Predictors of Unmet Dental Health Needs in US Adults in 2018: A Cross-Sectional Analysis

2021 ◽  
pp. 238008442110356
Author(s):  
D.J. Gaskin ◽  
H. Zare ◽  
R. McCleary ◽  
O. Kanwar ◽  
A.L. Davis
Keyword(s):  
Socioeconomic Status ◽  
Oral Health ◽  
Low Socioeconomic Status ◽  
Low Income ◽  
The United States ◽  
Permanent Teeth ◽  
Dental Visit ◽  
Low Socioeconomic ◽  
The Past ◽  
Dental Needs

Objective: To identify predictors of unmet dental needs for adults 18 y of age or older in the United States. Method: Using the Aday and Andersen framework and data from the 2018 Behavioral Risk Factor Surveillance System (BRFSS), we ran logistic regression to estimate predictors for adults of not having a dental visit within 5 y and having lost any teeth using a national sample of 155,060 survey respondents. Results: Results showed that predisposing factors (age, race/ethnicity, gender, and educational attainment) and enabling factors (income and health insurance status) are important predictors for losing teeth due to decay or gum disease. Men, the elderly, and less educated and low-income residents were less likely to have seen a dentist within the past 5 y and more likely to have lost their permanent teeth. Compared to non-Hispanic White adults, Hispanics adults were more likely to have had a dental visit within the past 5 y. Unmet dental needs varied across states. People living in states with extensive Medicaid dental care benefit coverage were less likely to lose their teeth and more likely to have had a dental visit within the past 5 y. Conclusion: Efforts to improve oral health should address unmet dental needs of men and adults with low socioeconomic status. Studying the variation between state oral health care programs could further our understanding of how public policy can improve population oral health. Knowledge Transfer Statement: Men, non-Hispanic Blacks, mixed and other race minorities, and low socioeconomic status adults are most at risk of unmet dental needs. States can address these needs by expanding Medicaid coverage for adults.

Racial and socioeconomic disparities in follicular lymphoma survival.

2019 ◽  
Vol 37 (15_suppl) ◽  
pp. e18173-e18173
Author(s):  
Richard Stephen Sheppard ◽  
Adewumi Adekunle ◽  
Stefani Beale ◽  
Meena Ahluwalia
Keyword(s):  
Socioeconomic Status ◽  
Follicular Lymphoma ◽  
Low Socioeconomic Status ◽  
Survival Rates ◽  
The United States ◽  
Rank Test ◽  
Men And Women ◽  
Low Socioeconomic ◽  
Asian Pacific Islander ◽  
Asian Pacific

e18173 Background: Follicular Lymphoma (FL) is a the second most common Non Hodgkin's Lymphoma (NHL) diagnosed in the United States with 2.6 per 100,000 men and women per year from 2011 to 2015 when age adjusted as per the National Cancer Institute with the number of deaths of 0.5 per 100,000 men and women per year. It known that FL is one of the most clinically indolent NHL and due to this, survival rates are generally more favorable when compared to other B Cell Lymphomas. With this study, we aim to analyse socioeconomic and racial disparities in the survival rates for FL. Methods: The authors identified patients diagnosed with FL between 1973 and 2015 using the Surveillance, Epidemiology, and End Results (SEER) database. Overall survival was estimated and compared between racial/ethnic groups using the log-rank test. Our outcome variables were 1-year, 5-year and mortality. Our independent variables were race and socioeconomic status. We controlled for age, demographic characteristics, time of diagnosis, pathological classification, treatment and socioeconomic status. Results: A total of 66 127 patients were identified; 90% of the patients were White, 4% Black, and 4% Asian. We noted significant differences in disease presentation, socioeconomic status, and outcomes. Asian/Pacific Islander had the lowest survival with a mean of 228 survival months, Blacks had a mean survival months of 237, and Whites had a mean survival months of 234. Conclusions: Disparities exist in the care and outcomes of FL. A low socioeconomic status is correlated with decreased survival.

