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<record>
<TEI>
<teiHeader>
<fileDesc>
<titleStmt>
<title xml:lang="en">Tooth Loss in Appalachia and the Mississippi Delta Relative to Other Regions in the United States, 1999–2010</title>
<author>
<name sortKey="Gorsuch, Marina Mileo" sort="Gorsuch, Marina Mileo" uniqKey="Gorsuch M" first="Marina Mileo" last="Gorsuch">Marina Mileo Gorsuch</name>
</author>
<author>
<name sortKey="Sanders, Seth G" sort="Sanders, Seth G" uniqKey="Sanders S" first="Seth G." last="Sanders">Seth G. Sanders</name>
</author>
<author>
<name sortKey="Wu, Bei" sort="Wu, Bei" uniqKey="Wu B" first="Bei" last="Wu">Bei Wu</name>
</author>
</titleStmt>
<publicationStmt>
<idno type="wicri:source">PMC</idno>
<idno type="pmid">24524527</idno>
<idno type="pmc">3987601</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3987601</idno>
<idno type="RBID">PMC:3987601</idno>
<idno type="doi">10.2105/AJPH.2013.301641</idno>
<date when="2014">2014</date>
<idno type="wicri:Area/Pmc/Corpus">000301</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000301</idno>
</publicationStmt>
<sourceDesc>
<biblStruct>
<analytic>
<title xml:lang="en" level="a" type="main">Tooth Loss in Appalachia and the Mississippi Delta Relative to Other Regions in the United States, 1999–2010</title>
<author>
<name sortKey="Gorsuch, Marina Mileo" sort="Gorsuch, Marina Mileo" uniqKey="Gorsuch M" first="Marina Mileo" last="Gorsuch">Marina Mileo Gorsuch</name>
</author>
<author>
<name sortKey="Sanders, Seth G" sort="Sanders, Seth G" uniqKey="Sanders S" first="Seth G." last="Sanders">Seth G. Sanders</name>
</author>
<author>
<name sortKey="Wu, Bei" sort="Wu, Bei" uniqKey="Wu B" first="Bei" last="Wu">Bei Wu</name>
</author>
</analytic>
<series>
<title level="j">American Journal of Public Health</title>
<idno type="ISSN">0090-0036</idno>
<idno type="eISSN">1541-0048</idno>
<imprint>
<date when="2014">2014</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass></textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<p>
<italic>Objectives.</italic>
We examined regional variation in tooth loss in the United States from 1999 to 2010.</p>
<p>
<italic>Methods.</italic>
We used 6 waves of the Behavioral Risk Factor Surveillance System and data on county characteristics to describe regional trends in tooth loss and decompose diverging trends into the parts explained by individual and county components.</p>
<p>
<italic>Results.</italic>
Appalachia and the Mississippi Delta had higher levels of tooth loss than the rest of the country in 1999. From 1999 to 2010, tooth loss declined in the United States. However, Appalachia did not converge toward the US average, and the Mississippi Delta worsened relative to the United States. Socioeconomic status explained the largest portion of differences between regions in 1999, but a smaller portion of the trends. The Mississippi Delta is aging more quickly than the rest of the country, which explains 17% of the disparity in the time trend.</p>
<p>
<italic>Conclusions.</italic>
The disadvantage in tooth loss is persistent in Appalachia and growing in the Mississippi Delta. The increasing disparity is partly explained by changes in the age structure but is also associated with behavioral and environmental factors.</p>
</div>
</front>
</TEI>
<pmc article-type="research-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Am J Public Health</journal-id>
<journal-id journal-id-type="iso-abbrev">Am J Public Health</journal-id>
<journal-id journal-id-type="publisher-id">ajph</journal-id>
<journal-title-group>
<journal-title>American Journal of Public Health</journal-title>
</journal-title-group>
<issn pub-type="ppub">0090-0036</issn>
<issn pub-type="epub">1541-0048</issn>
<publisher>
<publisher-name>American Public Health Association</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">24524527</article-id>
<article-id pub-id-type="pmc">3987601</article-id>
<article-id pub-id-type="publisher-id">301641</article-id>
