Experience of Discrimination and Oral Health Self-Perception: A Cross-Sectional Study among Brazilian Adults
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 (v...
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| Veröffentlicht in: | International journal of environmental research and public health 2024-06, Vol.21 (6), p.743 |
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| creator | Vieira, Renato Vitor Cruz, Carlos Antonio Gomes da Alencar, Gizelton Pereira Gomes, Viviane Elisângela Chalub, Loliza Luiz Figueiredo Houri Soares, Anna Rachel Dos Santos Fonseca, Maria Luiza Viana Kawachi, Ichiro Ferreira, Raquel Conceição |
| description | 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. |
| doi_str_mv | 10.3390/ijerph21060743 |
| format | Article |
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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. 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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. 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| subjects | Adolescent Adult Age Aged Alcoholic beverages Beverages Brazil Cross-Sectional Studies Dental insurance Discrimination Ethnicity Exercise Female Health care Health disparities Humans Male Middle Aged Oral Health Oral hygiene Perceptions Quality of life Self Concept Self image Sexual orientation Smoking Social Discrimination - psychology Socioeconomic Factors Variables Young Adult |
| title | Experience of Discrimination and Oral Health Self-Perception: A Cross-Sectional Study among Brazilian Adults |
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