Assessment of the Relationship between Neighborhood Characteristics and Dental Caries Severity among Low-Income African-Americans: A Multilevel Approach
Identifieur interne : 002581 ( Pmc/Corpus ); précédent : 002580; suivant : 002582Assessment of the Relationship between Neighborhood Characteristics and Dental Caries Severity among Low-Income African-Americans: A Multilevel Approach
Auteurs : Marisol Tellez ; Woosung Sohn ; Brian A. Burt ; Amid I. IsmailSource :
- Journal of public health dentistry [ 0022-4006 ] ; 2006.
Abstract
To assess the relationship between neighborhood effects and the severity of dental caries among low-income African-Americans.
A multistage probability sample of African-American families living in the poorest 39 census tracts in Detroit was drawn. During 2002–03, cross-sectional data of a cohort that includes 1021 caregivers were collected in the first of three waves of interviews and examinations. Multilevel analyses focused on 27 neighborhood clusters and involved a combination of individual (Level-1) and neighborhood (Level-2) data including census and geocoded (address matching to census geographic areas) information.
There is significant variation in the severity of caries between low-income neighborhood clusters. Caries severity decreases with a higher number of churches, while it increases with a higher number of grocery stores in the clusters after accounting for individual characteristics. Only 14% of the inter-individual variability in caries was explained by classical individual risk factors for this condition.
Neighborhoods contribute something unique to caregivers’ oral health, beyond socioeconomic position and individual risk factors. Multilevel interventions are necessary to reduce disparities among African-Americans and churches may offer a promising venue from which to conduct them.
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PubMed: 16570748
PubMed Central: 1817893
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Assessment of the Relationship between Neighborhood Characteristics and Dental Caries Severity among Low-Income African-Americans: A Multilevel Approach</title><author><name sortKey="Tellez, Marisol" sort="Tellez, Marisol" uniqKey="Tellez M" first="Marisol" last="Tellez">Marisol Tellez</name></author><author><name sortKey="Sohn, Woosung" sort="Sohn, Woosung" uniqKey="Sohn W" first="Woosung" last="Sohn">Woosung Sohn</name></author><author><name sortKey="Burt, Brian A" sort="Burt, Brian A" uniqKey="Burt B" first="Brian A." last="Burt">Brian A. Burt</name></author><author><name sortKey="Ismail, Amid I" sort="Ismail, Amid I" uniqKey="Ismail A" first="Amid I." last="Ismail">Amid I. Ismail</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">16570748</idno><idno type="pmc">1817893</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1817893</idno><idno type="RBID">PMC:1817893</idno><date when="2006">2006</date><idno type="wicri:Area/Pmc/Corpus">002581</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002581</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Assessment of the Relationship between Neighborhood Characteristics and Dental Caries Severity among Low-Income African-Americans: A Multilevel Approach</title><author><name sortKey="Tellez, Marisol" sort="Tellez, Marisol" uniqKey="Tellez M" first="Marisol" last="Tellez">Marisol Tellez</name></author><author><name sortKey="Sohn, Woosung" sort="Sohn, Woosung" uniqKey="Sohn W" first="Woosung" last="Sohn">Woosung Sohn</name></author><author><name sortKey="Burt, Brian A" sort="Burt, Brian A" uniqKey="Burt B" first="Brian A." last="Burt">Brian A. Burt</name></author><author><name sortKey="Ismail, Amid I" sort="Ismail, Amid I" uniqKey="Ismail A" first="Amid I." last="Ismail">Amid I. Ismail</name></author></analytic><series><title level="j">Journal of public health dentistry</title><idno type="ISSN">0022-4006</idno><imprint><date when="2006">2006</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objectives</title><p id="P1">To assess the relationship between neighborhood effects and the severity of dental caries among low-income African-Americans.</p></sec><sec sec-type="methods" id="S15"><title>Methods</title><p id="P32">A multistage probability sample of African-American families living in the poorest 39 census tracts in Detroit was drawn. During 2002–03, cross-sectional data of a cohort that includes 1021 caregivers were collected in the first of three waves of interviews and examinations. Multilevel analyses focused on 27 neighborhood clusters and involved a combination of individual (Level-1) and neighborhood (Level-2) data including census and geocoded (address matching to census geographic areas) information.