Psychosocial mediators between socioeconomic status and oral health among urban-dwelling older adults

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  • YANAGISAWA Shizuko
    Graduate School of Biomedical Sciences, Tokushima University
  • SUGISAWA Hidehiro
    International Graduate School for Advanced Studies, J. F. Oberlin University
  • HARADA Ken
    Department of Humanities and Social Sciences, Jissen Women's University
  • SUGIHARA Yoko
    Faculty of Urban Environmental Sciences, Tokyo Metropolitan University

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Other Title
  • 都市在住高齢者の社会経済的地位と口腔健康を媒介する心理社会的要因
  • トシ ザイジュウ コウレイシャ ノ シャカイ ケイザイテキ チイ ト コウコウ ケンコウ オ バイカイ スル シンリ シャカイテキ ヨウイン

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Abstract

<p>Objectives　This study examined the psychosocial mediators that most effectively mediate the socioeconomic status (SES)-based differences in oral health (OH) among urban-dwelling older adults.</p><p>Methods　A representative sample of individuals aged ≥65 years living in two areas with different residential SES in Tokyo produced 739 effective participants. OH was based on the total score of subjective sense of health, number of remaining teeth, and oral function. SES was evaluated by education and income. Based on the socioecological model, mediators were assessed using self-esteem, social support, and depression.</p><p>Results　 Based on the multiple mediation analysis, no significant effects were observed for specific psychosocial factors. However, the overall psychosocial factors showed significant effects as the mediating factor between income and OH. The mediating effect of overall psychosocial factors was not significant regarding years of education and oral health.</p><p>Conclusion　A hybrid of life-stage preventive activities and overall reduction of psychosocial risk factors may eliminate the differences in OH by SES.</p>

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