Evidence map›Paper›PMID 42136528›Full record

SynthesisGerodontology2026

Association of Socioeconomic Factors With Oral Health in Older Adults: A Systematic Review and Meta-Analysis.

Saif S Syed, Sungkrit Pojmonpiti, Barbara Janssens, Murali Srinivasan, Frauke Müller, Georgios Tsakos

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Gerodontology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Article
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

6 authors.

Saif S SyedDepartment of Epidemiology and Public Health, University College London, London, UK.ORCID https://orcid.org/0000-0003-1971-3003
Sungkrit PojmonpitiELOHA (Equal Lifelong Oral Health for All) Research Group, Department of Oral Health Sciences, Faculty of Medicine and Health Sciences, University of Ghent, Ghent, Belgium.ORCID https://orcid.org/0000-0002-2255-2178
Barbara JanssensELOHA (Equal Lifelong Oral Health for All) Research Group, Department of Oral Health Sciences, Faculty of Medicine and Health Sciences, University of Ghent, Ghent, Belgium.ORCID https://orcid.org/0000-0003-3490-0114
Murali SrinivasanClinic of General, Special Care, and Geriatric Dentistry, Center for Dental Medicine, University of Zurich, Zurich, Switzerland.ORCID https://orcid.org/0000-0003-3365-576X
Frauke MüllerCenter of Excellence in Genomics and Precision Dentistry, International Program in Geriatric Dentistry and Special Care, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.ORCID https://orcid.org/0000-0003-3981-0134
Georgios TsakosDepartment of Epidemiology and Public Health, University College London, London, UK.ORCID https://orcid.org/0000-0002-5086-235X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOral diseases remain disproportionately prevalent among older adults. However, evidence on oral health inequalities among older adults remains dispersed across studies that have used different socioeconomic indicators and oral health measures and has not been synthesised.

objectiveTo synthesise the evidence on the association between socioeconomic factors and oral health among older adults aged 75 years and older.

methodsA systematic review and meta-analysis was conducted following PRISMA guidelines. The Medline, Embase, and CENTRAL databases were searched. Studies reporting socioeconomic factors (education, income, occupation, area-level deprivation, and multi-aspect socioeconomic position) and oral health (dentition status, dental caries, periodontal disease, dry mouth, oral function, oral health behaviours, and oral health-related quality of life (OHRQoL)) among older adults were included. Risk of bias was assessed using the Newcastle-Ottawa Scale.

resultsSixty-eight studies were included. Meta-analyses showed that socioeconomic disadvantage in older adults was associated with: (1) poor dentition status: fewer natural teeth, higher prevalence of edentulism, and lacking a functional dentition; (2) more teeth with decay; (3) irregular dental attendance; and (4) poorer OHRQoL. Similar patterns were generally observed for periodontal disease, dry mouth, and oral function, although no meta-analysis could be performed due to limited evidence and heterogeneous oral health measures.

conclusionSocioeconomic disadvantage was consistently associated with poor oral health in older adults. Associations were more pronounced for dentition status, reflecting the cumulative socioeconomic disadvantage over the life course. Socioeconomic factors should be considered to inform prevention, clinical decision-making and oral healthcare planning for the ageing population.

trial registrationPROSPERO Registration CRD420251231319.

Indexed as

Oral HealthSocioeconomic Disparities in HealthSocioeconomic FactorsAgedHumansLow Socioeconomic StatusQuality of Lifegeriatric dentistrymeta‐analysisoral healthsocioeconomic factorssystematic review

Identifiers

PMID42136528
PMCPMC13498931

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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.