Aiming at preparing the basis for evidence-based dental public health policy making in Slovenia, the objective of the study was to assess the strength of association between oral health status ...measured by the number of missing teeth and self-rated health (SRH).
The study was designed as a pooled individual-level data study from four national cross-sectional studies carried out in the period 2001-2012, based on CINDI Health Monitor methodology. Altogether, 34,412 participants were included. A logistic regression model with poor SRH as observed outcome and the number of teeth as explanatory factor (adjusted for selected biologic, socio-economic and health factors) was proposed.
In the sample, women represented 55.7% and men 44.3%, median age was 45 years. Persons with more missing teeth more likely rated their health as poor. The association was persistent even when different confounding variables were included in the model. In the group with 1-5 missing teeth, in comparison to the group with none missing teeth, OR was 1.23 (p=0.049), whereas for the group with 6-10 missing teeth, OR was 1.32 (p=0.019); for the group with >10 missing teeth, but not all, OR was 1.77 (p<0.001), and for the group with all missing teeth, OR was 2.19 (p<0.001).
Study results showed clear association of SRH with dentate status, which confirms the oral-general health connection. This indicates the need for the development of proper dental public health policies for better oral health, and presents a new view on the importance of preserving teeth.
Izhodišča: Samoocena zdravja predstavlja bolnikov občutek lastnega zdravja; vključuje biološke, sociološke in psihološke dejavnike. Pogosto se uporablja v populacijskih raziskavah, osebni zdravnik pa ...lahko z njeno pomočjo pridobi dodatne informacije o bolniku in njegovih potrebah.
Trends in subjective health assesment between 1981 and 2011 as an indicator of persistent social inequalities Background: Historically speaking, public health systems were established to guarantee ...every citizen equal access to health care and to separate the issue of an individual's health from issues of material welbeing. Using social science methodology, the study set out to explore how successful the welfare system in Slovenia was in achieving this goal during the last three decades, i.e. to what extent social inequalities in Slovenia are being reproduced as health inequalities. Methods: The study is based on six waves of Slovenian Public Opinion surveys carried out between 1981 and 2011 on representative samples of the adult Slovenian population. The main dependent variable is the respondent's self-assessed health and the main independent variable is his or her socio-economic status. The relationship between them was examined using Chi-square tests and regression analysis. Results: The thirty year trend shows persisting inequalities in health as throughout the entire period, self-assessed health is significantly lower at the bottom of the educational and income scale. The largest differences between social strata are observed in the 30 to 60 age group when labour market pressures are most pronounced. Conclusions: The results indicate that inequalities in health are almost impossible to eliminate as long as their deeper causes lie in social inequality. An additional factor that decreases self-assessed health in Slovenia compared to Western Europe is the low level of trust in people and social institutions, which is the likely reason why the relatively favourable statistical picture of social inequalities is not translated into an equally favourable picture of subjective health. PUBLICATION ABSTRACT
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