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

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...

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Autores principales: Boillot, Adrien, El Halabi, Bechara, Batty, George David, Rangé, Hélène, Czernichow, Sébastien, Bouchard, Philippe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3140980/
https://www.ncbi.nlm.nih.gov/pubmed/21814546
http://dx.doi.org/10.1371/journal.pone.0021508
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author Boillot, Adrien
El Halabi, Bechara
Batty, George David
Rangé, Hélène
Czernichow, Sébastien
Bouchard, Philippe
author_facet Boillot, Adrien
El Halabi, Bechara
Batty, George David
Rangé, Hélène
Czernichow, Sébastien
Bouchard, Philippe
author_sort Boillot, Adrien
collection PubMed
description 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<0.00001). The association was partially attenuated after adjustment for covariates (OR: 1.55 [1.30–1.86]; p<0.00001). Sensitivity analyses showed that methods used to assess periodontitis, definition of cases, study country and categorization of education are largely responsible for the heterogeneity between studies. No significant bias of publication was shown using both the Egger (p = 0.16) and rank correlation tests (p = 0.35). CONCLUSIONS: In the studies reviewed, low educational attainment was associated with an increased risk of periodontitis. Although this evidence should be cautiously interpreted due to methodological problems in selected studies, efforts to eliminate educational inequalities in periodontitis should focus on early life interventions.
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spelling pubmed-31409802011-08-03 Education as a Predictor of Chronic Periodontitis: A Systematic Review with Meta-Analysis Population-Based Studies Boillot, Adrien El Halabi, Bechara Batty, George David Rangé, Hélène Czernichow, Sébastien Bouchard, Philippe PLoS One Research Article 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<0.00001). The association was partially attenuated after adjustment for covariates (OR: 1.55 [1.30–1.86]; p<0.00001). Sensitivity analyses showed that methods used to assess periodontitis, definition of cases, study country and categorization of education are largely responsible for the heterogeneity between studies. No significant bias of publication was shown using both the Egger (p = 0.16) and rank correlation tests (p = 0.35). CONCLUSIONS: In the studies reviewed, low educational attainment was associated with an increased risk of periodontitis. Although this evidence should be cautiously interpreted due to methodological problems in selected studies, efforts to eliminate educational inequalities in periodontitis should focus on early life interventions. Public Library of Science 2011-07-21 /pmc/articles/PMC3140980/ /pubmed/21814546 http://dx.doi.org/10.1371/journal.pone.0021508 Text en Boillot et al. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
Boillot, Adrien
El Halabi, Bechara
Batty, George David
Rangé, Hélène
Czernichow, Sébastien
Bouchard, Philippe
Education as a Predictor of Chronic Periodontitis: A Systematic Review with Meta-Analysis Population-Based Studies
title Education as a Predictor of Chronic Periodontitis: A Systematic Review with Meta-Analysis Population-Based Studies
title_full Education as a Predictor of Chronic Periodontitis: A Systematic Review with Meta-Analysis Population-Based Studies
title_fullStr Education as a Predictor of Chronic Periodontitis: A Systematic Review with Meta-Analysis Population-Based Studies
title_full_unstemmed Education as a Predictor of Chronic Periodontitis: A Systematic Review with Meta-Analysis Population-Based Studies
title_short Education as a Predictor of Chronic Periodontitis: A Systematic Review with Meta-Analysis Population-Based Studies
title_sort education as a predictor of chronic periodontitis: a systematic review with meta-analysis population-based studies
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3140980/
https://www.ncbi.nlm.nih.gov/pubmed/21814546
http://dx.doi.org/10.1371/journal.pone.0021508
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