Decomposing socioeconomic inequality in dental caries in Iran: cross-sectional results from the PERSIAN cohort study
Abstract Background The current study aimed to measure and decompose socioeconomic-related inequalities in DMFT (decayed, missing, and filled teeth) index among adults in Iran. Methods The study data were extracted from the adult component of Prospective Epidemiological Research Studies in IrAN (PER...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2020-08-01
|
| Series: | Archives of Public Health |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13690-020-00457-4 |
| _version_ | 1818435578220249088 |
|---|---|
| author | Farid Najafi Satar Rezaei Mohammad Hajizadeh Moslem Soofi Yahya Salimi Ali Kazemi Karyani Shahin Soltani Sina Ahmadi Enayatollah Homaie Rad Behzad Karami Matin Yahya Pasdar Behrooz Hamzeh Mehdi Moradi Nazar Ali Mohammadi Hossein Poustchi Nazgol Motamed-Gorji Alireza Moslem Ali Asghar Khaleghi Mohammad Reza Fatthi Javad Aghazadeh-Attari Ali Ahmadi Farhad Pourfarzi Mohammad Hossein Somi Mehrnoush Sohrab Alireza Ansari-Moghadam Farhad Edjtehadi Ali Esmaeili Farahnaz Joukar Mohammad Hasan Lotfi Teamur Aghamolaei Saied Eslami Seyed Hamid Reza Tabatabaee Nader Saki Ali Akbar Haghdost |
| author_facet | Farid Najafi Satar Rezaei Mohammad Hajizadeh Moslem Soofi Yahya Salimi Ali Kazemi Karyani Shahin Soltani Sina Ahmadi Enayatollah Homaie Rad Behzad Karami Matin Yahya Pasdar Behrooz Hamzeh Mehdi Moradi Nazar Ali Mohammadi Hossein Poustchi Nazgol Motamed-Gorji Alireza Moslem Ali Asghar Khaleghi Mohammad Reza Fatthi Javad Aghazadeh-Attari Ali Ahmadi Farhad Pourfarzi Mohammad Hossein Somi Mehrnoush Sohrab Alireza Ansari-Moghadam Farhad Edjtehadi Ali Esmaeili Farahnaz Joukar Mohammad Hasan Lotfi Teamur Aghamolaei Saied Eslami Seyed Hamid Reza Tabatabaee Nader Saki Ali Akbar Haghdost |
| author_sort | Farid Najafi |
| collection | DOAJ |
| description | Abstract Background The current study aimed to measure and decompose socioeconomic-related inequalities in DMFT (decayed, missing, and filled teeth) index among adults in Iran. Methods The study data were extracted from the adult component of Prospective Epidemiological Research Studies in IrAN (PERSIAN) from 17 centers in 14 different provinces of Iran. DMFT score was used as a measure of dental caries among adults in Iran. The concentration curve and relative concentration index (RC) was used to quantify and decompose socioeconomic-related inequalities in DMFT. Results A total of 128,813 adults aged 35 and older were included in the study. The mean (Standard Deviation [SD]) score of D, M, F and DMFT of the adults was 3.3 (4.6), 12.6 (10.5), 2.1 (3.4) and 18.0 (9.5), respectively. The findings suggested that DMFT was mainly concentrated among the socioeconomically disadvantaged adults (RC = − 0.064; 95% confidence interval [CI), − 0.066 to − 0.063). Socioeconomic status, being male, older age and being a widow or divorced were identified as the main factors contributing to the concentration of DMFT among the worse-off adults. Conclusions It is recommended to focus on the dental caries status of socioeconomically disadvantaged groups in order to reduce socioeconomic-related inequality in oral health among Iranian adults. Reducing socioeconomic-related inequalities in dental caries should be accompanied by appropriate health promotion policies that focus actions on the fundamental socioeconomic causes of dental disease. |
| first_indexed | 2024-12-14T16:55:06Z |
| format | Article |
| id | doaj.art-ca99b8df9c7740b1b13fb6f006d7ccdb |
| institution | Directory Open Access Journal |
