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Social gradients in oral health in older adults: Findings from the english longitudinal survey of aging

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  • Tsakos, G.
  • Demakakos, P.
  • Breeze, E.
  • Watt, R.G.

Abstract

Objectives. We examined prospective associations between socioeconomic position (SEP) markers and oral health outcomes in a national sample of older adults in England. Methods. Data were from the English Longitudinal Survey of Aging,a national cohort study of community-dwelling people aged 50 years and older. SEP markers (education, occupation, household income, household wealth, subjective social status, and childhood SEP) and sociodemographic confounders (age, gender, and marital status) were from wave 1. We collected 3 self-reported oral health outcomes at wave 3: having natural teeth (dentate vs edentate), selfrated oral health, and oral impacts on daily life. Using multivariate logistic regression models, we estimated associations between each SEP indicator and each oral health outcome, adjusted for confounders.Results. Irrespective of SEP marker, there were inverse graded associations between SEP and edentulousness, with proportionately more edentate participants at each lower SEP level. Lower SEP was also associated with worse selfrated oral health and oral impacts among dentate, but not among edentate, participants. Conclusions. There are consistent and clearsocial gradients in the oral health of older adults in England, with disparities evident throughout the SEP hierarchy.

Suggested Citation

  • Tsakos, G. & Demakakos, P. & Breeze, E. & Watt, R.G., 2011. "Social gradients in oral health in older adults: Findings from the english longitudinal survey of aging," American Journal of Public Health, American Public Health Association, vol. 101(10), pages 1892-1899.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2011.300215_6
    DOI: 10.2105/AJPH.2011.300215
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    Cited by:

    1. Carlo Eduardo Medina-Solís & América Patricia Pontigo-Loyola & Eduardo Pérez-Campos & Pedro Hernández-Cruz & Leticia Ávila-Burgos & Martha Mendoza-Rodríguez & Gerardo Maupomé, 2014. "National Survey of Oral/Dental Conditions Related to Tobacco and Alcohol Use in Mexican Adults," IJERPH, MDPI, vol. 11(3), pages 1-16, March.
    2. Jing Shen & Stefan Listl, 2018. "Investigating social inequalities in older adults’ dentition and the role of dental service use in 14 European countries," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 19(1), pages 45-57, January.
    3. Patrick Rouxel & Georgios Tsakos & Panayotes Demakakos & Paola Zaninotto & Tarani Chandola & Richard Geddie Watt, 2015. "Is Social Capital a Determinant of Oral Health among Older Adults? Findings from the English Longitudinal Study of Ageing," PLOS ONE, Public Library of Science, vol. 10(5), pages 1-17, May.
    4. Eduardo Bernabé & Aubrey Sheiham, 2014. "Tooth Loss in the United Kingdom – Trends in Social Inequalities: An Age-Period-and-Cohort Analysis," PLOS ONE, Public Library of Science, vol. 9(8), pages 1-8, August.
    5. Kanade Ito & Noriko Cable & Tatsuo Yamamoto & Kayo Suzuki & Katsunori Kondo & Ken Osaka & Georgios Tsakos & Richard G. Watt & Jun Aida, 2020. "Wider Dental Care Coverage Associated with Lower Oral Health Inequalities: A Comparison Study between Japan and England," IJERPH, MDPI, vol. 17(15), pages 1-10, July.

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