Social stratification and tooth loss among middle‐aged and older Americans from 1988 to 2004
Identifieur interne : 006B08 ( Istex/Corpus ); précédent : 006B07; suivant : 006B09Social stratification and tooth loss among middle‐aged and older Americans from 1988 to 2004
Auteurs : Bei Wu ; Celia Hybels ; Jersey Liang ; Lawrence Landerman ; Brenda PlassmanSource :
- Community Dentistry and Oral Epidemiology [ 0301-5661 ] ; 2014-12.
Abstract
Tooth retention has improved over the past few decades, but it is not known whether these trends have been observed across all demographic/socioeconomic subgroups. We examined number of missing teeth among dentate individuals (n = 9, 113) as well as edentulism and systematically modeled their trends over time by using clinical examination data.
Url:
DOI: 10.1111/cdoe.12116
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<front><div type="abstract">Tooth retention has improved over the past few decades, but it is not known whether these trends have been observed across all demographic/socioeconomic subgroups. We examined number of missing teeth among dentate individuals (n = 9, 113) as well as edentulism and systematically modeled their trends over time by using clinical examination data.</div>
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<profileDesc><abstract style="main" xml:id="cdoe12116-abs-0001"><head>Abstract</head>
Objectives
<p>Tooth retention has improved over the past few decades, but it is not known whether these trends have been observed across all demographic/socioeconomic subgroups. We examined number of missing teeth among dentate individuals (<hi rend="italic">n</hi>
= 9, 113) as well as edentulism and systematically modeled their trends over time by using clinical examination data.</p>
Methods
<p>We investigated the association between social stratification and trends in tooth retention among adults ages 50+ from 1988 to 2004, using four waves of the National Health and Nutrition Examination Surveys (<hi rend="fc">NHANES</hi>
) (<hi rend="italic">n</hi>
= 11 812).</p>
Results
<p>The prevalence of edentulism declined from 24.6% in <hi rend="fc">NHANES III</hi>
(1988–1994) to 17.4% in 2003–2004, and the mean number of missing teeth declined from 8.19 to 6.50. Older participants, Blacks, the less educated and those with lower income were higher on both edentulism and number missing teeth. Both edentulism and number of missing teeth declined over time, but their patterns varied. For edentulism, age and socioeconomic related disparities decreased over time due to more decline among older and low‐income participants. For missing teeth, there was less decrement among older and low‐income participants, resulting in increased age and socioeconomic related disparities.</p>
Conclusions
<p>Our study found disparities in trends of tooth loss across demographic/socioeconomic strata. Findings suggest that racial/ethnic disparities are partially explained by socioeconomic status. Interventions designed to improve oral health for older adults, particularly those with low levels of income, need special attention.</p>
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<affiliation countryCode="US" type="organization" xml:id="cdoe12116-aff-0004"><orgDiv>Department of Psychiatry and Behavioral Medicine</orgDiv>
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<address><city>Durham</city>
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<keywordGroup type="author"><keyword xml:id="cdoe12116-kwd-0001">edentulism</keyword>
<keyword xml:id="cdoe12116-kwd-0002">middle‐aged</keyword>
<keyword xml:id="cdoe12116-kwd-0003">older adults</keyword>
<keyword xml:id="cdoe12116-kwd-0004">tooth loss</keyword>
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<fundingInfo><fundingAgency>National Institute of Dental and Craniofacial Research (NIDCR)</fundingAgency>
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<p>Tooth retention has improved over the past few decades, but it is not known whether these trends have been observed across all demographic/socioeconomic subgroups. We examined number of missing teeth among dentate individuals (<i>n</i>
= 9, 113) as well as edentulism and systematically modeled their trends over time by using clinical examination data.</p>
</section>
<section xml:id="cdoe12116-sec-0002"><title type="main">Methods</title>
<p>We investigated the association between social stratification and trends in tooth retention among adults ages 50+ from 1988 to 2004, using four waves of the National Health and Nutrition Examination Surveys (<fc>NHANES</fc>
) (<i>n</i>
= 11 812).</p>
</section>
<section xml:id="cdoe12116-sec-0003"><title type="main">Results</title>