<article-id pub-id-type="doi">10.2105/AJPH.2013.301641</article-id>
<article-categories>
<subj-group subj-group-type="hwp-journal-coll">
<subject>Dental/Oral Health</subject>
</subj-group>
<subj-group subj-group-type="heading">
<subject>Online Research and Practice</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Tooth Loss in Appalachia and the Mississippi Delta Relative to Other Regions in the United States, 1999–2010</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Gorsuch</surname>
<given-names>Marina Mileo</given-names>
</name>
<degrees>MS, MA</degrees>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sanders</surname>
<given-names>Seth G.</given-names>
</name>
<degrees>PhD</degrees>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Wu</surname>
<given-names>Bei</given-names>
</name>
<degrees>PhD</degrees>
</contrib>
<aff>Marina Mileo Gorsuch and Seth G. Sanders are with the Sanford School of Public Policy, Duke University, Durham, NC. Seth G. Sanders is also with the Department of Economics, Duke University. Bei Wu is with the School of Nursing and Global Health Institute, Duke University.</aff>
</contrib-group>
<author-notes>
<corresp>Correspondence should be sent to Marina Mileo Gorsuch, Sanford School of Public Policy, Duke University, 235 Rubenstein Hall, 302 Towerview Drive, Box 90315, Durham, NC 27708 (e-mail:
<email>marina.gorsuch@duke.edu</email>
). Reprints can be ordered at
<ext-link ext-link-type="uri" xlink:href="http://www.ajph.org">http://www.ajph.org</ext-link>
by clicking the “Reprints” link.</corresp>
<fn>
<p>
<bold>Contributors</bold>
</p>
<p>M. Mileo Gorsuch performed the statistical analyses. M. Mileo Gorsuch, S. G. Sanders, and B. Wu all contributed equally to the design and writing of the article.</p>
</fn>
<fn>
<p>Peer Reviewed</p>
</fn>
</author-notes>
<pub-date pub-type="ppub">
<month>5</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="epub">
<month>5</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>1</day>
<month>5</month>
<year>2015</year>
</pub-date>
<pmc-comment> PMC Release delay is 12 months and 0 days and was based on the . </pmc-comment>
<volume>104</volume>
<issue>5</issue>
<fpage>e85</fpage>
<lpage>e91</lpage>
<history>
<date date-type="accepted">
<day>25</day>
<month>8</month>
<year>2013</year>
</date>
</history>
<permissions>
<copyright-statement>© American Public Health Association 2014</copyright-statement>
<copyright-year>2014</copyright-year>
</permissions>
<self-uri content-type="pdf" xlink:type="simple" xlink:href="AJPH.2013.301641.pdf"></self-uri>
<abstract>
<p>
<italic>Objectives.</italic>
We examined regional variation in tooth loss in the United States from 1999 to 2010.</p>
<p>
<italic>Methods.</italic>
We used 6 waves of the Behavioral Risk Factor Surveillance System and data on county characteristics to describe regional trends in tooth loss and decompose diverging trends into the parts explained by individual and county components.</p>
<p>
<italic>Results.</italic>
Appalachia and the Mississippi Delta had higher levels of tooth loss than the rest of the country in 1999. From 1999 to 2010, tooth loss declined in the United States. However, Appalachia did not converge toward the US average, and the Mississippi Delta worsened relative to the United States. Socioeconomic status explained the largest portion of differences between regions in 1999, but a smaller portion of the trends. The Mississippi Delta is aging more quickly than the rest of the country, which explains 17% of the disparity in the time trend.</p>
<p>
<italic>Conclusions.</italic>
The disadvantage in tooth loss is persistent in Appalachia and growing in the Mississippi Delta. The increasing disparity is partly explained by changes in the age structure but is also associated with behavioral and environmental factors.</p>
</abstract>
<counts>
<page-count count="7"></page-count>
</counts>
</article-meta>
</front>
</pmc>
</record>

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