The Effects of Social Class and Dental Attendance on Oral Health

Author:

Donaldson A.N.12345,Everitt B.12345,Newton T.12345,Steele J.12345,Sherriff M.12345,Bower E.12345

Affiliation:

1. King’s College London Dental Institute, Weston Education Centre, Off 262 Cutcombe Road, Denmark Hill, London SE5 9RJ, UK;

2. Emeritus Professor of Biostatistics, King’s College London, UK;

3. Department of Oral Health Services Research, King’s College London Dental Institute, Weston Education Centre, Off 262 Cutcombe Road, Denmark Hill, London SE5 9RJ, UK;

4. School of Dental Sciences, University of Newcastle, UK;

5. Department of Dental Biomaterials Science, King’s College London Dental Institute, UK

Abstract

The relationship between socio-economic status (SES) and oral health is well-established. We investigated whether the association between SES and the number of sound teeth in adults is explained by dental attendance patterns, in turn determined by the effect of SES on barriers to dental attendance. Data on 3817 participants from the 1998 Adult Dental Health Survey in the UK were analyzed. Using structural equation modeling, we found a model with 4 factors (aging, SES, attendance-profile, and barriers-to-dental-attendance) providing an adequate fit to the covariance matrix of the 9 covariates. The final model suggests that the association between SES and the number of sound teeth in adults in the UK is partially explained by the pathway [SES → barriers-to-dental-attendance → dental-attendance-profile → number-of-sound-teeth]. A direct relationship, SES → number-of-sound-teeth, is also significant.

Publisher

SAGE Publications

Subject

General Dentistry

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