PDF(Pubmed)
Abstract：
This cross-sectional study investigated the association between experiences of discrimination and oral health self-perception among a probabilistic cluster sample of Brazilian adults who participated in the 2013 National Health Survey. Oral health self-perception was categorized into three groups (very good + good; fair; poor + very poor). Reported experiences of discrimination included attributions based on the respondent\'s race/skin color, social class, income, occupation, illness, sexual orientation, religion, sex, and age. Covariates included sociodemographic data, oral health conditions, access to healthcare services, health habits, mental health, and participation in social and/or religious activities. Data were analyzed using ordinal logistic regression for non-proportional odds, considering sample weights and complex samples. Among 60,202 adults, 5.84% perceived their oral health as poor + very poor, with a significantly higher proportion among those experiencing discrimination (9.98%). Adults who experienced discrimination were 1.39 times more likely to report a \"poor/very poor/fair\" oral health self-perception compared to those who did not experience discrimination. Those who suffered discrimination were 1.28 times more likely to have a \"very poor/poor\" oral health self-perception than their counterparts who were not affected by discrimination. These findings underscore the importance of considering discrimination experiences as part of the social determinants influencing oral health.
摘要：
这项横断面研究调查了参与2013年全国健康调查的巴西成年人的概率聚类样本中歧视经历与口腔健康自我感知之间的关系。口腔健康自我感知分为三组(非常好+好;一般;差+非常差)。报告的歧视经历包括基于受访者种族/肤色的归因，社会阶层,收入,职业,疾病,性取向,宗教,性别,和年龄。协变量包括社会人口统计数据，口腔健康状况,获得医疗保健服务，卫生习惯,心理健康,参与社会和/或宗教活动。数据使用有序逻辑回归分析非比例赔率，考虑样本权重和复杂样本。在60,202名成年人中，5.84%的人认为他们的口腔健康状况差+非常差，在遭受歧视的人中比例明显更高（9.98％）。与没有遭受歧视的成年人相比，遭受歧视的成年人报告“贫穷/非常贫穷/公平”口腔健康自我感知的可能性要高1.39倍。那些遭受歧视的人比那些没有受到歧视影响的人有“非常差/差”的口腔健康自我认知的可能性高1.28倍。这些发现强调了将歧视经历视为影响口腔健康的社会决定因素的重要性。
