Early socioeconomic conditions and severe tooth loss in middle‐aged Costa Ricans

Fantin, Romain; Delpierre, Cyrille; Kelly-Irving, Michelle; Solís, Cristina Barboza

doi:10.1111/cdoe.12351

Cited by 22 publications

(39 citation statements)

References 45 publications

(98 reference statements)

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“…Estos instrumentos permiten calcular scores y categorías reflejando los recursos de las personas. Este tipo de score se puede calcular sumando las respuestas positivas (10,11) o utilizando un análisis en componentes principales para ponderar cada bien (24,25).…”

Section: Condiciones Materiales (O Riqueza)unclassified

“…La situación económica percibida podría tener un efecto directo sobre la salud a través de los mecanismos relacionados con las respuestas psiconeuro-endocrinas generadas por la disminución de la autoestima y el estrés producido por la falta de ingresos (36). La pregunta desarrollada por el CRELES ya fue utilizada (14,24): "¿Cómo describiría su situación económica actual? ".…”

Section: Situación Económica Percibidaunclassified

“…Esta percepción, siendo muy contextual, se puede definir a diferentes niveles. Por ejemplo, CRELES la mide a nivel de la comunidad y a nivel del país utilizando la McArthur Subjective Scale (24).…”

Section: Deprivación Relativa Auto-percibidaunclassified

“…Se pueden calcular a partir de los estudios que poseen un conjunto importante de variables midiendo varias dimensiones de la posición económica como lo hizo CRELES, sumando variables (22) o utilizando un análisis de componentes principales (ACP) para resumir la información contenida en varias variables en una sola, el eje principal (24).…”

Section: Scoresunclassified

“…Según el INEC, en el 2017, el ingreso promedio per cápita en la zona urbana era de 416.514 colones al mes, versus 240.870 colones en la zona rural. Por lo tanto, muchos estudios dividieron el país entre zona rural y zona urbana (14,17,24,39,40) y/o alrededor de San José y el resto del país (10,11,41). Sin embargo, esta variable puede también medir el acceso a los servicios de salud por la concentración de los hospitales (tercer nivel de atención) en la Gran Área Metropolitana.…”

Section: Zonaunclassified

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Measuring Socioeconomic Position From The Social Inequalities In Health Perspective?: The Case of Costa Rica

Fantin

Duarte

Bonilla

et al. 2019

Odovtos - Int J Dent Sc

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RESUMENIntroducción: La medición de la posición socioeconómica (PSE) es central para el análisis de las inequidades sociales en salud (ISS) y requiere de instrumentos actualizados, adaptados a un marco conceptual de referencia, al contexto local y a las características de las poblaciones. El objetivo de este estudio es presentar y discutir, a la luz de la literatura internacional, las ventajas y desventajas de las diferentes formas de medición de la posición socioeconómica para el análisis de las ISS que existen en Costa Rica. Materiales y métodos: Se realizó una revisión sistemática de los instrumentos y métodos existentes en Costa Rica para la medición de las ISS. Resultados: Se encontró que en Costa Rica existe una gran diversidad de instrumentos a nivel individual o geográfico que permiten medir la posición socioeconómica en el marco de las ISS. Cada proxy de la PSE se desarrolla en función de un marco conceptual de referencia, y se debe adaptar al diseño del estudio, a las características de la población de estudio (e.g. edad) y de la factibilidad de la recolección de los datos. Sin embargo, debido a la gran diversidad de variables y marcos conceptuales existentes sobre la PSE, no es posible establecer la existencia de un patrón de oro para la medición de las ISS aplicable a todos los estudios. Conclusión: Esta revisión de la literatura costarricense a la luz de la literatura internacional, podría contribuir a un mejor uso de las herramientas existentes. Permitirá a los investigadores escoger los instrumentos más adaptados al contexto local que han sido validados previamente, los marcos teóricos respectivos que existen detrás de cada medición, y sus eventuales limitaciones. PALABRAS CLAVE Inequidadessociales en salud; Desigualdad social en salud; Medición; Posición socioeconómica; Estatus socioeconómico; Costa Rica. FANTIN R., GÓMEZ I., SÁENZ J., ROJAS K, BARBOZA C., 2019: ¿Cómo medir la posición socioeconómica en el marco de las inequidades sociales de salud?: El caso de Costa Rica.-ODOVTOS-Int. J. Dental Sc., 21-3 (September-December): 65-75.ABSTRACT Introduction: Measuring socioeconomic position (SEP) is central in the analysis of social inequalities in health (SIH). It requires the use of updated instruments, adapted to a particular conceptual framework, taking into account the local context and the population characteristics. This study aims to present and discuss the advantages and disadvantages of different measurement of SEP used in Costa Rica for the analysis of health inequalities. Materials and methods: A systematic review of the existing instruments and methods used to characterize SEP in Costa Rica was carried out. Results: There is a great diversity of instruments used as proxies of SEP in Costa Rica, both at the individual, and at geographical level. These measures allow to capture specific dimensions of SEP potentially associated with different health outcomes. Being a latent concept, variables approaching SEP should refer to their specific conceptual framework, be adapted to the study design...

