Schuch Helena Silveira, Peres Karen G, Singh Ankur, Peres Marco A, Do Loc G
Australian Research Centre for Population Oral Health (ARCPOH), Adelaide Dental School, The University of Adelaide, Adelaide, South Australia, Australia.
Community Dent Oral Epidemiol. 2017 Jun;45(3):201-208. doi: 10.1111/cdoe.12278. Epub 2016 Dec 29.
Socioeconomic position (SEP) is a well-known risk indicator for chronic periodontitis. However, it is still unclear how SEP during the life course influences periodontal outcomes in adulthood. This study aimed to systematically review longitudinal studies investigating the influence of individual-level SEP during the life course on subsequent periodontitis in adulthood. Inclusion criteria were epidemiological longitudinal observational studies, in which indicators of relative SEP were assessed prior to clinical assessment of periodontitis. Six electronic databases (PubMed, EMBASE, Web of Science, Scopus, Latin American and Caribbean Health Sciences Literature (LILACS) and ScieLO) were searched. The methodological quality of the studies was assessed using the Newcastle-Ottawa Quality Assessment Scale (NOS). The search identified 1720 papers. After removal of duplicates (n=697), title and abstract screening (n=996), and full-text review (n=19), eight original manuscripts from seven studies were finally included. Sample sizes ranged from 167 to 2806, and the follow-up time from exposure to outcome ranged from 2 to 28 years. Studies evaluated education, occupation or income as SEP indicators. Prevalence, extent and severity of periodontal attachment loss, probing pocket depth and alveolar bone loss were the studied outcomes. Based on NOS, studies presented low risk of bias. Six of eight papers reported that relatively low SEP earlier in life was associated with poorer periodontal health in adulthood. The available scientific evidence demonstrates potential longitudinal impact of earlier lower SEP on later periodontal health. The findings were consistent despite differences in study methods.
社会经济地位（SEP）是慢性牙周炎一个众所周知的风险指标。然而，生命历程中的社会经济地位如何影响成年后的牙周状况仍不清楚。本研究旨在系统回顾纵向研究，调查生命历程中个体水平的社会经济地位对成年后牙周炎的影响。纳入标准为流行病学纵向观察性研究，其中在牙周炎临床评估之前评估相对社会经济地位指标。检索了六个电子数据库（PubMed、EMBASE、Web of Science、Scopus、拉丁美洲和加勒比健康科学文献数据库（LILACS）以及ScieLO）。使用纽卡斯尔-渥太华质量评估量表（NOS）评估研究的方法学质量。检索共识别出1720篇论文。在去除重复项（n = 697）、标题和摘要筛选（n = 996）以及全文审查（n = 19）之后，最终纳入了来自七项研究的八篇原始手稿。样本量从167到2806不等，从暴露到结局的随访时间从2年到28年不等。研究将教育、职业或收入评估为社会经济地位指标。牙周附着丧失、探诊深度和牙槽骨丧失的患病率、范围和严重程度是研究的结局。基于NOS，研究呈现出低偏倚风险。八篇论文中有六篇报告称，生命早期相对较低的社会经济地位与成年后较差的牙周健康相关。现有科学证据表明，早期较低的社会经济地位对后期牙周健康具有潜在的纵向影响。尽管研究方法存在差异，但研究结果是一致的。
