Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Socioeconomic Status and Oral Health Inequity in Karnataka


Affiliations
1 Department of Public Health Dentistry, Bapuji Dental College and Hospital, Davangere, Karnataka, India
2 Department of Forensic Medicine & Toxicology, S. S. Institute of Medical Sciences & Research Centre, Davangere, Karnataka, India
     

   Subscribe/Renew Journal


Various studies conducted across the world have reported that people belonging to lower socioeconomic groups compared to higher socioeconomic groups have poorer oral health status. Studies conducted in India conversely are inconclusive and provide conflicting evidence. Most of the studies on oral health inequalities in India have stressed socioeconomic status (SES) as an important determinant of oral health. Inequalities in socioeconomic status underlie many health disparities in the world, including oral health. Occupational status, income and education are intrinsically related. In general, the population groups those suffer the worst oral health status are also those that have the highest poverty rates and the lowest education.

Higher income enable people to afford better housing and permit increased access to medical care. In the same time, a high level of education increases the opportunity to engage in oral health-promoting behaviors. On the other hand, differences in income and employment of parents generate inequalities in oral health status of children. All studies conducted in this field confirm the link between socioeconomic status and oral health, which justifies the struggle to identify the factors involved in generating and maintaining inequalities in both general and oral health.


Keywords

Socioeconomic Status, Income, Education Level, Oral Health, Inequalities
Subscription Login to verify subscription
User
Notifications
Font Size


  • Wilkinson R, Marmot M: Social determinants of health. The solid facts. WHO Regional Office for Europe, Copenhagen, 2003.
  • Daly B, Watt R, Batchelor P, Treasure E: Essential dental public health.Oxford University Press, 2002.
  • Parkash H, Duggal R, Mathur V P.Final report and recommendations “Formulation of Guidelines for Meaningful and Effective Utilization of Available Manpower at Dental Colleges for Primary Prevention of Oro-dental Problems in the Country”.A GOI- WHO Collaborative Programme.2007.New Delhi
  • AIHW Dental Statistics and Research Unit (2006) Social Impact of Oral Conditions Among Australian Adults, Research. Report No. 24, Australian Research Centre for Population Oral Health, The University of Adelaide.
  • National Advisory Committee on Oral Health (2004) Healthy Mouths Healthy Lives: Australia’s National Oral Health Plan 2004-2013, A Committee Established by the Australian Health Ministers’ Conference, p. 27
  • Spencer AJ (2004) Narrowing the Inequality Gap in Oral Health and Dental Care in Australia, Australian Health PolicyInstitute, The University of Sydney, p. 11.
  • Sanders A, Spencer AJ (2004) ‘Social inequality in perceived oral health among adults in Australia’, Australian and New Zealand Journal of Public Health, Vol. 28, No. 2: 159-166.
  • Australian Research Centre for Population Oral Health (2003) Social Impact of Oral Conditions Among Australian Adults, AIHW Dental Statistics and Research Unit, Report No. 24, The University of Adelaide
  • Carter KD, Stewart JF (2002) cited in Spencer AJ, Harford J (no date) Submission to the Senate Select Committee on Medicare, Australian Research Centre for Population Oral Health,The University of Adelaide, accessed from http:// www.aph.gov.au/Senate/committee/ medicare_ctte/fairer_medicare/submissions on 31 July 2006.
  • Sanders AE, Spencer AJ, Slade GD (2006) ‘Evaluating the role of dental behavior in oral health inequalities’, Community Dentistry and Oral Epidemiology, Vol. 34: 71-79.
  • Petersen PE: The world health report 2003. WHO, Geneva, 2003.
  • Kunst A, Mackenbach J: Measuring socioeconomic inequalities in health.WHO, Regional office for Europe, Copenhagen, 1997.
  • Gluck G M, Morgenstein W M: Jong’s community dental health. Mosby, 2003.
  • World Health Organization: Target for health for all. The health policy for Europe. Copenhagen, WHO Regional Office for Europe, 1992.
  • Dahlgren G, Whitehead M: Policies and strategies to promote equity in health. WHO, Regional Office for Europe, Copenhagen, 1992.
  • Locker D, Ford J: Evaluation of an area-based measure as an indicator of inequalities in oral health. Community Dent Oral Epidemiol. 1994, 22: 80-85.
  • World Health Organization: Atlas of health in Europe. WHO library cataloguing in publication data, 2003.
  • World Health Organization: European health for all data base. WHO, Geneva, 2004.
  • Whitehead M: The concepts and principles of equity in health. WHO Regional Office for Europe, 2000.
  • World Health Organization: World health report. Reducing risks, promoting healthy life. WHO Regional Office for Europe, Copenhagen, 2002.
  • Locker D: Deprivation and oral health: a review. Community Dent Oral Epidemiol. 2000, 28: 161- 9.
  • Locker D: Measuring social inequality in dental health services research: individual, household and area-based measures. Community Dental Health 1993, 10: 139-150.
  • Healthy people 2010. US Department of Health and Human Services, 2000.
  • Locker D, Ford J: Using area-based measures of socioeconomic status in dental health services research. J Public Health Dent. 1996, 56: 69-75.
  • Whittle J, Whittle K: Household income in relation to dental health and dental health behaviours: the use of Super Profiles. Community Dent Health. 1998, 15: 150-154.
  • World Health Organization: World health report 2003. Shaping the future. WHO Regional Office for Europe, Copenhagen, 2003.
  • Gratrix D, Holloway P: Factors of deprivation associated with dental caries in young children. Community Dent Health. 1994, 11: 66-70.
  • Tickle M et al.: Inequalities in the dental treatment provided to children: an example from the UK. Community Dent Oral Epidemiol. 2002, 30: 335- 341.
  • Shobha Tandon.Challenges to the Oral Health Workforce in India Journal of Dental Education,Volume 68, Number 7 Supplement;July 2004, 28-33
  • National Sample Survey Organization. Department of Statistics. GOI. 42nd and 52nd Round.
  • Mudur G. Inadequate regulations undermine India s healthcare. BMJ 2004;328,124.
  • Ahluwalia MS. Economic performance of states in post-reforms period. Economic and Political weekly, May 6 2000, 1648.
  • Parkash H, Duggal R, Mathur V P.Final report and recommendations “Formulation of Guidelines for Meaningful and Effective Utilization of Available Manpower at Dental Colleges for Primary Prevention of Oro-dental Problems in the Country”.A GOI- WHO Collaborative Programme.2007.New Delhi
  • Pine C et al.: Developing explanatory models of health inequalities in childhood dental caries. Community dental health 21 (Supplement) 2004, 86-95.

