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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Socioeconomic Disadvantage and Periodontal Disease: The Dental Atherosclerosis Risk in Communities Study</title><author><name sortKey="Borrell, Luisa N" sort="Borrell, Luisa N" uniqKey="Borrell L" first="Luisa N." last="Borrell">Luisa N. Borrell</name><affiliation><nlm:aff id="aff1">Luisa N. Borrell is with the Department of Epidemiology, Mailman School of Public Health and School of Dental and Oral Surgeons, Columbia University, New York, NY. James D. Beck is with the School of Dentistry, University of North Carolina, Chapel Hill. Gerardo Heiss is with the Department of Epidemiology, University of North Carolina School of Public Health.</nlm:aff></affiliation></author><author><name sortKey="Beck, James D" sort="Beck, James D" uniqKey="Beck J" first="James D." last="Beck">James D. Beck</name><affiliation><nlm:aff id="aff1">Luisa N. Borrell is with the Department of Epidemiology, Mailman School of Public Health and School of Dental and Oral Surgeons, Columbia University, New York, NY. James D. Beck is with the School of Dentistry, University of North Carolina, Chapel Hill. Gerardo Heiss is with the Department of Epidemiology, University of North Carolina School of Public Health.</nlm:aff></affiliation></author><author><name sortKey="Heiss, Gerardo" sort="Heiss, Gerardo" uniqKey="Heiss G" first="Gerardo" last="Heiss">Gerardo Heiss</name><affiliation><nlm:aff id="aff1">Luisa N. Borrell is with the Department of Epidemiology, Mailman School of Public Health and School of Dental and Oral Surgeons, Columbia University, New York, NY. James D. Beck is with the School of Dentistry, University of North Carolina, Chapel Hill. Gerardo Heiss is with the Department of Epidemiology, University of North Carolina School of Public Health.</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">16380570</idno><idno type="pmc">1470476</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1470476</idno><idno type="RBID">PMC:1470476</idno><idno type="doi">10.2105/AJPH.2004.055277</idno><date when="2006">2006</date><idno type="wicri:Area/Pmc/Corpus">001047</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001047</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Socioeconomic Disadvantage and Periodontal Disease: The Dental Atherosclerosis Risk in Communities Study</title><author><name sortKey="Borrell, Luisa N" sort="Borrell, Luisa N" uniqKey="Borrell L" first="Luisa N." last="Borrell">Luisa N. Borrell</name><affiliation><nlm:aff id="aff1">Luisa N. Borrell is with the Department of Epidemiology, Mailman School of Public Health and School of Dental and Oral Surgeons, Columbia University, New York, NY. James D. Beck is with the School of Dentistry, University of North Carolina, Chapel Hill. Gerardo Heiss is with the Department of Epidemiology, University of North Carolina School of Public Health.</nlm:aff></affiliation></author><author><name sortKey="Beck, James D" sort="Beck, James D" uniqKey="Beck J" first="James D." last="Beck">James D. Beck</name><affiliation><nlm:aff id="aff1">Luisa N. Borrell is with the Department of Epidemiology, Mailman School of Public Health and School of Dental and Oral Surgeons, Columbia University, New York, NY. James D. Beck is with the School of Dentistry, University of North Carolina, Chapel Hill. Gerardo Heiss is with the Department of Epidemiology, University of North Carolina School of Public Health.</nlm:aff></affiliation></author><author><name sortKey="Heiss, Gerardo" sort="Heiss, Gerardo" uniqKey="Heiss G" first="Gerardo" last="Heiss">Gerardo Heiss</name><affiliation><nlm:aff id="aff1">Luisa N. Borrell is with the Department of Epidemiology, Mailman School of Public Health and School of Dental and Oral Surgeons, Columbia University, New York, NY. James D. Beck is with the School of Dentistry, University of North Carolina, Chapel Hill. Gerardo Heiss is with the Department of Epidemiology, University of North Carolina School of Public Health.</nlm:aff></affiliation></author></analytic><series><title level="j">American Journal of Public Health</title><idno type="ISSN">0090-0036</idno><idno type="eISSN">1541-0048</idno><imprint><date when="2006">2006</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><italic>Objectives.</italic> We used data from the Dental Atherosclerosis Risk in Communities study to examine whether individual- and neighborhood-level socioeconomic characteristics were associated with periodontal disease.</p><p><italic>Methods.</italic> We assessed severe periodontitis with a combination of clinical attachment loss and pocket depth measures. Marginal logistic regression modeling was used to estimate the association between individual and neighborhood socioeconomic indicators and prevalence of severe periodontitis before and after control for selected covariates. Residual intraneighborhood correlations in outcomes were taken into account in the analyses.</p><p><italic>Results.