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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ISTEX:D7F4DE4FE59B1FA49E44BD0DC5EADF38C760630ELe document en format XML
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Celia" sort="Hybels, Celia" uniqKey="Hybels C" first="Celia" last="Hybels">Celia Hybels</name><affiliation><mods:affiliation>Center for the Study of Aging and Human Development, Duke University, Durham, NC, USA</mods:affiliation></affiliation><affiliation><mods:affiliation>Department of Psychiatry and Behavioral Medicine, Duke University, NC, Durham, USA</mods:affiliation></affiliation></author><author><name sortKey="Liang, Jersey" sort="Liang, Jersey" uniqKey="Liang J" first="Jersey" last="Liang">Jersey Liang</name><affiliation><mods:affiliation>School of Public Health, University of Michigan, MI, Ann Arbor, USA</mods:affiliation></affiliation></author><author><name sortKey="Landerman, Lawrence" sort="Landerman, Lawrence" uniqKey="Landerman L" first="Lawrence" last="Landerman">Lawrence Landerman</name><affiliation><mods:affiliation>Center for the Study of Aging and Human Development, Duke University, NC, Durham, USA</mods:affiliation></affiliation></author><author><name sortKey="Plassman, Brenda" sort="Plassman, Brenda" uniqKey="Plassman B" first="Brenda" last="Plassman">Brenda Plassman</name><affiliation><mods:affiliation>Center for the Study of Aging and Human Development, Duke University, Durham, NC, USA</mods:affiliation></affiliation><affiliation><mods:affiliation>Department of Psychiatry and Behavioral Medicine, Duke University, NC, Durham, USA</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:D7F4DE4FE59B1FA49E44BD0DC5EADF38C760630E</idno><date when="2014" year="2014">2014</date><idno type="doi">10.1111/cdoe.12116</idno><idno type="url">https://api.istex.fr/document/D7F4DE4FE59B1FA49E44BD0DC5EADF38C760630E/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">006B08</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">006B08</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main">Social stratification and tooth loss among middle‐aged and older Americans from 1988 to 2004</title><author><name sortKey="Wu, Bei" sort="Wu, Bei" uniqKey="Wu B" first="Bei" last="Wu">Bei Wu</name><affiliation><mods:affiliation>School of Nursing, Duke University, Durham, NC, USA</mods:affiliation></affiliation><affiliation><mods:affiliation>Center for the Study of Aging and Human Development, Duke University, Durham, NC, USA</mods:affiliation></affiliation><affiliation><mods:affiliation>Global Health Institute, Duke University, NC, Durham, USA</mods:affiliation></affiliation><affiliation><mods:affiliation>Bei Wu, School of Nursing, 4132 Pearson Building, Duke University, 307 Trent Drive, DUMC 3322, Durham, NC 27710, USAe‐mail:</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: bei.wu@duke.edu</mods:affiliation></affiliation></author><author><name sortKey="Hybels, Celia" sort="Hybels, Celia" uniqKey="Hybels C" first="Celia" last="Hybels">Celia Hybels</name><affiliation><mods:affiliation>Center for the Study of Aging and Human Development, Duke University, Durham, NC, USA</mods:affiliation></affiliation><affiliation><mods:affiliation>Department of Psychiatry and Behavioral Medicine, Duke University, NC, Durham, USA</mods:affiliation></affiliation></author><author><name sortKey="Liang, Jersey" sort="Liang, Jersey" uniqKey="Liang J" first="Jersey" last="Liang">Jersey Liang</name><affiliation><mods:affiliation>School of Public Health, University of Michigan, MI, Ann Arbor, USA</mods:affiliation></affiliation></author><author><name sortKey="Landerman, Lawrence" sort="Landerman, Lawrence" uniqKey="Landerman L" first="Lawrence" last="Landerman">Lawrence Landerman</name><affiliation><mods:affiliation>Center for the Study of Aging and Human Development, Duke University, NC, Durham, USA</mods:affiliation></affiliation></author><author><name sortKey="Plassman, Brenda" sort="Plassman, Brenda" uniqKey="Plassman B" first="Brenda" last="Plassman">Brenda Plassman</name><affiliation><mods:affiliation>Center for the Study of Aging and Human Development, Duke University, Durham, NC, USA</mods:affiliation></affiliation><affiliation><mods:affiliation>Department