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Ethnic inequalities in periodontal disease among British adults
Author(s) -
DelgadoAngulo Elsa K.,
Bernabé Eduardo,
Marcenes Wagner
Publication year - 2016
Publication title -
journal of clinical periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.456
H-Index - 151
eISSN - 1600-051X
pISSN - 0303-6979
DOI - 10.1111/jcpe.12605
Subject(s) - ethnic group , socioeconomic status , periodontal disease , medicine , demography , gingival and periodontal pocket , inequality , gerontology , dentistry , environmental health , population , sociology , mathematical analysis , mathematics , anthropology
Abstract Aim To explore ethnic inequalities in periodontal disease among British adults, and the role of socioeconomic position ( SEP ) in those inequalities. Methods We analysed data on 1925 adults aged 16–65 years, from the East London Oral Health Inequality ( ELOHI ) Study, which included a random sample of adults living in an ethnically diverse and socially deprived area. Participants completed a questionnaire and were clinically examined for the number of teeth with periodontal pocket depth ( PPD )≥4 mm and loss of attachment ( LOA )≥4 mm. Ethnic inequalities in periodontal measures were assessed in negative binomial regression models before and after adjustment for demographic (gender and age groups) and SEP indicators (education and socioeconomic classification). Results Compared to White British, Pakistani, Indian, Bangladeshi and Asian Others had more teeth with PPD ≥4 mm whereas White East European, Black African and Bangladeshi had more teeth with LOA ≥4 mm, after adjustments for demographic and SEP measures. The association of ethnicity with periodontal disease was moderated by education, but not by socioeconomic classification. Stratified analysis showed that ethnic disparities in the two periodontal measures were limited to more educated groups. Conclusion This study showed considerable ethnic disparities in periodontal disease between and within the major ethnic categories.