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Oral health as a risk factor for mortality in middle-aged men: the role of socioeconomic position and health behaviours

Identifieur interne : 000020 ( PascalFrancis/Corpus ); précédent : 000019; suivant : 000021

Oral health as a risk factor for mortality in middle-aged men: the role of socioeconomic position and health behaviours

Auteurs : Wael Sabbah ; Laust Hvas Mortensen ; Aubrey Sheiham ; David Batty

Source :

RBID : Pascal:13-0158016

Descripteurs français

English descriptors

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.

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Pour connaître la documentation sur le format Inist Standard.

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A01 01  1    @0 0143-005X
A03   1    @0 J. epidemiol. community health : (1979)
A05       @2 67
A06       @2 5
A08 01  1  ENG  @1 Oral health as a risk factor for mortality in middle-aged men: the role of socioeconomic position and health behaviours
A11 01  1    @1 SABBAH (Wael)
A11 02  1    @1 HVAS MORTENSEN (Laust)
A11 03  1    @1 SHEIHAM (Aubrey)
A11 04  1    @1 BATTY (David)
A14 01      @1 Department of Community Dentistry, School of Dentistry, Oregon Health and Science University @2 Portland, Oregon @3 USA @Z 1 aut.
A14 02      @1 Faculty of Health and Medical Sciences, Institute of Public Health Science, University of Copenhagen @2 Copenhagen @3 DNK @Z 2 aut.
A14 03      @1 Department of Epidemiology and Public Health, University College London @2 London @3 GBR @Z 3 aut. @Z 4 aut.
A20       @1 392-397
A21       @1 2013
A23 01      @0 ENG
A43 01      @1 INIST @2 9272 @5 354000503759230050
A44       @0 0000 @1 © 2013 INIST-CNRS. All rights reserved.
A45       @0 40 ref.
A47 01  1    @0 13-0158016
A60       @1 P
A61       @0 A
A64 01  1    @0 Journal of epidemiology and community health : (1979)
A66 01      @0 GBR
C01 01    ENG  @0 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.
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C02 02  X    @0 002B01
C02 03  X    @0 002B10C02
C03 01  X  FRE  @0 Pathologie dentaire @5 01
C03 01  X  ENG  @0 Dental disease @5 01
C03 01  X  SPA  @0 Diente patología @5 01
C03 02  X  FRE  @0 Cavité buccale @5 02
C03 02  X  ENG  @0 Oral cavity @5 02
C03 02  X  SPA  @0 Cavidad bucal @5 02
C03 03  X  FRE  @0 Santé bucco-dentaire @5 03
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C03 04  X  FRE  @0 Risque santé @5 05
C03 04  X  ENG  @0 Health hazards @5 05
C03 04  X  SPA  @0 Riesgos contra salud @5 05
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C03 05  X  ENG  @0 Public health @5 06
C03 05  X  SPA  @0 Salud pública @5 06
C03 06  X  FRE  @0 Facteur risque @5 08
C03 06  X  ENG  @0 Risk factor @5 08
C03 06  X  SPA  @0 Factor riesgo @5 08
C03 07  X  FRE  @0 Mortalité @5 09
C03 07  X  ENG  @0 Mortality @5 09
C03 07  X  SPA  @0 Mortalidad @5 09
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C03 10  X  ENG  @0 Human @5 17
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C03 11  X  ENG  @0 Male @5 18
C03 11  X  SPA  @0 Macho @5 18
C03 12  X  FRE  @0 Adulte @5 19
C03 12  X  ENG  @0 Adult @5 19
C03 12  X  SPA  @0 Adulto @5 19
C03 13  X  FRE  @0 Statut socioéconomique @5 20
C03 13  X  ENG  @0 Socioeconomic status @5 20
C03 13  X  SPA  @0 Estatuto socioeconómico @5 20
C03 14  X  FRE  @0 Aspect social @5 21
C03 14  X  ENG  @0 Social aspect @5 21
C03 14  X  SPA  @0 Aspecto social @5 21
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C03 17  X  FRE  @0 Médecine @5 24
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C07 01  X  ENG  @0 Stomatology @5 37
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N21       @1 140
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 13-0158016 INIST
ET : Oral health as a risk factor for mortality in middle-aged men: the role of socioeconomic position and health behaviours
AU : SABBAH (Wael); HVAS MORTENSEN (Laust); SHEIHAM (Aubrey); BATTY (David)
AF : Department of Community Dentistry, School of Dentistry, Oregon Health and Science University/Portland, Oregon/Etats-Unis (1 aut.); Faculty of Health and Medical Sciences, Institute of Public Health Science, University of Copenhagen/Copenhagen/Danemark (2 aut.); Department of Epidemiology and Public Health, University College London/London/Royaume-Uni (3 aut., 4 aut.)
DT : Publication en série; Niveau analytique
SO : Journal of epidemiology and community health : (1979); ISSN 0143-005X; Royaume-Uni; Da. 2013; Vol. 67; No. 5; Pp. 392-397; Bibl. 40 ref.
LA : Anglais
EA : 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.
CC : 002B30A11; 002B01; 002B10C02
FD : Pathologie dentaire; Cavité buccale; Santé bucco-dentaire; Risque santé; Santé publique; Facteur risque; Mortalité; Epidémiologie; Age mûr; Homme; Mâle; Adulte; Statut socioéconomique; Aspect social; Aspect économique; Comportement; Médecine
FG : Stomatologie
ED : Dental disease; Oral cavity; Bucco-dental health; Health hazards; Public health; Risk factor; Mortality; Epidemiology; Middle age; Human; Male; Adult; Socioeconomic status; Social aspect; Economic aspect; Behavior; Medicine
EG : Stomatology
SD : Diente patología; Cavidad bucal; Salud bucodental; Riesgos contra salud; Salud pública; Factor riesgo; Mortalidad; Epidemiología; Edad media; Hombre; Macho; Adulto; Estatuto socioeconómico; Aspecto social; Aspecto económico; Conducta; Medicina
LO : INIST-9272.354000503759230050
ID : 13-0158016

