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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

  • Dental Epidemiology
  • Published:
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Abstract

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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Authors and Affiliations

  1. Nordic School of Public Health, Jönköping University, Sweden

    Claudia Cabrera, Hans Wedel & Lauren Lissner

  2. School of Health Sciences, Jönköping University, Sweden

    Magnus Hakeberg

  3. Department of Endodontology/Oral Diagnosis, Göteborg University, Sweden

    Magnus Hakeberg

  4. Department of Oral Diagnostic Radiology, Göteborg University, Sweden

    Margareta Ahlqwist

  5. Department of Primary Health Care, Sahlgrenska Academy, Göteborg University, Box 454, S-405 30, Göteborg, Sweden

    Claudia Cabrera, Cecilia Björkelund, Calle Bengtsson & Lauren Lissner

Authors
  1. Claudia Cabrera
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  2. Magnus Hakeberg
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  3. Margareta Ahlqwist
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  4. Hans Wedel
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  5. Cecilia Björkelund
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  6. Calle Bengtsson
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  7. Lauren Lissner
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Correspondence to Claudia Cabrera.

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Cabrera, C., Hakeberg, M., Ahlqwist, M. et al. 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. Eur J Epidemiol 20, 229–236 (2005). https://doi.org/10.1007/s10654-004-5961-5

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  • DOI: https://doi.org/10.1007/s10654-004-5961-5

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