{"_buckets": {"deposit": "fd309151-c1e6-4bb8-9daa-d466623edf7d"}, "_deposit": {"id": "5038", "owners": [1], "pid": {"revision_id": 0, "type": "depid", "value": "5038"}, "status": "published"}, "_oai": {"id": "oai:nied-repo.bosai.go.jp:00005038", "sets": []}, "author_link": [], "item_10001_biblio_info_7": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2015-03-11"}, "bibliographicPageEnd": "34", "bibliographicPageStart": "34", "bibliographicVolumeNumber": "15", "bibliographic_titles": [{"bibliographic_title": "BMC oral health", "bibliographic_titleLang": "en"}]}]}, "item_10001_description_5": {"attribute_name": "抄録", "attribute_value_mlt": [{"subitem_description": "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. 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. 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 \u003c 0.001). 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.", "subitem_description_language": "en", "subitem_description_type": "Other"}]}, "item_10001_publisher_8": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "BMC", "subitem_publisher_language": "en"}]}, "item_10001_relation_14": {"attribute_name": "DOI", "attribute_value_mlt": [{"subitem_relation_type_id": {"subitem_relation_type_id_text": "10.1186/s12903-015-0020-z"}}]}, "item_10001_source_id_9": {"attribute_name": "ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "1472-6831", "subitem_source_identifier_type": "ISSN"}]}, "item_creator": {"attribute_name": "著者", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "Kanade Ito", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Jun Aida", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Tatsuo Yamamoto", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Rika Ohtsuka", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Miyo Nakade", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Kayo Suzuki", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Katsunori Kondo", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Ken Osaka", "creatorNameLang": "en"}]}]}, "item_language": {"attribute_name": "言語", "attribute_value_mlt": [{"subitem_language": "eng"}]}, "item_title": "Individual- and community-level social gradients of edentulousness.", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "Individual- and community-level social gradients of edentulousness.", "subitem_title_language": "en"}]}, "item_type_id": "40001", "owner": "1", "path": ["1670839190650"], "permalink_uri": "https://nied-repo.bosai.go.jp/records/5038", "pubdate": {"attribute_name": "PubDate", "attribute_value": "2023-03-30"}, "publish_date": "2023-03-30", "publish_status": "0", "recid": "5038", "relation": {}, "relation_version_is_last": true, "title": ["Individual- and community-level social gradients of edentulousness."], "weko_shared_id": -1}