Abstract Views: 325

PDF Views: 1




  • Socioeconomic Status and Oral Health Inequity in Karnataka

Abstract Views: 325  |  PDF Views: 1

Authors

Jayachandra MegalamaneGowdru
Department of Public Health Dentistry, Bapuji Dental College and Hospital, Davangere, Karnataka, India
V Vijayanath
Department of Forensic Medicine & Toxicology, S. S. Institute of Medical Sciences & Research Centre, Davangere, Karnataka, India

Abstract


Various studies conducted across the world have reported that people belonging to lower socioeconomic groups compared to higher socioeconomic groups have poorer oral health status. Studies conducted in India conversely are inconclusive and provide conflicting evidence. Most of the studies on oral health inequalities in India have stressed socioeconomic status (SES) as an important determinant of oral health. Inequalities in socioeconomic status underlie many health disparities in the world, including oral health. Occupational status, income and education are intrinsically related. In general, the population groups those suffer the worst oral health status are also those that have the highest poverty rates and the lowest education.

Higher income enable people to afford better housing and permit increased access to medical care. In the same time, a high level of education increases the opportunity to engage in oral health-promoting behaviors. On the other hand, differences in income and employment of parents generate inequalities in oral health status of children. All studies conducted in this field confirm the link between socioeconomic status and oral health, which justifies the struggle to identify the factors involved in generating and maintaining inequalities in both general and oral health.


Keywords


Socioeconomic Status, Income, Education Level, Oral Health, Inequalities

References