Individual- and community-level social gradients of edentulousness.
Identifieur interne : 000484 ( PubMed/Curation ); précédent : 000483; suivant : 000485Individual- and community-level social gradients of edentulousness.
Auteurs : Kanade Ito [Japon] ; Jun Aida [Japon] ; Tatsuo Yamamoto [Japon] ; Rika Ohtsuka [Japon] ; Miyo Nakade [Japon] ; Kayo Suzuki [Japon] ; Katsunori Kondo [Japon] ; Ken Osaka [Japon]Source :
- BMC oral health [ 1472-6831 ] ; 2015.
Descripteurs français
- KwdFr :
- Accessibilité des services de santé (), Bouche édentée (économie), Bouche édentée (épidémiologie), Caractéristiques de l'habitat (), Disparités de l'état de santé, Déterminants sociaux de la santé (), Déterminants sociaux de la santé (économie), Facteurs sexuels, Femelle, Humains, Japon (épidémiologie), Mâle, Niveau d'instruction, Prévalence, Revenu, Situation de famille, Sujet âgé, Sujet âgé de 80 ans ou plus, Établissements de soins dentaires (), État de santé, Études de cohortes, Études prospectives, Études transversales.
- MESH :
- économie : Bouche édentée, Déterminants sociaux de la santé.
- épidémiologie : Bouche édentée, Japon.
- Accessibilité des services de santé, Caractéristiques de l'habitat, Disparités de l'état de santé, Déterminants sociaux de la santé, Facteurs sexuels, Femelle, Humains, Mâle, Niveau d'instruction, Prévalence, Revenu, Situation de famille, Sujet âgé, Sujet âgé de 80 ans ou plus, Établissements de soins dentaires, État de santé, Études de cohortes, Études prospectives, Études transversales.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Cohort Studies, Cross-Sectional Studies, Dental Clinics (statistics & numerical data), Educational Status, Female, Health Services Accessibility (statistics & numerical data), Health Status, Health Status Disparities, Humans, Income, Japan (epidemiology), Male, Marital Status, Mouth, Edentulous (economics), Mouth, Edentulous (epidemiology), Prevalence, Prospective Studies, Residence Characteristics (statistics & numerical data), Sex Factors, Social Determinants of Health (economics), Social Determinants of Health (statistics & numerical data).
- MESH :
- economics : Mouth, Edentulous, Social Determinants of Health.
- epidemiology : Japan, Mouth, Edentulous.
- statistics & numerical data : Dental Clinics, Health Services Accessibility, Residence Characteristics, Social Determinants of Health.
- Aged, Aged, 80 and over, Cohort Studies, Cross-Sectional Studies, Educational Status, Female, Health Status, Health Status Disparities, Humans, Income, Male, Marital Status, Prevalence, Prospective Studies, Sex Factors.
Abstract
Community-level factors as well as individual-level factors affect individual health. To date, no studies have examined the association between community-level social gradient and edentulousness. The aim of this study was to investigate individual- and community-level social inequalities in edentulousness and to determine any explanatory factors in this association.
