title: Which life course model better explains the association between socioeconomic position and periodontal health?
abstract: OBJECTIVE
  To assess whether the relationship between socioeconomic position (SEP) and periodontal health fitted the Critical Period or the Social Mobility life course models.
  
  
  METHODS
  A nationally representative sample of 5570 Korean adults from KNHANES IV study. Log-binomial regression models adjusting for adulthood or childhood socioeconomic (SES) variables was used to assess independent effects of socioeconomic differences for childhood, adulthood and period of transition from child to adult in periodontal health.
  
  
  RESULTS
  In the Critical Period model, poorer periodontal status was associated with SES disadvantage in adulthood and not predicted by SES disadvantage in childhood. For the intergenerational Social Mobility model, prevalence of current periodontal disease was only different for females aged 30-39 and 40-49 years, after adjustment. Prevalence of periodontal disease in females was highest in the downwardly mobile group.
  
  
  CONCLUSIONS
  The Critical Period model was better at explaining association between socioeconomic position and periodontal health, such as the adulthood socioeconomic variables (SEP), had a stronger effect than childhood factors on periodontal disease. The Social Mobility model explained more of the variation in the association between SEP and periodontal health among women than among men.
authors.affiliation: Gangneung-Wonju National University, Gangneung, Korea.
authors.forename: Bo-Mi
authors.initials: BM
authors.lastname: Shin
authors.forename: Jae-In
authors.initials: JI
authors.lastname: Ryu
authors.forename: Aubrey
authors.initials: A
authors.lastname: Sheiham
authors.forename: Loc Giang
authors.initials: LG
authors.lastname: Do
authors.forename: Se-Hwan
authors.initials: SH
authors.lastname: Jung
mesh_terms: D000328:Adult; D000367:Age Factors; D004522:Educational Status; D005220:Fathers; D005260:Female; D019456:Health Transition; D006801:Humans; D007182:Income / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D009749:Nutrition Surveys / Q000706:statistics & numerical data; D009790:Occupations / Q000145:classification; D010510:Periodontal Diseases / Q000453:epidemiology; D010512:Periodontal Index; D010514:Periodontal Pocket / Q000453:epidemiology; D015995:Prevalence; D056910:Republic of Korea / Q000453:epidemiology; D012737:Sex Factors; D012923:Social Class; D064890:Social Determinants of Health / Q000706:statistics & numerical data; D012937:Social Mobility; D035862:Vulnerable Populations / Q000706:statistics & numerical data
keywords: critical period; life course; periodontal disease; social mobility; socioeconomic position