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Can the relation between tooth loss and chronic disease be explained by socio-economic status? A 24-year follow-up from the population study of women in Gothenburg, Sweden.

Artikel i vetenskaplig tidskrift
Författare Claudia Cabrera-Moksnes
Magnus Hakeberg
Margareta Ahlqwist
Hans Wedel
Cecilia Björkelund
Calle Bengtsson
Lauren Lissner
Publicerad i European journal of epidemiology
Volym 20
Nummer/häfte 3
Sidor 229-36
ISSN 0393-2990
Publiceringsår 2005
Publicerad vid Odontologiska institutionen
Institutionen för samhällsmedicin, Avdelningen för allmänmedicin
Institutionen för samhällsmedicin, Avdelningen för miljömedicin
Sidor 229-36
Språk en
Länkar dx.doi.org/10.1007/s10654-004-5961-...
Ämnesord Adult, Cardiovascular Diseases, epidemiology, mortality, Chronic Disease, Cohort Studies, Diabetes Mellitus, epidemiology, mortality, Female, Follow-Up Studies, Health Services, utilization, Humans, Middle Aged, Morbidity, Neoplasms, epidemiology, mortality, Prospective Studies, Social Class, Sweden, epidemiology, Tooth Loss, epidemiology, Cancer, Women, Socio-economic status,
Ämneskategorier Kardiovaskulär medicin, Parodontologi

Sammanfattning

The objective of this study was to evaluate the association between number of missing teeth and all cause, cardiovascular, and cancer mortality as well as morbidity and to explore whether socio-economic factors mediate this association. An ongoing prospective cohort study of 1462 Swedish women included a dental survey in 1968/69 with follow-up until 1992/93. The dental examination included a panoramic radiographic survey and a questionnaire. Number of missing teeth at baseline was analysed in a Cox proportional hazards model to estimate time to mortality and morbidity. Number of missing teeth, independently of socio-economic status variables (the husband's occupational category, combined income, and education) was associated with increased all cause mortality and cardiovascular disease mortality respectively (relative risk (RR): 1.36; 95% confidence interval (95% CI): 1.18-1.58) and (RR: 1.46; 95% CI: 1.15-1.85 per 10 missing teeth), but no associations were found for cancer mortality (RR: 1.18; 95% CI: 0.91-1.52). The relation between poor oral health and future cardiovascular disease could not be explained by measures of socio-economic status in this study.

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