社会经济、空间和教育因素与中年牙周病风险之间的关联：来自“高中及以后”的证据。
Associations Between Socioeconomic, Spatial and Educational Factors and Midlife Periodontal Disease Risk: Evidence From 'High School and Beyond'.
作者信息
Warren John Robert, Himmelstern Jessie, Muller Chandra, Grodsky Eric, Demmer Ryan
机构信息
Department of Sociology, Minnesota Population Center, University of Minnesota, Minneapolis, Minnesota, USA.
Department of Sociology, University of Texas at Austin, Austin, Texas, USA.
出版信息
J Clin Periodontol. 2025 Jun;52(6):843-858. doi: 10.1111/jcpe.14113. Epub 2025 Jan 7.
BACKGROUND
Periodontal disease (PD) is a prevalent, preventable and treatable oral infection associated with substantial morbidity globally. There is little information from population-representative cohort studies about the sociodemographic, educational and other early life factors that stratify PD risk.
METHODS
We used data from the U.S. 'High School and Beyond' (HS&B:80) study, which has followed a nationally representative sample of 26,820 people from high school in 1980 through midlife in 2021. Data from the 1980s include information about education, early life circumstances, spatial location and demographic attributes. Data from 13,080 sample members who responded in 2021 include indicators of self-reported PD diagnosis.
RESULTS
People with higher degrees and course grades have a lower risk of midlife PD. Rural adolescents and those who attended private schools are also at lower risk. We find little evidence of heterogeneity in correlates of midlife PD by gender or race/ethnicity.
CONCLUSIONS
The quantity and characteristics of people's schooling and their location of residence are associated with midlife PD.
背景
牙周病（PD）是一种常见的、可预防和可治疗的口腔感染，在全球范围内与相当高的发病率相关。关于分层PD风险的社会人口学、教育及其他早期生活因素，来自具有人群代表性的队列研究的信息很少。
方法
我们使用了美国“高中及以后”（HS&B:80）研究的数据，该研究追踪了1980年从高中开始的26,820名具有全国代表性的人群样本直至2021年的中年时期。20世纪80年代的数据包括有关教育、早期生活环境、空间位置和人口属性的信息。2021年回复的13,080名样本成员的数据包括自我报告的PD诊断指标。
结果
学历较高和课程成绩较好的人中年患PD的风险较低。农村青少年和就读于私立学校的人风险也较低。我们几乎没有发现中年PD的相关因素在性别或种族/族裔方面存在异质性的证据。
结论
人们的受教育程度和特征及其居住地点与中年PD有关。
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