Influence of social gradient on the oral health of formally employed women
DOI:
https://doi.org/10.15649/cuidarte.2334Keywords:
Social Gradient, Social Position, Woman, Oral Health, Formal WorkAbstract
Introduction: Oral diseases are associated with unfavorable social, material, and socioeconomic conditions. Women’s oral health is affected by social aspects, which increase health inequalities when compared to men. Objective: To evaluate the social gradient’s influence on the oral health of working women at a university in Santander, Colombia. Materials and methods: Analytical cross-sectional observational cross-sectional study involving 84 working women. Sociodemographic variables, oral health condition variables (presence of dental caries, periodontal disease, and edentulism), and social status variables were used to establish relationships. Chi-square test or Fisher’s Exact test, Student's t-test or Wilcoxon rank test were used, with a significance α≤0.05. Results: The prevalence of dental caries was 85.7%, periodontal disease 79.8%, and edentulism 40.5%. Age, ethnicity, marital status, educational level, work carried out daily, socioeconomic status, and responsibility for household finances were the social factors most frequently related to oral conditions. Conclusion: The social gradient did not register statistically significant differences when analyzed with oral diseases. However, it was established that women with a high social status had a lower burden of oral diseases, while women with a low social status had a higher prevalence of dental caries, periodontal disease, and edentulism.
How to cite this article: Almario-Barrera AJ, Concha-Sánchez SC. Influencia del gradiente social sobre la salud bucal de mujeres trabajadoras formales. Revista Cuidarte. 2022;13(3):e2334. http://dx.doi.org/10.15649/cuidarte.2334
References
Naciones Unidas. New Work. The World’s Women 2010: Trends and Statistics. Division of the UN Department for Economic and Social Affairs. United Natios publication. 2010. p. 84-121. https://unstats.un.org/unsd/demographic/products/worldswomen/WW_full%20report_BW.pdf
Departamento Administrativo Nacional de Estadística (DANE). Boletín técnico mercado laboral por sexo. 2016; p. 1-20. http://www.dane.gov.co/files/investigaciones/boletines/ech/ech_genero/bol_eje_sexo_ene_mar16.pdf
Tsakos G, Demakakos P, Breeze E, Watt RG. Social gradients in oral health in older adults: findings from the English longitudinal survey of aging. Am J Public Health. 2011; 101(10):1892-9. https://ajph.aphapublications.org/doi/full/10.2105/AJPH.2011.300215
Niessen LC, Gibson G, Kinnunen TH. Women’s oral health: why sex and gender matter. Dent Clin North Am. 2013; 57 (2): 181-94. https://pubmed.ncbi.nlm.nih.gov/23570801/
Chaves SCL, Vieira-da-Silva LM. Inequalities in oral health practices and social space: An exploratory qualitative study. Health Policy. 2008;86(1):119-28. https://www.sciencedirect.com/science/article/abs/pii/S016885100700228X
Graham H, Kelly MP. Health inequalities: concepts, frameworks and policy. Heal Dev Agency. 2004;1-12. https://www.researchgate.net/publication/242494475_Health_Inequalities_Concepts_Frameworks_and_Policy
Sanchez-Concha SC. Determinación Social de la atención odontologica de las Mujeres Embarazadas de tres localidades de Bogotá. Universidad Nacional de Colombia; 2015. https://repositorio.unal.edu.co/bitstream/handle/unal/55763/%281%2963317599.2015.pdf?sequence=1&isAllowed=y
Vega J, Solar O, Irwin A. Equidad y determinantes sociales de la salud: conceptos básicos, mecanismos de producción y alternativas para la acción. Determ Soc la salud chile. 2005; 9-18. https://issuu.com/sdssalud/docs/equidad_dss_conceptos_basicos
