Luisa N Borrell1, James D Beck, Gerardo Heiss. 1. Department of Epidemiology, Mailman School of Public Health, School of Dental and Oral Surgeons, Columbia University, 722 West 168th St, New York, NY 10032, USA. lnb2@columbia.edu
Abstract
OBJECTIVES: We used data from the Dental Atherosclerosis Risk in Communities study to examine whether individual- and neighborhood-level socioeconomic characteristics were associated with periodontal disease. METHODS: We assessed severe periodontitis with a combination of clinical attachment loss and pocket depth measures. Marginal logistic regression modeling was used to estimate the association between individual and neighborhood socioeconomic indicators and prevalence of severe periodontitis before and after control for selected covariates. Residual intraneighborhood correlations in outcomes were taken into account in the analyses. RESULTS: Individual-level income and education were associated with severe periodontitis among Whites and African Americans, and these associations remained significant after adjustment for age, gender, recruitment center, and neighborhood socioeconomic score. Low-income Whites residing in disadvantaged neighborhoods had 1.8-fold (95% confidence interval=1.2, 2.7) higher odds of having severe periodontitis than high-income Whites residing in advantaged neighborhoods. CONCLUSIONS: Individual income and education were associated with severe periodontitis independently of neighborhood socioeconomic circumstances. Although the association between neighborhood socioeconomic status and severe periodontitis was not statistically significant, poverty and residence in a disadvantaged neighborhood were associated with higher odds of severe periodontitis among Whites.
OBJECTIVES: We used data from the Dental Atherosclerosis Risk in Communities study to examine whether individual- and neighborhood-level socioeconomic characteristics were associated with periodontal disease. METHODS: We assessed severe periodontitis with a combination of clinical attachment loss and pocket depth measures. Marginal logistic regression modeling was used to estimate the association between individual and neighborhood socioeconomic indicators and prevalence of severe periodontitis before and after control for selected covariates. Residual intraneighborhood correlations in outcomes were taken into account in the analyses. RESULTS: Individual-level income and education were associated with severe periodontitis among Whites and African Americans, and these associations remained significant after adjustment for age, gender, recruitment center, and neighborhood socioeconomic score. Low-income Whites residing in disadvantaged neighborhoods had 1.8-fold (95% confidence interval=1.2, 2.7) higher odds of having severe periodontitis than high-income Whites residing in advantaged neighborhoods. CONCLUSIONS: Individual income and education were associated with severe periodontitis independently of neighborhood socioeconomic circumstances. Although the association between neighborhood socioeconomic status and severe periodontitis was not statistically significant, poverty and residence in a disadvantaged neighborhood were associated with higher odds of severe periodontitis among Whites.
Authors: A V Diez-Roux; C I Kiefe; D R Jacobs; M Haan; S A Jackson; F J Nieto; C C Paton; R Schulz; A V Roux Journal: Ann Epidemiol Date: 2001-08 Impact factor: 3.797
Authors: Nancy Krieger; Jarvis T Chen; Pamela D Waterman; Mah-Jabeen Soobader; S V Subramanian; Rosa Carson Journal: Am J Epidemiol Date: 2002-09-01 Impact factor: 4.897
Authors: A V Diez Roux; S S Merkin; D Arnett; L Chambless; M Massing; F J Nieto; P Sorlie; M Szklo; H A Tyroler; R L Watson Journal: N Engl J Med Date: 2001-07-12 Impact factor: 91.245
Authors: J D Beck; J R Elter; G Heiss; D Couper; S M Mauriello; S Offenbacher Journal: Arterioscler Thromb Vasc Biol Date: 2001-11 Impact factor: 8.311
Authors: Vanessa Grubbs; Laura C Plantinga; Deidra C Crews; Kirsten Bibbins-Domingo; Rajiv Saran; Michael Heung; Priti R Patel; Nilka Ríos Burrows; Kristina L Ernst; Neil R Powe Journal: Clin J Am Soc Nephrol Date: 2011-02-24 Impact factor: 8.237
Authors: Vanessa Grubbs; Eric Vittinghoff; James D Beck; Abhijit V Kshirsagar; Wei Wang; Michael E Griswold; Neil R Powe; Adolfo Correa; Bessie Young Journal: J Periodontol Date: 2015-06-25 Impact factor: 6.993
Authors: Birte Holtfreter; Ryan T Demmer; Olaf Bernhardt; Panos N Papapanou; Christian Schwahn; Thomas Kocher; Moise Desvarieux Journal: J Clin Periodontol Date: 2012-10-14 Impact factor: 8.728
Authors: Vanessa Grubbs; Eric Vittinghoff; George Taylor; Donna Kritz-Silverstein; Neil Powe; Kirsten Bibbins-Domingo; Areef Ishani; Steven R Cummings Journal: Nephrol Dial Transplant Date: 2015-08-27 Impact factor: 5.992
Authors: Kara E Rudolph; Gary S Wand; Elizabeth A Stuart; Thomas A Glass; Andrea H Marques; Roman Duncko; Kathleen R Merikangas Journal: Health Place Date: 2013-11-20 Impact factor: 4.078
Authors: Adrien Boillot; Bechara El Halabi; George David Batty; Hélène Rangé; Sébastien Czernichow; Philippe Bouchard Journal: PLoS One Date: 2011-07-21 Impact factor: 3.240
Authors: Xiaojing Wang; John R Shaffer; Zhen Zeng; Ferdouse Begum; Alexandre R Vieira; Jacqueline Noel; Ida Anjomshoaa; Karen T Cuenco; Myoung-Keun Lee; James Beck; Eric Boerwinkle; Marilyn C Cornelis; Frank B Hu; David R Crosslin; Cathy C Laurie; Sarah C Nelson; Kimberly F Doheny; Elizabeth W Pugh; Deborah E Polk; Robert J Weyant; Richard Crout; Daniel W McNeil; Daniel E Weeks; Eleanor Feingold; Mary L Marazita Journal: BMC Oral Health Date: 2012-12-21 Impact factor: 2.757