Vettore, M., Faerstein, E. and Baker, S. (2016) Social position, social ties and adult’s oral health: 13 year cohort study. Journal of Dentistry, 44. pp. 50-56. ISSN 1879-176X
Abstract
Objectives
This study explored different pathways by which social position and social ties influence adult’s oral health over a 13-year period.
Methods
A cohort investigation (Pro-Saúde Study) was conducted of non-faculty civil servants at a university in Rio de Janeiro, Brazil (N = 1613). Baseline data collected in 1999 included age, social position, social ties, and access to dental care. Psychological factors and smoking were assessed in 2001, whereas tooth loss and self-rated oral health (SROH) were collected in 2012. A hypothesised model exploring different direct and indirect pathways was developed and tested using structural equation modelling.
Results
The model was a good fit to the data and accounted for 40% and 27% of the variance in tooth loss and SROH, respectively. A greater social position was linked to more social ties (β = 0.31), health insurance (β = 0.48), low psychological distress (β = 0.07), less smoking (β = −0.21), more regular dental visiting (β = 0.30), less tooth loss (β = −0.44) and better SROH (β = −0.25) over time. Social position (β = 0.0005) and social ties (β = −0.0015) were linked indirectly with psychological distress, smoking and tooth loss. Social position was linked indirectly with social ties, psychological distress and SROH (β = −0.0071).
Conclusions
Poor social position and weak social ties were important predictors for tooth loss and poor SROH in adults over the 13-year period. Direct and indirect pathways via psychological factors and smoking on the aforementioned relationships were identified, suggesting different areas of intervention to promote adults’ oral health.
Clinical significance
Adult’s oral health is influenced by social conditions through direct and indirect pathways, including via psychological factors and smoking.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2015 Elsevier Ltd. This is an author produced version of a paper subsequently published in Journal of Dentistry. Uploaded in accordance with the publisher's self-archiving policy. Article available under the terms of the CC-BY-NC-ND licence (https://creativecommons.org/licenses/by-nc-nd/4.0/) |
Keywords: | Social determinants of health; Social support; Social networks; Longitudinal studies; Tooth loss; Structural equation modelling |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Clinical Dentistry (Sheffield) |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 22 Jan 2016 13:43 |
Last Modified: | 07 Dec 2016 01:38 |
Published Version: | http://dx.doi.org/10.1016/j.jdent.2015.12.004 |
Status: | Published |
Publisher: | Elsevier |
Refereed: | Yes |
Identification Number: | 10.1016/j.jdent.2015.12.004 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:93007 |