</italic> Individual-level income and education were associated with severe periodontitis among Whites and African Americans, and these associations remained significant after adjustment for age, gender, recruitment center, and neighborhood socioeconomic score. Low-income Whites residing in disadvantaged neighborhoods had 1.8-fold (95% confidence interval=1.2, 2.7) higher odds of having severe periodontitis than high-income Whites residing in advantaged neighborhoods.</p><p><italic>Conclusions</italic>. Individual income and education were associated with severe periodontitis independently of neighborhood socioeconomic circumstances. Although the association between neighborhood socioeconomic status and severe periodontitis was not statistically significant, poverty and residence in a disadvantaged neighborhood were associated with higher odds of severe periodontitis among Whites.</p></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Am J Public Health</journal-id><journal-id journal-id-type="publisher-id">ajph</journal-id><journal-title>American Journal of Public Health</journal-title><issn pub-type="ppub">0090-0036</issn><issn pub-type="epub">1541-0048</issn><publisher><publisher-name>© American Journal of Public Health 2006</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">16380570</article-id><article-id pub-id-type="pmc">1470476</article-id><article-id pub-id-type="publisher-id">0960332</article-id><article-id pub-id-type="doi">10.2105/AJPH.2004.055277</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research and Practice</subject></subj-group></article-categories><title-group><article-title>Socioeconomic Disadvantage and Periodontal Disease: The Dental Atherosclerosis Risk in Communities Study</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Borrell</surname><given-names>Luisa N.</given-names></name><degrees>DDS, PhD</degrees><xref ref-type="aff" rid="aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Beck</surname><given-names>James D.</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Heiss</surname><given-names>Gerardo</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff1"></xref></contrib></contrib-group><aff id="aff1">Luisa N. Borrell is with the Department of Epidemiology, Mailman School of Public Health and School of Dental and Oral Surgeons, Columbia University, New York, NY. James D. Beck is with the School of Dentistry, University of North Carolina, Chapel Hill. Gerardo Heiss is with the Department of Epidemiology, University of North Carolina School of Public Health.</aff><author-notes><fn><p><italic>Requests for reprints should be sent to Luisa N. Borrell, DDS, PhD, Department of Epidemiology, Mailman School of Public Health, School of Dental and Oral Surgeons, Columbia University, 722 West 168th St, New York, NY 10032 (e-mail: <email>lnb2@columbia.edu</email>).</italic></p></fn></author-notes><pub-date pub-type="ppub"><month>2</month><year>2006</year></pub-date><volume>96</volume><issue>2</issue><fpage>332</fpage><lpage>339</lpage><history><date date-type="accepted"><day>25</day><month>2</month><year>2005</year></date></history><copyright-statement>© American Journal of Public Health 2006</copyright-statement><copyright-year>2006</copyright-year><abstract><p><italic>Objectives.</italic> We used data from the Dental Atherosclerosis Risk in Communities study to examine whether individual- and neighborhood-level socioeconomic characteristics were associated with periodontal disease.</p><p><italic>Methods.</italic> We assessed severe periodontitis with a combination of clinical attachment loss and pocket depth measures. Marginal logistic regression modeling was used to estimate the association between individual and neighborhood socioeconomic indicators and prevalence of severe periodontitis before and after control for selected covariates. Residual intraneighborhood correlations in outcomes were taken into account in the analyses.</p><p><italic>Results.</italic> Individual-level income and education were associated with severe periodontitis among Whites and African Americans, and these associations remained significant after adjustment for age, gender, recruitment center, and neighborhood socioeconomic score. Low-income Whites residing in disadvantaged neighborhoods had 1.8-fold (95% confidence interval=1.2, 2.7) higher odds of having severe periodontitis than high-income Whites residing in advantaged neighborhoods.</p><p><italic>Conclusions</italic>. Individual income and education were associated with severe periodontitis independently of neighborhood socioeconomic circumstances. Although the association between neighborhood socioeconomic status and severe periodontitis was not statistically significant, poverty and residence in a disadvantaged neighborhood were associated with higher odds of severe periodontitis among Whites.</p></abstract><custom-meta-wrap><custom-meta><meta-name>PDF filename</meta-name><meta-value>332</meta-value></custom-meta></custom-meta-wrap></article-meta><notes><fn-group><fn><p>Peer Reviewed</p></fn><fn><p><bold>Contributors</bold>
L. N. Borrell planned the study, analyzed the data, interpreted the results, and wrote the article. J. D. Beck and G. Heiss contributed to interpreting the analyses and reviewing and writing the article.</p></fn></fn-group></notes></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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