Tooth loss and periodontitis by socio-economic status and inflammation in a longitudinal population-based study

Aim To examine the associations between factors of socio‐economic status (SES), systemic inflammation and the progression of periodontitis and incidence of tooth loss. Material and Methods Data of 2566 participants from the Study of Health in Pomerania (SHIP) with a 5‐year follow‐up were analysed. W...

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Vydáno v:Journal of clinical periodontology Ročník 40; číslo 3; s. 203 - 211
Hlavní autoři: Buchwald, Sabine, Kocher, Thomas, Biffar, Reiner, Harb, Ali, Holtfreter, Birte, Meisel, Peter
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States Blackwell Publishing Ltd 01.03.2013
Témata:
Adult
Aged
Aged, 80 and over
C-reactive protein
C-Reactive Protein - analysis
Cohort Studies
Dentistry
Disease Progression
Educational Status
Female
Follow-Up Studies
follow-up study
Germany - epidemiology
Gum disease
Humans
Incidence
Income - statistics & numerical data
Inflammation
Longitudinal Studies
Male
Marital Status
Middle Aged
Obesity - epidemiology
Periodontal Attachment Loss - epidemiology
periodontitis
Periodontitis - epidemiology
Population Surveillance
Risk Factors
Sex Factors
Smoking - epidemiology
Social Class
Socioeconomic factors
socioeconomic status
Teeth
tooth loss
Tooth Loss - epidemiology
Vulnerable Populations - statistics & numerical data
Young Adult
Germany
ISSN:0303-6979, 1600-051X, 1600-051X
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Shrnutí:Aim To examine the associations between factors of socio‐economic status (SES), systemic inflammation and the progression of periodontitis and incidence of tooth loss. Material and Methods Data of 2566 participants from the Study of Health in Pomerania (SHIP) with a 5‐year follow‐up were analysed. We evaluated attachment loss and tooth loss with regard to social variables including education, income, marital status and related risks such as smoking and obesity. Results Socio‐economic factors were associated with the progression of attachment level and tooth loss during the follow‐up period. Low education and low income were associated with tooth loss (incidence risk ratio IRR 1.63, p < 0.001 and 1.25, p < 0.001 respectively) and also progression of mean clinical attachment level (p < 0.010 and p = 0.046 respectively). SES as well as smoking and obesity were also associated with increased levels of C‐reactive protein (CRP) with effect modifications between SES factors and CRP, also between gender and marital status. Tooth loss was associated with disadvantageous SES, particularly under conditions of high CRP levels (p < 0.001). Conclusions The progression of periodontal disease is influenced by socio‐economic factors. Effect modifications of socio‐behavioural factors by CRP indicate that under conditions of systemic inflammation adverse SES effects may be aggravated.
Bibliografie:ark:/67375/WNG-P7X60RM6-8
ArticleID:JCPE12056
istex:5621B40AB46B18A6149C035EF09AB7A56B9C9CD6
http://www.medizin.uni-greifswald.de/cm
Conflict of interest and sources of funding statement
There are no conflicts of interest associated with this work. SHIP is part of the Community Medicine Research net (CMR) of the University of Greifswald, Germany, which is funded by the Federal Ministry of Education and Research (grant no. ZZ9603) and the Ministry of Cultural Affairs as well as the Social Ministry of the Federal State of Mecklenburg‐West Pomerania
BH was supported by an unlimited educational grant from Gaba, Switzerland.
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ISSN:0303-6979
1600-051X
1600-051X
DOI:10.1111/jcpe.12056