A Multilevel Study of Socio-economic Inequalities in Self-reported Oral and General Health in South-east Norway
Abstract This study assesses the association between socioeconomic determinants and self-reported health using data from a regional Norwegian health survey. A total of 9,068 participants 25+ were included. Survey data were linked to registry data on education and personal income. Self-reported oral health and general health were separately assessed and categorized into ‘good’ and ‘poor’. The exposures were educational level, personal income, and economic security. Prevalence ratios (PRs) were computed to assess the associations between socioeconomic determinants and self-reported health using multilevel Poisson regression. Participants with low education or income had poorer oral and general health than those with more education or higher income. Comparing the highest education level versus the lowest, adjusted PRs for poor oral and general health were 1.44 (95%CI 1.26-1.65) and 1.53 (95%CI 1.35-1.74). Correspondingly, with the highest income quintile versus the lowest, estimates were 1.64 (95%CI 1.39-1.94) and 2.34 (95%CI 1.97-2.79) for oral and general health. Lack of economic security was also significantly associated with poor self-reported oral and general health. Positive linear trends between levels of education and income were documented for both outcomes (P-linear trends <0.001), including a pattern of socioeconomic gradients, both for oral and general health.