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

Identifieur interne : 002666 ( Ncbi/Merge ); précédent : 002665; suivant : 002667

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 :

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

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PMC:2758161

Le document en format XML

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<name sortKey="Shih, Mei Chiung" sort="Shih, Mei Chiung" uniqKey="Shih M" first="Mei-Chiung" last="Shih">Mei-Chiung Shih</name>
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<name sortKey="Li, Yi" sort="Li, Yi" uniqKey="Li Y" first="Yi" last="Li">Yi Li</name>
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<title>Objectives</title>
<p id="P1">To compare the associations between socio-economic factors and tooth loss among Whites, Blacks and Mexican-Americans.</p>
</sec>
<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>
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<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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<journal-id journal-id-type="nlm-ta">Community Dent Oral Epidemiol</journal-id>
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<aff id="A2">Harvard School of Dental Medicine, Boston, U.S.A.</aff>
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<surname>Shih</surname>
<given-names>Mei-Chiung</given-names>
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<aff id="A4">Stanford University School of Medicine, Stanford, U.S.A</aff>
<aff id="A5">VA Cooperative Studies Program, Palo Alto, U.S.A.</aff>
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<aff id="A7">Dana-Farber Cancer Institute, Boston, U.S.A.</aff>
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<given-names>Kaumudi J.</given-names>
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<aff id="A8">University of Puerto Rico School of Dentistry, San Juan, U.S.A.</aff>
<aff id="A9">Harvard School of Public Health, Boston, U.S.A.</aff>
<aff id="A10">Harvard School of Dental Medicine, Boston, U.S.A.</aff>
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<corresp id="cor1">Corresponding Author: Monik Jimenez, Oral Health Policy & Epidemiology, Harvard School of Dental Medicine, 188 Longwood Ave., Boston, MA 02115,
<email>monik_jimenez@hsdm.harvard.edu</email>
, Tel: 714-716-6096, Fax: 617-432-0047</corresp>
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<abstract>
<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>
</sec>
<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>
</sec>
<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>
</sec>
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