The pathways from disadvantaged socioeconomic status in childhood to edentulism in mid-to-late adulthood over the life-course

International Journal for Equity in Health

Research

Qiong Zhou¹  Wenhao Huang²  Shuping Dai³  Sheng Wang⁴  Xiaoning Zhang⁵  Xue Jiang⁶ 

[1] Department of Nursing, Jiangsu Lianyungang College of Traditional Chinese Medicine, 222007, Lianyungang, China;School of Management, Xuzhou Medical University, 209 Tongshan Road, 221004, Xuzhou, China;School of Marxism, Handong Women’s University, Jinan, China;School of Nursing, Hangzhou Normal University, 311121, Hangzhou, China;School of Nursing, Hangzhou Normal University, 311121, Hangzhou, China;Zhejiang Philosophy and Social Science Laboratory for Research in Early Development and Childcare, Hangzhou Normal University, Hangzhou, China;School of Stomatology, Xuzhou Medical University, 221004, Xuzhou, China;

关键词: Socioeconomic status;    Edentulism;    Structural equation modeling;    Oral health;    China;   

DOI  :  10.1186/s12939-023-01865-y

 received in 2021-07-27, accepted in 2022-03-04,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundThis study aimed to examine the direct and indirect pathways from childhood socioeconomic status (SES) to the prevalence of edentulism in mid-to-late age Chinese individuals using structural equation modeling (SEM).MethodsThis study analyzed data from 17,032 mid- to-late age Chinese individuals in the 2014 and 2015 China Health and Retirement Longitudinal Study (CHARLS). Childhood SES was determined based on the parents’ education and occupation, financial situation of the family, primary residence, food availability, and medical convenience. Adulthood SES was established according to educational achievements of the individuals. Edentulism is defined as the loss of all natural teeth. SEM was used to examine the statistical significance of the association between childhood SES and edentulism, mediated by childhood health, adulthood SES, and adult health.ResultsChildhood SES had significant indirect (β = -0.026, p < 0.01), and total (β = -0.040, p < 0.01) effects on edentulism. It was determined that 65% of the total effect of childhood SES on edentulism was indirect, and mainly mediated by adult SES. Also, the goodness-of-fit indices of the best-fitting model were acceptable.ConclusionThis study revealed that childhood health, adult health and adult SES are mediators that explain the relationship between childhood SES and edentulism. The global attention to alleviate the inequality in edentulism should focus on exploring recommendations and intervention strategies from childhood to adulthood, by considering adult SES, childhood and adult health.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

【 图 表 】

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