IADR Abstract Archives
Socioeconomic Inequality In Periodontal Disease Among Adults With Optimal Behaviours
Objectives: To examine if socioeconomic inequalities exist in periodontal disease among adult with optimal oral health behaviours.
Methods: Data were from the Adult Dental Health Survey 2009, a cross-sectional national survey of England, Wales and Northern Ireland. Participants aged 35 years and older were included in the analysis. Periodontal disease indicated by pocket depth or loss of attachment >4 mm, and gingival bleeding were used as periodontal outcomes. Education and area deprivation indicated socioeconomic position. Behavioural factors were dental visits, tooth brushing and smoking. The subset of adults with optimal health behaviours were 2915 participants. The associations between periodontal disease and socioeconomic position were tested adjusting for age, country, sex and behavioural factors. Additional model limited to those with optimal behaviour was constructed.
Results: Education and deprivation were significantly associated with periodontal outcomes in the fully adjusted models. Those with the highest education level had lower odds 0.57(95% CI: 0.44 – 0.73) of periodontal disease than those with the lowest level of eduction.
Smoking, dental visits and tooth brushing were significantly associated with bleeding, but only smoking showed significant association with periodontal disease (OR: 1.46 , 95% CI :0.67 – 1.41). After limiting the analysis to adults with optimal health related behaviours, there was no signficant association between socioeconomic factors and periodontal diseases.
Conclusions: The findings imply no socioeconomic inequalities in periodontal disease among those with optimal behaviours. However, the results should be interpreted with caution given the smaller number of participants with optimal behaviour.
Methods: Data were from the Adult Dental Health Survey 2009, a cross-sectional national survey of England, Wales and Northern Ireland. Participants aged 35 years and older were included in the analysis. Periodontal disease indicated by pocket depth or loss of attachment >4 mm, and gingival bleeding were used as periodontal outcomes. Education and area deprivation indicated socioeconomic position. Behavioural factors were dental visits, tooth brushing and smoking. The subset of adults with optimal health behaviours were 2915 participants. The associations between periodontal disease and socioeconomic position were tested adjusting for age, country, sex and behavioural factors. Additional model limited to those with optimal behaviour was constructed.
Results: Education and deprivation were significantly associated with periodontal outcomes in the fully adjusted models. Those with the highest education level had lower odds 0.57(95% CI: 0.44 – 0.73) of periodontal disease than those with the lowest level of eduction.
Smoking, dental visits and tooth brushing were significantly associated with bleeding, but only smoking showed significant association with periodontal disease (OR: 1.46 , 95% CI :0.67 – 1.41). After limiting the analysis to adults with optimal health related behaviours, there was no signficant association between socioeconomic factors and periodontal diseases.
Conclusions: The findings imply no socioeconomic inequalities in periodontal disease among those with optimal behaviours. However, the results should be interpreted with caution given the smaller number of participants with optimal behaviour.