of Psychiatry and Behavioral Medicine, Duke University, NC, Durham, USA</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Community Dentistry and Oral Epidemiology</title><title level="j" type="alt">COMMUNITY DENTISTRY AND ORAL EPIDEMIOLOGY</title><idno type="ISSN">0301-5661</idno><idno type="eISSN">1600-0528</idno><imprint><biblScope unit="vol">42</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="495">495</biblScope><biblScope unit="page" to="502">502</biblScope><biblScope unit="page-count">8</biblScope><date type="published" when="2014-12">2014-12</date></imprint><idno type="ISSN">0301-5661</idno></series></biblStruct></sourceDesc><seriesStmt><idno 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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></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Bei Wu</name><affiliations><json:string>School of Nursing, Duke University, Durham, NC, USA</json:string><json:string>Center for the Study of Aging and Human Development, Duke University, Durham, NC, USA</json:string><json:string>Global Health Institute, Duke University, NC, Durham, USA</json:string><json:string>Bei Wu, School of Nursing, 4132 Pearson Building, Duke University, 307 Trent Drive, DUMC 3322, Durham, NC 27710, USAe‐mail:</json:string><json:string>E-mail: bei.wu@duke.edu</json:string></affiliations></json:item><json:item><name>Celia Hybels</name><affiliations><json:string>Center for the Study of Aging and Human Development, Duke University, Durham, NC, USA</json:string><json:string>Department of Psychiatry and Behavioral Medicine, Duke University, NC, Durham, USA</json:string></affiliations></json:item><json:item><name>Jersey Liang</name><affiliations><json:string>School of Public Health, University of Michigan, MI, Ann Arbor, USA</json:string></affiliations></json:item><json:item><name>Lawrence Landerman</name><affiliations><json:string>Center for the Study of Aging and Human Development, Duke University, NC, Durham, USA</json:string></affiliations></json:item><json:item><name>Brenda Plassman</name><affiliations><json:string>Center for the Study of Aging and Human Development, Duke University, Durham, NC, USA</json:string><json:string>Department of Psychiatry and Behavioral Medicine, Duke University, NC, Durham, USA</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>edentulism</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>middle‐aged</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>older adults</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>tooth loss</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>trends</value></json:item></subject><articleId><json:string>CDOE12116</json:string></articleId><arkIstex>ark:/67375/WNG-JMTG9CQV-B</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><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. 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Published by John Wiley & Sons Ltd</licence></availability><date type="published" when="2014-12"></date></publicationStmt><notesStmt><note type="content-type" subtype="article" source="article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="article"><analytic><title level="a" type="main">Social stratification and tooth loss among middle‐aged and older Americans from 1988 to 2004</title><author xml:id="author-0000" role="corresp"><persName><forename type="first">Bei</forename><surname>Wu</surname></persName><affiliation><orgName>School of Nursing</orgName><orgName>Duke University</orgName><address><settlement type="city">Durham</settlement><region>NC</region><country key="US">USA</country></address></affiliation><affiliation><orgName>Center for the Study of Aging and Human Development</orgName><orgName>Duke University</orgName><address><settlement type="city">Durham</settlement><region>NC</region><country key="US">USA</country></address></affiliation><affiliation><orgName>Global Health Institute</orgName><orgName>Duke University</orgName><address><settlement type="city">Durham</settlement><region>NC</region><country key="US">USA</country></address></affiliation><affiliation>Bei Wu, School of Nursing, 4132 Pearson Building, Duke