Moral Identity Among Low–Socioeconomic Status Adolescents: Stressful Events and Family Relationships Considered

2017 ◽  
Vol 33 (4) ◽  
pp. 395-415
Author(s):  
Alexandra N. Davis ◽  
Cara Streit
Keyword(s):  
Low Socioeconomic Status ◽  
Low Income ◽  
Family Relationships ◽  
Conceptual Models ◽  
Moral Identity ◽  
Qualitative Interviews ◽  
The United States ◽  
Family Processes ◽  
Stressful Events ◽  
Low Socioeconomic

The current study aimed to examine themes surrounding the moral identity of adolescents from two low-income communities in the United States using qualitative interviews. Based on previous conceptual models, the authors aimed to examine the co-occurrence of themes of morality, stressors, and family processes. Participants were adolescents from the Northeast and Midwest ( n = 38; mean age = 15.64; 73.7% female; 23.7% Black, 30.6% Latino, and 47.4% White). The results demonstrated that morality was a salient theme among adolescents. In addition, a subset of adolescents discussed stressors and family processes in conjunction with morality. The discussion will focus on the resiliency of youth living in low-income communities.

LATINA/O WHITENING?

2015 ◽  
Vol 12 (1) ◽  
pp. 119-136 ◽  
Author(s):  
Nicholas Vargas
Keyword(s):  
Socioeconomic Status ◽  
Low Socioeconomic Status ◽  
Skin Color ◽  
The United States ◽  
Personal Identification ◽  
Racial Identification ◽  
Low Socioeconomic ◽  
Life Study ◽  
Boundary Maintenance ◽  
Eastern European Immigrant

AbstractSome scholars argue that Latina/os in the United States may soon become White, much like the supposed Whitening of Eastern European immigrant groups in the early twentieth century. High rates of White racial identification on surveys among Latina/os is one explanation provided for this assertion. However, personal identification is but one element of racial boundary maintenance. It is when personal identification is externally validated that it is most closely associated with group-based experiences. This article maps components of the White-Latino racial boundary that may be permeable to White expansion by examining conditions under which Latina/os self-identify as Whiteandreport that they are externally classified as White by other Americans. Employing novel data from the 2006 Portraits of American Life Study, this article shows that nearly 40% of Latina/os sometimes self-identify as White, yet a much smaller proportion—only 6%—report being externally classified as White by others. Moreover, logistic regression analyses suggest that for those with light phenotypical features and high levels of socioeconomic status, the odds of reported external Whitening are increased. Interestingly, phenotypically light Latina/os with low-socioeconomic-status levels have low probabilities of reporting external classification as White when compared to their phenotypically light and high-socioeconomic-status counterparts, suggesting that the combination of both skin color and class may be central to the White-Latino racial boundary. Results also indicate that many who report external Whitening do not prefer to self-identify as White. In sum, multidimensional measures of racial classification indicate that only a very small minority of Latina/os may be “becoming White” in ways that some previous researchers have predicted.

scholarly journals Low socioeconomic status relates to asthma and wheeze, especially in women

2020 ◽  
Vol 6 (3) ◽  
pp. 00258-2019
Author(s):  
Christian Schyllert ◽  
Anne Lindberg ◽  
Linnea Hedman ◽  
Caroline Stridsman ◽  
Martin Andersson ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Allergic Asthma ◽  
Low Socioeconomic Status ◽  
Low Income ◽  
Educational Level ◽  
Market Research ◽  
Postal Questionnaire ◽  
Current Asthma ◽  
Low Socioeconomic ◽  
Increased Risk

