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Laniado N, Shah P, Gallo L, Daviglus M, Isasi C. Social Network Size and Severe Tooth Loss among Persons With Diabetes: Findings From the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). HISPANIC HEALTH CARE INTERNATIONAL 2024:15404153241264770. [PMID: 39033412 DOI: 10.1177/15404153241264770] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/23/2024]
Abstract
Aims: The aims of this study were to examine the association of social network size with severe tooth loss and the number of missing teeth among Hispanic adults with diabetes in the United States and to assess whether the association varied by glycemic control. Methods: Data obtained from 1,007 adults who participated in the Hispanic Community Health Study were analyzed. Structural social support was measured with the Social Network Index (SNI), which assessed network size and frequency of social contacts. Tooth loss was measured by a count of the number of missing teeth and categorically as severe tooth loss (<9 remaining teeth). Descriptive statistical analyses were conducted to examine the sample characteristics. Logistic and negative binomial regression analyses were performed to examine the independent association between SNI and tooth loss and to test whether the association was modified by the glycemic target. Results: The prevalence of severe tooth loss was 5.91%. For each one-unit increase in SNI, the expected log count of the number of missing teeth was reduced by 3.3% (p-value: 0.037). Conclusions: In this study, a larger social network size was associated with fewer missing teeth among Hispanic persons living with diabetes. Further examination of social support and oral health is warranted.
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Affiliation(s)
- Nadia Laniado
- Department of Dentistry/OMFS, Albert Einstein College of Medicine, Bronx, NY, USA
- Department of Dentistry/OMFS, Jacobi Medical Center, Bronx, NY, USA
- Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY, USA
| | - Parth Shah
- Department of Dentistry/OMFS, Jacobi Medical Center, Bronx, NY, USA
| | - Linda Gallo
- Department of Psychology, San Diego State University, San Diego, CA, USA
| | - Martha Daviglus
- Institute for Minority Health Research, University of Illinois at Chicago, Chicago, IL, USA
| | - Carmen Isasi
- Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY, USA
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Chaffee BW. Self-perceived quality of social roles, activities and relationships predicts incident gingivitis. Community Dent Oral Epidemiol 2024. [PMID: 38654403 DOI: 10.1111/cdoe.12966] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2024] [Revised: 03/21/2024] [Accepted: 04/12/2024] [Indexed: 04/25/2024]
Abstract
OBJECTIVES While physical health status is known to impact social functioning, a growing literature suggests that social well-being may affect oral health. This investigation evaluated whether self-perceived quality of social roles, activities and relationships (social well-being) influences gingival inflammation. METHODS Data were from the Population Assessment of Tobacco and Health Study, a nationally representative cohort of US adults, biennial waves 4 (2017) to 6 (2021). Social well-being was derived from the validated PROMIS Global-10 survey instrument, categorized for this longitudinal analysis as high, moderate or low. The main outcome was incident self-reported gum bleeding (dichotomous, proxy for gingivitis). Survey-weighted logistic regression modelling adjusted for overall health status, sociodemographic (e.g. age, sex, race/ethnicity), socioeconomic (e.g. income, education) and behavioural (e.g. tobacco, alcohol) confounders and was used to predict marginal mean gum bleeding incidence. RESULTS Cross-sectionally at wave 4 (N = 23 679), gum bleeding prevalence was higher along a stepwise gradient of decreasing satisfaction with social activities and relationships (extremely satisfied: 20.4%; not at all: 40.1%). Longitudinally, among participants who had never reported gum bleeding through wave 4 (N = 9695), marginal predicted new gum bleeding at wave 6 was greater with each category of lower wave 4-5 social well-being (high: 7.6%; moderate: 8.6%; low: 12.4%). Findings were robust to alternative model specifications. Results should be interpreted considering study limitations (e.g. potential unmeasured confounding; outcome by self-report). CONCLUSIONS Social functioning may affect physical health. Specifically, social roles, activities and relationships may influence inflammatory oral conditions, like gingivitis. Confirmatory research is warranted, along with policies and interventions that promote social well-being.
