Socioeconomic-related inequalities in oral hygiene behaviors: a cross-sectional analysis of the PERSIAN cohort study
Abstract Background Socioeconomic-related inequality in oral hygiene behaviors in Iran is poorly understood. This study aims to measure and decompose socioeconomic-related inequalities in oral hygiene behaviors among middle-aged and elderly adults in Iran. Methods A cross-sectional analysis was perf...
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| Format: | Article |
| Language: | English |
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BMC
2020-02-01
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| Series: | BMC Oral Health |
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| Online Access: | http://link.springer.com/article/10.1186/s12903-020-1036-6 |
| _version_ | 1818067983507914752 |
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| author | Moslem Soofi Yahya Pasdar Behzad Karami Matin Behrooz Hamzeh Satar Rezaei Ali Kazemi Karyani Mehdi Moradi Nazar Shahin Soltani Mohammad Hajizadeh Yahya Salimi Alireza Zangeneh Hossein Poustchi Maryam Sharafkhah Ali Akbar Haghdoust Mahboobeh Shirzad Ahoodashti Vahid Mohammadkarimi Javad Aghazadeh-Attari Fariborz Mansour-Ghanaei Abbas Yazdanbod Ebrahim Eftekhar Zahra Rahimi Ehsan Bahramali Alireza Moslem Ahmad Jamalizadeh Fatemeh Ezoddini Ardakani Mehdi Zanganeh Ali Ahmadi Alireza Ostadrahimi Fariba Tohidinezhad Salar Rahimi Kazerooni Farid Najafi |
| author_facet | Moslem Soofi Yahya Pasdar Behzad Karami Matin Behrooz Hamzeh Satar Rezaei Ali Kazemi Karyani Mehdi Moradi Nazar Shahin Soltani Mohammad Hajizadeh Yahya Salimi Alireza Zangeneh Hossein Poustchi Maryam Sharafkhah Ali Akbar Haghdoust Mahboobeh Shirzad Ahoodashti Vahid Mohammadkarimi Javad Aghazadeh-Attari Fariborz Mansour-Ghanaei Abbas Yazdanbod Ebrahim Eftekhar Zahra Rahimi Ehsan Bahramali Alireza Moslem Ahmad Jamalizadeh Fatemeh Ezoddini Ardakani Mehdi Zanganeh Ali Ahmadi Alireza Ostadrahimi Fariba Tohidinezhad Salar Rahimi Kazerooni Farid Najafi |
| author_sort | Moslem Soofi |
| collection | DOAJ |
| description | Abstract Background Socioeconomic-related inequality in oral hygiene behaviors in Iran is poorly understood. This study aims to measure and decompose socioeconomic-related inequalities in oral hygiene behaviors among middle-aged and elderly adults in Iran. Methods A cross-sectional analysis was performed using data from the Prospective Epidemiological Research Studies in IrAN (PERSIAN), a large national cohort study. A total of 130,016 individuals aged 35 years and above from 17 cohort centers in Iran were included in the study. The normalized concentration index (C n ) was used to measure the magnitude of inequality in oral hygiene behaviors, i.e. brushing at least twice and flossing once daily, among middle-aged and elderly Iranian adults included in the cohort centers. Decomposition analysis was performed to quantify the contribution of each determinant to the observed inequality in oral hygiene behaviors. Results Totally, 65.5% of middle-aged and elderly adults brushed their teeth twice a day or more, 7.6% flossed at least once a day and 3.48% had both habits. The estimated C n of the two habits combined, i.e. tooth brushing and dental flossing, for all provinces taken part in the PERSIAN cohort study was 0.399 (95% confidence interval [CI]: 0.383 to 0.417), indicating that the prevalence of the two habits combined is more concentrated among individuals with higher socioeconomic status. Inequality in oral hygiene behaviors was pro-rich in all cohort centers. The decomposition results suggested socioeconomic status as the main factor contributing to the overall inequality, followed by the level of education, and the province of residence. Conclusion A low prevalence of oral hygiene behaviors among middle-aged and elderly Iranian adults was observed. There was also a pro-rich inequality in oral hygiene behaviors among middle-aged and elderly adults in all cohort centers. These results suggest an urgent need for targeted policy interventions to increase the prevalence of preventive oral hygiene behaviors among the poor and less-educated middle-aged and elderly adults in Iran. |
