Country-level income inequality (Gini index) vs Lower vs higher income inequality categories: Oral health-related quality of life
- Population
- people aged 60 years and older living in the community
- Intervention
- Country-level income inequality (Gini index)
- Comparison
- Lower vs higher income inequality categories
- Outcome
- Oral health-related quality of life
Older adults in countries with relative income equality (low Gini index) had markedly higher OHRQoL (91.3, 95% CI 90.0 to 92.6) than those in less equal countries; the difference by Gini index was statistically significant (ungraded).
What each review found
Current versions only| Finding | Effect | Studies | GRADE certainty |
|---|---|---|---|
Country-level income inequality (Gini index) vs Lower vs higher income inequality categories Oral health-related quality of life (OHRQoL sum score, transformed 0-100) · Community-dwelling elderly persons aged ≥60 years · Community-dwelling older adults across 25 countries, Relative equality (Gini index 0.21 to 0.30) Older adults in countries with relative income equality (low Gini index) had markedly higher OHRQoL (91.3, 95% CI 90.0 to 92.6) than those in less equal countries; the difference by Gini index was statistically significant (ungraded). Association between oral health-related quality of life and structural determinants of health among elderly… (2025) All outcomes | MEAN 91.3 [90.0, 92.6] | Not reported | GRADE not reported |
Country-level income inequality (Gini index) vs Lower vs higher income inequality categories Oral health-related quality of life (OHRQoL sum score, transformed 0-100) · Community-dwelling elderly persons aged ≥60 years · Community-dwelling older adults across 25 countries, High inequality Older adults in countries with relative income equality (low Gini index) had markedly higher OHRQoL (91.3, 95% CI 90.0 to 92.6) than those in less equal countries; the difference by Gini index was statistically significant (ungraded). Association between oral health-related quality of life and structural determinants of health among elderly… (2025) All outcomes | MEAN 75.3 [67.1, 83.6] | Not reported | GRADE not reported |
Country-level income inequality (Gini index) vs Lower vs higher income inequality categories Oral health-related quality of life (OHRQoL sum score, transformed 0-100) · Community-dwelling elderly persons aged ≥60 years · Community-dwelling older adults across 25 countries, Adequate equality Older adults in countries with relative income equality (low Gini index) had markedly higher OHRQoL (91.3, 95% CI 90.0 to 92.6) than those in less equal countries; the difference by Gini index was statistically significant (ungraded). Association between oral health-related quality of life and structural determinants of health among elderly… (2025) All outcomes | MEAN 75.4 [70.1, 82.7] | Not reported | GRADE not reported |
Country-level income inequality (Gini index) vs Lower vs higher income inequality categories Oral health-related quality of life (OHRQoL sum score, transformed 0-100) · Community-dwelling elderly persons aged ≥60 years · Community-dwelling older adults across 25 countries, Severe inequality Older adults in countries with relative income equality (low Gini index) had markedly higher OHRQoL (91.3, 95% CI 90.0 to 92.6) than those in less equal countries; the difference by Gini index was statistically significant (ungraded). Association between oral health-related quality of life and structural determinants of health among elderly… (2025) All outcomes | MEAN 81.2 [75.3, 88.3] | Not reported | GRADE not reported |
Findings are shown side by side, never pooled across reviews.
The reviews
| Review | Searched up to | Included studies | AMSTAR 2 |
|---|---|---|---|
| Association between oral health-related quality of life and structural determinants of health among elderly populations. a systematic… 2025 All outcomes | 23 August 2024 (records from January 2014 onward) | 6 | Not applicable |
How reviews are matched to this question
Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.