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Individual- and community-level social gradients of edentulousness.
https://nied-repo.bosai.go.jp/records/5038
https://nied-repo.bosai.go.jp/records/50385da171d1-8b88-45cc-adc2-d0058a03d286
| Item type | researchmap(1) | |||||||||||||||||||||
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| 公開日 | 2023-03-30 | |||||||||||||||||||||
| タイトル | ||||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||
| タイトル | Individual- and community-level social gradients of edentulousness. | |||||||||||||||||||||
| 言語 | ||||||||||||||||||||||
| 言語 | eng | |||||||||||||||||||||
| 著者 |
Kanade Ito
× Kanade Ito
× Jun Aida
× Tatsuo Yamamoto
× Rika Ohtsuka
× Miyo Nakade
× Kayo Suzuki
× Katsunori Kondo
× Ken Osaka
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| 抄録 | ||||||||||||||||||||||
| 内容記述タイプ | Other | |||||||||||||||||||||
| 内容記述 | 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 < 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. | |||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||
| 書誌情報 |
en : BMC oral health 巻 15, p. 34-34 |
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| 言語 | en | |||||||||||||||||||||
| 出版者 | BMC | |||||||||||||||||||||
| ISSN | ||||||||||||||||||||||
| 収録物識別子タイプ | ISSN | |||||||||||||||||||||
| 収録物識別子 | 1472-6831 | |||||||||||||||||||||
| DOI | ||||||||||||||||||||||
| 関連識別子 | 10.1186/s12903-015-0020-z | |||||||||||||||||||||