Wilkinson R, Marmot M. Determinantes sociales de la salud: los hechos irrefutables. Organ Mund la Salud. 2000;1-29. https://escpromotorasdesalud.weebly.com/uploads/1/3/9/4/13940309/determinantes_sociales_de_la_salud._los_hechos_irrefutables.pdf
Hämmig O, Bauer GF. The social gradient in work and health: a cross-sectional study exploring the relationship between working conditions and health inequalities. BMC Public Health. 2013; 13(1):1170. https://doi.org/10.1186/1471-2458-13-1170
Arrivillaga Quintero M. Dimensiones de adherencia terapéutica en mujeres colombianas con VIH/SIDA: una perspectiva social. Latinoam Psicol. 2010;42(2):225-36. http://www.scielo.org.co/pdf/rlps/v42n2/v42n2a06.pdf
Almario AJ, Cocha SC. Base de datos “Influencia del gradiente social sobre la salud bucal de mujeres trabajadoras”. 2022. Mendeley Data: Versión 1. https://doi.org/10.17632/2f8zw2n57n.1
Tsuboya T, Aida J, Kawachi I, Katase K, Osaka K. Early life-course socioeconomic position, adult work-related factors and oral health disparities: Cross-sectional analysis of the J-SHINE study. BMJ Open. 2014; 4(10). https://bmjopen.bmj.com/content/4/10/e005701
Ministerio de salud Colombia. IV Estudio Nacional de Salud Bucal-ENSAB IV. Bogotá. MinSalud.2015.https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/PP/ENSAB-IV-Situacion-Bucal-Actual.pdf
Ahumada Vega G. "Desigualdades de Género en Enfermedades Bucodentales y acceso a Atención Odontológica en población de 35 a 44 años, Región Metropolitana de Chile”. Universidad de Chile. Repositorio Académico de la Universidad de Chile. 2017. http://bibliodigital.saludpublica.uchile.cl:8080/dspace/bitstream/handle/123456789/544/Tesis_Gloria%20Ahumada.pdf?sequence=1&isAllowed=y
Olmos P, Piovesan S, Musto M, Lorenzo S, Álvarez R, Massa F. Caries dental. La enfermedad oral más prevalente: Primer Estudio poblacional en jóvenes y adultos uruguayos del interior del país. Odontoestomatología. 2013; 15(SPE):26-34. http://www.scielo.edu.uy/scielo.php?script=sci_arttext&pid=S1688-93392013000200004&lng=es&nrm=iso&tlng=es
Kamberi B, Koçani F, Begzati A, Kelmendi J, Ilijazi D, Berisha N, et al. Prevalence of dental caries in kosovar adult population. Int J Dent. 2016:1-6. https://doi.org/10.1155/2016/4290291
Fuentes Fuentes FE. Prevalencia de gingivitis y determinación de necesidad de Tratamiento periodontal en individuos adultos de la comuna de santiago, chile. Repositorio Académico de la Universidad de Chile. 2015. http://repositorio.uchile.cl/handle/2250/131914
Cortés V, Carrasco F, Vergara C. Prevalencia de edentulismo parcial y total en islas Butachauques y Tac, Quemchi, 2013. Rev Chil Salud Pública. 2014; 18(3):257. https://doi.org/10.5354/0719-5281.2014.33956
Gutierrez-Vargas VL, León-Manco RA, Castillo-Andamayo DE. Edentulismo y necesidad de tratamiento protésico en adultos de ámbito urbano marginal. Rev Estomatol Herediana. 2015; 25(3):179-86. http://www.scielo.org.pe/pdf/reh/v25n3/a02v25n3.pdf
Escudero E, Muñoz Rentería V, De La Cruz Claure ML, Justiniano L VMY et al. Prevalence of partial and total edentulism, its impact on the population’s life quality from 15 to 85 years in sucre. Artículo Rev Cienc. 2020;18(2):161-90. https://revistas.usfx.bo/index.php/rcti/article/view/370/331
Wilf ER, Frydman KS. Manifestaciones periodontales de los estados fisiológicos de la mujer. Odontoestomatología. 2010;16-26. http://www.scielo.edu.uy/pdf/ode/v11n13/v11n13a03.pdf
Mafla AC, Patiño MA. Diferencias de sexo en severidad y factores de riesgo para caries dental y enfermedad periodontal. Rev Nac Odontol. 2019; 15(28) https://doi.org/10.16925/2357-4607.2019.01.03
