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Trends in socioeconomic inequalities in oral health among 15‐year‐old Danish adolescents during 1995–2013: A nationwide, register‐based, repeated cross‐sectional study

机译:1995 - 2013年15岁丹麦青少年口腔健康中社会经济不平等的趋势:全国范围内,基于寄存器,重复的横断面研究

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Abstract <section numbered="no" xml:id="cdoe12310-sec-0001"> <title type="main">Background >Scandinavian welfare states, despite having better population oral health than less egalitarian societies, are characterized by ubiquitous social gradients and large relative socioeconomic inequalities in oral health. However, trends in these inequalities among Scandinavian children and adolescents have not been studied in detail. </section> <section numbered="no" xml:id="cdoe12310-sec-0002"> <title type="main">Objectives > To describe the associations between socioeconomic position ( <fc>SEP</fc> ) and oral health in adolescents and to investigate the trends in these associations between 1995 and 2013. </section> <section numbered="no" xml:id="cdoe12310-sec-0003"> <title type="main">Methods > Nationwide repeated cross‐sectional studies (using individual‐level data) were conducted on 15‐year‐olds in Denmark from 1995, 2003, and 2013 (N=154,750). Dental data were obtained from the national dental register of the Danish Health Authority (Sundhedsstyrelsens Centrale Odontologiske Register [ <fc>SCOR</fc> ]) and data on social variables from administrative registers at Statistics Denmark. <fc>SEP</fc> measures included previous year's parental education (highest attained educational level by either of the parents), income (equivalized household disposable income), and occupational social class (highest recorded occupational class between the parents). Covariates were immigration status, country of origin, number of children and persons in the family, and household type. The outcome was dental caries experience, represented by the decayed, missing, and filled surfaces ( <fc>DMFS</fc> ) index. Negative binomial regression models were used to examine the association between <fc>DMFS</fc> count and each of the explanatory variables separately while accounting for cluster‐correlated family data. Furthermore, hierarchical multiple regressions of <fc>DMFS</fc> on <fc>SEP</fc> indicators—using the zero‐inflated negative binomial ( <fc>ZINB</fc> ) distribution as the outcome distribution—were estimated while successively adjusting for the potential effects of the included covariates. </section> <section numbered="no" xml:id="cdoe12310-sec-0004"> <title type="main">Results > Caries prevalence declined from 71% in 1995 to 63% in 2003 and 45% in 2013. Separate assessment of each covariate showed statistically significant graded associations between each covariate and <fc>DMFS</fc> count at all time points. Similarly, in the <fc>ZINB</fc> models, in all 3 years, clear gradients were observed in terms of caries differentials in all three <fc>SEP</fc> categories, with statistically significant associations (Type 3 P values, .0001) even after adjustment for all other covariates. For instance, in 2013, even among adolescents with positive caries experience, being of lower occupational social class was associated with up to 2.4‐fold (95% confidence interval [ <fc>CI</fc> ]: 2.2–2.6) higher caries experience. Between 1995 and 2013, relative inequalities increased in all <fc>SEP</fc> categories, while absolute inequalities decreased in the education and occupation categories. </section> <section numbered="no" xml:id </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> <div class="translation abstracttxt"> <span class="zhankaihshouqi fivelineshidden" id="abstract"> <span>机译:</span><Abstract XMLNS =“http://www.wiley.com/namespaces/wiley”type =“main”xml:id =“cdoe12310-abs-abs-0001”> <标题类型=“main”>抽象</ title> <部分编号=“否”XML:ID =“cdoe12310-sec-0001”> <标题类型=“main”>背景</ title> >斯堪的纳维亚福利国家,尽管人口更好的口腔健康,但是以无处不在的社会梯度为特征,以及口腔健康的巨大相对社会经济不等式。然而,斯堪的纳维亚儿童和青少年之间这些不等式的趋势尚未详细研究。</ p> </ section> <secto numbyed =“no”xml:id =“cdoe12310-sec-0002”> <title type =“主要“>目标</ title> >描述社会经济位置(<FC> SEP </ FC>)和青少年口语健康之间的关联,并在1995年至2013年期间调查这些协会的趋势。</ p> </ section> <sectored =“no”xml:id =“cdoe12310-sec-0003”> <标题类型=“main”>方法</ title> >全国重复的横截面研究(使用单个级别1995年,2003年和2013年丹麦的15岁儿童进行了数据(n = 154,750)。牙科数据是从丹麦卫生局的国家牙科登记册(Sundhedsstyrelsens Centrale Odontologiske Ression [<FC> Scor </ Fc>])和关于统计数据丹麦管理寄存器的社交变量的数据。 <FC> SEP </ FC>措施包括去年的父母教育(最高达到了父母的教育水平),收入(相等的家庭可支配收入)和职业社会阶层(父母之间的最高录制的职业课程)。