Oral health as a risk factor for mortality in middle-aged men: the role of socioeconomic position and health behaviours
Identifieur interne : 002759 ( Main/Exploration ); précédent : 002758; suivant : 002760Oral health as a risk factor for mortality in middle-aged men: the role of socioeconomic position and health behaviours
Auteurs : Wael Sabbah [États-Unis] ; Laust Hvas Mortensen [Danemark] ; Aubrey Sheiham [Royaume-Uni] ; David Batty [Royaume-Uni]Source :
- Journal of Epidemiology and Community Health [ 0143-005X ] ; 2013-05.
Descripteurs français
- Pascal (Inist)
- Wicri :
- geographic : Viêt Nam.
- topic : Adulte, Homme, Maladie cardio-vasculaire, Mortalité, Médecine, Santé publique.
English descriptors
- KwdEn :
- Adult, Alcohol units, Allcause mortality, Behavior, Behaviour, Behavioural, Behavioural factors, Biological risk factors, Body mass index, Bucco-dental health, Cardiovascular, Cardiovascular disease, Cardiovascular mortality, Chronic conditions, Chronic health conditions, Cohort, Covariates, Dental disease, Disease control, Drug abuse, Early adulthood, Early marker, Economic aspect, Edentulous, Epidemiol, Epidemiol community health, Epidemiology, Ethnicity, External causes, Family income, Hazarddental status, Health hazards, Health status, Higher risk, Human, Male, Medicine, Middle age, Midlife, Military service, Mortality, Mortality rates, Mortality risk, Ndings, Neoplasm, Oral cavity, Oral health, Oral health status, Other hand, Physical examination, Premature death, Present study, Prospective cohort study, Public health, Risk factor, Risk factors, Sabbah, Sensitivity analysis, Social aspect, Socioeconomic, Socioeconomic factors, Socioeconomic position, Socioeconomic status, Study members, Systemic conditions, Tooth loss, Vietnam, Vietnam experience study, Vietnam veterans.
- Teeft :
- Alcohol units, Allcause mortality, Behaviour, Behavioural, Behavioural factors, Biological risk factors, Body mass index, Cardiovascular, Cardiovascular disease, Cardiovascular mortality, Chronic conditions, Chronic health conditions, Cohort, Covariates, Disease control, Drug abuse, Early adulthood, Early marker, Edentulous, Epidemiol, Epidemiol community health, Ethnicity, External causes, Family income, Hazarddental status, Health status, Higher risk, Midlife, Military service, Mortality, Mortality rates, Mortality risk, Ndings, Neoplasm, Oral health, Oral health status, Other hand, Physical examination, Premature death, Present study, Prospective cohort study, Risk factors, Sabbah, Sensitivity analysis, Socioeconomic, Socioeconomic factors, Socioeconomic position, Study members, Systemic conditions, Tooth loss, Vietnam, Vietnam experience study, Vietnam veterans.
Abstract
Background There is evidence of an association between poor oral health and mortality. This association is usually attributed to inflammatory and nutrition pathways. However, the role of health behaviours and socioeconomic position has not been adequately examined. The aims of this study were to examine the association between oral health and premature death among middle-aged men and to test whether it was explained by socioeconomic position and behaviours. Methods Data were from the Vietnam Experience Study, a prospective cohort study of Vietnam War-era (1965–1971), American male army personnel. The authors examined risk of cause-specific and all-cause mortality in relation to poor oral health in middle age, adjusting for age, ethnicity, socioeconomic position, IQ, behavioural factors and systemic conditions. Results Men with poor oral health experienced a higher risk of cause-specific and all-cause mortality. HRs for all-cause mortality were 2.94 (95% CI 2.11 to 4.08) among individuals with poor oral health and 3.98 (95% CI 2.43 to 6.49) among edentates compared with those with good oral health after adjusting for ethnicity and age. The association attenuated but remained significant after further adjustment for systemic conditions, socioeconomic position and behaviours. Socioeconomic and behavioural factors explained 52% and 44% of mortality risks attributed to poor oral health and being edentate, respectively. Conclusion The findings suggest that oral health–mortality relation is partly due to measured covariates in the present study. Oral health appears to be a marker of socioeconomic and behavioural risk factors related to all-cause mortality.
