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Education level and oral health in Finnish adults: evidence from different lifecourse models

Identifieur interne : 005E24 ( Istex/Corpus ); précédent : 005E23; suivant : 005E25

Education level and oral health in Finnish adults: evidence from different lifecourse models

Auteurs : Eduardo Bernabé ; Anna L. Suominen ; Anne Nordblad ; Miira M. Vehkalahti ; Hannu Hausen ; Matti Knuuttila ; Mika Kivim Ki ; Richard G. Watt ; Aubrey Sheiham ; Georgios Tsakos

Source :

RBID : ISTEX:BD4CFF43F0FD1ACE3D465E4DF1BBA0E4FEC23834

English descriptors

Abstract

Bernabé E, Suominen AL, Nordblad A, Vehkalahti MM, Hausen H, Knuuttila M, Kivimäki M, Watt RG, Sheiham A, Tsakos G. Education level and oral health in Finnish adults: evidence from different lifecourse models. J Clin Periodontol 2011; 38: 25–32. doi: 10.1111/j.1600‐051X.2010.01647.x.

Url:
DOI: 10.1111/j.1600-051X.2010.01647.x

Links to Exploration step

ISTEX:BD4CFF43F0FD1ACE3D465E4DF1BBA0E4FEC23834

Le document en format XML

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<div type="abstract">Bernabé E, Suominen AL, Nordblad A, Vehkalahti MM, Hausen H, Knuuttila M, Kivimäki M, Watt RG, Sheiham A, Tsakos G. Education level and oral health in Finnish adults: evidence from different lifecourse models. J Clin Periodontol 2011; 38: 25–32. doi: 10.1111/j.1600‐051X.2010.01647.x.</div>
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<note type="foot"> Conflict of interest and source of funding statement 
The authors declare that they have no conflict of interests.
The Health 2000 Survey (http://www.terveys2000.fi/indexe.html) was organised by the National Institute for Health and Welfare (THL), formerly the National Public Health Institute (KTL), of Finland, and partly supported by the Finnish Dental Society Apollonia and the Finnish Dental Association. Eduardo Bernabé was supported by the Programme Alβan, the European Union Programme of High Level Scholarships for Latin America, Scholarship No. E06D1000352PE. Mika Kivimäki is supported by the Academy of Finland (projects 117604, 1244271 and 124332).</note>
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<p>Bernabé E, Suominen AL, Nordblad A, Vehkalahti MM, Hausen H, Knuuttila M, Kivimäki M, Watt RG, Sheiham A, Tsakos G. Education level and oral health in Finnish adults: evidence from different lifecourse models. J Clin Periodontol 2011; 38: 25–32. doi: 10.1111/j.1600‐051X.2010.01647.x.</p>
Abstract
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<hi rend="bold">Aim: </hi>
To assess the relationship between education level and several oral health outcomes in Finnish adults, using three conceptual lifecourse models.</p>
<p>
<hi rend="bold">Materials and Methods: </hi>
This study analysed data from 7112 subjects, aged 30 years or over, who participated in the nationally representative Finnish Health 2000 Survey. Parental and own education levels were the childhood and adulthood socioeconomic measures, respectively. Oral health was indicated by edentulousness, perceived oral health and levels of dental caries and periodontal disease. Three conceptual lifecourse models, namely critical period, accumulation and social trajectories, were separately tested in regression models.</p>
<p>
<hi rend="bold">Results: </hi>
In line with the critical period model, parental and own education levels were independently associated with oral health after mutual adjustment. There was also a graded linear relationship between the number of periods of socioeconomic disadvantage and oral health, corresponding to the accumulation model. Gradual declines in oral health were evident between social trajectories from persistently high to upwardly mobile, downwardly mobile and persistently low groups.</p>
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There was similar support for the lifecourse models of critical period, accumulation and social trajectories. They collectively contribute to a better understanding of oral health inequalities.</p>
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<i>Eduardo Bernabé</i>
<i>Institute of Dentistry</i>
<i>Barts and The London School of Medicine and Dentistry</i>
<i>Queen Mary University of London</i>
<i>Turner Street, London E1 2AD</i>
<i>United Kingdom</i>

E‐mail:
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<p>Bernabé E, Suominen AL, Nordblad A, Vehkalahti MM, Hausen H, Knuuttila M, Kivimäki M, Watt RG, Sheiham A, Tsakos G. Education level and oral health in Finnish adults: evidence from different lifecourse models. J Clin Periodontol 2011; 38: 25–32. doi: 10.1111/j.1600‐051X.2010.01647.x.</p>
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<title type="main">Abstract</title>
<p>
<b>Aim: </b>
To assess the relationship between education level and several oral health outcomes in Finnish adults, using three conceptual lifecourse models.</p>
<p>
<b>Materials and Methods: </b>
This study analysed data from 7112 subjects, aged 30 years or over, who participated in the nationally representative Finnish Health 2000 Survey. Parental and own education levels were the childhood and adulthood socioeconomic measures, respectively. Oral health was indicated by edentulousness, perceived oral health and levels of dental caries and periodontal disease. Three conceptual lifecourse models, namely critical period, accumulation and social trajectories, were separately tested in regression models.</p>
<p>
<b>Results: </b>
In line with the critical period model, parental and own education levels were independently associated with oral health after mutual adjustment. There was also a graded linear relationship between the number of periods of socioeconomic disadvantage and oral health, corresponding to the accumulation model. Gradual declines in oral health were evident between social trajectories from persistently high to upwardly mobile, downwardly mobile and persistently low groups.</p>
<p>
<b>Conclusion: </b>
There was similar support for the lifecourse models of critical period, accumulation and social trajectories. They collectively contribute to a better understanding of oral health inequalities.</p>
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<b>Conflict of interest and source of funding statement</b>