协调因子是移民身份,原产地,家庭中的儿童数量,以及家庭类型。结果是龋齿经验,由腐烂,丢失和填充的表面(<FC> DMFS </ FC>)索引表示。负二项式回归模型用于检查<FC> DMFS </ FC>计数与每个解释变量之间的关联,同时考虑聚类相关的家庭数据。此外,使用作为结果分布的零充气负二项式(<fc> zinb </ fc>)分布为零膨胀的负二项式(<fc> zinb </ fc>指示器的分层多元回归。同时连续调整包括包括协变量的潜在效果。 </ p> </段> <部分编号=“否”XML:ID =“CDOE12310-SEC-0004”> <标题类型=“main”>结果</标题> <P>龋齿流行从71%下降1995年,2003年的63%和2013年45%。每个协变化的单独评估显示每个协变量和<FC> DMFS之间的统计上显着的分级关联在所有时间点。同样,在<FC> Zinb </ Fc>模型中,在所有3年内,在所有三个<FC> SEP </ FC>类别中的龋齿差异方面观察到清晰的梯度,具有统计上显着的关联(类型3 <i > P </ i>值,& 0001)即使在调整所有其他协变量之后。例如,在2013年,即使在具有积极龋齿经验的青少年中,较低的职业社会阶层也与高达2.4倍有关(95%置信区间[<FC> CI </ FC>]:2.2-2.6)龋齿经验。在1995年至2013年期间,所有<FC> SEP </ FC>类别中的相对不平等增加,而教育和占领类别中的绝对不平等减少。 </ p> </ section> <secto numbyed =“no”XML:ID </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> </div> <div class="record"> <h2 class="all_title" id="enpatent33" >著录项</h2> <ul> <li> <span class="lefttit">来源</span> <div style="width: 86%;vertical-align: text-top;display: inline-block;"> <a href='/journal-foreign-16940/'>《Community dentistry and oral epidemiology》</a> <b style="margin: 0 2px;">|</b><span>2017年第5期</span><b style="margin: 0 2px;">|</b><span>共11页</span> </div> </li> <li> <div class="author"> <span class="lefttit">作者</span> <p id="fAuthorthree" class="threelineshidden zhankaihshouqi"> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Sengupta Kaushik&option=202" target="_blank" rel="nofollow">Sengupta Kaushik;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Christensen Lisa B?ge&option=202" target="_blank" rel="nofollow">Christensen Lisa B?ge;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Mortensen Laust Hvas&option=202" target="_blank" rel="nofollow">Mortensen Laust Hvas;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Skovgaard Lene Theil&option=202" target="_blank" rel="nofollow">Skovgaard Lene Theil;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Andersen Ingelise&option=202" target="_blank" rel="nofollow">Andersen Ingelise;</a> </p> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zkzz" style="display: none;">展开▼</span> </div> </li> <li> <div style="display: flex;"> <span class="lefttit">作者单位</span> <div style="position: relative;margin-left: 3px;max-width: 639px;"> <div class="threelineshidden zhankaihshouqi" id="fOrgthree"> <p>Section of Social MedicineUniversity of CopenhagenCopenhagen Denmark;</p> <p>Department of OdontologyUniversity of CopenhagenCopenhagen Denmark;</p> <p>Section of Social MedicineUniversity of CopenhagenCopenhagen Denmark;</p> <p>Section of BiostatisticsUniversity of CopenhagenCopenhagen Denmark;</p> <p>Section of Social MedicineUniversity of CopenhagenCopenhagen Denmark;</p> </div> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zhdw" style="display: none;">展开▼</span> </div> </div> </li> <li > <span class="lefttit">收录信息</span> <span style="width: 86%;vertical-align: text-top;display: inline-block;"></span> </li> <li> <span class="lefttit">原文格式</span> <span>PDF</span> </li> <li> <span class="lefttit">正文语种</span> <span>eng</span> </li> <li> <span class="lefttit">中图分类</span> <span><a href="https://www.zhangqiaokeyan.com/clc/204.html" title="口腔科学">口腔科学;</a></span> </li> <li class="antistop"> <span class="lefttit">关键词</span> <p style="width: 86%;vertical-align: text-top;"> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Denmark&option=203" rel="nofollow">Denmark;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=dental caries&option=203" rel="nofollow">dental caries;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=oral health inequalities&option=203" rel="nofollow">oral health inequalities;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=social determinants&option=203" rel="nofollow">social determinants;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=socioeconomic position&option=203" rel="nofollow">socioeconomic position;</a> </p> <div class="translation"> 机译:丹麦;龋齿;口腔健康不等式;社会决定因素;社会经济地位; </div> </li> </ul> </div> </div> <div class="literature cardcommon"> <div class="similarity "> <h3 class="all_title" id="enpatent66">相似文献</h3> <div class="similaritytab clearfix"> <ul> <li class="active" >外文文献</li> <li >中文文献</li> </ul> </div> <div class="similarity_details"> <ul > <li> <div> <b>1. </b><a class="enjiyixqcontent" href="/journal-foreign-detail/0704022271348.html">Trends in socioeconomic inequalities in oral health among 15‐year‐old Danish adolescents during 1995–2013: A nationwide, register‐based, repeated cross‐sectional 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