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Affiliation(s)
- Benjamin W Chaffee
- University of California San Francisco School of Dentistry, San Francisco, California, USA
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Laniado N, Cloidt M, Shah P. Social support and oral health among working-age and older adults in the United States. J Public Health Dent 2023; 83:247-253. [PMID: 37303076 DOI: 10.1111/jphd.12573] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2022] [Revised: 04/25/2023] [Accepted: 05/18/2023] [Indexed: 06/13/2023]
Abstract
OBJECTIVES The purpose of this study was to examine the association of social support with untreated dental caries and severe tooth loss in adults in the United States. METHODS This cross-sectional study was conducted by analyzing data obtained from 5,447 individuals, 40 years of age and older, in the National Health and Nutrition Examination Survey (NHANES) from 2005 to 2008 who had both a complete dental examination and social support index measures. Sample characteristics, overall and by social support level, were examined through descriptive statistical analyses. Logistic regression analyses were performed to estimate the association of social support with untreated dental caries and severe tooth loss. RESULTS In this nationally representative sample (mean age 56.5 years) the prevalence of low social support was 27.5%. The prevalence of individuals with moderate-to-high social support increased with higher levels of educational attainment and income level. In fully adjusted models, relative to those who had moderate-high social support levels, individuals with low social support had 1.49 higher odds of untreated dental caries (95% CI, 1.17-1.90, p=0.002) and 1.23 higher odds of severe tooth loss (95% CI, 1.05-1.44, p=0.011). CONCLUSIONS Higher odds of untreated dental caries and severe tooth loss were found among U.S. adults with low levels of social support compared to those with moderate-to-high levels of social support. Additional studies are warranted to provide a more current perspective on the impact of social support on oral health so that programs may be developed and tailored to reach these populations.
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Affiliation(s)
- Nadia Laniado
- Department of Dentistry/OMFS and Department of Epidemiology and Population Health, Jacobi Medical Center/Albert Einstein College of Medicine, Bronx, New York, USA
| | - Megan Cloidt
- Department of Dentistry/OMFS, Jacobi Medical Center/Albert Einstein College of Medicine, Bronx, New York, USA
| | - Parth Shah
- Department of Epidemiology and Biostatistics, City University of New York School of Public Health, New York, New York, USA
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Laniado N, Sanders AE, Fazzari MJ, Badner VM, Singer RH, Finlayson TL, Hua S, Isasi CR. Social support and dental caries experience: Findings from the Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study. Community Dent Oral Epidemiol 2021; 49:494-502. [PMID: 33638557 PMCID: PMC8390586 DOI: 10.1111/cdoe.12626] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2020] [Revised: 01/04/2021] [Accepted: 01/14/2021] [Indexed: 01/13/2023]
Abstract
OBJECTIVE To examine the association of social support with dental caries experience in Hispanics/Latinos living in the United States (US) and to assess whether the relationship is modified by nativity status. METHODS This cross-sectional study analysed data for 4459 dentate men and women aged 18-74 years in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Sociocultural Ancillary Study. At baseline (2008-2011), dentists quantified dental caries experience as the number of decayed, missing, and filled permanent tooth surfaces (DMFS) for all teeth excluding third molars. Social support was assessed according to measures of structural support (Social Network Index) and functional support (Interpersonal Support Evaluation List). Covariate-adjusted multiple linear regression estimated the relationship between social support and dental caries experience and tested whether the association was modified by nativity status (born within the 50 US states, foreign-born <10 years in the United States, foreign-born >10 years or more in the United States). RESULTS In covariate-adjusted models, each additional role in the social network was associated with 1.39 fewer DMF tooth surfaces (95% CI: -2.21, -0.58) among foreign-born Hispanics/Latinos with fewer than 10 years lived in the US. For foreign-born Hispanics/Latinos with 10 years or more in the United States, each additional social network role was associated with 0.57 fewer DMF tooth surfaces (95% CI: -1.19, 0.04). No association was observed between functional social support and dental caries experience regardless of nativity status. CONCLUSIONS Our findings suggest that structural social support is protective against dental caries experience among recent immigrants of Hispanic/Latino background. This association may reflect the importance of social support to integration into the medical and dental infrastructure and thus receipt of dental care. Future research that examines the behavioural and cultural factors that moderate the relationship between social support and dental caries experience will inform development of culturally sensitive dental caries prevention programs for Hispanics/Latinos in the United States.
