2017, Number 3
<< Back
Odovtos-Int J Dent Sc 2017; 19 (3)
The Role of Socioeconomic Position in Determining Tooth Loss in Elderly Costa Rican: Findings from the CRELES Cohort
Barboza SC, Fantin R
Language: Spanish
References: 45
Page: 79-94
PDF size: 147.71 Kb.
ABSTRACT
Objective: Differences in health status between socioeconomic groups continue to challenge
epidemiological research. To evaluate health inequalities in tooth loss, using indicators of socioeconomic
position (education level, occupation and subjective economic situation), in a large representative sample
of elderly Costa Ricans, can contribute to conceive better adapted public health interventions.
Methods:
Data are from the Costa Rican Longevity and Healthy Aging Study (CRELES Pre-1945), a longitudinal
study of a nationally representative sample of elders. 2827 participants were included in the study
using data from the first wave conducted in 2005, and analyzed cross-sectionally. The sample was
imputed for missing data using a multiple imputation model. Tooth loss was self-reported and informed
about the quantity of missing teeth. Information on participant’s socioeconomic factors was collected
via a questionnaire, including three measures approaching socioeconomic position: education level,
occupation and subjective economic situation. Additional variables were included in the multivariate
analyses as potential confounders.
Results: Tooth loss was found to be strongly socially patterned,
using variables characterizing socioeconomic position, mainly education level, occupational status and
subjective economic situation.
Conclusions: To highlight how socioeconomic position relates to tooth
loss, can allow a better understanding of the origins of the social gradient in oral health, to tackle the
most common chronic diseases across the world.
REFERENCES
Whitehead M., Dahlgren G. Concepts and principles for tackling social inequities in health : Levelling up Part 1. World Health Organization. 2007.
Marmot M., Friel S., Bell R., Houweling T. A. J., Taylor S. Closing the gap in a generation: health equity through action on the social determinants of health. Lancet (London, England). 2008 Nov; 372 (9650): 1661-9.
Galobardes B., Lynch J., Smith G. D. Measuring socioeconomic position in health research. Br Med Bull. 2007;81-82 (1): 21-37.
Galobardes B., Shaw M., Lawlor D. A., Lynch J. W., Davey Smith G. Indicators of socioeconomic position (part 1). J Epidemiol Community Health. 2006; 60 (1): 7-12.
Poulton R., Caspi A., Milne B. J., Thomson W. M., Taylor A., Sears M. R., et al. Association between children’s experience of socioeconomic disadvantage and adult health: a life-course study. Lancet (London, England). 2002; 360 (9346): 1640-5.
Tsakos G., Demakakos P., Breeze E., Watt R. G. Social Gradients in Oral Health in Older Adults: Findings From the English Longitudinal Survey of Aging. Am J Public Health. 2011; 101 (10): 1892-9.
Thomson W. M., Poulton R., Milne B. J., Caspi A., Broughton J. R., Ayers K. M. S. Socioeconomic inequalities in oral health in childhood and adulthood in a birth cohort. Community Dent Oral Epidemiol. 2004; 32 (5): 345-53.
Krieger N., Williams D. R., Moss N. E. Measuring Social Class in US Public Health Research. Annu Rev Public Health. 1997; 18 (16): 341-78.
Rodriguez F. R., Paganoni N., Weiger R., Walter C. Lower Educational Level is a Risk Factor for Tooth Loss - Analysis of a Swiss Population (KREBS Project). Oral Health Prev Dent. 2017;15 (2): 139-45.
Natto Z. S., Aladmawy M., Alasqah M., Papas A. Factors contributing to tooth loss among the elderly: A cross sectional study. Singapore Dent J. 2014; 35: 17-22.
Wennstrom A., Ahlqwist M., Stenman U., Bjorkelund C., Hakeberg M. Trends in tooth loss in relation to socio-economic status among Swedish women, aged 38 and 50 years: repeated cross-sectional surveys 1968- 2004. BMC Oral Health. 2013; 13:63.
Mendes D. C., Poswar F de O., de Oliveira M. V. M., Haikal D. S., da Silveira M. F., Martins AME de BL, et al. Analysis of sociodemographic and systemic health factors and the normative conditions of oral health care in a population of the Brazilian elderly. Gerodontology. 2012; 29 (2): 206-14.
Peltzer K., Hewlett S., Yawson A. E., Moynihan P., Preet R., Wu F., et al. Prevalence of loss of all teeth (edentulism) and associated factors in older adults in China, Ghana, India, Mexico, Russia and South Africa. Int J Environ Res Public Health. 2014; 11 (11): 11308-24.
Buchwald S., Kocher T., Biffar R., Harb A., Holtfreter B., Meisel P. Tooth loss and periodontitis by socio-economic status and inflammation in a longitudinal populationbased study. J Clin Periodontol. 2013; 40 (3): 203-11.
Petersen P. E., Bourgeois D., Ogawa H., Estupinan-Day S., Ndiaye C. The global burden of oral diseases and risks to oral health. Bull World Health Organ. 2005; 83 (9): 661-9.
Kassebaum N. J., Bernabé E., Dahiya M., Bhandari B., Murray C. J. L., Marcenes W. Global Burden of Severe Tooth Loss. J Dent Res. 2014; 93 (7_suppl): 20S-28S.
Petersen P. E., Kandelman D., Arpin S., Ogawa H. Global oral health of older people- -call for public health action. Community Dent Health. 2010; 27 (4 Suppl 2): 257-67.
