Ramsay, SE; Papachristou, E; Watt, RG; Lennon, LT; Papacosta, AO; Whincup, PH; Wannamethee, SG
(2018)
Socioeconomic disadvantage across the life-course and oral health in older age: findings from a longitudinal study of older British men.
J Public Health (Oxf), 40 (4).
e423-e430.
ISSN 1741-3850
https://doi.org/10.1093/pubmed/fdy068
SGUL Authors: Whincup, Peter Hynes
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Abstract
Background: The influence of life-course socioeconomic disadvantage on oral health at older ages is not well-established. We examined the influence of socioeconomic factors in childhood, middle-age and older age on oral health at older ages, and tested conceptual life-course models (sensitive period, accumulation of risk, social mobility) to determine which best described observed associations. Methods: A representative cohort of British men aged 71-92 in 2010-12 included socioeconomic factors in childhood, middle-age and older age. Oral health assessment at 71-92 years (n = 1622) included tooth count, periodontal disease and self-rated oral health (excellent/good, fair/poor) (n = 2147). Life-course models (adjusted for age and town of residence) were compared with a saturated model using Likelihood-ratio tests. Results: Socioeconomic disadvantage in childhood, middle-age and older age was associated with complete tooth loss at 71-92 years-age and town adjusted odds ratios (95% CI) were 1.39 (1.02-1.90), 2.26 (1.70-3.01), 1.83 (1.35-2.49), respectively. Socioeconomic disadvantage in childhood and middle-age was associated with poor self-rated oral health; adjusted odds ratios (95% CI) were 1.48 (1.19-1.85) and 1.45 (1.18-1.78), respectively. A sensitive period for socioeconomic disadvantage in middle-age provided the best model fit for tooth loss, while accumulation of risk model was the strongest for poor self-rated oral health. None of the life-course models were significant for periodontal disease measures. Conclusion: Socioeconomic disadvantage in middle-age has a particularly strong influence on tooth loss in older age. Poor self-rated oral health in older age is influenced by socioeconomic disadvantage across the life-course. Addressing socioeconomic factors in middle and older ages are likely to be important for better oral health in later life.
Item Type: | Article | ||||||||||||
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Additional Information: | This is a pre-copyedited, author-produced version of an article accepted for publication in Journal of Public Health following peer review. The version of record Sheena E Ramsay, Efstathios Papachristou, Richard G Watt, Lucy T Lennon, A Olia Papacosta, Peter H Whincup, S Goya Wannamethee; Socioeconomic disadvantage across the life-course and oral health in older age: findings from a longitudinal study of older British men, Journal of Public Health, Volume 40, Issue 4, 1 December 2018, Pages e423–e430 is available online at: https://doi.org/10.1093/pubmed/fdy068 | ||||||||||||
Keywords: | Public Health, 1117 Public Health And Health Services | ||||||||||||
SGUL Research Institute / Research Centre: | Academic Structure > Population Health Research Institute (INPH) | ||||||||||||
Journal or Publication Title: | J Public Health (Oxf) | ||||||||||||
ISSN: | 1741-3850 | ||||||||||||
Language: | eng | ||||||||||||
Publisher License: | Creative Commons: Attribution 4.0 | ||||||||||||
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PubMed ID: | 29684223 | ||||||||||||
Go to PubMed abstract | |||||||||||||
URI: | https://openaccess.sgul.ac.uk/id/eprint/109754 | ||||||||||||
Publisher's version: | https://doi.org/10.1093/pubmed/fdy068 |
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