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Gender‐dependent associations between socioeconomic status and tooth loss in working age people in the Study of Health in Pomerania (SHIP), Germany

Identifieur interne : 001B38 ( Istex/Corpus ); précédent : 001B37; suivant : 001B39

Gender‐dependent associations between socioeconomic status and tooth loss in working age people in the Study of Health in Pomerania (SHIP), Germany

Auteurs : Torsten Mundt ; Ines Polzer ; Stefanie Samietz ; Hans Jörgen Grabe ; Martina Dören ; Sabine Schwarz ; Thomas Kocher ; Reiner Biffar ; Christian Schwahn

Source :

RBID : ISTEX:37FC196518E7B402F4928638ACD3CCE43A4DEE6F

English descriptors

Abstract

Mundt T, Polzer I, Samietz S, Grabe HJ, Dören M, Schwarz S, Kocher T, Biffar R, Schwahn C. Gender‐dependent associations between socioeconomic status and tooth loss in working age people in the Study of Health in Pomerania (SHIP), Germany. Community Dent Oral Epidemiol 2011; 39: 398–408. © 2011 John Wiley & Sons A/ S

Url:
DOI: 10.1111/j.1600-0528.2010.00607.x

Links to Exploration step

ISTEX:37FC196518E7B402F4928638ACD3CCE43A4DEE6F

Le document en format XML

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<div type="abstract">Mundt T, Polzer I, Samietz S, Grabe HJ, Dören M, Schwarz S, Kocher T, Biffar R, Schwahn C. Gender‐dependent associations between socioeconomic status and tooth loss in working age people in the Study of Health in Pomerania (SHIP), Germany. Community Dent Oral Epidemiol 2011; 39: 398–408. © 2011 John Wiley & Sons A/ S</div>
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<p>Mundt T, Polzer I, Samietz S, Grabe HJ, Dören M, Schwarz S, Kocher T, Biffar R, Schwahn C. Gender‐dependent associations between socioeconomic status and tooth loss in working age people in the Study of Health in Pomerania (SHIP), Germany. Community Dent Oral Epidemiol 2011; 39: 398–408. © 2011 John Wiley & Sons A/ S</p>
<p>
<hi rend="bold">Abstract – </hi>
<hi rend="bold"> Objectives: </hi>
Individual impact and the effect magnitude of socioeconomic key indicators (income, education and occupation) and of gender on oral health are ambiguous. In primary analyses of cross‐sectional data among participants of the Study of Health in Pomerania (north‐east Germany), women with low school education and low income were at highest risk for missing teeth, whereas being single was a risk indicator for missing teeth in men. Using the 5‐year follow‐up of this study, we aimed at verifying these findings and at investigating the gender‐dependent impact of key socioeconomic indicators on tooth loss.</p>
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<hi rend="bold">Methods: </hi>
The longitudinal data originate from 1971 subjects (1062 women) aged 25–59 enrolled from 1997 to 2001 and again from 2002 to 2006. The effects of marital status, household income, school education and occupational prestige for tooth loss were examined by gender using negative binomial regression analyses.</p>
<p>
<hi rend="bold">Results: </hi>
Low education and low income were moderately [relative risks (RR) between 1.6 and 2.0] associated with tooth loss among both women and men, whereas occupational prestige was not. After multiple imputations of missing data, less‐educated women with lower income exhibited the highest risk of tooth loss [RR = 3.1; 95% confidence interval (CI) = 1.7–5.5 for <10 years of school education and the lowest income tertile] and tooth loss was more likely in single men (RR = 1.5; 95% CI = 1.0–2.2) than in single women (RR = 0.9; 95% CI = 0.6–1.3).</p>
<p>
<hi rend="bold">Conclusions: </hi>
The primary cross‐sectional results were partly confirmed. Socioeconomic factors help to explain differences in tooth loss, although the causal pathways are speculative. To improve dental health, the policies should target not only the individual, e.g. oral health promotion, but also an entire population by better education and higher wage employment.</p>
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<p>
<b>Abstract – </b>
<b> Objectives: </b>
Individual impact and the effect magnitude of socioeconomic key indicators (income, education and occupation) and of gender on oral health are ambiguous. In primary analyses of cross‐sectional data among participants of the Study of Health in Pomerania (north‐east Germany), women with low school education and low income were at highest risk for missing teeth, whereas being single was a risk indicator for missing teeth in men. Using the 5‐year follow‐up of this study, we aimed at verifying these findings and at investigating the gender‐dependent impact of key socioeconomic indicators on tooth loss.</p>
<p>
<b>Methods: </b>
The longitudinal data originate from 1971 subjects (1062 women) aged 25–59 enrolled from 1997 to 2001 and again from 2002 to 2006. The effects of marital status, household income, school education and occupational prestige for tooth loss were examined by gender using negative binomial regression analyses.</p>
<p>
<b>Results: </b>
