The Role of Education on The Association Between Ethnicity and Tooth Loss

Abstract

Abstract

Aim: The study aimed to explore the association between tooth loss and ethnicity and to assess the mediating role of education in this relationship.

Methods: A secondary analysis was conducted on cross-sectional data from adults aged 16 and over who participated in the Health Survey for England in 1999, 2000, 2001, 2002, and 2005. Logistic regression models were employed to examine the association between ethnicity and tooth loss, with the adjustment for sociodemographic variables. The role of education as a mediator in this relationship was also assessed.

Results: The findings revealed significant ethnic differences in the prevalence of edentulism. Black Caribbean and White British participants exhibited the highest prevalence rates of edentulism, whereas Bangladeshi individuals had significantly lower odds of experiencing tooth loss. Education emerged as a critical determinant, with higher educational attainment associated with lower odds of edentulism. The mediation analysis highlighted that Black Caribbean individuals with no education had significantly higher odds of edentulism.

Conclusion: The study underscores the complex interplay between ethnicity, education, and tooth loss. It highlights the need for public health interventions that target oral health education and improve access to care, particularly for ethnic minorities and lower socioeconomic groups.