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Pascal:13-0158016

Le document en format XML

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<term>Epidemiology</term>
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<NO>PASCAL 13-0158016 INIST</NO>
<ET>Oral health as a risk factor for mortality in middle-aged men: the role of socioeconomic position and health behaviours</ET>
<AU>SABBAH (Wael); HVAS MORTENSEN (Laust); SHEIHAM (Aubrey); BATTY (David)</AU>
<AF>Department of Community Dentistry, School of Dentistry, Oregon Health and Science University/Portland, Oregon/Etats-Unis (1 aut.); Faculty of Health and Medical Sciences, Institute of Public Health Science, University of Copenhagen/Copenhagen/Danemark (2 aut.); Department of Epidemiology and Public Health, University College London/London/Royaume-Uni (3 aut., 4 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Journal of epidemiology and community health : (1979); ISSN 0143-005X; Royaume-Uni; Da. 2013; Vol. 67; No. 5; Pp. 392-397; Bibl. 40 ref.</SO>
<LA>Anglais</LA>
<EA>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.</EA>
<CC>002B30A11; 002B01; 002B10C02</CC>
<FD>Pathologie dentaire; Cavité buccale; Santé bucco-dentaire; Risque santé; Santé publique; Facteur risque; Mortalité; Epidémiologie; Age mûr; Homme; Mâle; Adulte; Statut socioéconomique; Aspect social; Aspect économique; Comportement; Médecine</FD>
<FG>Stomatologie</FG>
<ED>Dental disease; Oral cavity; Bucco-dental health; Health hazards; Public health; Risk factor; Mortality; Epidemiology; Middle age; Human; Male; Adult; Socioeconomic status; Social aspect; Economic aspect; Behavior; Medicine</ED>
<EG>Stomatology</EG>
<SD>Diente patología; Cavidad bucal; Salud bucodental; Riesgos contra salud; Salud pública; Factor riesgo; Mortalidad; Epidemiología; Edad media; Hombre; Macho; Adulto; Estatuto socioeconómico; Aspecto social; Aspecto económico; Conducta; Medicina</SD>
<LO>INIST-9272.354000503759230050</LO>
<ID>13-0158016</ID>
</server>
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