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 : 000021Oral 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 BattySource :
- Journal of epidemiology and community health : (1979) [ 0143-005X ] ; 2013.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
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.
Notice en format standard (ISO 2709)
Pour connaître la documentation sur le format Inist Standard.
pA |
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Format Inist (serveur)
NO : | PASCAL 13-0158016 INIST |
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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:13-0158016Le document en format XML
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<term>Economic aspect</term>
<term>Epidemiology</term>
<term>Health hazards</term>
<term>Human</term>
<term>Male</term>
<term>Medicine</term>
<term>Middle age</term>
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<term>Facteur risque</term>
<term>Mortalité</term>
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<term>Age mûr</term>
<term>Homme</term>
<term>Mâle</term>
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<front><div type="abstract" xml:lang="en">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>
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<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>
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<ID>13-0158016</ID>
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