| first_indexed | 2024-12-10T15:32:21Z |
| format | Article |
| id | doaj.art-8bfdbe9e8cd24da982550d979ef9b510 |
| institution | Directory Open Access Journal |
| issn | 1472-6831 |
| language | English |
| last_indexed | 2024-12-10T15:32:21Z |
| publishDate | 2020-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Oral Health |
| spelling | doaj.art-8bfdbe9e8cd24da982550d979ef9b5102022-12-22T01:43:23ZengBMCBMC Oral Health1472-68312020-02-0120111110.1186/s12903-020-1036-6Socioeconomic-related inequalities in oral hygiene behaviors: a cross-sectional analysis of the PERSIAN cohort studyMoslem Soofi0Yahya Pasdar1Behzad Karami Matin2Behrooz Hamzeh3Satar Rezaei4Ali Kazemi Karyani5Mehdi Moradi Nazar6Shahin Soltani7Mohammad Hajizadeh8Yahya Salimi9Alireza Zangeneh10Hossein Poustchi11Maryam Sharafkhah12Ali Akbar Haghdoust13Mahboobeh Shirzad Ahoodashti14Vahid Mohammadkarimi15Javad Aghazadeh-Attari16Fariborz Mansour-Ghanaei17Abbas Yazdanbod18Ebrahim Eftekhar19Zahra Rahimi20Ehsan Bahramali21Alireza Moslem22Ahmad Jamalizadeh23Fatemeh Ezoddini Ardakani24Mehdi Zanganeh25Ali Ahmadi26Alireza Ostadrahimi27Fariba Tohidinezhad28Salar Rahimi Kazerooni29Farid Najafi30Social Development and Health Promotion Research Center, Health Institute, Kermanshah University of Medical SciencesResearch Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical SciencesResearch Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical SciencesResearch Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical SciencesResearch Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical SciencesResearch Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical SciencesResearch Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical SciencesResearch Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical SciencesSchool of Health Administration, Faculty of Health, Dalhousie UniversitySocial Development and Health Promotion Research Center, Health Institute, Kermanshah University of Medical SciencesSocial Development and Health Promotion Research Center, Health Institute, Kermanshah University of Medical SciencesLiver and Pancreatobiliary Disease Research Center, Digestive Diseases Research Institute, Tehran University of Medical SciencesLiver and Pancreatobiliary Disease Research Center, Digestive Diseases Research Institute, Tehran University of Medical SciencesModeling in Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical SciencesDepartment of Internal Medicine, Faculty of Medicine, Mazandaran University of Medical SciencesGastroenterohepatology Research Center, Shiraz University of Medical SciencesSocial Determinants of Health Research Center, Urmia University of Medical SciencesGastrointestinal and Liver Diseases Research Center, Guilan University of Medical SciencesDigestive Disease Research Center, Ardabil University of Medical SciencesMolecular Medicine Research Center, Hormozgan Health Institute, Hormozgan University of Medical SciencesDepartment of Biostatistics and Epidemiology, School of Public Health, Ahvaz Jundishapur University of Medical SciencesNoncommunicable Diseases Research Center, Fasa University of Medical SciencesDepartment of Anesthesiology, Sabzevar University of Medical SciencesVice-Chancellor for Health, Rafsanjan University of Medical SciencesDepartment of Oral and Maxillofacial of Radiology, Faculty of Dentistry, Shahid Sadoughi University of Medical SciencesHealth Promotion Research Center, Zahedan University of Medical SciencesModeling in Health Research Center and School of Public Health, Department of Epidemiology and Biostatistics, Shahrekord University of Medical SciencesNutrition Research Center, Tabriz University of Medical SciencesDepartment of Medical Informatics, Faculty of Medicine, Mashhad University of Medical SciencesColorectal Research Center, Shiraz University of Medical SciencesSocial Development and Health Promotion Research Center, Health Institute, Kermanshah University of Medical SciencesAbstract Background Socioeconomic-related