The role of individual and neighborhood social factors on periodontitis: The Third National Health and Nutrition Examination Survey
The role of individual and neighborhood social factors on periodontitis: The Third National Health and Nutrition Examination Survey
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DOI：
10.1902/jop.2006.050158
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发表时间：
2006-03-01
影响因子：
4.3
通讯作者：
Neighbors, Harold W.
中科院分区：
文献类型：
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作者：
Borrell, Luisa N.;Burt, Brian A.;Neighbors, Harold W.
背景资料：本研究调查了参加第三次全国健康和营养检查调查的≥ 18岁成年人的种族/民族、个人收入、教育和社区社会经济特征是否与牙周炎独立相关。（NHANES 111）。分析仅限于NHANES III中自我认定为非西班牙裔黑人、非西班牙裔白色或墨西哥裔美国人的参与者，接受牙周检查，其记录与1990年美国人口普查数据（N = 13，090）相关联。牙周炎进行了调查，使用临床附着丧失和探测深度相结合。边缘逻辑回归模型被用来评估种族/民族，个人收入，教育和社区的社会经济特征与牙周炎的关联之前和之后调整选定的协变量。一项调查计划被用来解释调查抽样设计和intrneighborhood相关性的参与者从同一neighborhood.Results中选择的结果：种族/民族，教育和邻里的社会经济条件与牙周炎之前和之后控制选定的协变量。调整后，黑人患牙周炎的可能性是白人的两倍（1.58至2.53）。与高中以上学历的人相比，高中以下学历的人患牙周炎的可能性是普通人的两倍（1.48 - 2.89）。个人生活在一个社区中的最低三分位的社会经济score. Conclusion的最高三分位的社会经济score.Conclusion：这项研究表明，种族/民族，个人教育，和邻里的社会经济情况是牙周健康的重要。
Background: This study investigates whether race/ethnicity, individual income, education, and neighborhood socioeconomic characteristics are independently associated with periodontitis in adults >= 18 years of age who participated in the third National Health and Nutrition Examination Survey (NHANES 111).Methods: Analyses were limited to participants in NHANES III who self-identified as non-Hispanic black, non-Hispanic white, or Mexican American, received a periodontal examination, and whose records were linked to the 1990 U.S. Census data (N = 13,090). Periodontitis was investigated using a combination of clinical attachment loss and probing depth. Marginal logistic regression models were used to assess the association of race/ethnicity, individual income, education, and neighborhood socioeconomic characteristics with periodontitis before and after adjusting for selected covariates. A survey program was used to account for the survey sampling design and for the intraneighborhood correlation of outcomes of participants selected from the same neighborhood.Results: Race/ethnicity, education, and neighborhood socioeconomic conditions were associated with periodontitis before and after controlling for selected covariates. After adjustment, blacks were twice (1.58 to 2.53) as likely to have periodontitis as whites. Compared to those with more than a high school education, those with less than a high school diploma were twice (1.48 to 2.89) as likely to have periodontitis. Individuals living in a neighborhood in the lowest tertile of the socioeconomic score were 1.81 times (1.36 to 2.41) more likely to have periodontitis than those living in a neighborhood in the highest tertile of the socioeconomic score.Conclusion: This study indicates that race/ethnicity, individual education, and neighborhood socioeconomic circumstances are important for periodontal health.