| issn | 2049-3258 |
| language | English |
| last_indexed | 2024-12-14T16:55:06Z |
| publishDate | 2020-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Archives of Public Health |
| spelling | doaj.art-ca99b8df9c7740b1b13fb6f006d7ccdb2022-12-21T22:53:58ZengBMCArchives of Public Health2049-32582020-08-0178111110.1186/s13690-020-00457-4Decomposing socioeconomic inequality in dental caries in Iran: cross-sectional results from the PERSIAN cohort studyFarid Najafi0Satar Rezaei1Mohammad Hajizadeh2Moslem Soofi3Yahya Salimi4Ali Kazemi Karyani5Shahin Soltani6Sina Ahmadi7Enayatollah Homaie Rad8Behzad Karami Matin9Yahya Pasdar10Behrooz Hamzeh11Mehdi Moradi Nazar12Ali Mohammadi13Hossein Poustchi14Nazgol Motamed-Gorji15Alireza Moslem16Ali Asghar Khaleghi17Mohammad Reza Fatthi18Javad Aghazadeh-Attari19Ali Ahmadi20Farhad Pourfarzi21Mohammad Hossein Somi22Mehrnoush Sohrab23Alireza Ansari-Moghadam24Farhad Edjtehadi25Ali Esmaeili26Farahnaz Joukar27Mohammad Hasan Lotfi28Teamur Aghamolaei29Saied Eslami30Seyed Hamid Reza Tabatabaee31Nader Saki32Ali Akbar Haghdost33Research 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, Kermanshah University of Medical SciencesSocial Development and Health Promotion Research Center, 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 SciencesDepartment of Social Welfare Management, University of Social Welfare and Rehabilitation SciencesSocial Determinants of Health Research Center, Guilan 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 SciencesDepartment of Health Information Technology, Paramedical School, Kermanshah University of Medical SciencesLiver and Pancreatobiliary Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical SciencesLiver and Pancreatobiliary Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical SciencesDepartment of Anesthesiology, Sabzevar University of Medical SciencesNoncommunicable Diseases Research Center, Fasa University of Medical SciencesGastroenterohepatology Research Center, Shiraz University of Medical SciencesSocial determinants of Health Research Center, Urmia Jundishapur University of Medical SciencesModeling in Health Research Center, Shahrekord University of Medical SciencesDigestive Disease Research Center, Ardabil University of Medical SciencesLiver and Gastrointestinal Diseases Research Center, Tabriz University of Medical SciencesDiabetes Research cente, Mazandaran University of Medical SciencesHealth Promotion Research Center, Zahedan Jundishapur University of Medical SciencesGastroenterohepatology Research Center, Shiraz University of Medical SciencesDepartment of Cardiology, Medical school, Rafsanjan University of Medical SciencesGastrointestinal and Liver Diseases Research Center, Guilan University of Medical SciencesShahid Sadoghi University of Medical SciencesDepartment of Public Health, School of Public Health, Hormozgan University of Medical SciencesPharmaceutical Research Center, Pharmaceutical Research Institute, Mashhad University of Medical SciencesResearch Center for Health Sciences, Shiraz University of Medical SciencesHearing Research Center, Ahvaz Jundishapur University of Medical SciencesModeling in Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical SciencesAbstract Background The current study aimed to measure and decompose socioeconomic-related inequalities in DMFT (decayed, missing, and filled teeth) index among adults in Iran. Methods The study data were extracted from the adult component of Prospective Epidemiological Research Studies in IrAN (PERSIAN) from 17 centers in 14 different provinces of Iran. DMFT