Education as a predictor of chronic periodontitis: a systematic review with meta-analysis population-based studies.

<h4>Background</h4>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-...

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Autores principales:	Adrien Boillot, Bechara El Halabi, George David Batty, Hélène Rangé, Sébastien Czernichow, Philippe Bouchard
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2011
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/0c463a2288174cc69aceafacac58878b
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spelling	oai:doaj.org-article:0c463a2288174cc69aceafacac58878b2021-11-18T06:49:43ZEducation as a predictor of chronic periodontitis: a systematic review with meta-analysis population-based studies.1932-620310.1371/journal.pone.0021508https://doaj.org/article/0c463a2288174cc69aceafacac58878b2011-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/21814546/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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).<h4>Conclusions</h4>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.Adrien BoillotBechara El HalabiGeorge David BattyHélène RangéSébastien CzernichowPhilippe BouchardPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 6, Iss 7, p e21508 (2011)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Adrien Boillot Bechara El Halabi George David Batty Hélène Rangé Sébastien Czernichow Philippe Bouchard Education as a predictor of chronic periodontitis: a systematic review with meta-analysis population-based studies.
description	<h4>Background</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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).<h4>Conclusions</h4>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.
format	article
author	Adrien Boillot Bechara El Halabi George David Batty Hélène Rangé Sébastien Czernichow Philippe Bouchard
author_facet	Adrien Boillot Bechara El Halabi George David Batty Hélène Rangé Sébastien Czernichow Philippe Bouchard
author_sort	Adrien Boillot
title	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_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_sort	education as a predictor of chronic periodontitis: a systematic review with meta-analysis population-based studies.
publisher	Public Library of Science (PLoS)
publishDate	2011
url	https://doaj.org/article/0c463a2288174cc69aceafacac58878b
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Education as a predictor of chronic periodontitis: a systematic review with meta-analysis population-based studies.

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