Url:
DOI: 10.1136/jech-2012-201340
Affiliations:
- Danemark, Royaume-Uni, États-Unis
- Angleterre, Grand Londres, Hovedstaden, Oregon
- Copenhague, Londres
- University College de Londres
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Le document en format XML
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type="published" when="2013-05">2013-05</date><biblScope unit="volume">67</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="392">392</biblScope></imprint><idno type="ISSN">0143-005X</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0143-005X</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Alcohol units</term><term>Allcause mortality</term><term>Behavior</term><term>Behaviour</term><term>Behavioural</term><term>Behavioural factors</term><term>Biological risk factors</term><term>Body mass index</term><term>Bucco-dental health</term><term>Cardiovascular</term><term>Cardiovascular disease</term><term>Cardiovascular mortality</term><term>Chronic conditions</term><term>Chronic health conditions</term><term>Cohort</term><term>Covariates</term><term>Dental disease</term><term>Disease control</term><term>Drug abuse</term><term>Early adulthood</term><term>Early marker</term><term>Economic aspect</term><term>Edentulous</term><term>Epidemiol</term><term>Epidemiol community health</term><term>Epidemiology</term><term>Ethnicity</term><term>External causes</term><term>Family income</term><term>Hazarddental status</term><term>Health hazards</term><term>Health status</term><term>Higher risk</term><term>Human</term><term>Male</term><term>Medicine</term><term>Middle age</term><term>Midlife</term><term>Military service</term><term>Mortality</term><term>Mortality rates</term><term>Mortality risk</term><term>Ndings</term><term>Neoplasm</term><term>Oral cavity</term><term>Oral health</term><term>Oral health status</term><term>Other hand</term><term>Physical examination</term><term>Premature death</term><term>Present study</term><term>Prospective cohort study</term><term>Public health</term><term>Risk factor</term><term>Risk factors</term><term>Sabbah</term><term>Sensitivity analysis</term><term>Social aspect</term><term>Socioeconomic</term><term>Socioeconomic factors</term><term>Socioeconomic position</term><term>Socioeconomic status</term><term>Study members</term><term>Systemic conditions</term><term>Tooth loss</term><term>Vietnam</term><term>Vietnam experience study</term><term>Vietnam veterans</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Adulte</term><term>Age mûr</term><term>Aspect social</term><term>Aspect économique</term><term>Cavité buccale</term><term>Comportement</term><term>Epidémiologie</term><term>Facteur risque</term><term>Homme</term><term>Mortalité</term><term>Mâle</term><term>Médecine</term><term>Pathologie dentaire</term><term>Risque santé</term><term>Santé bucco-dentaire</term><term>Santé publique</term><term>Statut socioéconomique</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Alcohol units</term><term>Allcause mortality</term><term>Behaviour</term><term>Behavioural</term><term>Behavioural factors</term><term>Biological risk factors</term><term>Body mass index</term><term>Cardiovascular</term><term>Cardiovascular disease</term><term>Cardiovascular mortality</term><term>Chronic conditions</term><term>Chronic health conditions</term><term>Cohort</term><term>Covariates</term><term>Disease control</term><term>Drug abuse</term><term>Early adulthood</term><term>Early marker</term><term>Edentulous</term><term>Epidemiol</term><term>Epidemiol community health</term><term>Ethnicity</term><term>External causes</term><term>Family income</term><term>Hazarddental status</term><term>Health status</term><term>Higher risk</term><term>Midlife</term><term>Military service</term><term>Mortality</term><term>Mortality rates</term><term>Mortality risk</term><term>Ndings</term><term>Neoplasm</term><term>Oral health</term><term>Oral health status</term><term>Other hand</term><term>Physical examination</term><term>Premature death</term><term>Present study</term><term>Prospective cohort study</term><term>Risk factors</term><term>Sabbah</term><term>Sensitivity analysis</term><term>Socioeconomic</term><term>Socioeconomic factors</term><term>Socioeconomic position</term><term>Study members</term><term>Systemic conditions</term><term>Tooth loss</term><term>Vietnam</term><term>Vietnam experience study</term><term>Vietnam veterans</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Viêt Nam</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Adulte</term><term>Homme</term><term>Maladie cardio-vasculaire</term><term>Mortalité</term><term>Médecine</term><term>Santé publique</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract">Background There is evidence of an association between poor oral health and mortality. This association is usually attributed to inflammatory and nutrition pathways. However, the role of health behaviours and socioeconomic position has not been adequately examined. The aims of this study were to examine the association between oral health and premature death among middle-aged men and to test whether it was explained by socioeconomic position and behaviours. Methods Data were from the Vietnam Experience Study, a prospective cohort study of Vietnam War-era (1965–1971), American male army personnel. The authors examined risk of cause-specific and all-cause mortality in relation to poor oral health in middle age, adjusting for age, ethnicity, socioeconomic position, IQ, behavioural factors and systemic conditions. Results Men with poor oral health experienced a higher risk of cause-specific and all-cause mortality. HRs for all-cause mortality were 2.94 (95% CI 2.11 to 4.08) among individuals with poor oral health and 3.98 (95% CI 2.43 to 6.49) among edentates compared with those with good oral health after adjusting for ethnicity and age. The association attenuated but remained significant after further adjustment for systemic conditions, socioeconomic position and behaviours. Socioeconomic and behavioural factors explained 52% and 44% of mortality risks attributed to poor oral health and being edentate, respectively. Conclusion The findings suggest that oral health–mortality relation is partly due to measured covariates in the present study. Oral health appears to be a marker of socioeconomic and behavioural risk factors related to all-cause mortality.</div></front></TEI><affiliations><list><country><li>Danemark</li><li>Royaume-Uni</li><li>États-Unis</li></country><region><li>Angleterre</li><li>Grand Londres</li><li>Hovedstaden</li><li>Oregon</li></region><settlement><li>Copenhague</li><li>Londres</li></settlement><orgName><li>University College de Londres</li></orgName></list><tree><country name="États-Unis"><region name="Oregon"><name sortKey="Sabbah, Wael" sort="Sabbah, Wael" uniqKey="Sabbah W" first="Wael" last="Sabbah">Wael Sabbah</name></region><name sortKey="Sabbah, Wael" sort="Sabbah, Wael" uniqKey="Sabbah W" first="Wael" last="Sabbah">Wael Sabbah</name></country><country name="Danemark"><region name="Hovedstaden"><name sortKey="Mortensen, Laust Hvas" sort="Mortensen, Laust Hvas" uniqKey="Mortensen L" first="Laust Hvas" last="Mortensen">Laust Hvas Mortensen</name></region></country><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Sheiham, Aubrey" sort="Sheiham, Aubrey" uniqKey="Sheiham A" first="Aubrey" last="Sheiham">Aubrey Sheiham</name></region><name sortKey="Batty, David" sort="Batty, David" uniqKey="Batty D" first="David" last="Batty">David Batty</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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