A study of socio-economic inequalities in self-reported oral and general health in South-East Norway

Abstract This study assesses the association between socioeconomic determinants and self-reported health using data from a regional Norwegian health survey. We included 9,068 participants ≥ 25 years. Survey data were linked to registry data on education and income. Self-reported oral and general hea...

Full description

Bibliographic Details
Main Authors: Heidi Lyshol, Liv Grøtvedt, Tone Natland Fagerhaug, Astrid J. Feuerherm, Gry Jakhelln, Abhijit Sen
Format: Article
Language:English
Published: Nature Portfolio 2022-08-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-18055-5
_version_ 1811320672869154816
author Heidi Lyshol
Liv Grøtvedt
Tone Natland Fagerhaug
Astrid J. Feuerherm
Gry Jakhelln
Abhijit Sen
author_facet Heidi Lyshol
Liv Grøtvedt
Tone Natland Fagerhaug
Astrid J. Feuerherm
Gry Jakhelln
Abhijit Sen
author_sort Heidi Lyshol
collection DOAJ
description Abstract This study assesses the association between socioeconomic determinants and self-reported health using data from a regional Norwegian health survey. We included 9,068 participants ≥ 25 years. Survey data were linked to registry data on education and income. Self-reported oral and general health were separately assessed and categorized into ‘good’/‘poor’. Exposures were educational level, personal income, and economic security. Prevalence ratios (PR) were computed to assess the associations between socioeconomic determinants and self-reported health using Poisson regression models. Participants with low education or income had poorer oral and general health than those with more education or higher income. Comparing the highest and lowest education levels, adjusted PRs for poor oral and general health were 1.27 (95%CI, 1.11–1.46) and 1.43 (95%CI, 1.29–1.59), respectively. Correspondingly, PRs for lowest income quintiles compared to highest quintile were 1.34 (95%CI, 1.17–1.55) and 2.10 (95%CI, 1.82–2.43). Low economic security was also significantly associated with poor oral and general health. There were socioeconomic gradients and positive linear trends between levels of education and income in relation to both outcomes (P-linear trends < 0.001). We found statistical evidence of effect modification by gender on the association between education and oral and general health, and by age group between income and oral health.
first_indexed 2024-04-13T13:03:35Z
format Article
id doaj.art-ee309cc80fc14d8db6b779f36e4a6b6e
institution Directory Open Access Journal
issn 2045-2322
language English
last_indexed 2024-04-13T13:03:35Z
publishDate 2022-08-01
publisher Nature Portfolio
record_format Article
series Scientific Reports
spelling doaj.art-ee309cc80fc14d8db6b779f36e4a6b6e2022-12-22T02:45:51ZengNature PortfolioScientific Reports2045-23222022-08-011211910.1038/s41598-022-18055-5A study of socio-economic inequalities in self-reported oral and general health in South-East NorwayHeidi Lyshol0Liv Grøtvedt1Tone Natland Fagerhaug2Astrid J. Feuerherm3Gry Jakhelln4Abhijit Sen5Department of Health and Inequality, Norwegian Institute of Public HealthDepartment of Health and Inequality, Norwegian Institute of Public HealthCenter for Oral Health Services and Research (TkMidt)Center for Oral Health Services and Research (TkMidt)UnaffiliatedCenter for Oral Health Services and Research (TkMidt)Abstract This study assesses the association between socioeconomic determinants and self-reported health using data from a regional Norwegian health survey. We included 9,068 participants ≥ 25 years. Survey data were linked to registry data on education and income. Self-reported oral and general health were separately assessed and categorized into ‘good’/‘poor’. Exposures were educational level, personal income, and economic security. Prevalence ratios (PR) were computed to assess the associations between socioeconomic determinants and self-reported health using Poisson regression models. Participants with low education or income had poorer oral and general health than those with more education or higher income. Comparing the highest and lowest education levels, adjusted PRs for poor oral and general health were 1.27 (95%CI, 1.11–1.46) and 1.43 (95%CI, 1.29–1.59), respectively. Correspondingly, PRs for lowest income quintiles compared to highest quintile were 1.34 (95%CI, 1.17–1.55) and 2.10 (95%CI, 1.82–2.43). Low economic security was also significantly associated with poor oral and general health. There were socioeconomic gradients and positive linear trends between levels of education and income in relation to both outcomes (P-linear trends < 0.001). We found statistical evidence of effect modification by gender on the association between education and oral and general health, and by age group between income and oral health.https://doi.org/10.1038/s41598-022-18055-5
spellingShingle Heidi Lyshol
Liv Grøtvedt
Tone Natland Fagerhaug
Astrid J. Feuerherm
Gry Jakhelln
Abhijit Sen
A study of socio-economic inequalities in self-reported oral and general health in South-East Norway
Scientific Reports
title A study of socio-economic inequalities in self-reported oral and general health in South-East Norway
title_full A study of socio-economic inequalities in self-reported oral and general health in South-East Norway
title_fullStr A study of socio-economic inequalities in self-reported oral and general health in South-East Norway
title_full_unstemmed A study of socio-economic inequalities in self-reported oral and general health in South-East Norway
title_short A study of socio-economic inequalities in self-reported oral and general health in South-East Norway
title_sort study of socio economic inequalities in self reported oral and general health in south east norway
url https://doi.org/10.1038/s41598-022-18055-5
work_keys_str_mv AT heidilyshol astudyofsocioeconomicinequalitiesinselfreportedoralandgeneralhealthinsoutheastnorway
AT livgrøtvedt astudyofsocioeconomicinequalitiesinselfreportedoralandgeneralhealthinsoutheastnorway
AT tonenatlandfagerhaug astudyofsocioeconomicinequalitiesinselfreportedoralandgeneralhealthinsoutheastnorway
AT astridjfeuerherm astudyofsocioeconomicinequalitiesinselfreportedoralandgeneralhealthinsoutheastnorway
AT gryjakhelln astudyofsocioeconomicinequalitiesinselfreportedoralandgeneralhealthinsoutheastnorway
AT abhijitsen astudyofsocioeconomicinequalitiesinselfreportedoralandgeneralhealthinsoutheastnorway
AT heidilyshol studyofsocioeconomicinequalitiesinselfreportedoralandgeneralhealthinsoutheastnorway
AT livgrøtvedt studyofsocioeconomicinequalitiesinselfreportedoralandgeneralhealthinsoutheastnorway
AT tonenatlandfagerhaug studyofsocioeconomicinequalitiesinselfreportedoralandgeneralhealthinsoutheastnorway
AT astridjfeuerherm studyofsocioeconomicinequalitiesinselfreportedoralandgeneralhealthinsoutheastnorway
AT gryjakhelln studyofsocioeconomicinequalitiesinselfreportedoralandgeneralhealthinsoutheastnorway
AT abhijitsen studyofsocioeconomicinequalitiesinselfreportedoralandgeneralhealthinsoutheastnorway