DOI: 10.1186/s12903-015-0020-z
PubMed: 25884467
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pubmed:25884467Le document en format XML
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<series><title level="j">BMC oral health</title>
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<term>Aged, 80 and over</term>
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<term>Cross-Sectional Studies</term>
<term>Dental Clinics (statistics & numerical data)</term>
<term>Educational Status</term>
<term>Female</term>
<term>Health Services Accessibility (statistics & numerical data)</term>
<term>Health Status</term>
<term>Health Status Disparities</term>
<term>Humans</term>
<term>Income</term>
<term>Japan (epidemiology)</term>
<term>Male</term>
<term>Marital Status</term>
<term>Mouth, Edentulous (economics)</term>
<term>Mouth, Edentulous (epidemiology)</term>
<term>Prevalence</term>
<term>Prospective Studies</term>
<term>Residence Characteristics (statistics & numerical data)</term>
<term>Sex Factors</term>
<term>Social Determinants of Health (economics)</term>
<term>Social Determinants of Health (statistics & numerical data)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Accessibilité des services de santé ()</term>
<term>Bouche édentée (économie)</term>
<term>Bouche édentée (épidémiologie)</term>
<term>Caractéristiques de l'habitat ()</term>
<term>Disparités de l'état de santé</term>
<term>Déterminants sociaux de la santé ()</term>
<term>Déterminants sociaux de la santé (économie)</term>
<term>Facteurs sexuels</term>
<term>Femelle</term>
<term>Humains</term>
<term>Japon (épidémiologie)</term>
<term>Mâle</term>
<term>Niveau d'instruction</term>
<term>Prévalence</term>
<term>Revenu</term>
<term>Situation de famille</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Établissements de soins dentaires ()</term>
<term>État de santé</term>
<term>Études de cohortes</term>
<term>Études prospectives</term>
<term>Études transversales</term>
</keywords>
<keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Mouth, Edentulous</term>
<term>Social Determinants of Health</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Japan</term>
<term>Mouth, Edentulous</term>
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<term>Health Services Accessibility</term>
<term>Residence Characteristics</term>
<term>Social Determinants of Health</term>
</keywords>
<keywords scheme="MESH" qualifier="économie" xml:lang="fr"><term>Bouche édentée</term>
<term>Déterminants sociaux de la santé</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Bouche édentée</term>
<term>Japon</term>
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<term>Aged, 80 and over</term>
<term>Cohort Studies</term>
<term>Cross-Sectional Studies</term>
<term>Educational Status</term>
<term>Female</term>
<term>Health Status</term>
<term>Health Status Disparities</term>
<term>Humans</term>
<term>Income</term>
<term>Male</term>
<term>Marital Status</term>
<term>Prevalence</term>
<term>Prospective Studies</term>
<term>Sex Factors</term>
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<term>Disparités de l'état de santé</term>
<term>Déterminants sociaux de la santé</term>
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<term>Humains</term>
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<term>Revenu</term>
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<term>Sujet âgé de 80 ans ou plus</term>
<term>Établissements de soins dentaires</term>
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<front><div type="abstract" xml:lang="en">Community-level factors as well as individual-level factors affect individual health. To date, no studies have examined the association between community-level social gradient and edentulousness. The aim of this study was to investigate individual- and community-level social inequalities in edentulousness and to determine any explanatory factors in this association.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25884467</PMID>
<DateCompleted><Year>2016</Year>
<Month>10</Month>
<Day>05</Day>
</DateCompleted>
<DateRevised><Year>2016</Year>
<Month>12</Month>
<Day>30</Day>
</DateRevised>
<Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1472-6831</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>15</Volume>
<PubDate><Year>2015</Year>
<Month>Mar</Month>
<Day>11</Day>
</PubDate>
</JournalIssue>
<Title>BMC oral health</Title>
<ISOAbbreviation>BMC Oral Health</ISOAbbreviation>
</Journal>
<ArticleTitle>Individual- and community-level social gradients of edentulousness.</ArticleTitle>
