://www.scielo.br/scielo.php?script=sci_abstrac...
Language: English
Additional information: This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided that the original author and source are credited.
Keywords: Aged. Tooth Loss; epidemiology. Mouth; Edentulous; epidemiology. Denture; Complete; utilization. Health Status Disparities.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health
URI: https://discovery.ucl.ac.uk/id/eprint/10063635
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