Saudi Cultural Missions Theses & Dissertations
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Item Restricted TRAJECTORIES OF SOCIAL MOBILITY AND ADULT SELF- RATED ORAL HEALTH(Saudi Digital Library, 2023) ALJUBAIR, REEM; Delgado-Angulo, ElsaAim: To characterise trajectories of social mobility from birth to middle adulthood and to assess the influence of these trajectories on adult self-rated oral health in British adults. Materials and Methods: This study was based on secondary data analysis from the 1970 British Cohort Study (BCS70). Follow-up data collections occurred when cohort members were aged 5, 10, 16, 26, 30, 34, 38, and 42 years. Social class was indicated by parental social class from birth to age 16 years (4 waves) and own occupation social class from ages 26 to 42 years (5 waves). At age 46 years, adult oral health was measured using a single global item on self-rated oral health. Sex, ethnicity, country and residence area were included as potential confounders during the analysis. Latent class growth analysis (LCGA) was employed to identify different trajectories of exposure to manual social class over time, as opposed to using predetermined categories. Results: In the crude model, stable non-manual social class had lower odds of poor oral health (OR: 0.642, 95% CI: 0.571-0.722), while steep decrease and stable manual classes had higher odds (OR: 1.343, 95% CI: 1.146-1.576 and OR: 1.611, 95% CI: 1.447-1.795). In the fully adjusted model, stable non-manual class had lower odds (OR: 0.622, 95% CI: 0.552-0.691), while steep decrease and stable manual classes had higher odds (OR: 1.222, 95% CI: 1.031-1.437 and OR: 1.471, 95% CI: 1.317-1.642). Being female was associated with lower odds (OR: 0.641, 95% CI: 0.586-0.701), and rural residence with lower odds (OR: 0.884, 95% CI: 0.798-0.979) of poor oral health. Conclusion: Social mobility trajectories have a significant impact on self-rated oral health in British adults. Downward social mobility is associated with poorer oral health, while upward social mobility may provide a protective effect.45 0