Fejerskov O., Escobar G., Jossing M., Baelum V. A functional natural dentition for all-and for life? The oral healthcare system needs revision. J Oral Rehabil. 2013; 40 (9): 707-22.
World Health Organization. Oral health [Internet]. [cited 2017 Mar 1]. Available from: http://www.who.int/mediacentre/factsheets/ fs318/en/
Brenes W., Murillo G. Estado de la salud oral y utilización de servicios odontológicos. In: Llanos G, editor. Estudio de la tercera edad en Coronado. San José; 1990. p. 97-109.
Murillo-Bolaños O. M. Condición y educación bucodental y otros determinantes de la salud en personas adultas mayores de seis cantones del Área Metropoliana. Odovtos Int J Dent Sci. 2011;13: 30-5.
Watt R. G., Listl S., Peres M., Heilmann A. Social inequalities in oral health: from evidence to action. London: University College London; 2015.
Mack F., Schwahn C., Feine J. S., Mundt T., Bernhardt O., John U., et al. The impact of tooth loss on general health related to quality of life among elderly Pomeranians: results from the study of health in Pomerania (SHIP-O). Int J Prosthodont. 2005; 18 (5): 414-9.
Preshaw P. M., Alba A. L., Herrera D., Jepsen S., Konstantinidis A., Makrilakis K., et al. Periodontitis and diabetes: a two-way relationship. Diabetologia. 2012 Jan 6; 55 (1): 21-31.
Mathews M. J., Mathews E. H., Mathews G. E. Oral health and coronary heart disease. BMC Oral Health. 2016; 16.
Marcenes W., Kassebaum N. J., Bernabe E., Flaxman A., Naghavi M., Lopez A., et al. Global burden of oral conditions in 1990- 2010: a systematic analysis. J Dent Res. 2013; 92 (7): 592-7.
Brown D. W. Complete edentulism prior to the age of 65 years is associated with allcause mortality. J Public Health Dent. 2009; 69 (4): 260-6.
Rosero-Bixby L., Dow W. H. Surprising SES gradients in mortality, health, and biomarkers in a Latin American population of adults. J Gerontol Soc Sci. 2009; 64 (1): 105-17.
Brenes-Camacho G. Factores socioeconómicos asociados a la percepción de situación socioeconómica entre adultos mayores de dos países latinoamericanos. Ciencias Económicas. 2013; 31 (1): 153-67.
Bartley M. Health Inequality: An Introduction to Theories, Concepts and Methods. Cambridge: Polity Press; 2003. 224 p.
Marmot M., Wilkinson R., editors. Social Determinants of Health. 2nd ed. Oxford: Oxford University Press; 2006. 376 p.
Bartley M. Models of Aetiological Pathways, I: Behavioural and “Cultural” Explanations. In: Health Inequality: An Introduction to Theories, Concepts and Methods. Cambridge: Polity Press; 2003. p. 64-77.
Shyagali T. R., Rai N. Occupational dental health hazards: A review. Int J Contemp Dent Med Rev. 2015; Article ID (140115): 5.
Jackman M. R., Jackman R. W. An interpretation of the relation between objective and subjective social status. Am Sociol Rev. 1973; 38 (5): 569-82.
Singh-Manoux A., Adler N. E., Marmot M. G. Subjective social status: its determinants and its association with measures of ill-health in the Whitehall II study. Soc Sci Med. 2003; 56 (6): 1321-33.
Adler N. When one’s main effect is another’s error: Material vs. psychosocial explanations of health disparities. A commentary on Macleod et al., “Is subjective social status a more important determinant of health than objective social status? Evidence from a pros. Soc Sci Med. 2006; 63 (4): 846-50.
Tawse-Smith A. Age and oral health: current considerations. Braz Oral Res. 2007; 21 (1): 29-33.
Åstrøm A. N., Gülcan F., Ekbäck G., Ordell S. Long-term healthy lifestyle patterns and tooth loss studied in a Swedish cohort of middle-aged and older people. Int J Dent Hyg. 2015;13 (4): 292-300.
Furtado Amaral C. da S., Vettore M. V., Leao A. The relationship of alcohol dependence and alcohol consumption with periodontitis: A systematic review. J Dent. 2009; 37 (9): 643-51.
Heilmann A., Tsakos G., Watt R. G. Oral Health Over the Life Course. In: Burton-jeangros C., Editors D. B., Howe L. D., Firestone R., Tilling K., Lawlor D. A., editors. Springer. London: Springer Open; 2015. p. 39-61.
Sacco R. L., Elkind M., Boden-Albala B., Lin I. F., Kargman D. E., Hauser W. A., et al. The protective effect of moderate alcohol consumption on ischemic stroke. JAMA. 1999; 281 (1): 53-60.
Hanioka T., Ojima M., Tanaka K., Matsuo K., Sato F., Tanaka H. Causal assessment of smoking and tooth loss: A systematic review of observational studies. BMC Public Health. 2011; 11 (221): 1-10.
Boing A. F., Ferreira Antunes J. L., de Carvalho M., de Gois Filho J., Kowalski L. P., Michaluart Jr. P., et al. How much do smoking and alcohol consumption explain socioeconomic inequalities in head and neck cancer risk? J Epidemiol Community Health. 2011; 65 (8): 709-14.
Obeid P., Bercy P. Effects of smoking on periodontal health: a review. Adv Ther. 2000; 17 (5): 230-7.
Delpierre C., Kelly-Irving M., Munch- Petersen M., Lauwers-Cances V., Datta GD, Lepage B., et al. SRH and HrQOL: does social position impact differently on their link with health status? BMC Public Health. 2012; 12 (1): 19.