TY - JOUR
T1 - Access, literacy and behavioural correlates of poor self-rated oral health amongst an Indigenous South Australian population
AU - Jones, Kelly
AU - Parker, Eleanor Jane
AU - Jamieson, Lisa
PY - 2014/9/1
Y1 - 2014/9/1
N2 - Objective: To better understand the determinants of self-rated oral health within an Indigenous population by: 1, examining potential individual-level correlates of socio-demographic, health behaviours, dental care access and oral health literacy-related outcomes with self-rated oral health; and, 2, examining the relative contribution of these domains to self-rated oral health in multivariable modelling. Methods: We conducted nested logistic regression analyses on self-reported status of ‘fair or poor’ versus ‘better’ oral health using data from a convenience sample of rural dwelling Indigenous Australians (n=468). Data were collected on background characteristics, health behaviours, access to dental care, oral health literacy-related outcome variables and REALD 30, an oral health literacy scale. Results: Overall 37.0 % of the Indigenous adult population reported fair or poor oral health. In multivariable modelling, risk indicators for fair or poor self-rated oral health that persisted after adjusting for other covariates included being aged 38+ years (OR 2.9, 95%CI 1.9,4.6), holding a Government Health Concession card (OR 2.3, 95%CI 1.1,4.5), avoiding the dentist due to financial constraints (OR 2.3, 95%CI 1.4,3.6), not knowing how to make an emergency dental visit (OR 1.7, 95%CI 1.1,2.7) and poor understanding of the prevention of dental disease (OR 1.7, 95%CI 1.1,2.7). Conclusions: In this vulnerable population, risk indicators contributing to poor self-rated oral health included socio-demographic, dental care access and oral health literacy-related factors. Health behaviours were not significant.
AB - Objective: To better understand the determinants of self-rated oral health within an Indigenous population by: 1, examining potential individual-level correlates of socio-demographic, health behaviours, dental care access and oral health literacy-related outcomes with self-rated oral health; and, 2, examining the relative contribution of these domains to self-rated oral health in multivariable modelling. Methods: We conducted nested logistic regression analyses on self-reported status of ‘fair or poor’ versus ‘better’ oral health using data from a convenience sample of rural dwelling Indigenous Australians (n=468). Data were collected on background characteristics, health behaviours, access to dental care, oral health literacy-related outcome variables and REALD 30, an oral health literacy scale. Results: Overall 37.0 % of the Indigenous adult population reported fair or poor oral health. In multivariable modelling, risk indicators for fair or poor self-rated oral health that persisted after adjusting for other covariates included being aged 38+ years (OR 2.9, 95%CI 1.9,4.6), holding a Government Health Concession card (OR 2.3, 95%CI 1.1,4.5), avoiding the dentist due to financial constraints (OR 2.3, 95%CI 1.4,3.6), not knowing how to make an emergency dental visit (OR 1.7, 95%CI 1.1,2.7) and poor understanding of the prevention of dental disease (OR 1.7, 95%CI 1.1,2.7). Conclusions: In this vulnerable population, risk indicators contributing to poor self-rated oral health included socio-demographic, dental care access and oral health literacy-related factors. Health behaviours were not significant.
KW - oral health
KW - indigenous populations
KW - Rural
KW - Self-rated oral health
KW - Risk indicator
KW - Indigenous
KW - REALD
KW - Australian
UR - http://www.scopus.com/inward/record.url?scp=84906986102&partnerID=8YFLogxK
U2 - 10.1922/CDH_3316Jones05
DO - 10.1922/CDH_3316Jones05
M3 - Article
VL - 31
SP - 167
EP - 171
JO - Community Dental Health
JF - Community Dental Health
SN - 0265-539X
IS - 3
ER -