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Education as a Predictor of Chronic Periodontitis: A Systematic Review with Meta-Analysis Population-Based Studies

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  • Adrien Boillot
  • Bechara El Halabi
  • George David Batty
  • Hélène Rangé
  • Sébastien Czernichow
  • Philippe Bouchard

Abstract

Background: The impact of socioeconomic inequalities on health is well-documented. Despite the links of periodontal disease with cardiovascular diseases, adverse pregnancy outcomes and diabetes, no meta-analysis of socioeconomic variations in periodontal disease exists. This meta-analytic review was conducted to determine the extent to which education attainment influences risk of periodontitis in adults aged 35+ years in the general population. Methods: The authors searched studies published until November 2010 using EMBASE and MEDLINE databases. References listed were then scrutinised, our own files were checked, and, finally, we contacted experts in the field. The authors included only general population-based studies conducted in adults aged 35 years and more. All articles were blind reviewed by two investigators. In the case of disagreement, a third investigator arbitrated. Using PRISMA statement, two reviewers independently extracted papers of interest. Results: Relative to the higher education group, people with low education attainment experience a greater risk of periodontitis (OR: 1.86 [1.66–2.10]; p

Suggested Citation

  • Adrien Boillot & Bechara El Halabi & George David Batty & Hélène Rangé & Sébastien Czernichow & Philippe Bouchard, 2011. "Education as a Predictor of Chronic Periodontitis: A Systematic Review with Meta-Analysis Population-Based Studies," PLOS ONE, Public Library of Science, vol. 6(7), pages 1-9, July.
    • Handle: RePEc:plo:pone00:0021508
    DOI: 10.1371/journal.pone.0021508
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    References listed on IDEAS

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    1. Kavanagh, Anne & Bentley, Rebecca J. & Turrell, Gavin & Shaw, Jonathan & Dunstan, David & Subramanian, S.V., 2010. "Socioeconomic position, gender, health behaviours and biomarkers of cardiovascular disease and diabetes," Social Science & Medicine, Elsevier, vol. 71(6), pages 1150-1160, September.
    2. Molarius, A. & Seidell, J.C. & Sans, S. & Tuomilehto, J. & Kuulasmaa, K., 2000. "Educational level, relative body weight, and changes in their association over 10 years: An international perspective from the WHO MONICA Project," American Journal of Public Health, American Public Health Association, vol. 90(8), pages 1260-1268.
    3. Graham, Hilary, 2002. "Building an inter-disciplinary science of health inequalities: the example of lifecourse research," Social Science & Medicine, Elsevier, vol. 55(11), pages 2005-2016, December.
    4. Borrell, L.N. & Beck, J.D. & Heiss, G., 2006. "Socioeconomic disadvantage and periodontal disease: The dental atherosclerosis risk in communities study," American Journal of Public Health, American Public Health Association, vol. 96(2), pages 332-339.
    5. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
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    Cited by:

    1. Daniel Hagenfeld & Heiko Zimmermann & Katja Korb & Nihad El-Sayed & Julia Fricke & Karin Halina Greiser & Jan Kühnisch & Jakob Linseisen & Christa Meisinger & Marc Schmitter & Ti-Sun Kim & Heiko Beche, 2019. "Periodontal Health and Use of Oral Health Services: A Comparison of Germans and Two Migrant Groups," IJERPH, MDPI, vol. 16(16), pages 1-9, August.
    2. Jarassri Srinarupat & Akiko Oshiro & Takashi Zaitsu & Piyada Prasertsom & Kornkamol Niyomsilp & Yoko Kawaguchi & Jun Aida, 2021. "Inequalities in Periodontal Disease According to Insurance Schemes in Thailand," IJERPH, MDPI, vol. 18(11), pages 1-11, June.

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