TY - JOUR
T1 - Social stratification, oral hygiene, and trajectories of dental caries among old americans
AU - Liang, Jersey
AU - Wu, Bei
AU - Plassman, Brenda
AU - Bennett, Joan M.
AU - Beck, Jim
N1 - Funding Information:
The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This research was supported by Grants R21 DE19518 and R01 DE08060 (Bei Wu, PI) from the National Institute of Dental and Craniofacial Research.
PY - 2014/9
Y1 - 2014/9
N2 - Objective: This study analyzed how oral hygiene (i.e., brushing, rinsing, and flossing) influences the trajectories of dental caries (i.e., numbers of decayed, missing, and filled teeth) among older Americans within the context of social stratification. Method: Data came from Piedmont Dental Study that involved a sample of 810 older Americans who were dentate in 1988 with up to four repeated observations through 1994. Hierarchical linear models were used for data analysis. Results: Brushing, flossing, and rinsing were associated with the trajectories of dental caries in distinct ways. In addition, oral hygiene was correlated with race, education, household income, and use of dental care. The effects of brushing and flossing on decayed and missing teeth remained robust, even when socio-demographic and health attributes were controlled. Conversely, socioeconomic disparities in dental caries persisted, when oral hygiene was adjusted. Discussion: Both social stratification and oral hygiene need to be considered in promoting oral health.
AB - Objective: This study analyzed how oral hygiene (i.e., brushing, rinsing, and flossing) influences the trajectories of dental caries (i.e., numbers of decayed, missing, and filled teeth) among older Americans within the context of social stratification. Method: Data came from Piedmont Dental Study that involved a sample of 810 older Americans who were dentate in 1988 with up to four repeated observations through 1994. Hierarchical linear models were used for data analysis. Results: Brushing, flossing, and rinsing were associated with the trajectories of dental caries in distinct ways. In addition, oral hygiene was correlated with race, education, household income, and use of dental care. The effects of brushing and flossing on decayed and missing teeth remained robust, even when socio-demographic and health attributes were controlled. Conversely, socioeconomic disparities in dental caries persisted, when oral hygiene was adjusted. Discussion: Both social stratification and oral hygiene need to be considered in promoting oral health.
KW - Piedmont Dental Study
KW - dental caries
KW - hierarchical linear models
KW - oral hygiene
KW - social stratification
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U2 - 10.1177/0898264314534891
DO - 10.1177/0898264314534891
M3 - Article
C2 - 24891565
AN - SCOPUS:84905920255
SN - 0898-2643
VL - 26
SP - 900
EP - 923
JO - Journal of Aging and Health
JF - Journal of Aging and Health
IS - 6
ER -