score was used as a measure of dental caries among adults in Iran. The concentration curve and relative concentration index (RC) was used to quantify and decompose socioeconomic-related inequalities in DMFT. Results A total of 128,813 adults aged 35 and older were included in the study. The mean (Standard Deviation [SD]) score of D, M, F and DMFT of the adults was 3.3 (4.6), 12.6 (10.5), 2.1 (3.4) and 18.0 (9.5), respectively. The findings suggested that DMFT was mainly concentrated among the socioeconomically disadvantaged adults (RC = − 0.064; 95% confidence interval [CI), − 0.066 to − 0.063). Socioeconomic status, being male, older age and being a widow or divorced were identified as the main factors contributing to the concentration of DMFT among the worse-off adults. Conclusions It is recommended to focus on the dental caries status of socioeconomically disadvantaged groups in order to reduce socioeconomic-related inequality in oral health among Iranian adults. Reducing socioeconomic-related inequalities in dental caries should be accompanied by appropriate health promotion policies that focus actions on the fundamental socioeconomic causes of dental disease.http://link.springer.com/article/10.1186/s13690-020-00457-4Socioeconomic statusDental cariesConcentration indexDecompositionIran |
| spellingShingle | Farid Najafi Satar Rezaei Mohammad Hajizadeh Moslem Soofi Yahya Salimi Ali Kazemi Karyani Shahin Soltani Sina Ahmadi Enayatollah Homaie Rad Behzad Karami Matin Yahya Pasdar Behrooz Hamzeh Mehdi Moradi Nazar Ali Mohammadi Hossein Poustchi Nazgol Motamed-Gorji Alireza Moslem Ali Asghar Khaleghi Mohammad Reza Fatthi Javad Aghazadeh-Attari Ali Ahmadi Farhad Pourfarzi Mohammad Hossein Somi Mehrnoush Sohrab Alireza Ansari-Moghadam Farhad Edjtehadi Ali Esmaeili Farahnaz Joukar Mohammad Hasan Lotfi Teamur Aghamolaei Saied Eslami Seyed Hamid Reza Tabatabaee Nader Saki Ali Akbar Haghdost Decomposing socioeconomic inequality in dental caries in Iran: cross-sectional results from the PERSIAN cohort study Archives of Public Health Socioeconomic status Dental caries Concentration index Decomposition Iran |
| title | Decomposing socioeconomic inequality in dental caries in Iran: cross-sectional results from the PERSIAN cohort study |
| title_full | Decomposing socioeconomic inequality in dental caries in Iran: cross-sectional results from the PERSIAN cohort study |
| title_fullStr | Decomposing socioeconomic inequality in dental caries in Iran: cross-sectional results from the PERSIAN cohort study |
| title_full_unstemmed | Decomposing socioeconomic inequality in dental caries in Iran: cross-sectional results from the PERSIAN cohort study |
| title_short | Decomposing socioeconomic inequality in dental caries in Iran: cross-sectional results from the PERSIAN cohort study |
| title_sort | decomposing socioeconomic inequality in dental caries in iran cross sectional results from the persian cohort study |
| topic | Socioeconomic status Dental caries Concentration index Decomposition Iran |
| url | http://link.springer.com/article/10.1186/s13690-020-00457-4 |
