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Affluent neighborhoods reduce excess risk of tooth loss among the poor

Sanders, A. E., Turrell, G., & Slade, G.D. (2008) Affluent neighborhoods reduce excess risk of tooth loss among the poor. Journal of Dental Research, 87(10), pp. 969-974.

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Abstract

The effect of neighborhood on health may vary according to the characteristics of the residents. We tested the hypothesis that, in affluent neighborhoods, low-income adults retain more teeth than their income-equivalent peers in poor neighborhoods. In 2003, the Adelaide Small Area Dental Study collected sociodemographic and tooth retention information from 2860 adults in 60 neighborhoods. Neighborhood socio-economic position was a census-based composite measure. Using multilevel modelling, we fitted a series of two-level random intercept variance component models. Findings revealed significant main effects for individual and neighborhood predictors and a significant interaction between neighborhood disadvantage and low income. In affluent areas, disparities in tooth retention were negligible, but in poor neighborhoods, substantial variation in tooth retention between individuals was found based on their level of income. Low-income adults appeared to benefit from living in affluent areas, while wealthier adults living in poor neighborhoods did not lose their oral health advantage.

Impact and interest:

15 citations in Scopus
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14 citations in Web of Science®

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ID Code: 19098
Item Type: Journal Article
Keywords: Humans, Income, Male, Middle Aged, Poverty (major), Questionnaires, Residence Characteristics (major), Small-Area Analysis, Social Class, South Australia -- epidemiology, Tooth Loss -- epidemiology
DOI: 10.1177/154405910808701006
ISSN: 0022-0345
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700) > Public Health and Health Services not elsewhere classified (111799)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700) > Health and Community Services (111708)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Schools > School of Public Health & Social Work
Deposited On: 14 Apr 2009 13:22
Last Modified: 29 Feb 2012 23:51

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