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Section: Condiciones Materiales (O Riqueza)unclassified

Section: Situación Económica Percibidaunclassified

Section: Deprivación Relativa Auto-percibidaunclassified

Section: Scoresunclassified

Section: Zonaunclassified

See 3 more Smart Citations

Measuring Socioeconomic Position From The Social Inequalities In Health Perspective?: The Case of Costa Rica

Fantin

Duarte

Bonilla

et al. 2019

Odovtos - Int J Dent Sc

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Updating The General Practitioner on The Association Between Teeth Loss and Temporomandibular Disorders: A Systematic Review

2022

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The belief about a possible association between the absence of one or more teeth and the presence of temporomandibular disorders (TMD), although old, is still present among the dental class. Although evidence points to a lack of association between loss of posterior support and the presence of TMD, we do not have critical studies on the extent, quantity, or location of these losses. In this sense, this systematic review aims to investigate the association between tooth loss and the presence of TMD signs or diagnostic subgroups. Search strategies using a combination of keywords tooth loss and TMDs were performed in six databases (PubMed, Embase, Web of Science, Livivo, Lilacs, and Scopus) and gray literature from August to September 2020. Observational studies that investigated the association between tooth loss in TMD were considered. The risk of bias was assessed using the Joanna Briggs Institute (JBI) Critical Assessment Checklist for cross-sectional analytical studies, case–control, and cohort studies. Finally, the level of certainty measured by the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) was assessed. Six articles were included in the review according to the eligibility criteria. Of these, five had a high risk of bias and one had a moderate risk. Only one study showed an association between the loss of posterior teeth and the presence of joint sounds and joint pain, the others found no significant association with sign or TMD subgroups diagnostic.There is no scientific evidence to support the association between one or more tooth loss and the presence of TMD signs and symptoms or diagnostic subgroups.

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A life course approach to total tooth loss: Testing the sensitive period, accumulation, and social mobility models in the Health and Retirement Study

Lee

2019

Comm Dent Oral Epid

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Objectives: Childhood socio-economic status (SES) has long been associated with later-life oral health, suggesting that childhood is a sensitive period for oral health.Far less attention has been given to the long-term impact of childhood trauma, abuse, and smoking on later-life oral health. This study fills the gap in the literature by examining how adverse childhood experiences-social, psychological, and behavioralshape total tooth loss over the life course, with an assessment of the sensitive period, accumulation, and social mobility models from life course research. Methods: Data are drawn from the 2012 Health and Retirement Study (HRS) mergedwith multiple HRS data sources to obtain childhood information (N = 6,427; age > 50).Adverse childhood experiences include childhood financial hardship, trauma, abuse, and smoking. Total tooth loss is measured to assess poor oral health in later life.Educational attainment and poverty status (since age 51) are measured as adult adversity. Current health conditions and health behaviors are assessed to reflect the correlates of oral health in later life. Results:The sensitive period model indicates that childhood trauma such as parental death or divorce (odds ratio [OR] = 1.37, 95% confidence interval [CI] = 1.04, 1.80), physical abuse (OR = 1.17, 95% CI = 1.03, 1.34), and low educational attainment (≤ high school; OR = 1.52, 95% CI = 1.04, 2.22) are associated with higher odds of total tooth loss in later life. Poverty status was not associated with the outcome. There was a clear graded relationship between accumulation of adverse experiences and oral health, which supports the accumulation model. In the social mobility model, older adults who occupied a stable disadvantageous position were more likely to be toothless (OR = 1.77, 95% CI = 1.08, 2.90) compared to those who did not face adversity in any case. Neither upward nor downward mobility mattered. Conclusions:Failing oral health in older adults, especially total tooth loss, may have its roots in adverse experiences such as childhood trauma, abuse, and low educational attainment. Findings also suggest that oral health in later life may be more influenced by accumulation of adversity rather than changes in social and economic position over the life course. | ME THODS | DataData are drawn from the 2012 Health and Retirement Study (HRS), merged with multiple HRS data sources including the 2015 Life History Mail Survey (LHMS) and the retrospective childhood variables from the HRS core surveys (1998-2010). The HRS is a nationally representative longitudinal study of older adults in the United States and their spouses aged 51 and older, which includes the core surveyed every two years, and off-year supplementary mail surveys administered in between waves of the HRS core. 23 The HRS was initiated in 1992 and has collected information on the changing social, financial, and health conditions of late adulthood in the core. Additionally, HRS has collected retrospective childhood information from 1998 onwards. Questions about ch...

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Early socioeconomic conditions and severe tooth loss in middle‐aged Costa Ricans

Abstract: The lifecourse model allowed to highlight that early socioeconomic conditions could have long-term consequences on severe tooth loss in middle ages via both direct and indirect mechanisms.

Cited by 22 publications

References 45 publications

Measuring Socioeconomic Position From The Social Inequalities In Health Perspective?: The Case of Costa Rica

Measuring Socioeconomic Position From The Social Inequalities In Health Perspective?: The Case of Costa Rica

Updating The General Practitioner on The Association Between Teeth Loss and Temporomandibular Disorders: A Systematic Review

A life course approach to total tooth loss: Testing the sensitive period, accumulation, and social mobility models in the Health and Retirement Study

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