SRoHSignificant Risk of Harm (US EPA)
SRoHSelf-Rated Oral Health
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For both gradients, inequalities were greater for CD ([] = 2.85, [RII.sub.ed] = 1.42) than for poor SROH ([] = 2.75, [RII.sub.ed] = 1.44).
Our results suggest an inverse relationship between increasing socio-economic status, represented by income and education, and poor SROH and chewing difficulties.
Our analysis revealed that income and education had nearly equal contributions to gradients in poor SROH. Self-reports have been described as a way for individuals to report on the complex nature of their current health (or oral health) status, while providing a representation of their social history and prediction of potential later life health problems.
Income exhibited a greater contribution to the educational gradient for chewing difficulties than for poor SROH. This is similar to findings by Sanders et al., who reported that although there was a significant socio-economic gradient in dental visits, those individuals of low socio-economic status were not different in their oral self-care compared to the affluent, and concluded that the root of poor oral health was more likely financial limitations than neglect of self-care.
(10) As dental care is predominantly privately financed and thus remains a personal responsibility for the majority of Canadians, this corroborates our findings of the large and consistent contribution of income toward educational inequalities in obtaining care that prevents poor SROH and CD.
Unadjusted weighted proportion reporting poor self-reported oral health (SROH) and chewing difficulties (CD) within past year by income adequacy and educational attainment
Multivariate models testing the association of SROH and number of teeth with CAB, after adjusting for age and gender (Model 1) and age, gender, smoking, hypertension, diabetes and dyslipidemia (Model 2) are shown in Tables 2 and 3.
The results of this cross-sectional study confirmed the hypothesis that SROH status and number of teeth were significantly associated with CAB in this group of Brazilian patients.
This study focused on the assessment of SROH and number of teeth, instead of investigating microbiological, clinical and radiographic parameters.
Limitations of the SROH approach must be clarified.
Although SROH is a known valid measure, the analysis would benefit from the inclusion of a detailed oral clinical evaluation.
The present findings using SROH measures encourage future investigations of this association in large epidemiological longitudinal studies, which would contribute to a better understanding of this multifactorial relationship.