Low socioeconomic status (SES) has been associated with asthma and wheezing. Occupational group, educational level and income are commonly used indicators for SES, but no single indicator can illustrate the entire complexity of SES. The aim was to investigate how different indicators of SES associate with current asthma, allergic and nonallergic, and asthmatic wheeze.In 2016, a random sample of the population aged 20–79 years in Northern Sweden were invited to a postal questionnaire survey, with 58% participating (n=6854). The survey data were linked to the national Integrated Database for Labour Market Research by Statistics Sweden for the previous calendar year, 2015. Included SES indicators were occupation, educational level and income.Manual workers had increased risk for asthmatic wheeze, and manual workers in service for current asthma, especially allergic asthma. Primary school education associated with nonallergic asthma, whereas it tended to be inversely associated with allergic asthma. Low income was associated with asthmatic wheeze. Overall, the findings were more prominent among women, and interaction analyses between sex and income revealed that women, but not men, with low income had an increased risk both for asthmatic wheeze and current asthma, especially allergic asthma.To summarise, the different indicators of socioeconomic status illustrated various aspects of associations between low SES and asthma and wheeze, and the most prominent associations were found among women.

Associations of rural residence and low socioeconomic status on the risk of new onset cardiovascular disease (CVD) in cancer patients.

2020 ◽  
Vol 38 (29_suppl) ◽  
pp. 90-90
Author(s):  
Atul Batra ◽  
Shiying Kong ◽  
Rodrigo Rigo ◽  
Winson Y. Cheung
Keyword(s):  
Socioeconomic Status ◽  
Educational Attainment ◽  
Cancer Patients ◽  
Low Socioeconomic Status ◽  
Low Income ◽  
Low Ses ◽  
Rural Residence ◽  
Low Socioeconomic ◽  
Low Education

90 Background: Cancer patients are predisposed to CVD due to cancer treatments and shared risk factors (smoking/physical inactivity). We aimed to assess if rural residence and low socioeconomic status (SES) modify the risk of developing CVD. Methods: Patients diagnosed with non-metastatic solid organ cancers without baseline CVD in a large Canadian province from 2004 to 2017 were identified using the population-based registry. Postal codes were linked with Census data to determine rural residence as well as neighborhood-level income and educational attainment. Low income was defined as <46000 CAD/annum; low education was defined as a neighborhood in which <80% attended high school. Myocardial infarction, congestive heart failure, arrythmias and cerebrovascular accident constituted as CVD.We performed logistic regression analyses to examine the associations of rural residence and low SES with the development of CVD, adjusting for measured confounding variables. Results: We identified 81,275 patients diagnosed with cancer without pre-existing CVD. The median age was 62 years and 54.2% were women. The most prevalent cancer types included breast (28.6%), prostate (23.1%), and colorectal (14.9%). At a median follow-up of 68 months, 29.4% were diagnosed with new CVD. The median time from cancer diagnosis to CVD was 29 months. Rural patients (32.3 vs 28.4%,P < .001) and those with low income (30.4% vs 25.9%,P < .001) or low educational attainment (30.7% vs 27.6%,P < .001) experienced higher rates of CVD. After adjusting for baseline factors and treatment, rural residence (odds ratio[OR], 1.07; 95% confidence interval[CI], 1.04-1.11;P < .001), low income (OR,1.17;95%CI,1.12-1.21;P < .001) and low education (OR,1.08;95%CI,1.04-1.11;P < .001) continued to associate with higher odds of CVD. Further, patients with colorectal cancer were more likely to develop CVD compared with other tumors (OR,1.12;95% CI,1.04-1.16;P = .001). A multivariate Cox regression model showed that patients with low SES were more likely to die, but patients residing rurally were not. Conclusions: Approximately one-third of cancer survivors develop CVD on follow-up. Despite universal healthcare, marginalized populations experience different CVD risk profiles that should be considered when operationalizing lifestyle modification strategies and cardiac surveillance programs. [Table: see text]

scholarly journals Associations of Depressive Symptoms with All-Cause and Cause-Specific Mortality by Race in A Low-Socioeconomic Population: A Report from the Southern Community Cohort Study

2020 ◽  
Author(s):  
Yong Cui ◽  
Wei Zheng ◽  
Mark Steinwandel ◽  
Hui Cai ◽  
Maureen Sanderson ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Cohort Study ◽  
Depressive Symptoms ◽  
Low Socioeconomic Status ◽  
Cox Regression ◽  
Depression Scale ◽  
The United States ◽  
Epidemiological Studies ◽  
Low Socioeconomic ◽  
Specific Mortality

