{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T22:46:51Z","timestamp":1789512411443,"version":"build-2803163510"},"reference-count":60,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,7,19]],"date-time":"2024-07-19T00:00:00Z","timestamp":1721347200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Comm Dent Oral Epid"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Individual\u2010level social determinant of health (SDOH) measures alone may insufficiently explain disparities in edentulism among seniors. Therefore, the authors examined the correlation of census tract\u2010level SDOH and residential racial segregation measures with edentulism in Californian adults aged \u226565\u2009years old.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Explanatory variables were obtained from Healthy Places Index (HPI), the National Cancer Institute and <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/diversitydatakids.org\">diversitydatakids.org<\/jats:ext-link>. The edentulism outcome variable was obtained from CDC's PLACES small area estimates from the 2018 Behavioral Risk Factor Surveillance System data. Pearson and Spearman rank correlations were estimated. Multiple linear regression and multi\u2010collinearity evaluations were performed. The Global Moran's I statistic assessed partial autocorrelation within census tracts.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Pearson and Spearman correlations were similar, supporting robustness. HPI, an area measure of advantage, strongly negatively correlated with edentulism prevalence [correlation coefficient: \u22120.87; 95% confidence interval (CI): \u22120.87, \u22120.86]. A change of 1.0 in HPI corresponded to an estimated decrease in edentulism prevalence of 5.9% (linear model adjusted <jats:italic>R<\/jats:italic><jats:sup>2<\/jats:sup>\u2009=\u20090.78). Racially segregated census tracts with Hispanics or Blacks alone were positively correlated with edentulism prevalence [0.60, 95% CI: 0.58, 0.62; and 0.33, 95% CI: 0.31, 0.35, respectively]. The converse was seen in census tracts with non\u2010Hispanic Whites alone [\u22120.57, 95% CI: \u22120.58, \u22120.55]. Global Moran's I statistic for edentulism (0.13) and HPI scores (0.19) were significant (both <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001) indicating geospatial autocorrelation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Higher disadvantage and minority racial segregation within census tracts were positively correlated with edentulism prevalence. Future research and policy should consider possible interventions improving SDOH to reduce oral health inequities.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cdoe.12995","type":"journal-article","created":{"date-parts":[[2024,7,20]],"date-time":"2024-07-20T05:49:45Z","timestamp":1721454585000},"page":"889-899","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Census tract geospatial analysis comparing social determinants of health with tooth loss in California seniors: An ecologic study"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0953-9531","authenticated-orcid":false,"given":"Gabriel Tse Feng","family":"Chong","sequence":"first","affiliation":[{"name":"Division of Oral Epidemiology and Dental Public Health, School of Dentistry University of California San Francisco (UCSF)  San Francisco California USA"},{"name":"HQ Singapore Armed Forces Medical Corps  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3147-0884","authenticated-orcid":false,"given":"Stuart A.","family":"Gansky","sequence":"additional","affiliation":[{"name":"Division of Oral Epidemiology and Dental Public Health, School of Dentistry University of California San Francisco (UCSF)  San Francisco California USA"},{"name":"Center to Address Disparities in Children's Oral Health UCSF  San Francisco California USA"},{"name":"Philip R. Lee Institute for Health Policy Studies UCSF  San Francisco California USA"},{"name":"Research Coordinating Center to Reduce Disparities in Multiple Chronic Diseases UCSF  San Francisco California USA"},{"name":"Multiethnic Health Equity Research Center UCSF  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,7,19]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1922\/IDJ_2184Polzer13"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jopr.12350"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/498305"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/154405910708600205"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034520908533"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2022.940355"},{"key":"e_1_2_9_8_1","unstructured":"Centers for Disease Control and Prevention.Oral Health Surveillance Report: Trends in Dental Caries and Sealants Tooth Retention and Edentulism United States 1999\u20132004 to 2011\u20132016. 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