{"created":"2023-03-31T02:10:58.931908+00:00","id":5038,"links":{},"metadata":{"_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 < 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"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2023-03-30"},"publish_date":"2023-03-30","publish_status":"0","recid":"5038","relation_version_is_last":true,"title":["Individual- and community-level social gradients of edentulousness."],"weko_creator_id":"1","weko_shared_id":-1},"updated":"2023-03-31T02:11:01.022936+00:00"}