The relationship between social network, social support and periodontal disease among older Americans

Wael Sabbah, Georgios Tsakos, Tarani Chandola, Tim Newton, Ichiro Kawachi, Aubrey Sheiham, Michael G Marmot, Richard G Watt

Research output: Contribution to journalArticlepeer-review

51 Citations (Scopus)

Abstract

Aim: The objectives of this study were to examine the relationship between social network, social support and periodontal disease among older American adults and to test whether social network and support mediates socioeconomic inequality in periodontal disease.

Materials and Methods: Data pertaining to participants aged 60 years and over from the National Health and Nutrition Examination Survey 2001–2004 were used. Periodontal disease variables were extent loss of periodontal attachment geqslant R: gt-or-equal, slanted3 mm and moderate periodontitis. Social support and networks were indicated by the need for emotional support, number of close friends and marital status.

Results: Widowed and those with lowest number of friends had higher rates of the extent of loss of periodontal attachment (1.27, 95% CI: 1.03, 1.58) and (1.22, 95% CI: 1.03, 1.45), respectively. Marital status and number of friends were not significantly associated with moderate periodontitis after adjusting for behavioural factors. The need for more emotional support was not related to periodontal disease in this analysis. Social networks and support had no impact on socioeconomic inequality in periodontal disease.

Conclusion: Certain aspects of social network, namely being widowed and having fewer friends, were linked to the extent of loss of periodontal attachment but not to the definition of moderate periodontitis, in older adults.
Original languageEnglish
Article numberN/A
Pages (from-to)547-552
Number of pages6
JournalJournal of Clinical Periodontology
Volume38
Issue number6
Early online date1 Mar 2011
DOIs
Publication statusPublished - Jun 2011

Keywords

  • Aged
  • Dental Care
  • Ethnic Groups
  • Female
  • Friends
  • Health Behavior
  • Health Status Disparities
  • Humans
  • Male
  • Marital Status
  • Middle Aged
  • Odds Ratio
  • Periodontal Attachment Loss
  • Periodontitis
  • Regression Analysis
  • Smoking
  • Social Support
  • Socioeconomic Factors
  • United States

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