<Pagination><MedlinePgn>34</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1186/s12903-015-0020-z</ELocationID>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Community-level factors as well as individual-level factors affect individual health. To date, no studies have examined the association between community-level social gradient and edentulousness. The aim of this study was to investigate individual- and community-level social inequalities in edentulousness and to determine any explanatory factors in this association.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We analyzed the data from the Japan Gerontological Evaluation Study (JAGES). In 2010-2012, 112,123 subjects aged 65 or older responded to the questionnaire survey (response rate = 66.3%). Multilevel logistic regression analysis was applied to determine the association between community-level income and edentulousness after accounting for individual-level income and demographic covariates. Then, we estimated the probability of edentulousness by individual- and community-level incomes after adjusted for covariates.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Of 79,563 valid participants, the prevalence of edentulousness among 39,550 men (49.7%) and 40,013 women (50.3%) were both 13.8%. Living in communities with higher mean incomes and having higher individual-level incomes were significantly associated with a lower risk of edentulousness (odds ratios [ORs] by 10,000 USD increments were 0.37 (95% confidence interval [CI] [0.22-0.63]) for community-level and 0.85 (95% CI [0.84-0.86]) for individual-level income). Individual- and community-level social factors, including density of dental clinics, partially explained the social gradients. However, in the fully adjusted model, both community- and individual-level social gradients of edentulousness remained significant (ORs = 0.43 (95% CI [0.27-0.67]) and 0.90 (95% CI [0.88-0.91]), respectively). One standard deviation changes in community- and individual-level incomes were associated with 0.78 and 0.84 times lower odds of edentulousness, respectively. In addition, compared to men, women living in communities with higher average incomes had a significantly lower risk of edentulousness (p-value for interaction < 0.001).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Individual- and community-level social inequalities in dental health were observed. Public health policies should account for social determinants of oral health when reducing oral health inequalities.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Ito</LastName>
<ForeName>Kanade</ForeName>
<Initials>K</Initials>
<AffiliationInfo><Affiliation>Department of International and Community Oral Health, Tohoku University Graduate School of Dentistry, Sendai City, Miyagi, Japan. kanade-i@umin.ac.jp.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Division of Oral Health Sciences, Department of Health Sciences, School of Health and Social Services, Saitama Prefectural University, Koshigaya City, Saitama, Japan. kanade-i@umin.ac.jp.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Aida</LastName>
<ForeName>Jun</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Department of International and Community Oral Health, Tohoku University Graduate School of Dentistry, Sendai City, Miyagi, Japan. aidajun@m.tohoku.ac.jp.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Yamamoto</LastName>
<ForeName>Tatsuo</ForeName>
<Initials>T</Initials>
<AffiliationInfo><Affiliation>Department of Dental Sociology, Graduate School of Dentistry, Kanagawa Dental University, Yokosuka City, Kanagawa, Japan. yamamoto.tatsuo@kdu.ac.jp.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ohtsuka</LastName>
<ForeName>Rika</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>Research Team for Human Care, Tokyo Metropolitan Institute of Gerontology, Itabashi Ward, Tokyo, Japan. rika-o@cam.hi-ho.ne.jp.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Nakade</LastName>
<ForeName>Miyo</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Department of Nutrition, Faculty of Health and Nutrition, Tokaigakuen University, Nagoya City, Aichi, Japan. nakade-m@tokaigakuen-u.ac.jp.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Suzuki</LastName>
<ForeName>Kayo</ForeName>
<Initials>K</Initials>
<AffiliationInfo><Affiliation>Center for Well-being and Society, Nihon Fukushi University, Nagoya City, Aichi, Japan. ksuzuki@psis.agu.ac.jp.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Policy Studies, Aichi Gakuin University, Nisshin City, Aichi, Japan. ksuzuki@psis.agu.ac.jp.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Kondo</LastName>
<ForeName>Katsunori</ForeName>
<Initials>K</Initials>
<AffiliationInfo><Affiliation>Center for Well-being and Society, Nihon Fukushi University, Nagoya City, Aichi, Japan. kkondo@chiba-u.jp.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Center for Preventive Medical Sciences, Chiba University, Chiba City, Chiba, Japan. kkondo@chiba-u.jp.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Osaka</LastName>
<ForeName>Ken</ForeName>
<Initials>K</Initials>
<AffiliationInfo><Affiliation>Department of International and Community Oral Health, Tohoku University Graduate School of Dentistry, Sendai City, Miyagi, Japan. osaka@m.tohoku.ac.jp.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><CollectiveName>JAGES Group</CollectiveName>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2015</Year>
<Month>03</Month>
<Day>11</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>England</Country>
<MedlineTA>BMC Oral Health</MedlineTA>
<NlmUniqueID>101088684</NlmUniqueID>
<ISSNLinking>1472-6831</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>D</CitationSubset>
<CitationSubset>IM</CitationSubset>
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