University, 307 Trent Drive, DUMC 3322, Durham, NC 27710, USA e‐mail: bei.wu@duke.edu</affiliation></author><author xml:id="author-0001"><persName><forename type="first">Celia</forename><surname>Hybels</surname></persName><affiliation><orgName>Center for the Study of Aging and Human Development</orgName><orgName>Duke University</orgName><address><settlement type="city">Durham</settlement><region>NC</region><country key="US">USA</country></address></affiliation><affiliation><orgName>Department of Psychiatry and Behavioral Medicine</orgName><orgName>Duke University</orgName><address><settlement type="city">Durham</settlement><region>NC</region><country key="US">USA</country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">Jersey</forename><surname>Liang</surname></persName><affiliation><orgName>School of Public Health</orgName><orgName>University of Michigan</orgName><address><settlement type="city">Ann Arbor</settlement><region>MI</region><country key="US">USA</country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">Lawrence</forename><surname>Landerman</surname></persName><affiliation><orgName>Center for the Study of Aging and Human Development</orgName><orgName>Duke University</orgName><address><settlement type="city">Durham</settlement><region>NC</region><country key="US">USA</country></address></affiliation></author><author xml:id="author-0004"><persName><forename type="first">Brenda</forename><surname>Plassman</surname></persName><affiliation><orgName>Center for the Study of Aging and Human Development</orgName><orgName>Duke University</orgName><address><settlement type="city">Durham</settlement><region>NC</region><country key="US">USA</country></address></affiliation><affiliation><orgName>Department of Psychiatry and Behavioral Medicine</orgName><orgName>Duke University</orgName><address><settlement type="city">Durham</settlement><region>NC</region><country key="US">USA</country></address></affiliation></author><idno type="istex">D7F4DE4FE59B1FA49E44BD0DC5EADF38C760630E</idno><idno type="ark">ark:/67375/WNG-JMTG9CQV-B</idno><idno type="DOI">10.1111/cdoe.12116</idno><idno type="unit">CDOE12116</idno><idno type="toTypesetVersion">file:CDOE.CDOE12116.pdf</idno></analytic><monogr><title level="j" type="main">Community Dentistry and Oral Epidemiology</title><title level="j" type="alt">COMMUNITY DENTISTRY AND ORAL EPIDEMIOLOGY</title><idno type="pISSN">0301-5661</idno><idno type="eISSN">1600-0528</idno><idno type="book-DOI">10.1111/(ISSN)1600-0528</idno><idno type="book-part-DOI">10.1111/cdoe.2014.42.issue-6</idno><idno type="product">CDOE</idno><imprint><biblScope unit="vol">42</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="495">495</biblScope><biblScope unit="page" to="502">502</biblScope><biblScope unit="page-count">8</biblScope><date type="published" when="2014-12"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><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></abstract><textClass><keywords><term xml:id="cdoe12116-kwd-0001">edentulism</term><term xml:id="cdoe12116-kwd-0002">middle‐aged</term><term xml:id="cdoe12116-kwd-0003">older adults</term><term xml:id="cdoe12116-kwd-0004">tooth loss</term><term xml:id="cdoe12116-kwd-0005">trends</term></keywords><keywords rend="articleCategory"><term>Original Article</term></keywords><keywords rend="tocHeading1"><term>Original articles</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component type="serialArticle" version="2.0" xml:id="cdoe12116" xml:lang="en"><header><publicationMeta level="product"><doi origin="wiley" registered="yes">10.1111/(ISSN)1600-0528</doi><issn type="print">0301-5661</issn><issn type="electronic">1600-0528</issn><idGroup><id type="product" value="CDOE"></id></idGroup><titleGroup><title sort="COMMUNITY DENTISTRY AND ORAL EPIDEMIOLOGY" type="main">Community Dentistry and Oral Epidemiology</title><title type="short">Community Dent Oral Epidemiol</title></titleGroup></publicationMeta><publicationMeta level="part" position="60"><doi origin="wiley">10.1111/cdoe.2014.42.issue-6</doi><copyright ownership="publisher">Copyright © 2014 John Wiley & Sons A/S</copyright><numberingGroup><numbering type="journalVolume" number="42">42</numbering><numbering