EdenteV2, Main, Exploration, bibRecord, 005665

Racial/Ethnic Variations in Associations between Socio-economic Factors and Tooth Loss

Identifieur interne : 005665 ( Main/Exploration ); précédent : 005664; suivant : 005666

Racial/Ethnic Variations in Associations between Socio-economic Factors and Tooth Loss

Auteurs : Monik Jimenez ; Thomas Dietrich ; Mei-Chiung Shih ; Yi Li ; Kaumudi J. Joshipura

Source :

Community dentistry and oral epidemiology [ 0301-5661 ] ; 2009.

RBID : PMC:2758161

Abstract

Objectives

To compare the associations between socio-economic factors and tooth loss among Whites, Blacks and Mexican-Americans.

Methods

Analyses were conducted on 16,821 adults, using data from the National Health and Nutrition Examination Survey-III. Age and multivariate adjusted negative binomial regression were used to explore the relation of socio-economic factors, region of residence, gender, and foreign-born with number of missing teeth. Effect modification by race/ethnicity was assessed by the inclusion of interaction terms.

Results

In multivariate adjusted analyses, non-Hispanic Whites with 9–12 years of education exhibited 71% higher mean number of missing teeth than those with >12 years (IRR=1.71, 95% CI: 1.52–1.92). Education was unrelated to number of teeth among non-Hispanic Blacks (IRR=1.16; 95% CI: 1.00–1.35) or Mexican-Americans (IRR=1.10, 95% CI: 0.93–1.31). The poorest Whites were missing 39% more teeth, on average, than the most affluent Whites, but no association between poverty and number of teeth was observed among Blacks or Mexican-Americans.

Conclusions

The associations between socio-economic factors and tooth loss vary across race/ethnicity. This suggests the health benefits associated with high SES are not equally shared across racial/ethnic groups.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2758161

DOI: 10.1111/j.1600-0528.2009.00466.x
PubMed: 19302573
PubMed Central: 2758161

Affiliations:

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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objectives</title>
<p id="P1">To compare the associations between socio-economic factors and tooth loss among Whites, Blacks and Mexican-Americans.</p>
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<sec sec-type="methods" id="S2"><title>Methods</title>
<p id="P2">Analyses were conducted on 16,821 adults, using data from the National Health and Nutrition Examination Survey-III. Age and multivariate adjusted negative binomial regression were used to explore the relation of socio-economic factors, region of residence, gender, and foreign-born with number of missing teeth. Effect modification by race/ethnicity was assessed by the inclusion of interaction terms.</p>
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<sec id="S3"><title>Results</title>
<p id="P3">In multivariate adjusted analyses, non-Hispanic Whites with 9–12 years of education exhibited 71% higher mean number of missing teeth than those with >12 years (IRR=1.71, 95% CI: 1.52–1.92). Education was unrelated to number of teeth among non-Hispanic Blacks (IRR=1.16; 95% CI: 1.00–1.35) or Mexican-Americans (IRR=1.10, 95% CI: 0.93–1.31). The poorest Whites were missing 39% more teeth, on average, than the most affluent Whites, but no association between poverty and number of teeth was observed among Blacks or Mexican-Americans.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">The associations between socio-economic factors and tooth loss vary across race/ethnicity. This suggests the health benefits associated with high SES are not equally shared across racial/ethnic groups.</p>
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Racial/Ethnic Variations in Associations between Socio-economic Factors and Tooth Loss

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