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Research Article Open Access
Volume 2 | Issue 2 | DOI: https://doi.org/10.46439/biomedres.2.013

The relationship between poor oral health and poor general health in Indigenous and non-Indigenous peoples

  • 1Australian Research Centre for Population Oral Health, Adelaide Dental School, The University of Adelaide, Australia
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Corresponding Author

Xiangqun Ju, xiangqun.ju@adelaide.edu.au

Received Date: October 06, 2021

Accepted Date: November 03, 2021

Abstract

Objective: To investigate and compare the relationship between self-reported oral and general health among Indigenous and non-Indigenous Australians.
Methods: Data was obtained from two studies: study 1 was a convenience study of Indigenous Australians aged 18+ years residing in South Australia, and study 2 was a representative of Australians aged 15+ years in South Australia. Descriptive analyses were conducted to compare self-rated oral and general health-related quality of life, which was measured by calculating disutility scores with the five individual EQ-5D dimensions (EuroQol instrument: EQ-5D-5L).
Results: The sample comprised 1,011 and 2,891 Indigenous and non-Indigenous South Australian adults in study 1 and 2, respectively. A higher proportion of poor self-rated oral health and higher mean disutility score was observed among Indigenous than in non-Indigenous Australians, 33.5% vs. 9.5%, and 0.18 vs. 0.09, respectively. A higher mean disutility score was observed among Indigenous adults with poor self-rated oral health (0.25, 95% CI: 0.22-0.27) than among non-Indigenous adults with poor self-rated oral health (0.16, 95% CI: 0.14-0.18). After adjusting for social-demographic and health-related behaviors, the prevalence ratio was more than 2 times higher among Indigenous than in non-Indigenous Australians across each individual EQ-5D dimension. 
Conclusion: Our findings indicate that poor self-rated oral and general health-related quality of life persists among Indigenous relative to non-Indigenous Australians. The social determinants of health are likely to be root causes. Interventions that address social, economic and political constructs are required to reduce oral and general health inequalities between Indigenous and non-Indigenous Australians.

Keywords

Indigenous Australians, EuroQol (EQ-5D-5L), Disutility score, Self-rated health

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