type="journalIssue">6</numbering></numberingGroup><coverDate startDate="2014-12">December 2014</coverDate></publicationMeta><publicationMeta level="unit" position="20" status="forIssue" type="article"><doi>10.1111/cdoe.12116</doi><idGroup><id type="unit" value="CDOE12116"></id></idGroup><countGroup><count number="8" type="pageTotal"></count></countGroup><titleGroup><title type="articleCategory">Original Article</title><title type="tocHeading1">Original articles</title></titleGroup><copyright ownership="publisher">© 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd</copyright><eventGroup><event date="2013-05-22" type="manuscriptReceived"></event><event date="2014-05-24" type="manuscriptAccepted"></event><event agent="SPS" date="2014-05-31" type="xmlCreated"></event><event agent="SPS" date="2014-08-19" type="xmlCorrected"></event><event type="publishedOnlineEarlyUnpaginated" date="2014-06-27"></event><event type="firstOnline" date="2014-06-27"></event><event type="publishedOnlineFinalForm" date="2014-11-25"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.6.4 mode:FullText" date="2015-10-07"></event></eventGroup><numberingGroup><numbering type="pageFirst">495</numbering><numbering type="pageLast">502</numbering></numberingGroup><correspondenceTo><lineatedText><line>Bei Wu, School of Nursing, 4132 Pearson Building, Duke University, 307 Trent Drive, DUMC 3322, Durham, NC 27710, USA</line><line>e‐mail: <email>bei.wu@duke.edu</email></line></lineatedText></correspondenceTo><selfCitationGroup><citation type="self" xml:id="cdoe12116-cit-1001"><author><familyName>Wu</familyName> <givenNames>B</givenNames></author>, <author><familyName>Hybels</familyName> <givenNames>C</givenNames></author>, <author><familyName>Liang</familyName> <givenNames>J</givenNames></author>, <author><familyName>Landerman</familyName> <givenNames>L</givenNames></author>, <author><familyName>Plassman</familyName> <givenNames>B</givenNames></author>. <articleTitle>Social Stratification and tooth loss among middle‐aged and older Americans from 1988 to 2004</articleTitle>. <journalTitle>Community Dent Oral Epidemiol</journalTitle> <pubYear year="2014">2014</pubYear>; <vol>42</vol>: <pageFirst>495</pageFirst>–<pageLast>502</pageLast>. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd</citation></selfCitationGroup><linkGroup><link type="toTypesetVersion" href="file:CDOE.CDOE12116.pdf"></link></linkGroup></publicationMeta><contentMeta><titleGroup><title type="main">Social stratification and tooth loss among middle‐aged and older Americans from 1988 to 2004</title><title type="shortAuthors">Wu et al.</title></titleGroup><creators><creator affiliationRef="#cdoe12116-aff-0001 #cdoe12116-aff-0002 #cdoe12116-aff-0003" corresponding="yes" creatorRole="author" xml:id="cdoe12116-cr-0001"><personName><givenNames>Bei</givenNames> <familyName>Wu</familyName></personName></creator><creator affiliationRef="#cdoe12116-aff-0002 #cdoe12116-aff-0004" creatorRole="author" xml:id="cdoe12116-cr-0002"><personName><givenNames>Celia</givenNames> <familyName>Hybels</familyName></personName></creator><creator affiliationRef="#cdoe12116-aff-0005" creatorRole="author" xml:id="cdoe12116-cr-0003"><personName><givenNames>Jersey</givenNames> <familyName>Liang</familyName></personName></creator><creator affiliationRef="#cdoe12116-aff-0002" creatorRole="author" xml:id="cdoe12116-cr-0004"><personName><givenNames>Lawrence</givenNames> <familyName>Landerman</familyName></personName></creator><creator affiliationRef="#cdoe12116-aff-0002 #cdoe12116-aff-0004" creatorRole="author" xml:id="cdoe12116-cr-0005"><personName><givenNames>Brenda</givenNames> <familyName>Plassman</familyName></personName></creator></creators><affiliationGroup><affiliation countryCode="US" type="organization" xml:id="cdoe12116-aff-0001"><orgDiv>School of Nursing</orgDiv> <orgName>Duke University</orgName> <address><city>Durham</city> <countryPart>NC</countryPart> <country>USA</country></address></affiliation><affiliation countryCode="US" type="organization" xml:id="cdoe12116-aff-0002"><orgDiv>Center for the Study of Aging and Human Development</orgDiv> <orgName>Duke