Oral Health Disparities and Psychosocial Correlates of Self-Rated Oral Health in the National Survey of American Life
- 1 April 2010
- journal article
- Published by American Public Health Association in American Journal of Public Health
- Vol. 100 (S1), S246-S255
- https://doi.org/10.2105/ajph.2009.167783
Abstract
Objectives. We sought to better understand the determinants of oral health disparities by examining individual-level psychosocial stressors and resources and self-rated oral health in nationally representative samples of Black American, Caribbean Black, and non-Hispanic White adults. Methods. We conducted logistic regression analyses on fair or poor versus better oral health using data from the National Survey of American Life (n = 6082). Results. There were no significant racial differences. Overall, 28% of adults reported having fair or poor oral health. Adults with lower income and less than a high school education were each about 1.5 times as likely as other adults to report fair or poor oral health. Higher levels of chronic stress, depressive symptoms, and material hardship were associated with fair or poor oral health. Adults living near more neighborhood resources were less likely to report fair or poor oral health. Higher levels of self-esteem and mastery were protective, and more-religious adults were also less likely to report fair or poor oral health. Conclusions. Social gradients in self-rated oral health were found, and they have implications for developing interventions to address oral health disparities.Keywords
This publication has 57 references indexed in Scilit:
- The effects of income and education on ethnic differences in oral health: a study in US adultsJournal of Epidemiology and Community Health, 2009
- Self‐Esteem and Socioeconomic Disparities in Self‐Perceived Oral HealthJournal of Public Health Dentistry, 2009
- Perceived discrimination, race and health in South AfricaSocial Science & Medicine, 2008
- The influence of active coping and perceived stress on health disparities in a multi-ethnic low income sampleBMC Public Health, 2008
- The social determinants of oral health: new approaches to conceptualizing and researching complex causal networksCommunity Dentistry and Oral Epidemiology, 2005
- Social Inequality: Social inequality in perceived oral health among adults in AustraliaAustralian and New Zealand Journal of Public Health, 2004
- Measuring Multiple Dimensions of Religion and Spirituality for Health ResearchResearch on Aging, 2003
- The Relationship between Social Support, Stress, and Health among Women on Detroit’s East SideHealth Education & Behavior, 2002
- Factors Affecting Self‐ratings of Oral HealthJournal of Public Health Dentistry, 1995
- Epidemiology and the web of causation: Has anyone seen the spider?Social Science & Medicine, 1994