Abstract Depression is a leading cause of disability in the United States, but its impact on mortality among racially diverse, low-socioeconomic populations is largely unknown. Using data from the Southern Community Cohort Study, 2002-2015, we prospectively evaluated the associations of depressive symptoms with all-cause and cause-specific mortality in 67,781 black (72.3%) and white (27.7%) adults, predominantly with a low-socioeconomic status. Baseline depressive symptoms were assessed using the ten-item Center for Epidemiological Studies Depression Scale. The median follow-up time was 10.0 years. Multivariate Cox regression was used to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) for mortality in association with depressive symptoms. Mild/moderate/severe depressive symptoms were associated with increased all-cause (HR=1.12, 95%CI: 1.03-1.22; HR=1.17, 95%CI: 1.06-1.29; HR=1.15, 95%CI: 1.03-1.28, respectively) and cardiovascular disease mortality (HR=1.23, 95%CI: 1.05-1.44; HR=1.18, 95%CI: 0.98-1.42; HR=1.43, 95%CI: 1.17-1.75, respectively) in whites but not in blacks (Pinteraction&lt; 0.001, for both). Mild/moderate/severe depressive symptoms were associated with increased external cause mortality in both races (HR=1.24, 95%CI: 1.05-1.46; HR=1.31, 95%CI: 1.06-1.61; HR=1.42, 95%CI: 1.11-1.81, respectively; for all subjects, Pinteraction=0.48). No association was observed for cancer mortality. Our study showed that depression-mortality associations differed by race and cause of death in individuals with a low-socioeconomic status.

scholarly journals Gambaran Status Sosioekonomi Orangtua Murid Usia 5–12 Tahun di SD Pertiwi Kecamatan Bandung Wetan yang Mengalami Gizi Kurang

2021 ◽  
Vol 3 (1) ◽  
pp. 24-27
Author(s):  
Fildza Khadijah ◽  
Samsudin Surialaga ◽  
Franseda Franseda
Keyword(s):  
Socioeconomic Status ◽  
Low Socioeconomic Status ◽  
Univariate Analysis ◽  
Poverty Rate ◽  
Socioeconomic Conditions ◽  
Cross Sectional ◽  
Low Socioeconomic ◽  
The Past ◽  
Cross Sectional Design ◽  
Nutritional Status Of Children

Gizi kurang masih menjadi suatu masalah kesehatan terutama di negara-negara berkembang, termasuk Indonesia. Salah satu faktor yang berkaitan dengan kejadian ini adalah kondisi sosioekonomi. Terlepas dari angka kemiskinan yang cenderung menurun dalam beberapa tahun terakhir, masih banyak kasus gizi kurang yang ditemukan terutama pada anak usia 5–12 tahun di Kota Bandung.  Penelitian ini bertujuan mengetahui gambaran status sosioekonomi keluarga pada anak usia 5–12 tahun yang mengalami gizi kurang di Kota Bandung. Penelitian ini merupakan penelitian deskriptif dengan desain cross sectional. Subjek penelitian ini yaitu orangtua dan murid usia 5–12 tahun di SD Pertiwi, Kecamatan Bandung Wetan, Kota Bandung. Instrumen yang digunakan dalam penelitian ini berupa form antropometri yang disertai dengan panduan pengukuran bagi orangtua untuk menilai status gizi anak dan kuesioner untuk menilai status sosioekonomi orangtua. Analisis yang digunakan adalah analisis deskriptif univariat untuk menggambarkan karakteristik variabel gizi dan sosioekonomi. Hasil analisis menunjukkan bahwa sebanyak 15,4% dari 130 murid usia 5–12 tahun di SD Pertiwi Kota Bandung mengalami gizi kurang. Sebesar 72,2% murid yang mengalami gizi kurang tersebut berasal dari keluarga dengan status sosioekonomi sedang, sedangkan 16,7% berasal dari keluarga dengan status sosioekonomi rendah. Dari penelitian ini dapat disimpulkan bahwa kejadian gizi kurang pada murid usia 5–12 tahun di SD Pertiwi Kecamatan Bandung Wetan cenderung terjadi pada keluarga dengan status sosioekonomi sedang-rendah. The Socioeconomic Status of Parents with Undernutritioned Children in Students Aged 5–12 Years at SD Pertiwi Bandung Wetan DistrictUndernutrition is still a burden in health problem, especially in developing countries, including Indonesia. One factor related to this incident is the socioeconomic conditions. There are still many cases of undernutrition found especially among children aged 5–12 years in Bandung, despite the poverty rate that has tended to decline in the past few years. The goal of this study was to provide an overview of the socioeconomic status of families with undernutritioned children aged 5–12 years in Bandung. This is a descriptive study with cross sectional design. The subjects of this study are parents and students aged 5–12 years at SD Pertiwi, Bandung Wetan District, Bandung City. The instruments used in this study are an anthropometric form accompanied by the measurement guide for parents to assess the nutritional status of children and a questionnaire to assess the socioeconomic status of parents. This study used univariate analysis methods to describe the characteristics of the nutritional and socioeconomic variables. From the analysis, it was found that as many as 15.4% of 130 students aged 5–12 years at SD Pertiwi, Bandung City, experienced undernutrition. 72.2% of students experiencing undernutrition come from families with moderate socioeconomic status, while 16.7% come from families with low socioeconomic status. From the study, it can be concluded that undernutrition in children aged 5–12 years in SD Pertiwi, Bandung Wetan District, tends to occur in families with moderate to low socioeconomic status.

