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Social inequalities in tooth loss: A multinational comparison
Author(s) -
Elani Hawazin W.,
Harper Sam,
Thomson William Murray,
Espinoza Iris L.,
Mejia Gloria C.,
Ju Xiangqun,
Jamieson Lisa M.,
Kawachi Ichiro,
Kaufman Jay S.
Publication year - 2017
Publication title -
community dentistry and oral epidemiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.061
H-Index - 101
eISSN - 1600-0528
pISSN - 0301-5661
DOI - 10.1111/cdoe.12285
Subject(s) - edentulism , inequality , medicine , christian ministry , demography , toothache , national health and nutrition examination survey , tooth loss , socioeconomic status , absolute (philosophy) , oral health , population , dentistry , environmental health , mathematical analysis , philosophy , mathematics , theology , epistemology , sociology
Objectives To conduct cross‐national comparison of education‐based inequalities in tooth loss across Australia, Canada, Chile, New Zealand and the United States. Methods We used nationally representative data from Australia's National Survey of Adult Oral Health; Canadian Health Measures Survey; Chile's First National Health Survey Ministry of Health; US National Health and Nutrition Examination Survey; and the New Zealand Oral Health Survey. We examined the prevalence of edentulism, the proportion of individuals having <21 teeth and the mean number of teeth present. We used education as a measure of socioeconomic position and measured absolute and relative inequalities. We used random‐effects meta‐analysis to summarize inequality estimates. Results The USA showed the widest absolute and relative inequality in edentulism prevalence, whereas Chile demonstrated the largest absolute and relative social inequality gradient for the mean number of teeth present. Australia had the narrowest absolute and relative inequality gap for proportion of individuals having <21 teeth. Pooled estimates showed substantial heterogeneity for both absolute and relative inequality measures. Conclusions There is a considerable variation in the magnitude of inequalities in tooth loss across the countries included in this analysis.