Journal article
Perceived Social Status and Oral Health Among Medicaid Insured Adults in Iowa
Health equity, Vol.8(1), pp.667-675
05/01/2024
DOI: 10.1089/heq.2023.0227
PMCID: PMC11464866
PMID: 40125390
Abstract
Purpose: Perceived social status (PSS), a measure of social status, reflects cumulative lifetime effects of an individual’s relative social status based on resources and lived experiences. PSS is hypothesized to better capture social status compared to traditional measures of socioeconomic status (SES) (i.e., education, occupation, and income). Although recognized as a predictor of health-related morbidity and mortality, limited research has explored PSS and oral health. This study investigated PSS as a predictor of self-reported oral health among low-income adults.
Methods: In spring 2018, a survey was administered to a random sample of low-income adults in the state of Iowa with public dental insurance (N = 18,000). Respondents were asked about PSS, oral health status, and demographics. Multivariable linear regression models examined PSS as a predictor of self-reported oral health and compared the predictive power of PSS and SES indicators.
Results: The final adjusted sample size was 2,331. The mean PSS (range 1-10) was 5.3 (standard deviation 2.0). A significant positive association was noted between PSS (ß = 0.16, p < 0.0001) and self-reported oral health status when controlling for demographics. Furthermore, PSS accounted for an additional 3% of variance when controlling for demographic and SES indicators.
Conclusions: PSS was associated with self-reported oral health status after adjusting for SES indicators, which reflects the importance of exploring the impact of individuals’ perceptions of their social status in addition to objective measures of SES. Results suggest the need for future dental research to explore cumulative effects of lived experiences on current oral health status.
Details
- Title: Subtitle
- Perceived Social Status and Oral Health Among Medicaid Insured Adults in Iowa
- Creators
- Jennifer M.C. Sukalski - University of Iowa, Preventive and Community DentistryNatoshia M. Askelson - University of IowaJulie C. Reynolds - University of IowaPeter C. Damiano - University of IowaWei Shi - University of IowaXian Jin Xie - University of IowaSusan C. McKernan - University of Minnesota
- Resource Type
- Journal article
- Publication Details
- Health equity, Vol.8(1), pp.667-675
- DOI
- 10.1089/heq.2023.0227
- PMID
- 40125390
- PMCID
- PMC11464866
- NLM abbreviation
- Health Equity
- ISSN
- 2473-1242
- eISSN
- 2473-1242
- Publisher
- MARY ANN LIEBERT, INC; NEW ROCHELLE
- Number of pages
- 9
- Grant note
- National Institute of Dental & Craniofacial Research of the National Institutes of Health: F31DE030363
The research reported in this publication was supported by the National Institute of Dental & Craniofacial Research of the National Institutes of Health under Award Number F31DE030363. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. This study was part of a program evaluation funded by the Iowa Department of Human Services (DHS). The Iowa DHS was not involved in the development, analysis, writing, or review of this article.
- Language
- English
- Date published
- 05/01/2024
- Academic Unit
- Preventive and Community Dentistry; Health Management and Policy; Biostatistics; Center for Social Science Innovation; Injury Prevention Research Center; Dental Research; Community and Behavioral Health; University College Courses
- Record Identifier
- 9984719358302771
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