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 : 001B39Gender‐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 SchwahnSource :
- Community Dentistry and Oral Epidemiology [ 0301-5661 ] ; 2011-10.
English descriptors
- KwdEn :
- Acta odontol scand, Baseline, Baseline data, Baseline examination, Better education, Categorical data, Causal pathways, Charite universitatsmedizin berlin, Community dent, Comparative study, Complete cases, Crosssectional data, Dent, Dental appearance, Dental care services, Dental examination, Dental health, Dental materials, Dental status, East germans, East germany, Eastern system, Education data, Education level, Education levels, Educational level, Effect magnitude, Entire population, Epidemiol, Epidemiol community health, Exposure variables, Gender, Gender differences, General health, Greifswald, Health care, Health inequalities, Higher wage employment, Highest risk, Household data, Household income, Income data, Individual impact, Inequality, Longitudinal, Longitudinal data, Longitudinal study, Lowest tertile, Male participants, Marital status, Median years, Multiple imputations, Multiple tooth loss, Mundt, Ndings, Negative binomial regression, Observation period, Occupation data, Occupational prestige, Occupational prestige scale, Occupational status, Oral health, Oral health behaviour, Oral health promotion, Participant, Pomerania, Pomerania germany, Previous publication, Primary analyses, Public health, Public health dent, Range years, Relative risk, Relative risks, Reri, Risk indicator, School education, Single women, Siops, Siops scores, Social class, Socioeconomic, Socioeconomic disparities, Socioeconomic factors, Socioeconomic indicators, Socioeconomic status, Standard deviation, Statistical analyses, Study participants, Tertile, Tertile household income, Tooth extractions, Tooth loss, West germany, West pomerania, Years reri.
- Teeft :
- Acta odontol scand, Baseline, Baseline data, Baseline examination, Better education, Categorical data, Causal pathways, Charite universitatsmedizin berlin, Community dent, Comparative study, Complete cases, Crosssectional data, Dent, Dental appearance, Dental care services, Dental examination, Dental health, Dental materials, Dental status, East germans, East germany, Eastern system, Education data, Education level, Education levels, Educational level, Effect magnitude, Entire population, Epidemiol, Epidemiol community health, Exposure variables, Gender, Gender differences, General health, Greifswald, Health care, Health inequalities, Higher wage employment, Highest risk, Household data, Household income, Income data, Individual impact, Inequality, Longitudinal, Longitudinal data, Longitudinal study, Lowest tertile, Male participants, Marital status, Median years, Multiple imputations, Multiple tooth loss, Mundt, Ndings, Negative binomial regression, Observation period, Occupation data, Occupational prestige, Occupational prestige scale, Occupational status, Oral health, Oral health behaviour, Oral health promotion, Participant, Pomerania, Pomerania germany, Previous publication, Primary analyses, Public health, Public health dent, Range years, Relative risk, Relative risks, Reri, Risk indicator, School education, Single women, Siops, Siops scores, Social class, Socioeconomic, Socioeconomic disparities, Socioeconomic factors, Socioeconomic indicators, Socioeconomic status, Standard deviation, Statistical analyses, Study participants, Tertile, Tertile household income, Tooth extractions, Tooth loss, West germany, West pomerania, Years reri.
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
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<front><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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<profileDesc><abstract xml:lang="en" style="main"><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>
<p><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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<role><roleTerm type="text">author</roleTerm>
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</name>
<name type="personal"><namePart type="given">Hans Jörgen</namePart>
<namePart type="family">Grabe</namePart>
<affiliation>Department of Psychiatry and Psychotherapy, University of Greifswald, HANSE‐Klinikum, Stralsund, Germany</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">Martina</namePart>
<namePart type="family">Dören</namePart>
<affiliation>Clinical Research Center of Woman`s Health, Charité Universitätsmedizin Berlin, Berlin, Germany</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">Sabine</namePart>
<namePart type="family">Schwarz</namePart>
<affiliation>Clinical Research Center of Woman`s Health, Charité Universitätsmedizin Berlin, Berlin, Germany</affiliation>
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</name>
<name type="personal"><namePart type="given">Thomas</namePart>
<namePart type="family">Kocher</namePart>
<affiliation>Unit of Periodontology, Center of Oral Health, University of Greifswald, Greifswald, Germany</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">Reiner</namePart>
<namePart type="family">Biffar</namePart>
<affiliation>Department of Prosthodontics, Gerodontology and Biomaterials, Center of Oral Health, University of Greifswald, Greifswald, Germany</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">Christian</namePart>
<namePart type="family">Schwahn</namePart>
<affiliation>Center of Oral Health, University of Greifswald, Greifswald, Germany</affiliation>
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<originInfo><publisher>Blackwell Publishing Ltd</publisher>
<place><placeTerm type="text">Oxford, UK</placeTerm>
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<dateIssued encoding="w3cdtf">2011-10</dateIssued>
<edition>Submitted 15 January 2010; accepted 19 December 2010</edition>
<copyrightDate encoding="w3cdtf">2011</copyrightDate>
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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>
</subject>
<relatedItem type="host"><titleInfo><title>Community Dentistry and Oral Epidemiology</title>
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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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<extent unit="pages"><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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