Determinants of Socioeconomic Inequalities in Traumatic Dental Injuries among Urban Indian Adolescents.
OBJECTIVES:To assess socioeconomic inequalities in traumatic dental injuries (TDIs) in adolescents in New Delhi and examine the role of material, psychosocial and behavioural factors in explaining these inequalities. METHODS:We conducted a cross sectional study of 1386 adolescents aged between 12-15...
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doaj-a12ea3b5524f43489df175d85e0b4e052021-03-03T19:58:28ZengPublic Library of Science (PLoS)PLoS ONE1932-62032015-01-011010e014086010.1371/journal.pone.0140860Determinants of Socioeconomic Inequalities in Traumatic Dental Injuries among Urban Indian Adolescents.Manu Raj MathurRichard G WattChristopher J MillettPriyanka ParmarGeorgios TsakosOBJECTIVES:To assess socioeconomic inequalities in traumatic dental injuries (TDIs) in adolescents in New Delhi and examine the role of material, psychosocial and behavioural factors in explaining these inequalities. METHODS:We conducted a cross sectional study of 1386 adolescents aged between 12-15 years residing in three diverse areas of New Delhi. A non-invasive clinical examination was used to estimate the prevalence of TDIs, and an interviewer-administered questionnaire was used to gather relevant behavioural and socio-demographic data. Multiple logistic regression models were used to assess the association between area based socioeconomic position and TDIs. RESULTS:The overall prevalence of TDIs was 10.9%. Social inequalities in the prevalence of TDIs were observed across the adolescent population according to their area of residence. Socio-economic group differences in the prevalence of TDIs remained statistically significant after adjusting for demographic factors, material resources, social capital, social support and health affecting behaviours (OR 3.36, 95% CI 1.75-6.46 and OR 3.99, 95% CI 1.86-8.56 for adolescents from resettlement areas and urban slums respectively in comparison to middle class adolescents). Different psychosocial, material and socio-demographic variables did not attenuate the estimates for the relationship between area socioeconomic position and TDIs. CONCLUSION:Area of residence was a strong predictor of TDIs in adolescents with a higher prevalence in more deprived areas. Social inequalities in TDIs were not explained by psychosocial and behavioural variables. Health promoting policies aimed at improving the physical environment in which adolescents reside might be instrumental in reducing the prevalence of TDIs and associated inequalities.https://doi.org/10.1371/journal.pone.0140860 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Manu Raj Mathur Richard G Watt Christopher J Millett Priyanka Parmar Georgios Tsakos |
spellingShingle |
Manu Raj Mathur Richard G Watt Christopher J Millett Priyanka Parmar Georgios Tsakos Determinants of Socioeconomic Inequalities in Traumatic Dental Injuries among Urban Indian Adolescents. PLoS ONE |
author_facet |
Manu Raj Mathur Richard G Watt Christopher J Millett Priyanka Parmar Georgios Tsakos |
author_sort |
Manu Raj Mathur |
title |
Determinants of Socioeconomic Inequalities in Traumatic Dental Injuries among Urban Indian Adolescents. |
title_short |
Determinants of Socioeconomic Inequalities in Traumatic Dental Injuries among Urban Indian Adolescents. |
title_full |
Determinants of Socioeconomic Inequalities in Traumatic Dental Injuries among Urban Indian Adolescents. |
title_fullStr |
Determinants of Socioeconomic Inequalities in Traumatic Dental Injuries among Urban Indian Adolescents. |
title_full_unstemmed |
Determinants of Socioeconomic Inequalities in Traumatic Dental Injuries among Urban Indian Adolescents. |
title_sort |
determinants of socioeconomic inequalities in traumatic dental injuries among urban indian adolescents. |
publisher |
Public Library of Science (PLoS) |
series |
PLoS ONE |
issn |
1932-6203 |
publishDate |
2015-01-01 |
description |
OBJECTIVES:To assess socioeconomic inequalities in traumatic dental injuries (TDIs) in adolescents in New Delhi and examine the role of material, psychosocial and behavioural factors in explaining these inequalities. METHODS:We conducted a cross sectional study of 1386 adolescents aged between 12-15 years residing in three diverse areas of New Delhi. A non-invasive clinical examination was used to estimate the prevalence of TDIs, and an interviewer-administered questionnaire was used to gather relevant behavioural and socio-demographic data. Multiple logistic regression models were used to assess the association between area based socioeconomic position and TDIs. RESULTS:The overall prevalence of TDIs was 10.9%. Social inequalities in the prevalence of TDIs were observed across the adolescent population according to their area of residence. Socio-economic group differences in the prevalence of TDIs remained statistically significant after adjusting for demographic factors, material resources, social capital, social support and health affecting behaviours (OR 3.36, 95% CI 1.75-6.46 and OR 3.99, 95% CI 1.86-8.56 for adolescents from resettlement areas and urban slums respectively in comparison to middle class adolescents). Different psychosocial, material and socio-demographic variables did not attenuate the estimates for the relationship between area socioeconomic position and TDIs. CONCLUSION:Area of residence was a strong predictor of TDIs in adolescents with a higher prevalence in more deprived areas. Social inequalities in TDIs were not explained by psychosocial and behavioural variables. Health promoting policies aimed at improving the physical environment in which adolescents reside might be instrumental in reducing the prevalence of TDIs and associated inequalities. |
url |
https://doi.org/10.1371/journal.pone.0140860 |
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