| work_keys_str_mv | AT faridnajafi decomposingsocioeconomicinequalityindentalcariesinirancrosssectionalresultsfromthepersiancohortstudy AT satarrezaei decomposingsocioeconomicinequalityindentalcariesinirancrosssectionalresultsfromthepersiancohortstudy AT mohammadhajizadeh decomposingsocioeconomicinequalityindentalcariesinirancrosssectionalresultsfromthepersiancohortstudy AT moslemsoofi decomposingsocioeconomicinequalityindentalcariesinirancrosssectionalresultsfromthepersiancohortstudy AT yahyasalimi decomposingsocioeconomicinequalityindentalcariesinirancrosssectionalresultsfromthepersiancohortstudy AT alikazemikaryani decomposingsocioeconomicinequalityindentalcariesinirancrosssectionalresultsfromthepersiancohortstudy AT shahinsoltani decomposingsocioeconomicinequalityindentalcariesinirancrosssectionalresultsfromthepersiancohortstudy AT sinaahmadi decomposingsocioeconomicinequalityindentalcariesinirancrosssectionalresultsfromthepersiancohortstudy AT enayatollahhomaierad decomposingsocioeconomicinequalityindentalcariesinirancrosssectionalresultsfromthepersiancohortstudy AT behzadkaramimatin decomposingsocioeconomicinequalityindentalcariesinirancrosssectionalresultsfromthepersiancohortstudy AT yahyapasdar decomposingsocioeconomicinequalityindentalcariesinirancrosssectionalresultsfromthepersiancohortstudy AT behroozhamzeh decomposingsocioeconomicinequalityindentalcariesinirancrosssectionalresultsfromthepersiancohortstudy AT mehdimoradinazar decomposingsocioeconomicinequalityindentalcariesinirancrosssectionalresultsfromthepersiancohortstudy AT alimohammadi decomposingsocioeconomicinequalityindentalcariesinirancrosssectionalresultsfromthepersiancohortstudy AT hosseinpoustchi decomposingsocioeconomicinequalityindentalcariesinirancrosssectionalresultsfromthepersiancohortstudy AT nazgolmotamedgorji decomposingsocioeconomicinequalityindentalcariesinirancrosssectionalresultsfromthepersiancohortstudy AT alirezamoslem decomposingsocioeconomicinequalityindentalcariesinirancrosssectionalresultsfromthepersiancohortstudy AT aliasgharkhaleghi decomposingsocioeconomicinequalityindentalcariesinirancrosssectionalresultsfromthepersiancohortstudy AT mohammadrezafatthi decomposingsocioeconomicinequalityindentalcariesinirancrosssectionalresultsfromthepersiancohortstudy AT javadaghazadehattari decomposingsocioeconomicinequalityindentalcariesinirancrosssectionalresultsfromthepersiancohortstudy AT aliahmadi decomposingsocioeconomicinequalityindentalcariesinirancrosssectionalresultsfromthepersiancohortstudy AT farhadpourfarzi decomposingsocioeconomicinequalityindentalcariesinirancrosssectionalresultsfromthepersiancohortstudy AT mohammadhosseinsomi decomposingsocioeconomicinequalityindentalcariesinirancrosssectionalresultsfromthepersiancohortstudy AT mehrnoushsohrab decomposingsocioeconomicinequalityindentalcariesinirancrosssectionalresultsfromthepersiancohortstudy AT alirezaansarimoghadam decomposingsocioeconomicinequalityindentalcariesinirancrosssectionalresultsfromthepersiancohortstudy AT farhadedjtehadi decomposingsocioeconomicinequalityindentalcariesinirancrosssectionalresultsfromthepersiancohortstudy AT aliesmaeili decomposingsocioeconomicinequalityindentalcariesinirancrosssectionalresultsfromthepersiancohortstudy AT farahnazjoukar decomposingsocioeconomicinequalityindentalcariesinirancrosssectionalresultsfromthepersiancohortstudy AT mohammadhasanlotfi decomposingsocioeconomicinequalityindentalcariesinirancrosssectionalresultsfromthepersiancohortstudy AT teamuraghamolaei decomposingsocioeconomicinequalityindentalcariesinirancrosssectionalresultsfromthepersiancohortstudy AT saiedeslami decomposingsocioeconomicinequalityindentalcariesinirancrosssectionalresultsfromthepersiancohortstudy AT seyedhamidrezatabatabaee decomposingsocioeconomicinequalityindentalcariesinirancrosssectionalresultsfromthepersiancohortstudy AT nadersaki decomposingsocioeconomicinequalityindentalcariesinirancrosssectionalresultsfromthepersiancohortstudy AT aliakbarhaghdost decomposingsocioeconomicinequalityindentalcariesinirancrosssectionalresultsfromthepersiancohortstudy |