September 2022

Volume 39, Issue 3

The Role of Area Deprivation in Explaining Ethnic Inequalities in Adult Oral Health in England

Authors: Fatimah Alobaidi Eduardo Bernabe Elsa K. Delgado-Angulo
doi: 10.1922/CDH_00273Alobaidi07

Abstract

Background: The circumstances of the area where people live may affect their health and ethnic minority groups are often overrepresented in deprived areas. This study explored ethnic inequalities in adult oral health and the contribution of area deprivation to explain such inequalities. Methods: Data from 15667 adults across 8 ethnicities (White British, Irish, Black Caribbean, Black African, Indian, Pakistani, Bangladeshi, Chinese) in the Health Survey for England 2010/2011 were analysed. Oral health was indicated by having a non-functional dentition, poor self-rated oral health and oral impacts on daily activities. Survey logistic regression and the Blinder-Oaxaca decomposition method were used. Results: There were ethnic inequalities in the non-functional dentition, but not in self-rated oral health or oral impacts. Compared to White British adults (19.7%, 95% CI: 18.9, 20.6), a non-functional dentition was more common in Irish (33.1%, 95% CI: 25.9, 41.2) and less common in Black Caribbean (14.9%, 95% CI: 9.9, 21.7), Black African (6.9%, 95% CI: 3.9, 11.9), Indian (10.5%, 95% CI: 6.3, 17.2), Pakistani (7.2%, 95% CI: 4.5, 11.5), Bangladeshi (12.7%, 95% CI: 4.3, 32.3) and Chinese (2.2%, 95% CI: 0.6, 7.9) adults. In decomposition analysis, observed population characteristics explained over half of the ethnic inequalities in the non-functional dentition. Age, area deprivation and SEP were the main contributors, although results varied by ethnicity. Conclusion: Ethnic inequalities in adult oral health varied according to oral health measure and ethnicity. Area deprivation and SEP contributed to, but did not fully, explain such inequalities. Keywords: Oral health, ethnic groups, health status disparities, tooth loss, social determinants of health

£10 single article

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Editorial: Management of the oral health of care home residents in general and those with dementia 154-155 Download
Editorial: Oral health inequalities and the COVID-19 pandemic: time for action 156-157 Download
The Role of Area Deprivation in Explaining Ethnic Inequalities in Adult Oral Health in England 158-164 £10 single article
Self-reported satisfaction with teeth and associated factors in 12-year-olds 165-168 £10 single article
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Impact of socioeconomic inequalities on dental caries in deprived children: a multilevel analysis 191-196 £10 single article
An update on oral cavity cancer: epidemiological trends, prevention strategies and novel approaches in diagnosis and prognosis 197-205 Download
The role of the mothers’ sense of coherence in predicting dental caries risk in children 206-210 £10 single article
Psychosocial impact of malocclusion in the school performance. A Hierarchical Analysis. 211-216 £10 single article

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