{"doi":"10.1177/00220345231224337","title":"Neighborhood Deprivation and Changes in Oral Health in Older Age: A Longitudinal Population-Based Study","abstract":"The aim of this study was to examine the extent to which neighborhood-level socioeconomic factors (objective and perceived) are associated with poor oral health in older adults over time, independent of individual socioeconomic position. Data for this cross-sectional and longitudinal observation study came from a socially and geographically representative cohort of men aged 71 to 92 y in 2010–12 ( n = 1,622), drawn from British general practices, which was followed up in 2018–19 (aged 78–98 y; N = 667). Dental measures at both times included number of teeth, periodontal pocket depth, self-rated oral health, and dry mouth. Neighborhood deprivation was based on Index of Multiple Deprivation (IMD) and a cumulative index measuring perceptions about local environment. Individual-level socioeconomic position was based on longest-held occupation. Multilevel and multivariate logistic regressions, adjusted for relevant sociodemographic, behavioral, and health-related factors, were performed to examine the relationships of dental measures with IMD and perceived neighborhood quality index, respectively. Cross-sectionally, risks of tooth loss, periodontal pockets, and dry mouth increased from IMD quintiles 1 to 5 (least to most deprived); odds ratios (ORs) for quintile 5 were 2.22 (95% confidence interval [CI], 1.41–3.51), 2.82 (95% CI, 1.72–4.64), and 1.51 (95% CI, 1.08–2.09), respectively, after adjusting for sociodemographic, behavioral, and health-related factors. Risks of increased pocket depth and dry mouth were significantly greater in quintile 5 (highest problems) of perceived neighborhood quality index compared to quintile 1. Over the 8-y follow-up, deterioration of dentition (tooth loss) was significantly higher in the most deprived IMD quintiles after full adjustment (OR for quintile 5 = 2.32; 95% CI, 1.09–4.89). Deterioration of dentition and dry mouth were significantly greater in quintile 5 of perceived neighborhood quality index. Neighborhood-level factors were associated with poor oral health in older age, both cross-sectionally and longitudinally, particularly with tooth loss, and dry mouth, independent of individual-level socioeconomic position.","journal":"Journal of Dental Research","year":2024,"id":448362,"datarank":0.28950090831247544,"base_score":1.791759469228055,"endowment":1.791759469228055,"self_citation_contribution":0.26876392038420827,"citation_network_contribution":0.02073698792826718,"self_endowment_contribution":0.26876392038420827,"citer_contribution":0.02073698792826718,"corpus_percentile":43.761120136149145,"corpus_rank":7271,"citation_count":5,"citer_count":5,"citers_with_citation_signal":2,"citers_with_endowment":2,"datacite_reuse_total":0,"is_dataset":true,"is_dataset_confidence":0.634,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2024-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":554061,"name":"Efstathios Papachristou","orcid":"0000-0001-5746-9561","position":1,"is_corresponding":false},{"id":355303,"name":"John C. Mathers","orcid":"0000-0003-3406-3002","position":2,"is_corresponding":false},{"id":339723,"name":"Olia Papacosta","orcid":"0000-0001-8781-6747","position":3,"is_corresponding":false},{"id":339724,"name":"Lucy Lennon","orcid":"0000-0002-1738-1351","position":4,"is_corresponding":false},{"id":39308,"name":"Peter H. Whincup","orcid":"0000-0002-5589-4107","position":5,"is_corresponding":false},{"id":339722,"name":"S. Goya Wannamethee","orcid":"0000-0001-9484-9977","position":6,"is_corresponding":false},{"id":339726,"name":"Sheena E Ramsay","orcid":"0000-0002-0391-9704","position":7,"is_corresponding":false},{"id":1266957,"name":"Suruchi G. Ganbavale","orcid":"0000-0003-1580-5795","position":0,"is_corresponding":true}],"reference_count":33,"raw_metadata":null,"created_at":"2026-07-19T02:02:08.018689Z","pmid":"38414259","pmcid":"PMC10966931","fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}