Evidence map›Paper›PMID 32235684›Full record

ArticleInternational journal of environmental research and public health2020

Individual- and City-Level Socioeconomic Factors and Tooth Loss among Elderly People: A Cross-Level Multilevel Analysis.

Mario Vianna Vettore, Janete M Rebelo Vieira, José F F Gomes, Nara M O Martins, Yan N L Freitas, Gabriela de A Lamarca, Maria A B Rebelo

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Observational
  3. Individual and contextual factors associated with tooth loss among Brazilian older adults.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Mario Vianna VettoreSchool of Dentistry, Federal University of Minas Gerais, Belo Horizonte 31270-901, Brazil.
Janete M Rebelo VieiraSchool of Dentistry, Federal University of Amazonas, Manaus 69000-000, Brazil.
José F F GomesSchool of Dentistry, Federal University of Amazonas, Manaus 69000-000, Brazil.
Nara M O MartinsSchool of Dentistry, Federal University of Amazonas, Manaus 69000-000, Brazil.
Yan N L FreitasSchool of Dentistry, Federal University of Amazonas, Manaus 69000-000, Brazil.
Gabriela de A LamarcaSchool of Dentistry, Federal University of Minas Gerais, Belo Horizonte 31270-901, Brazil.
Maria A B RebeloSchool of Dentistry, Federal University of Amazonas, Manaus 69000-000, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aimed to test the association of contextual and individual socioeconomic status with tooth loss among Brazilian elderly people aged 65-74 years. Data from 5435 elderly participants from the Brazilian National Oral Health Survey (2010) were linked to city-level data for 27 state capitals and the Federal District. Tooth loss was clinically assessed according to the number of missing natural teeth. Contextual social variables included Human Development Index income (HDI-income) and HDI-education. Individual socioeconomic measures were monthly family income and years of schooling. Covariates included sex, skin colour, number of residents per room and number of goods. Multilevel Negative Binomial regression models were used to estimate rate ratios (RR) and 95% confidence intervals between contextual and individual variables and tooth loss. Contextual and individual income and education measures were consistently associated with tooth loss. Elderly people living in cities with low HDI-income and low HDI-education were respectively 21% and 33% more likely to present tooth loss. Cross-level interaction suggested that the relationship of lower income and lower schooling with tooth loss is different across levels of city-level income and city-level education inequality, respectively. Public policies aiming to reduce the income and education gaps and preventive dental interventions are imperative to tackle tooth loss among elderly people.

Indexed as

Socioeconomic FactorsAgedBrazilCitiesCross-Sectional StudiesFemaleHumansIncomeMaleMultilevel AnalysisOral HealthTooth Lossedentulouselderly peoplemultilevel analysissocial inequitytooth loss

Identifiers

PMID32235684
PMCPMC7177366

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.