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Income-related inequality and decomposition of edentulism among aged people in China.


ABSTRACT:

Background

The aim of this study was to assess the income-related inequality of edentulism among the aged in China and identify the contributing factors.

Methods

A secondary analysis of data from the 4th National Oral Health Epidemiology Survey in China was conducted, and 65-74 years old were selected for the analysis of income-related inequality of edentulism. The concentration curve, Concentration index (CI) and Erreygers-corrected concentration index (EI) were used to represent inequality and its degree qualitatively and quantitatively, respectively. A decomposition method based on probit model was employed to determine the contributors of inequality, including demographic factors, income status, oral health-related knowledge, attitude and practices and self-perceived general health status.

Results

In China, aged people with edentulism were concentrated in the poor. The CI was - 0.2337 (95% CIs: - 0.3503, - 0.1170). The EI was - 0.0413 (95% CIs: - 0.0619, - 0.0207). The decomposition results showed that income (75.02%) and oral health-related knowledge, attitude and practices (15.52%) were the main contributors to the inequality.

Conclusion

This study showed that pro-poor inequality among the elderly with edentulism existed in China. Corresponding policies against the contributors could be considered to promote the health equality of the elders.

SUBMITTER: Du S 

PROVIDER: S-EPMC9153164 | biostudies-literature | 2022 May

REPOSITORIES: biostudies-literature

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<h4>Background</h4>The aim of this study was to assess the income-related inequality of edentulism among the aged in China and identify the contributing factors.<h4>Methods</h4>A secondary analysis of data from the 4th National Oral Health Epidemiology Survey in China was conducted, and 65-74 years old were selected for the analysis of income-related inequality of edentulism. The concentration curve, Concentration index (CI) and Erreygers-corrected concentration index (EI) were used to represent  ...[more]

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