Social and racial inequity in self-rated oral health in adults in Southern Brazil

Bibliographic Data

ID5167347
AuthorsSarah Arangurem Karam (0000-0002-3921-0182, Universidade Federal de Pelotas), Helena Silveira Schuch (0000-0001-9932-9698, Universidade Federal de Pelotas), Flavio F Demarco (0000-0003-2276-491X, Universidade Federal de Pelotas), Fernando C Barros (0000-0001-5973-1746, Universidade Católica de Pelotas), Bernardo L Horta (0000-0001-9843-412X, Universidade Federal de Pelotas), Marcos Britto Correa (0000-0002-1797-3541, Universidade Federal de Pelotas)
Year2022
Volume38
Issue3
Pagese00136921-e00136921
Publication date2022-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueCadernos de Saude Publica (JOURNAL)
Journal identifiersISSN: 0102-311X • E-ISSN: 1678-4464
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0102-311x00136921
PMID35416895
OpenAlexW4226088297
SCIELO_PIDS0102-311X2022000305014
LanguageEN
Citations received6
References cited38

This study aimed to estimate social and racial inequalities in self-rated oral health in adults from the Brazilian birth cohort study. This study belongs to 1982 Pelotas (Brazil) birth cohort study. Data from this study was collected for oral health conditions 31 years old (Oral Health Study). The outcome was self-rated oral health, dichotomized into positive (good/very good) and negative (regular/bad/very bad). Analyses were stratified by gender, racial/skin color groups, schooling level and income. For statistical analysis, the slope index of inequality (SII) and the concentration index (CIX) were used. The prevalence of negative self-rated oral health was 36.1%. Social inequalities were observed in self-rated oral health in both absolute and relative terms. A SII of -30.0 (95%CI: -43.6; -16.4) was observed for income, and -27.7 (95%CI: -41.9; -13.4) for schooling level. Both the individuals' income and the schooling level had negative CIX (CIXincome -14.6 [95%CI: -21.2; -8.0] and CIXschooling level -14.1 [95%CI: -20.7; -7.5]). Furthermore, the prevalence of negative self-rated oral health in black/brown/indigenous individuals from the highest income/schooling level was comparable to prevalence of the outcome in the white individuals belonging to the lowest income/schooling levels. This study results demonstrate racial disparities in oral health regardless of income and schooling levels. Furthermore, a higher concentration of negative self-rated oral health was identified among the most socioeconomically vulnerable individuals. Our findings reinforce the presence of racial and socioeconomic inequalities in oral health

Cohort study · Health equity · Indigenous · Oral health · Public health · Self-rated health · Sociology · Demography · Dental Health and Care Utilization · Food Security and Health in Diverse Populations · Health disparities and outcomes · Medicine · Psychology · Gerontology