University</orgName> <address><city>Durham</city> <countryPart>NC</countryPart> <country>USA</country></address></affiliation><affiliation countryCode="US" type="organization" xml:id="cdoe12116-aff-0003"><orgDiv>Global Health Institute</orgDiv> <orgName>Duke University</orgName> <address><city>Durham</city> <countryPart>NC</countryPart> <country>USA</country></address></affiliation><affiliation countryCode="US" type="organization" xml:id="cdoe12116-aff-0004"><orgDiv>Department of Psychiatry and Behavioral Medicine</orgDiv> <orgName>Duke University</orgName> <address><city>Durham</city> <countryPart>NC</countryPart> <country>USA</country></address></affiliation><affiliation countryCode="US" type="organization" xml:id="cdoe12116-aff-0005"><orgDiv>School of Public Health</orgDiv> <orgName>University of Michigan</orgName> <address><city>Ann Arbor</city> <countryPart>MI</countryPart> <country>USA</country></address></affiliation></affiliationGroup><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><keyword xml:id="cdoe12116-kwd-0005">trends</keyword></keywordGroup><fundingInfo><fundingAgency>National Institute of Dental and Craniofacial Research (NIDCR)</fundingAgency><fundingNumber>R01DE019110</fundingNumber></fundingInfo><abstractGroup><abstract type="main" xml:id="cdoe12116-abs-0001"><title type="main">Abstract</title><section xml:id="cdoe12116-sec-0001"><title type="main">Objectives</title><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></section></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Social stratification and tooth loss among middle‐aged and older Americans from 1988 to 2004</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Social stratification and tooth loss among middle‐aged and older Americans from 1988 to 2004</title></titleInfo><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><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Celia</namePart><namePart type="family">Hybels</namePart><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><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Jersey</namePart><namePart type="family">Liang</namePart><affiliation>School of Public Health, University of Michigan, MI, Ann Arbor, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Lawrence</namePart><namePart type="family">Landerman</namePart><affiliation>Center for the Study of Aging and Human Development, Duke University, NC, Durham, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Brenda</namePart><namePart type="family">Plassman</namePart><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><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><dateIssued encoding="w3cdtf">2014-12</dateIssued><dateCreated encoding="w3cdtf">2014-05-31</dateCreated><dateCaptured encoding="w3cdtf">2013-05-22</dateCaptured><dateValid encoding="w3cdtf">2014-05-24</dateValid><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><copyrightDate encoding="w3cdtf">2014</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><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><subject><genre>keywords</genre><topic>edentulism</topic><topic>middle‐aged</topic><topic>older adults</topic><topic>tooth loss</topic><topic>trends</topic></subject><relatedItem type="host"><titleInfo><title>Community Dentistry and Oral Epidemiology</title></titleInfo><titleInfo type="abbreviated"><title>Community Dent Oral Epidemiol</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><subject><genre>article-category</genre><topic>Original Article</topic></subject><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>2014</date><detail type="volume"><caption>vol.</caption><number>42</number></detail><detail type="issue"><caption>no.</caption><number>6</number></detail><extent unit="pages"><start>495</start><end>502</end><total>8</total></extent></part></relatedItem><identifier type="istex">D7F4DE4FE59B1FA49E44BD0DC5EADF38C760630E</identifier><identifier type="ark">ark:/67375/WNG-JMTG9CQV-B</identifier><identifier type="DOI">10.1111/cdoe.12116</identifier><identifier type="ArticleID">CDOE12116</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2014 John Wiley & Sons A/S© 2014 John Wiley & Sons A/S. 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