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The intersections of ethnicity, nativity status and socioeconomic position in relation to periodontal status: A cross-sectional study in london, england

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dc.contributor.author Shaharyar, S.A.
dc.contributor.author Bernabé, E.
dc.contributor.author Delgado-Angulo, E.K.
dc.date.accessioned 2021-12-12T20:24:55Z
dc.date.available 2021-12-12T20:24:55Z
dc.date.issued 2021
dc.identifier.uri https://hdl.handle.net/20.500.12866/10223
dc.description.abstract The role of migration as a social determinant of periodontitis has been overlooked. In-tersectionality theory could help understand how immigration status interacts with other social determinants of health to engender inequalities in periodontitis. The objective of the present study was to evaluate whether ethnicity, nativity status and socioeconomic position intersect to structure social inequalities in periodontal status. Data from 1936 adults in a deprived and multi-ethnic area of London were analysed. The numbers of teeth with probing depth and clinical attachment loss were determined from clinical examinations. A matrix with 51 intersectional strata, defined according to ethnicity, nativity status and education, was created. A cross-classified multilevel analysis, with participants clustered within intersectional social strata, was performed to assess the extent to which individual differences in periodontal measures were at the intersectional strata level. A complex pattern of social inequalities in periodontal status was found, which was characterised by high heterogeneity between strata and outcome-specificity. The variance partition coefficient of the simple intersectional model, which conflated additive and interaction effects, indicated that 3–5% of the observed variation in periodontal measures was due to between-stratum differences. Moreover, the percentual change in variance from the simple intersectional to the intersectional interaction model indicated that 73–74% of the stratum-level variance in periodontal measures was attributed to the additive effects of ethnicity, nativity status and education. This study found modest evidence of intersectionality among ethnicity, nativity status and education in relation to periodontal status en_US
dc.language.iso eng
dc.publisher MDPI
dc.relation.ispartofseries International Journal of Environmental Research and Public Health
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject cluster analysis en_US
dc.subject England en_US
dc.subject ethnic group en_US
dc.subject Ethnic groups en_US
dc.subject ethnicity en_US
dc.subject heterogeneity en_US
dc.subject Migration status en_US
dc.subject Periodontal disease en_US
dc.subject socioeconomic indicator en_US
dc.subject Socioeconomic position en_US
dc.subject socioeconomic status en_US
dc.subject United Kingdom en_US
dc.title The intersections of ethnicity, nativity status and socioeconomic position in relation to periodontal status: A cross-sectional study in london, england en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.3390/ijerph181910519
dc.relation.issn 1660-4601


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