Effects of area-based deprivation on dental caries, perceived dental treatment need and oral health related quality of life of UK adults

Aims and Objectives: To measure the influence of Index of Multiple Deprivation England (IMDE) on dental caries prevalence, perceived dental need, and oral health related quality of life (OHRQoL). Materials and Methods: Secondary analysis of the 2009 Adult Dental Health Survey (ADHS) was carried out...

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Published in:Journal of International Oral Health
Main Author: Mohd Radzi N.A.
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019
Online Access:https://www.scopus.com/inward/record.uri?eid=2-s2.0-85071331656&doi=10.4103%2fjioh.jioh_47_19&partnerID=40&md5=cdc784bee8ee655f90f97e8a6f2323ad
id 2-s2.0-85071331656
spelling 2-s2.0-85071331656
Mohd Radzi N.A.
Effects of area-based deprivation on dental caries, perceived dental treatment need and oral health related quality of life of UK adults
2019
Journal of International Oral Health
11
4
10.4103/jioh.jioh_47_19
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85071331656&doi=10.4103%2fjioh.jioh_47_19&partnerID=40&md5=cdc784bee8ee655f90f97e8a6f2323ad
Aims and Objectives: To measure the influence of Index of Multiple Deprivation England (IMDE) on dental caries prevalence, perceived dental need, and oral health related quality of life (OHRQoL). Materials and Methods: Secondary analysis of the 2009 Adult Dental Health Survey (ADHS) was carried out to report the influence of IMDE on the number of carious teeth, perceived need toward dental treatment OHRQoL of UK adults using Oral Health Impact Profile (OHIP-14). Results: As the range of IMDE from the least to the most deprived area is 10 to 1, IMDE score was negatively correlated with the number of carious teeth (r =-0.147, P = 0.01). Similarly, IMDE score was negatively correlated with total OHIP-14 score (higher score indicating higher impact on OHRQoL) with r =-0.135 (P = 0.01). Logistic regression showed statistically significant results of IMDE score in increasing the likelihood of respondent in having higher number of caries (odds ratio [OR] = 0.93, P = 0.000), perception of needing dental treatment (OR = 1.111, P = 0.000), and higher OHIP-14 score (OR = 0.94, P = 0.000). Conclusion: Measures of relative deprivation are important in research related to oral health inequality. Area-based deprivation index proved to be one of the tools that can visibly disclose the inequalities of burden of disease in oral health. Policymakers should consider concentrating resources toward those with low household income in highly deprived areas rather than those with similar income but in less-deprived area. © 2019 Journal of International Oral Health.
Wolters Kluwer Medknow Publications
9767428
English
Article

author Mohd Radzi N.A.
spellingShingle Mohd Radzi N.A.
Effects of area-based deprivation on dental caries, perceived dental treatment need and oral health related quality of life of UK adults
author_facet Mohd Radzi N.A.
author_sort Mohd Radzi N.A.
title Effects of area-based deprivation on dental caries, perceived dental treatment need and oral health related quality of life of UK adults
title_short Effects of area-based deprivation on dental caries, perceived dental treatment need and oral health related quality of life of UK adults
title_full Effects of area-based deprivation on dental caries, perceived dental treatment need and oral health related quality of life of UK adults
title_fullStr Effects of area-based deprivation on dental caries, perceived dental treatment need and oral health related quality of life of UK adults
title_full_unstemmed Effects of area-based deprivation on dental caries, perceived dental treatment need and oral health related quality of life of UK adults
title_sort Effects of area-based deprivation on dental caries, perceived dental treatment need and oral health related quality of life of UK adults
publishDate 2019
container_title Journal of International Oral Health
container_volume 11
container_issue 4
doi_str_mv 10.4103/jioh.jioh_47_19
url https://www.scopus.com/inward/record.uri?eid=2-s2.0-85071331656&doi=10.4103%2fjioh.jioh_47_19&partnerID=40&md5=cdc784bee8ee655f90f97e8a6f2323ad
description Aims and Objectives: To measure the influence of Index of Multiple Deprivation England (IMDE) on dental caries prevalence, perceived dental need, and oral health related quality of life (OHRQoL). Materials and Methods: Secondary analysis of the 2009 Adult Dental Health Survey (ADHS) was carried out to report the influence of IMDE on the number of carious teeth, perceived need toward dental treatment OHRQoL of UK adults using Oral Health Impact Profile (OHIP-14). Results: As the range of IMDE from the least to the most deprived area is 10 to 1, IMDE score was negatively correlated with the number of carious teeth (r =-0.147, P = 0.01). Similarly, IMDE score was negatively correlated with total OHIP-14 score (higher score indicating higher impact on OHRQoL) with r =-0.135 (P = 0.01). Logistic regression showed statistically significant results of IMDE score in increasing the likelihood of respondent in having higher number of caries (odds ratio [OR] = 0.93, P = 0.000), perception of needing dental treatment (OR = 1.111, P = 0.000), and higher OHIP-14 score (OR = 0.94, P = 0.000). Conclusion: Measures of relative deprivation are important in research related to oral health inequality. Area-based deprivation index proved to be one of the tools that can visibly disclose the inequalities of burden of disease in oral health. Policymakers should consider concentrating resources toward those with low household income in highly deprived areas rather than those with similar income but in less-deprived area. © 2019 Journal of International Oral Health.
publisher Wolters Kluwer Medknow Publications
issn 9767428
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