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Socio-Environmental Factors Associated with Self-Rated Oral Health in South Africa: A Multilevel Effects Model

Author

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  • Bukola G. Olutola

    (School of Health Systems and Public Health, University of Pretoria, Pretoria 0002, South Africa)

  • Olalekan A. Ayo-Yusuf

    (Department of Community Dentistry, School of Dentistry, University of Pretoria, Pretoria 0002, South Africa)

Abstract

Aim : This study examined the influence of the social context in which people live on self-ratings of their oral health. Method : This study involved a representative sample of 2,907 South African adults (≥16 years) who participated in the 2007 South African Social Attitude Survey (SASAS). We used the 2005 General Household Survey (n = 107,987 persons from 28,129 households) to obtain living environment characteristics of SASAS participants, including sources of water and energy, and household cell-phone ownership (a proxy measure for the social network available to them). Information obtained from SASAS included socio-demographic data, respondents’ level of trust in people, oral health behaviors and self-rated oral health. Results : Of the respondents, 76.3% self-rated their oral health as good. Social context influenced women’s self-rated oral health differently from that of men. Good self-rated oral health was significantly higher among non-smokers, employed respondents and women living in areas with higher household cell-phone ownership. Furthermore, trust and higher social position were associated with good self-rated oral health among men and women respectively. Overall, 55.1% and 18.3% of the variance in self-rated oral health were explained by factors operating at the individual and community levels respectively. Conclusion : The findings highlight the potential role of social capital in improving the population’s oral health.

Suggested Citation

  • Bukola G. Olutola & Olalekan A. Ayo-Yusuf, 2012. "Socio-Environmental Factors Associated with Self-Rated Oral Health in South Africa: A Multilevel Effects Model," IJERPH, MDPI, vol. 9(10), pages 1-19, October.
    • Handle: RePEc:gam:jijerp:v:9:y:2012:i:10:p:3465-3483:d:20465
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    1. Aliasghar A. Kiadaliri & Reza Hosseinpour & Hassan Haghparast-Bidgoli & Ulf-G Gerdtham, 2013. "Pure and Social Disparities in Distribution of Dentists: A Cross-Sectional Province-Based Study in Iran," IJERPH, MDPI, vol. 10(5), pages 1-13, May.
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