</p></sec><sec id="S16"><title>Results</title><p id="P33">There is significant variation in the severity of caries between low-income neighborhood clusters. Caries severity decreases with a higher number of churches, while it increases with a higher number of grocery stores in the clusters after accounting for individual characteristics. Only 14% of the inter-individual variability in caries was explained by classical individual risk factors for this condition.</p></sec><sec id="S17"><title>Conclusion</title><p id="P34">Neighborhoods contribute something unique to caregivers’ oral health, beyond socioeconomic position and individual risk factors. Multilevel interventions are necessary to reduce disparities among African-Americans and churches may offer a promising venue from which to conduct them.</p></sec></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>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">0014207</journal-id><journal-id journal-id-type="pubmed-jr-id">5220</journal-id><journal-id journal-id-type="nlm-ta">J Public Health Dent</journal-id><journal-title>Journal of public health dentistry</journal-title><issn pub-type="ppub">0022-4006</issn></journal-meta><article-meta><article-id pub-id-type="pmid">16570748</article-id><article-id pub-id-type="pmc">1817893</article-id><article-id pub-id-type="manuscript">NIHMS13410</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Assessment of the Relationship between Neighborhood Characteristics and Dental Caries Severity among Low-Income African-Americans: A Multilevel Approach</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Tellez</surname><given-names>Marisol</given-names></name><degrees>BDS, MPH, PhD</degrees></contrib><contrib contrib-type="author"><name><surname>Sohn</surname><given-names>Woosung</given-names></name><degrees>DDS, DrPH, PhD</degrees></contrib><contrib contrib-type="author"><name><surname>Burt</surname><given-names>Brian A.</given-names></name><degrees>BDS, MPH, PhD</degrees></contrib><contrib contrib-type="author"><name><surname>Ismail</surname><given-names>Amid I.</given-names></name><degrees>BDS, MPH, DrPH</degrees></contrib><aff id="A1">Drs. Tellez, Soh, and Ismail are affiliated with the Department of Cariology, Restorative Sciences and Endodontics, School of Dentistry, University of Michigan. Dr. Nurt is affiliated with the Department of Epidemiology, School of Public Health, University of Michigan</aff></contrib-group><author-notes><corresp id="FN1">Send correspondence and reprint requests to: Dr. Marisol Tellez, Department of Cariology, Restorative Sciences and Endodontics, School of Dentistry, University of Michigan, 1011 N. University Avenue, Ann Arbor, MI 48109. Phone: (734) 552-5923; Fax: (734) 936-1597. E-mail address: <email>mtellez@umich.edu</email>.</corresp></author-notes><pub-date pub-type="nihms-submitted"><day>21</day><month>12</month><year>2006</year></pub-date><pub-date pub-type="ppub"><year>2006</year></pub-date><pub-date pub-type="pmc-release"><day>8</day><month>3</month><year>2007</year></pub-date><volume>66</volume><issue>1</issue><fpage>30</fpage><lpage>36</lpage><abstract><sec id="S1"><title>Objectives</title><p id="P1">To assess the relationship between neighborhood effects and the severity of dental caries among low-income African-Americans.</p></sec><sec sec-type="methods" id="S15"><title>Methods</title><p id="P32">A multistage probability sample of African-American families living in the poorest 39 census tracts in Detroit was drawn. During 2002–03, cross-sectional data of a cohort that includes 1021 caregivers were collected in the first of three waves of interviews and examinations. Multilevel analyses focused on 27 neighborhood clusters and involved a combination of individual (Level-1) and neighborhood (Level-2) data including census and geocoded (address matching to census geographic areas) information.</p></sec><sec id="S16"><title>Results</title><p id="P33">There is significant variation in the severity of caries between low-income neighborhood clusters. Caries severity decreases with a higher number of churches, while it increases with a higher number of grocery stores in the clusters after accounting for individual characteristics. Only 14% of the inter-individual variability in caries was explained by classical individual risk factors for this condition.</p></sec><sec id="S17"><title>Conclusion</title><p id="P34">Neighborhoods contribute something unique to caregivers’ oral health, beyond socioeconomic position and individual risk factors. Multilevel interventions are necessary to reduce disparities among African-Americans and churches may offer a promising venue from which to conduct them.</p></sec></abstract><kwd-group><kwd>African-American</kwd><kwd>dental caries</kwd><kwd>multilevel analysis</kwd><kwd>neighborhood effects</kwd></kwd-group><contract-num rid="DE1">U54 DE014261-01</contract-num><contract-sponsor id="DE1">National Institute of Dental and Craniofacial Research : NIDCR</contract-sponsor></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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