Martelli ML, Brandi ML, Martelli M, Nobili P, Medico E, Martelli F. Periodontal disease and women’s health. Curr Med Res Opin. 2017;33(6):1005-15. https://doi.org/10.1080/03007995.2017.1297928
Paez González Y, Tamayo Ortiz B, Batista Bonillo A, García Rodríguez Y del C, Guerrero Ricardo I. Factores de riesgo de periodontopatías en pacientes adultos. CCM. 2015;19(2):269-81. http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1560-43812015000200009&lng=es&nrm=iso&tlng=es
Luengas-Aguirre MI, Sáenz-Martínez LP, Tenorio-Torres G, Garcilazo-Gómez A, Díaz-Franco MA. Aspectos sociales y biológicos del edentulismo en México: un problema visible de las inequidades en salud. Ciencias Clínicas. 2015; 16(2):29-36. https://doi.org/10.1016/j.cc.2015.12.002
Gutierrez-Vargas VL, León-Manco RA, Castillo-Andamayo DE. Edentulismo y necesidad de tratamiento protésico en adultos de ámbito urbano marginal. Rev Estomatol Herediana. 2015; 25(3):179-86. https://www.redalyc.org/articulo.oa?id=421542260002
Arrica M, Carta G, Cocco F, Grazia Cagetti M, Sale S, Ierardo G, et al. Does a social/behavioural gradient in dental health exist among adults? A cross-sectional study. J Int Med Res. 2017; 45(2):451-61. https://pubmed.ncbi.nlm.nih.gov/28345424/
Gómez MV, Toledo A, Carvajal P, Gomes SC, Costa RSA, Solanes F, et al. A multicenter study of oral health behavior among adult subjects from three South American cities. Braz Oral Res. 2018; 32(0). https://pubmed.ncbi.nlm.nih.gov/29723334/
Morita I, Nakagaki H, Yoshii S, Tsuboi S, Hayashizaki J, Mizuno K, et al. Is there a gradient by job classification in dental status in Japanese men? .Eur J Oral Sci. 2007; 115(4):275-9. https://pubmed.ncbi.nlm.nih.gov/17697166/
Peñuela Munévar CR. La salud bucal es un privilegio de clase social. Repositorio Universidad el Bosque. 2020. https://repositorio.unbosque.edu.co/bitstream/handle/20.500.12495/4407/Peñuela_Munevar_Ritba_Camila_2020.pdf?sequence=1&isAllowed=y
Whitehead M, Dahlgren G. Conceptos y principios de la lucha contra las desigualdades sociales en salud: Desarrollando el máximo potencial de salud para toda la población-Parte 1. Universidad de Liverpool. Ministerio de Sanidad y Política Social. 2006. https://www.mscbs.gob.es/profesionales/saludPublica/prevPromocion/promocion/desigualdadSalud/docs/concepDesigual.pdf
Beebe-Dimmer J, Lynch JW, Turrell G, Lustgarten S, Raghunathan T, Kaplan GA. Childhood and Adult Socioeconomic Conditions and 31-Year Mortality Risk in Women. Am J Epidemiol. 2004; 159(5):481-90. https://doi.org/10.1093/aje/kwh057
Sabbah W, Tsakos G, Chandola T, Sheiham A, Watt RG. Social gradients in oral and general health. J Dent Res. 2007;86(10):992-6. https://pubmed.ncbi.nlm.nih.gov/17890677/
O’Neil A, Russell JD, Thompson K, Martinson ML PS. The impact of socioeconomic position (SEP) on women’s health over the lifetime. Maturitas. 2020; 140:1-7. https://doi.org/10.1016/j.maturitas.2020.06.001
Published
How to Cite
Issue
Section
Categories
Altmetrics
Downloads
License
Journal Cuidarte, scientific publication of open access, is licensed under a Creative Commons Attribution (CC BY-NC), which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
Any other form of use such as reproduction, transformation, public communication or distribution, for profit, requires the prior authorization of the University of Santander UDES.
The names and e-mail addresses entered in the Journal Cuidarte will be used exclusively for the purposes stated by this magazine and will not be available for any other purpose or other person.
The articles published in the Journal Cuidarte represent the criteria of their authors and do not necessarily constitute the official opinion of the University of Santander UDES.
