1. Prosthetic treatment in the adult French population: Prevalence and relation with demographic, socioeconomic and medical characteristics
- Author
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C. Nabet, P. Tramini, A. Germa, M.-A. Fauroux, Laboratoire de Bioingénierie et NanoSciences (LBN), Université Montpellier 1 (UM1)-Université de Montpellier (UM), and Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier)
- Subjects
Adult ,Male ,medicine.medical_specialty ,Adolescent ,Epidemiology ,medicine.medical_treatment ,[SDV]Life Sciences [q-bio] ,Population ,Oral Health ,Dental Caries ,030501 epidemiology ,Dental Prosthesis ,Young Adult ,03 medical and health sciences ,Risk Factors ,Surveys and Questionnaires ,Prevalence ,Humans ,Medicine ,Child ,Dental Care ,10. No inequality ,education ,Socioeconomic status ,Periodontal Diseases ,ComputingMilieux_MISCELLANEOUS ,Aged ,Aged, 80 and over ,education.field_of_study ,business.industry ,1. No poverty ,Public Health, Environmental and Occupational Health ,Odds ratio ,Middle Aged ,Confidence interval ,3. Good health ,Dental Implantation ,Cross-Sectional Studies ,Socioeconomic Factors ,Household income ,Female ,[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie ,France ,Dentures ,0305 other medical science ,business ,Demography ,Social status - Abstract
Background The aim of this study was to estimate the prevalence of dental prosthetic treatment and to investigate the demographic, social, economic and medical factors associated with the use of fixed and removable dentures in a representative sample of adults living in France. Methods The data were obtained from the 2002–2003 Decennial Health Survey, a cross-sectional study of a representative sample of the population living in France, which included 29,679 adults. Information was collected by interview. The variables collected were fixed denture, removable denture, age, gender, number of children, area of residence, nationality, educational attainment, family social status, employment status, annual household income per capita, supplementary insurance, chronic disease, eyesight problems/glasses, hearing problems/hearing aids. Multinomial logistic regression models were used to study the relationship between prosthetic treatment and demographic, socioeconomic and medical characteristics unadjusted, adjusted for age and adjusted for all the characteristics. Results The prevalence of prosthetic treatment was 34.6% (95% confidence interval (CI): [34.1; 35.2]) for fixed prosthetic dentures and 13.8% (95% CI: [13.4; 14.2]) for removable prosthetic dentures. We showed a gradient between educational attainment and removable dentures; the odds ratio adjusted for all the variables (aOR) associated with no or primary education compared to post-secondary education was 2.56; 95% CI: [2.09; 3.13]. When annual household income per capita was low, subjects were less likely to report fixed dentures (aOR = 0.68; 95% CI: [0.62; 0.75]) than those with high annual household income per capita. Individuals without insurance less often reported fixed dentures than those with private insurance. Those reporting chronic disease were less likely to report fixed dentures (aOR = 0.87; 95% CI: [0.79; 0.95]) but more likely to report removable dentures (aOR = 1.29; 95% CI: [1.17; 1.43]) than those without chronic disease. Conclusion This study reveals social, economic and medical inequalities in fixed and removable prosthetic treatment among adults in France.
- Published
- 2019
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