March 2015

Volume 32, Issue 1

Tooth brushing among 11- to 15-year-olds in Denmark: combined effect of social class and migration status.

Authors: B.E. Holstein L.B. Christensen H. Nordah L.S. Bast
doi: 10.1922/CDH_3414Bast05

Abstract

Tooth brushing among 11- to 15-year-olds in Denmark: combined effect of social class and migration status. L.S. Bast, H. Nordah, L.B. Christensen and B.E. Holstein Objective: Regular tooth brushing in adolescence predicts stable tooth brushing habits later in life. Differences in tooth brushing habits by ethnic background and socioeconomic position have been suggested. We investigated migration status and social class in relation to infrequent tooth brushing both separately and combined. Methods: The study population was 11-15 year-olds chosen from a clustered random sample of schools. Univariate and multivariate logistic regression analyses estimated the separate and combined effects of migration status and social class on less than twice daily tooth brushing. Results: 10,607 respondents: a response rate of 88.3%. Boys of lower social class had higher odds ratio (OR) of infrequent tooth brushing than girls: 1.98 (95% confidence interval 1.62-2.41) vs 1.80 (1.53-2.24). Immigrants and descendants had higher odds compared to adolescents of Danish origin: immigrant boys OR 1.39 (1.05-1.89), girls OR 1.92 (1.47-2.50); descendant boys OR 2.53 (1.97-3.27), girls OR 2.56 (2.02-3.35). Analyses of the combined effect of social class and migration status showed that the social gradient in tooth brushing habits observed among ethnic Danes cannot be found among groups of immigrants and descendants. Conclusion: The study shows that both non-Danish origin and low social class increases the risk of infrequent tooth brushing among school-aged children. The study calls for in depth analyses of the processes which influence young people’s tooth brushing habits. Further, there is a need to strengthen the promotion of appropriate tooth brushing habits of minority and low social class youths. Key words: adolescents, school children, tooth brushing, social class, migration status, ethnic background, Denmark

£10 single article

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Health economic analyses of domiciliary dental care and care at fixed clinics for elderly nursing home residents in Sweden 39-43 £10 single article
School-based intervention for improving the oral health of children in southern Thailand 44-50 Download
Tooth brushing among 11- to 15-year-olds in Denmark: combined effect of social class and migration status. 51-55 £10 single article
The incidence and nature of complaints against dentists for the treatment of children in Israel from 1992–2011 56-59 £10 single article
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