scholarly journals The Disparities in Childhood Obesity in Low Socioeconomic Status and Racial/Ethnic Populations: An analytical literature review

2019 ◽  
Vol 7 (1) ◽  
pp. 685-694
Author(s):  
Kimberley M. M. Hutapea
Keyword(s):  
Socioeconomic Status ◽  
Childhood Obesity ◽  
Literature Review ◽  
Low Socioeconomic Status ◽  
The United States ◽  
Low Socioeconomic ◽  
Ethnic Populations ◽  
Race Ethnicity ◽  
Racial Ethnic ◽  
Obesity In Children

Disparities in Childhood Obesity in Low Socioeconomic Status and Racial/Ethnic Populations: An analytical literature review Kimberly Hutapea1   1Dept. of Nursing, STIKes Rajawali, Bandung, Indonesia [email protected]   Abstact Introduction: Since childhood obesity is linked with an increased risk of obesity in adulthood, obesity in children and adolescence brings a multitude of adverse health outcomes including, but not limited to cardiovascular disease, sleep apnea, diabetes, some forms of cancer, hypertension, and death.  This study focuses on analytical evaluation of disparities of childhood obesity in low socioeconomic status and racial/ethnic populations.   Methods: The analytical review was conducted on the literature available online focusing five dimensions for the analysis is expressed in the following points: (1) What is evel of incidence of childhood obesity in the United States, (2) What is definition of childhood obesity? (3) What are the factors that impact obesity? (4) What is the appropriate theoretical framework for research on childhood obesity? (5) What are the knowledge gaps and the recommended future research?.   Results: The prevalence of obesity in children and adolescents is very alarming and needs to be addressed because this health status, being overweight/obese, has a significant and unfavorable impact on not only the health of young Americans today but also the future health of young Americans. Using the percentile categories to determine childhood obesity, there are noteworthy differences when comparing obesity rates by race/ethnicity, gender, and socioeconomic status. There was no significant correlation between race/ethnicity and overweight/obese when controlling the income.   Discussion: When addressing disparities in childhood obesity it is important to understand not only the causes of obesity, but also other factors which may amplify the causes of obesity.  Socioeconomic status during childhood, being male, white,  has a high possibility of adiposity in adolescence.  Exposure to media and marketing, the reduced access and availability of quality and affordable food products is an example of a factor that may amplify the cause of obesity.   Keywords: childhood obesity, socioeconomic status, ethnic population.  

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