Low education and low income were moderately [relative risks (RR) between 1.6 and 2.0] associated with tooth loss among both women and men, whereas occupational prestige was not. After multiple imputations of missing data, less‐educated women with lower income exhibited the highest risk of tooth loss [RR = 3.1; 95% confidence interval (CI) = 1.7–5.5 for <10 years of school education and the lowest income tertile] and tooth loss was more likely in single men (RR = 1.5; 95% CI = 1.0–2.2) than in single women (RR = 0.9; 95% CI = 0.6–1.3).</p>
<p>
<b>Conclusions: </b>
The primary cross‐sectional results were partly confirmed. Socioeconomic factors help to explain differences in tooth loss, although the causal pathways are speculative. To improve dental health, the policies should target not only the individual, e.g. oral health promotion, but also an entire population by better education and higher wage employment.</p>
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<namePart type="given">Ines</namePart>
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<affiliation>Department of Prosthodontics, Gerodontology and Dental Materials, Center of Oral Health, University of Greifswald, Greifswald, Germany</affiliation>
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<namePart type="given">Stefanie</namePart>
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<namePart type="given">Martina</namePart>
<namePart type="family">Dören</namePart>
<affiliation>Clinical Research Center of Woman`s Health, Charité Universitätsmedizin Berlin, Berlin, Germany</affiliation>
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<dateIssued encoding="w3cdtf">2011-10</dateIssued>
<edition>Submitted 15 January 2010; accepted 19 December 2010</edition>
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<abstract>Mundt T, Polzer I, Samietz S, Grabe HJ, Dören M, Schwarz S, Kocher T, Biffar R, Schwahn C. Gender‐dependent associations between socioeconomic status and tooth loss in working age people in the Study of Health in Pomerania (SHIP), Germany. Community Dent Oral Epidemiol 2011; 39: 398–408. © 2011 John Wiley & Sons A/ S</abstract>
<abstract>Abstract –  Objectives:  Individual impact and the effect magnitude of socioeconomic key indicators (income, education and occupation) and of gender on oral health are ambiguous. In primary analyses of cross‐sectional data among participants of the Study of Health in Pomerania (north‐east Germany), women with low school education and low income were at highest risk for missing teeth, whereas being single was a risk indicator for missing teeth in men. Using the 5‐year follow‐up of this study, we aimed at verifying these findings and at investigating the gender‐dependent impact of key socioeconomic indicators on tooth loss.</abstract>
<abstract>Methods:  The longitudinal data originate from 1971 subjects (1062 women) aged 25–59 enrolled from 1997 to 2001 and again from 2002 to 2006. The effects of marital status, household income, school education and occupational prestige for tooth loss were examined by gender using negative binomial regression analyses.</abstract>
<abstract>Results:  Low education and low income were moderately [relative risks (RR) between 1.6 and 2.0] associated with tooth loss among both women and men, whereas occupational prestige was not. After multiple imputations of missing data, less‐educated women with lower income exhibited the highest risk of tooth loss [RR = 3.1; 95% confidence interval (CI) = 1.7–5.5 for <10 years of school education and the lowest income tertile] and tooth loss was more likely in single men (RR = 1.5; 95% CI = 1.0–2.2) than in single women (RR = 0.9; 95% CI = 0.6–1.3).</abstract>
<abstract>Conclusions:  The primary cross‐sectional results were partly confirmed. Socioeconomic factors help to explain differences in tooth loss, although the causal pathways are speculative. To improve dental health, the policies should target not only the individual, e.g. oral health promotion, but also an entire population by better education and higher wage employment.</abstract>
<subject lang="en">
<genre>keywords</genre>
<topic>incidence</topic>
<topic>marital status</topic>
<topic>prospective cohort study</topic>
<topic>socioeconomic status</topic>
<topic>tooth loss</topic>
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<identifier type="ISSN">0301-5661</identifier>
<identifier type="eISSN">1600-0528</identifier>
<identifier type="DOI">10.1111/(ISSN)1600-0528</identifier>
<identifier type="PublisherID">CDOE</identifier>
<part>
<date>2011</date>
<detail type="volume">
<caption>vol.</caption>
<number>39</number>
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<detail type="issue">
<caption>no.</caption>
<number>5</number>
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<start>398</start>
<end>408</end>
<total>11</total>
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<identifier type="DOI">10.1111/j.1600-0528.2010.00607.x</identifier>
<identifier type="ArticleID">CDOE607</identifier>
<accessCondition type="use and reproduction" contentType="copyright">© 2011 John Wiley & Sons A/S</accessCondition>
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