Oral health disparities and psychosocial correlates of self-rated oral health in the National Survey of American Life.
OBJECTIVE
We sought to better understand the determinants of oral health disparities by examining individual-level psychosocial stressors and resources and self-rated oral health in nationally representative samples of Black American, Caribbean Black, and non-Hispanic White adults.


METHODS
We conducted logistic regression analyses on fair or poor versus better oral health using data from the National Survey of American Life (n = 6082).


RESULTS
There were no significant racial differences. Overall, 28% of adults reported having fair or poor oral health. Adults with lower income and less than a high school education were each about 1.5 times as likely as other adults to report fair or poor oral health. Higher levels of chronic stress, depressive symptoms, and material hardship were associated with fair or poor oral health. Adults living near more neighborhood resources were less likely to report fair or poor oral health. Higher levels of self-esteem and mastery were protective, and more-religious adults were also less likely to report fair or poor oral health.


CONCLUSIONS
Social gradients in self-rated oral health were found, and they have implications for developing interventions to address oral health disparities.
Health Management and Policy, Graduate School of Public Health, San Diego State University, 5500 Campanile Dr, San Diego, CA 92182-4162, USA. tfinlays@mail.sdsu.edu
Tracy L
TL
Finlayson
David R
DR
Williams
Kristine
K
Siefert
James S
JS
Jackson
Ruth
R
Nowjack-Raymer
D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000523:psychology; D000368:Aged; D000369:Aged, 80 and over; D017691:Caribbean Region / Q000208:ethnology; D005260:Female; D054624:Health Status Disparities; D006306:Health Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D009909:Oral Health; D011584:Psychology; D012044:Regression Analysis; D014481:United States; D044465:White People / Q000523:psychology; D055815:Young Adult