<p>The prevalence of edentulism declined from 24.6% in <fc>NHANES III</fc>
(1988–1994) to 17.4% in 2003–2004, and the mean number of missing teeth declined from 8.19 to 6.50. Older participants, Blacks, the less educated and those with lower income were higher on both edentulism and number missing teeth. Both edentulism and number of missing teeth declined over time, but their patterns varied. For edentulism, age and socioeconomic related disparities decreased over time due to more decline among older and low‐income participants. For missing teeth, there was less decrement among older and low‐income participants, resulting in increased age and socioeconomic related disparities.</p>
</section>
<section xml:id="cdoe12116-sec-0004"><title type="main">Conclusions</title>
<p>Our study found disparities in trends of tooth loss across demographic/socioeconomic strata. Findings suggest that racial/ethnic disparities are partially explained by socioeconomic status. Interventions designed to improve oral health for older adults, particularly those with low levels of income, need special attention.</p>
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<name type="personal"><namePart type="given">Bei</namePart>
<namePart type="family">Wu</namePart>
<affiliation>School of Nursing, Duke University, Durham, NC, USA</affiliation>
<affiliation>Center for the Study of Aging and Human Development, Duke University, Durham, NC, USA</affiliation>
<affiliation>Global Health Institute, Duke University, NC, Durham, USA</affiliation>
<affiliation>Bei Wu, School of Nursing, 4132 Pearson Building, Duke University, 307 Trent Drive, DUMC 3322, Durham, NC 27710, USAe‐mail:</affiliation>
<affiliation>E-mail: bei.wu@duke.edu</affiliation>
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<name type="personal"><namePart type="given">Celia</namePart>
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<affiliation>Center for the Study of Aging and Human Development, Duke University, Durham, NC, USA</affiliation>
<affiliation>Department of Psychiatry and Behavioral Medicine, Duke University, NC, Durham, USA</affiliation>
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<name type="personal"><namePart type="given">Jersey</namePart>
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<affiliation>School of Public Health, University of Michigan, MI, Ann Arbor, USA</affiliation>
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<name type="personal"><namePart type="given">Lawrence</namePart>
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<edition>Wu B, Hybels C, Liang J, Landerman L, Plassman B. Social Stratification and tooth loss among middle‐aged and older Americans from 1988 to 2004. Community Dent Oral Epidemiol 2014; 42: 495–502. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd</edition>
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<abstract>Tooth retention has improved over the past few decades, but it is not known whether these trends have been observed across all demographic/socioeconomic subgroups. We examined number of missing teeth among dentate individuals (n = 9, 113) as well as edentulism and systematically modeled their trends over time by using clinical examination data.</abstract>
<abstract>We investigated the association between social stratification and trends in tooth retention among adults ages 50+ from 1988 to 2004, using four waves of the National Health and Nutrition Examination Surveys (NHANES) (n = 11 812).</abstract>
<abstract>The prevalence of edentulism declined from 24.6% in NHANES III (1988–1994) to 17.4% in 2003–2004, and the mean number of missing teeth declined from 8.19 to 6.50. Older participants, Blacks, the less educated and those with lower income were higher on both edentulism and number missing teeth. Both edentulism and number of missing teeth declined over time, but their patterns varied. For edentulism, age and socioeconomic related disparities decreased over time due to more decline among older and low‐income participants. For missing teeth, there was less decrement among older and low‐income participants, resulting in increased age and socioeconomic related disparities.</abstract>
<abstract>Our study found disparities in trends of tooth loss across demographic/socioeconomic strata. Findings suggest that racial/ethnic disparities are partially explained by socioeconomic status. Interventions designed to improve oral health for older adults, particularly those with low levels of income, need special attention.</abstract>
<note type="funding">National Institute of Dental and Craniofacial Research (NIDCR) - No. R01DE019110; </note>
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