inequality in oral hygiene behaviors in Iran is poorly understood. This study aims to measure and decompose socioeconomic-related inequalities in oral hygiene behaviors among middle-aged and elderly adults in Iran. Methods A cross-sectional analysis was performed using data from the Prospective Epidemiological Research Studies in IrAN (PERSIAN), a large national cohort study. A total of 130,016 individuals aged 35 years and above from 17 cohort centers in Iran were included in the study. The normalized concentration index (C n ) was used to measure the magnitude of inequality in oral hygiene behaviors, i.e. brushing at least twice and flossing once daily, among middle-aged and elderly Iranian adults included in the cohort centers. Decomposition analysis was performed to quantify the contribution of each determinant to the observed inequality in oral hygiene behaviors. Results Totally, 65.5% of middle-aged and elderly adults brushed their teeth twice a day or more, 7.6% flossed at least once a day and 3.48% had both habits. The estimated C n of the two habits combined, i.e. tooth brushing and dental flossing, for all provinces taken part in the PERSIAN cohort study was 0.399 (95% confidence interval [CI]: 0.383 to 0.417), indicating that the prevalence of the two habits combined is more concentrated among individuals with higher socioeconomic status. Inequality in oral hygiene behaviors was pro-rich in all cohort centers. The decomposition results suggested socioeconomic status as the main factor contributing to the overall inequality, followed by the level of education, and the province of residence. Conclusion A low prevalence of oral hygiene behaviors among middle-aged and elderly Iranian adults was observed. There was also a pro-rich inequality in oral hygiene behaviors among middle-aged and elderly adults in all cohort centers. These results suggest an urgent need for targeted policy interventions to increase the prevalence of preventive oral hygiene behaviors among the poor and less-educated middle-aged and elderly adults in Iran.http://link.springer.com/article/10.1186/s12903-020-1036-6Socioeconomic inequalitiesOral hygiene behaviorsConcentration indexDecomposition analysisPERSIAN cohortIran |
| spellingShingle | Moslem Soofi Yahya Pasdar Behzad Karami Matin Behrooz Hamzeh Satar Rezaei Ali Kazemi Karyani Mehdi Moradi Nazar Shahin Soltani Mohammad Hajizadeh Yahya Salimi Alireza Zangeneh Hossein Poustchi Maryam Sharafkhah Ali Akbar Haghdoust Mahboobeh Shirzad Ahoodashti Vahid Mohammadkarimi Javad Aghazadeh-Attari Fariborz Mansour-Ghanaei Abbas Yazdanbod Ebrahim Eftekhar Zahra Rahimi Ehsan Bahramali Alireza Moslem Ahmad Jamalizadeh Fatemeh Ezoddini Ardakani Mehdi Zanganeh Ali Ahmadi Alireza Ostadrahimi Fariba Tohidinezhad Salar Rahimi Kazerooni Farid Najafi Socioeconomic-related inequalities in oral hygiene behaviors: a cross-sectional analysis of the PERSIAN cohort study BMC Oral Health Socioeconomic inequalities Oral hygiene behaviors Concentration index Decomposition analysis PERSIAN cohort Iran |
| title | Socioeconomic-related inequalities in oral hygiene behaviors: a cross-sectional analysis of the PERSIAN cohort study |
| title_full | Socioeconomic-related inequalities in oral hygiene behaviors: a cross-sectional analysis of the PERSIAN cohort study |
| title_fullStr | Socioeconomic-related inequalities in oral hygiene behaviors: a cross-sectional analysis of the PERSIAN cohort study |
| title_full_unstemmed | Socioeconomic-related inequalities in oral hygiene behaviors: a cross-sectional analysis of the PERSIAN cohort study |
| title_short | Socioeconomic-related inequalities in oral hygiene behaviors: a cross-sectional analysis of the PERSIAN cohort study |
| title_sort | socioeconomic related inequalities in oral hygiene behaviors a cross sectional analysis of the persian cohort study |
| topic | Socioeconomic inequalities Oral hygiene behaviors Concentration index Decomposition analysis PERSIAN cohort Iran |
| url | http://link.springer.com/article/10.1186/s12903-020-1036-6 |
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