TY - JOUR
T1 - Is social origin, destination or mobility what matters to adult self-rated oral health?
AU - Miranda, Gabriela
AU - Bernabé, Eduardo
AU - Delgado-Angulo, Elsa Karina
N1 - Publisher Copyright:
© 2022 The Authors. Community Dentistry and Oral Epidemiology published by John Wiley & Sons Ltd.
PY - 2022/1/27
Y1 - 2022/1/27
N2 - Objectives: To evaluate the independent contributions of parental socioeconomic position (SEP), own SEP and social mobility to explain adult self-rated oral health. Methods: Data from 6633 participants in the 1970 British Cohort Study were analysed. Parental SEP at the age of 10 years (social origin) and own SEP at the age of 46 years (social destination) were indicated by the 7-class National Statistics Socioeconomic Classification (NS-SEC). The study outcome was self-rated oral health (SROH) at the age of 46 years. Diagonal reference models (DRMs) were used to parse out the effects of parental SEP, own SEP and intergenerational mobility from childhood to middle adulthood, after adjusting for demographic characteristics (sex, ethnicity, country and area of residence). Results: Overall, 23.1% of participants reported poor SROH. A baseline DRM, with no indicators of social mobility, showed that the contribution of own SEP to explain variations in SROH was higher than that of parental SEP. However, they became almost equal after indicators of social mobility were introduced. Downward mobility was associated with poor SROH (odds ratio: 1.24, 95% CI: 1.01–1.51), but upward mobility was not (1.01, 95% CI: 0.83–1.23). Also, short-range downward mobility and long-range downward mobility (moving 1 and 2+ social classes down in NS-SEC, respectively) were associated with poor SROH (1.26, 95% CI: 1.01–1.58 and 1.39, 95% CI: 1.06–1.83, respectively) whilst short-range upward mobility (1.04, 95% CI: 0.84–1.28) and long-range upward mobility (0.88, 95% CI: 0.67–1.14) were not. Conclusions: The contributions of parental and own SEP were similar once social mobility was accounted for. Only downward mobility was associated with poor SROH, with new evidence that long-range mobility was more strongly associated with poor SROH than short-range mobility.
AB - Objectives: To evaluate the independent contributions of parental socioeconomic position (SEP), own SEP and social mobility to explain adult self-rated oral health. Methods: Data from 6633 participants in the 1970 British Cohort Study were analysed. Parental SEP at the age of 10 years (social origin) and own SEP at the age of 46 years (social destination) were indicated by the 7-class National Statistics Socioeconomic Classification (NS-SEC). The study outcome was self-rated oral health (SROH) at the age of 46 years. Diagonal reference models (DRMs) were used to parse out the effects of parental SEP, own SEP and intergenerational mobility from childhood to middle adulthood, after adjusting for demographic characteristics (sex, ethnicity, country and area of residence). Results: Overall, 23.1% of participants reported poor SROH. A baseline DRM, with no indicators of social mobility, showed that the contribution of own SEP to explain variations in SROH was higher than that of parental SEP. However, they became almost equal after indicators of social mobility were introduced. Downward mobility was associated with poor SROH (odds ratio: 1.24, 95% CI: 1.01–1.51), but upward mobility was not (1.01, 95% CI: 0.83–1.23). Also, short-range downward mobility and long-range downward mobility (moving 1 and 2+ social classes down in NS-SEC, respectively) were associated with poor SROH (1.26, 95% CI: 1.01–1.58 and 1.39, 95% CI: 1.06–1.83, respectively) whilst short-range upward mobility (1.04, 95% CI: 0.84–1.28) and long-range upward mobility (0.88, 95% CI: 0.67–1.14) were not. Conclusions: The contributions of parental and own SEP were similar once social mobility was accounted for. Only downward mobility was associated with poor SROH, with new evidence that long-range mobility was more strongly associated with poor SROH than short-range mobility.
UR - http://www.scopus.com/inward/record.url?scp=85123713061&partnerID=8YFLogxK
U2 - 10.1111/cdoe.12728
DO - 10.1111/cdoe.12728
M3 - Article
AN - SCOPUS:85123713061
SN - 0301-5661
VL - 51
SP - 211
EP - 218
JO - Community Dentistry and Oral Epidemiology
JF - Community Dentistry and Oral Epidemiology
IS - 2
ER -
