Education level and oral health in Finnish adults: evidence from different lifecourse models

Bernabé, Eduardo; Suominen, Anna Liisa; Nordblad, Anne; Vehkalahti, Miira M.; Hausen, Hannu; Knuuttila, Matti; Kivimäki, Mika; Watt, Richard G.; Sheiham, Aubrey; Tsakos, Georgios

doi:10.1111/j.1600-051x.2010.01647.x

Cited by 69 publications

(112 citation statements)

References 38 publications

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“…While these findings resemble previous reports, the gradient was not as steep as in other industrialized countries [Bernabé et al, 2011;Costa et al, 2012;White et al, 2012]. The study also showed education gradients in the four dental behaviours assessed, with health-promoting behaviours directly related to level of education.…”

Section: Discussioncontrasting

confidence: 52%

The Role of Behaviour in Inequality in Increments of Dental Caries among Finnish Adults

Sabbah

Suominen²,

Vehkalahti³

et al. 2014

Caries Res

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Background: Evidence from cross-sectional studies implies that dental behaviours partially explain inequalities in oral health. Objective: To assess whether dental behaviours completely eliminate inequality in increments of dental caries in a sample of Finnish adults. Methods: The baseline data were collected from the Health 2000 survey, a nationally representative survey of 8,028 individuals aged 30 years or older living in mainland Finland. Four years later, 1,248 subjects were invited for oral re-examination, and 1,049 agreed to participate (84% response rate). At baseline, participants provided information on demographics, education and dental behaviours (dental attendance, tooth brushing with fluoride toothpaste, sugar consumption and daily smoking). Oral examinations at baseline and follow-up were identical. Results: Adults with basic education had significantly greater increments of DMFT (incidence rate ratio 1.41, 95% CI 1.07-1.85) and DT (incidence rate ratio 2.23, 95% CI 1.27-3.90) than those with high education. Adjusting for single behaviours attenuated but did not eliminate education inequality in DMFT and DT increments, tooth brushing having the greatest impact on inequality. Simultaneous adjustment for all behaviours eliminated the significant relationship between education and caries increment. Conclusions: Accounting for important dental behaviours appears to explain all education inequality in dental caries in Finnish adults. The results should be interpreted with caution when applied to less egalitarian populations.

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Section: Discussioncontrasting

confidence: 52%

The Role of Behaviour in Inequality in Increments of Dental Caries among Finnish Adults

Sabbah

Suominen²,

Vehkalahti³

et al. 2014

Caries Res

Self Cite

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“…In addition, our results coincide with previous studies showing that childhood socioeconomic background influences oral health outcomes in later life years. 13,14,16,38 We applied different childhood socioeconomic position proxy measures, with the number of books in the childhood household demonstrating consistently significant influence on oral well-being in middle and later adulthood. One potential pathway could be that a book-oriented scholarly culture at home endows children with useful skills for learning at school (most importantly reading) and thus influences educational attainment.…”

Section: Discussionmentioning

confidence: 99%

Early Life Conditions, Adverse Life Events, and Chewing Ability at Middle and Later Adulthood

2014

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Objectives. We sought to determine the extent to which early life conditions and adverse life events impact chewing ability in middle and later adulthood. Methods. Secondary analyses were conducted based on data from waves 2 and 3 of the Survey of Health, Ageing, and Retirement in Europe (SHARE), collected in the years 2006 to 2009 and encompassing information on current chewing ability and the life history of persons aged 50 years or older from 13 European countries. Logistic regression models were estimated with sequential inclusion of explanatory variables representing living conditions in childhood and adverse life events. Results. After controlling for current determinants of chewing ability at age 50 years or older, certain childhood and later life course socioeconomic, behavioral, and cognitive factors became evident as correlates of chewing ability at age 50 years or older. Specifically, childhood financial hardship was identified as an early life predictor of chewing ability at age 50 years or older (odds ratio = 1.58; 95% confidence interval = 1.22, 2.06). Conclusions. Findings suggest a potential enduring impact of early life conditions and adverse life events on oral health in middle and later adulthood and are relevant for public health decision-makers who design strategies for optimal oral health.

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“…Reports from New Zealand and Brazil have highlighted SES mobility in relation to oral health of young adults [Peres et al, 2011a]. Data from Finland and Brazil have shown support for cumulative risk, social mobility and critical period life course models in relation to oral health of young adults [Bernabe et al, 2011;Peres et al, 2011b]. These have shown that SES in the form of education, income and occupation can influence oral health of young adults over the life course through mobility effects, cumulative effects and at sensitive periods.…”

Section: Discussionmentioning

confidence: 96%

Childhood Oral Health and SES Predictors of Caries in 30-Year-Olds

Brennan

2014

Caries Res

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Background/Aims: To assess whether childhood socio-economic status modifies the relationship between childhood caries and young adult oral health. Methods: In 1988-1989, a total of 7,673 South Australian children aged 13 years were sampled, with 4,604 children (60.0%) and 4,476 parents (58.3%) responding. In 2005-2006, 632 baseline study participants responded (43.0% of those traced and living in Adelaide). Results: Adjusted analyses showed significant interactions for card status by DMFT at age 13 for decayed, missing and filled teeth at age 30, but not for DMFT. Higher DMFT at age 13 was associated with more decayed teeth at age 30 for those with no health card, while there were similar numbers of decayed teeth for card holders regardless of their DMFT at age 13. While higher DMFT at age 13 was associated with more missing teeth at age 30 for card holders, there were similar numbers of missing teeth for those with no card regardless of their DMFT at age 13. The interaction for filled teeth showed that even though higher DMFT at age 13 was associated with more fillings at age 30 for both card holders and those with no card, this relationship was more pronounced for card holders. Conclusions: SES modified the relationship between child oral health and caries at age 30 years. Card holders at age 13 were worse off in terms of their oral health at age 30 controlling for childhood oral health, supporting social causation explanations for oral health inequalities.

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Education level and oral health in Finnish adults: evidence from different lifecourse models

Abstract: There was similar support for the lifecourse models of critical period, accumulation and social trajectories. They collectively contribute to a better understanding of oral health inequalities.

Cited by 69 publications

References 38 publications

The Role of Behaviour in Inequality in Increments of Dental Caries among Finnish Adults

The Role of Behaviour in Inequality in Increments of Dental Caries among Finnish Adults

Early Life Conditions, Adverse Life Events, and Chewing Ability at Middle and Later Adulthood

Childhood Oral Health and SES Predictors of Caries in 30-Year-Olds

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