The authors declare that they have no conflict of interests.
The Health 2000 Survey (
<url href="http://www.terveys2000.fi/indexe.html">http://www.terveys2000.fi/indexe.html</url>
) was organised by the National Institute for Health and Welfare (THL), formerly the National Public Health Institute (KTL), of Finland, and partly supported by the Finnish Dental Society Apollonia and the Finnish Dental Association. Eduardo Bernabé was supported by the Programme Alβan, the European Union Programme of High Level Scholarships for Latin America, Scholarship No. E06D1000352PE. Mika Kivimäki is supported by the Academy of Finland (projects 117604, 1244271 and 124332).</p>
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<sup>*</sup>
Present address: Institute of Dentistry, Barts and the London School, Queen Mary University of London, London, UK.</p>
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<description>Conflict of interest and source of funding statement 
The authors declare that they have no conflict of interests.
The Health 2000 Survey (http://www.terveys2000.fi/indexe.html) was organised by the National Institute for Health and Welfare (THL), formerly the National Public Health Institute (KTL), of Finland, and partly supported by the Finnish Dental Society Apollonia and the Finnish Dental Association. Eduardo Bernabé was supported by the Programme Alβan, the European Union Programme of High Level Scholarships for Latin America, Scholarship No. E06D1000352PE. Mika Kivimäki is supported by the Academy of Finland (projects 117604, 1244271 and 124332).</description>
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<affiliation>National Institute for Health and Welfare, Helsinki, Finland</affiliation>
<affiliation>Department of Public Health Dentistry, University of Turku, Turku, Finland</affiliation>
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<namePart type="given">Anne</namePart>
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<affiliation>Department for Social and Health Services, Ministry of Social Affairs and Health, Helsinki, Finland</affiliation>
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<namePart type="given">Miira M.</namePart>
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<affiliation>Department of Oral Public Health, Institute of Dentistry, University of Helsinki, Helsinki, Finland</affiliation>
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<namePart type="given">Hannu</namePart>
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<affiliation>Department of Community Dentistry, Institute of Dentistry, University of Oulu, Oulu, Finland</affiliation>
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<name type="personal">
<namePart type="given">Matti</namePart>
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<affiliation>Oral and Maxillofacial Department, Oulu University Hospital, Oulu, Finland</affiliation>
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<affiliation>Finnish Institute of Occupational Health, University of Helsinki, Helsinki, Finland</affiliation>
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<namePart type="given">Richard G.</namePart>
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<affiliation>Department of Epidemiology and Public Health, University College London, London, UK</affiliation>
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<dateIssued encoding="w3cdtf">2011-01</dateIssued>
<edition>Accepted for publication 13 October 2010</edition>
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<abstract>Bernabé E, Suominen AL, Nordblad A, Vehkalahti MM, Hausen H, Knuuttila M, Kivimäki M, Watt RG, Sheiham A, Tsakos G. Education level and oral health in Finnish adults: evidence from different lifecourse models. J Clin Periodontol 2011; 38: 25–32. doi: 10.1111/j.1600‐051X.2010.01647.x.</abstract>
<abstract>Aim: To assess the relationship between education level and several oral health outcomes in Finnish adults, using three conceptual lifecourse models. Materials and Methods: This study analysed data from 7112 subjects, aged 30 years or over, who participated in the nationally representative Finnish Health 2000 Survey. Parental and own education levels were the childhood and adulthood socioeconomic measures, respectively. Oral health was indicated by edentulousness, perceived oral health and levels of dental caries and periodontal disease. Three conceptual lifecourse models, namely critical period, accumulation and social trajectories, were separately tested in regression models. Results: In line with the critical period model, parental and own education levels were independently associated with oral health after mutual adjustment. There was also a graded linear relationship between the number of periods of socioeconomic disadvantage and oral health, corresponding to the accumulation model. Gradual declines in oral health were evident between social trajectories from persistently high to upwardly mobile, downwardly mobile and persistently low groups. Conclusion: There was similar support for the lifecourse models of critical period, accumulation and social trajectories. They collectively contribute to a better understanding of oral health inequalities.</abstract>
<subject lang="en">
<genre>keywords</genre>
<topic>dental caries</topic>
<topic>lifecourse</topic>
<topic>periodontal disease</topic>
<topic>socioeconomic position</topic>
<topic>teeth</topic>
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<number>1</number>
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<start>25</start>
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