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Affiliation(s)
- Nadia Laniado
- Department of Dentistry, Department of Epidemiology & Population Health, Albert Einstein College of Medicine, Bronx NY
| | - Anne E. Sanders
- Division of Pediatric and Public Health, Adams School of Dentistry, University of North Carolina at Chapel Hill, Chapel Hill NC
| | - Melissa J. Fazzari
- Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY
| | - Victor M. Badner
- Department of Dentistry, Jacobi Medical Center/North Central Bronx Hospital, Bronx NY
| | - Richard H. Singer
- Department of Orthodontics, College of Dental Medicine, Nova Southeastern University, Ft. Lauderdale, FL
| | - Tracy L. Finlayson
- Division of Health Management and Policy, School of Public Health, San Diego State University, San Diego, CA
| | - Simin Hua
- Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY
| | - Carmen R. Isasi
- Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY
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Brito LF, Taboza ZA, Silveira VR, Teixeira AK, Rego RO. Diagnostic accuracy of severe periodontitis case definitions: Comparison of the CDC/AAP, EFP/AAP, and CPI criteria. J Periodontol 2021; 93:867-876. [PMID: 34494266 DOI: 10.1002/jper.21-0365] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2021] [Revised: 08/07/2021] [Accepted: 08/26/2021] [Indexed: 12/21/2022]
Abstract
BACKGROUND This cross-sectional study aimed to evaluate the diagnostic accuracy of severe periodontitis by three different case definitions. METHODS Patients aged >35 years (n = 243, mean age = 47.8 ± 9.3 years) were evaluated by periodontal examinations and classified in patients with severe periodontitis according to the case definition proposed by the Centers for Disease Control and Prevention (CDC) in collaboration with the American Academy of Periodontology (AAP)-CDC/AAP, the new periodontal disease classification proposed jointly by the AAP and the European Federation of Periodontology (EFP/AAP), and the Community Periodontal Index (CPI). The primary outcome was to compare the diagnostic accuracy of severe periodontitis between the three case definitions. Sensitivity (SS), specificity (SP), and area under the receiver operating characteristic (ROC) curve were used to analyze the accuracy. RESULTS The proportion of subjects presenting the most severe definitions of each classification was: severe periodontitis (CDC/AAP) = 47.3%, type III and IV periodontitis (EFP/AAP) = 43.2% and CPI code 4 = 44.4%. When comparing the CDC/AAP case definitions with the EFP/AAP classification, SS, SP, and ROC of 81.7%, 91.4%, and 0.866 (CI, 95%: 0.816 to 0.916), respectively, were obtained. Similarly, when comparing CDC/AAP to CPI code 4, SS, SP, and ROC of 81.7%, 89.1%, and 0.854 (CI, 95%: 0.802 to 0.906), respectively, were obtained. When type III and IV periodontitis (EFP/AAP) was compared with CPI code 4, the values were 92.4%, 92%, and 0.922 (CI, 95%: 0.883 to 0.961), respectively. CONCLUSIONS The EFP/AAP classification and the CPI demonstrated high diagnostic accuracy with the CDC/AAP case definition to diagnose severe periodontitis.
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Affiliation(s)
- Liana F Brito
- Federal University of Ceara Faculty of Pharmacy, Dentistry and Nursing, Department of Clinical Dentistry, Graduate Program in Dentistry, Fortaleza, Ceara, Brazil
| | - Zuila A Taboza
- Federal University of Ceara Faculty of Pharmacy, Dentistry and Nursing, Department of Clinical Dentistry, Graduate Program in Dentistry, Fortaleza, Ceara, Brazil
| | - Virginia R Silveira
- Federal University of Ceara, School of Dentistry at Sobral, Department of Dentistry, Sobral, Ceara, Brazil
| | - Ana K Teixeira
- Federal University of Ceara Faculty of Pharmacy, Dentistry and Nursing, Department of Clinical Dentistry, Graduate Program in Dentistry, Fortaleza, Ceara, Brazil
| | - Rodrigo O Rego
- Federal University of Ceara Faculty of Pharmacy, Dentistry and Nursing, Department of Clinical Dentistry, Graduate Program in Dentistry, Fortaleza, Ceara, Brazil
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Reliability and Validity of the Chinese General Social Capital Scale and Its Effect on Physical Disease and Psychological Distress among Chinese Medical Professionals. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18126635. [PMID: 34203047 PMCID: PMC8296421 DOI: 10.3390/ijerph18126635] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/06/2021] [Revised: 06/08/2021] [Accepted: 06/17/2021] [Indexed: 12/02/2022]
Abstract
The study was designed with two objectives. The first was to assess the factor structure, internal consistency reliability, and preliminary psychometric properties of the Chinese version of the Chinese-translated General Social Capital Scale (GSCS) in a sample of Chinese medical professionals. The second was to investigate the association between general social capital, physical disease, and psychological distress using the same Chinese sample. The English version of the GSCS was translated into Chinese, and its factor structure, estimates of internal consistency reliability, and psychometric properties were examined in a representative sample of medical professionals. In particular, a total of 3367 participants in Shandong Province, China were identified using the multi-stage stratified sampling method. In addition to the GSCS, preliminary data were collected using self-report instruments that included questionnaires on physical diseases, psychological distress, and general sociodemographic information. Results include internal consistency reliability estimates at 0.933 and acceptable values of the Guttman split-half coefficients for the GSCS and its subscales. The Kaiser–Meyer–Olkin value for the Chinese GSCS was 0.933, and the p-value of Bartlett’s test was less than 0.001. Exploratory factor analysis supported nine components of the scale with an acceptable cumulative rate (66.63%). The study further found a negative relationship between physical diseases, psychological distress, and social capital. The Chinese version of the GSCS has a satisfactory factor structure, reliability estimates, and satisfactory evidence of concurrent validity estimates for medical professionals from various demographic backgrounds. The current scale holds promise for wide use in future investigations on Chinese populations.
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