{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T09:15:42Z","timestamp":1777886142914,"version":"3.51.4"},"reference-count":61,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T00:00:00Z","timestamp":1753747200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T00:00:00Z","timestamp":1753747200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Comm Dent Oral Epid"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Social condition mobility refers to an individual's ability to move up or down the social ladder during their lifetime. The aim of this study was to explore the relationship between social conditions and periodontitis in an adult Norwegian population, specifically the role of social mobility and employment status.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The study was cross\u2010sectional, based on data collected from a subset (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20093717) of 21\u2009083 participants in a population health study (The Troms\u00f8 Study: Troms\u00f87) aged 40\u201399\u2009years. Data were collected through questionnaires and clinical examinations. Periodontitis was assessed by periodontal probing depth and radiographic bone loss, according to the 2017 case definition of periodontitis. Current social conditions were measured by participants' own income, education and employment status. Early life social conditions were measured by perceived financial situation as a child and their parents' education. Social condition mobility for educational and economic status was categorised as stable high, upward mobility, downward mobility and stable low.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The prevalence of Stage III\u2013IV periodontitis was lowest among those with persistently high educational and economic status (12% and 16%, respectively) and among leaders\/academics (11%), and highest among those with persistently low educational and economic status (25% and 28%, respectively) and unemployed participants (25%). After adjusting for age, sex, smoking and BMI, educational and economic status were no longer significantly associated with periodontitis. Being unemployed increased the odds of having Stage III\u2013IV periodontitis by 2.2 times (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.012), independently of other risk factors for periodontitis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>While stable high educational and economic status appears protective against severe periodontitis, unemployment emerged as a significant independent risk factor. These findings highlight the importance of addressing unemployment and related social determinants in efforts to reduce the burden of periodontitis. Programmes aimed at improving oral health literacy and access to dental care in these populations, along with a common risk factor approach addressing smoking cessation and other lifestyle factors contributing to periodontitis, could help reduce disparities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/cdoe.70006","type":"journal-article","created":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T04:18:59Z","timestamp":1753849139000},"page":"587-597","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Periodontitis and Social Conditions: The Role of Social Mobility and Employment Status in an Adult Population in Norway \u2013 The Troms\u00f8 Study"],"prefix":"10.1111","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9849-8780","authenticated-orcid":false,"given":"Gro Eirin","family":"Holde","sequence":"first","affiliation":[{"name":"Department of Clinical Dentistry, Faculty of Health Sciences UiT the Arctic University of Norway  Troms\u00f8 Norway"},{"name":"The Public Dental Health Service Competence Centre of Northern Norway  Troms\u00f8 Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-8191-1610","authenticated-orcid":false,"given":"Lene Marita","family":"Steinvik","sequence":"additional","affiliation":[{"name":"Department of Clinical Dentistry, Faculty of Health Sciences UiT the Arctic University of Norway  Troms\u00f8 Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7781-8527","authenticated-orcid":false,"given":"Birgitta","family":"J\u00f6nsson","sequence":"additional","affiliation":[{"name":"The Public Dental Health Service Competence Centre of Northern Norway  Troms\u00f8 Norway"},{"name":"Department of Periodontology, Institute of Odontology, the Sahlgrenska Academy University of Gothenburg  Gothenburg Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iris","family":"Bond\u00f8","sequence":"additional","affiliation":[{"name":"Department of Clinical Dentistry, Faculty of Health Sciences UiT the Arctic University of Norway  Troms\u00f8 Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eline","family":"Myking","sequence":"additional","affiliation":[{"name":"Department of Clinical Dentistry, Faculty of Health Sciences UiT the Arctic University of Norway  Troms\u00f8 Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5401-7463","authenticated-orcid":false,"given":"Linda","family":"Stein","sequence":"additional","affiliation":[{"name":"Department of Clinical Dentistry, Faculty of Health Sciences UiT the Arctic University of Norway  Troms\u00f8 Norway"},{"name":"Oral Health Centre of Expertise in Rogaland  Stavanger Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,7,29]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034515622198"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2017.170164"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.13507"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2018.04.023"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/idh.12909"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.13396"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100757.2011.00416.x"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1590\/0102\u2010311x00012115"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12906"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.3402\/gha.v7.24503"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.4317\/jced.54033"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/idh.12351"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40496\u2010016\u20100098\u20107"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech.57.10.778"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/31.2.285"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100528.2012.00717.x"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/eos.12160"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100528.2012.00716.x"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12955\u2010021\u201001757\u20101"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.13001"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2016.160013"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010019\u201052116\u20106"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/14034948221092294"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.18\u20100006"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12940"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/jper.16\u20100517"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/jjns.12524"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.1992.tb00654.x"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600\u2010051X.2003.00379.x"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00038\u2010017\u20101018\u2010x"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/odi.14918"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1177\/00220345211029277"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034520901709"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12262"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12728"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12463"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034509344524"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1093\/pubmed\/fdy068"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12845"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwz054"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.13585"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12056"},{"key":"e_1_2_9_44_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2007.060371"},{"key":"e_1_2_9_45_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-051x.2002.290311.x"},{"key":"e_1_2_9_46_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.23\u20100209"},{"key":"e_1_2_9_47_1","unstructured":"M. B.HoldenandS. B.\u00d8ye \u201cReport 2023\/50 \u2010 Befolkningens Tannhelseutgifter og Forbruksm\u00f8nster \u201d(2023) https:\/\/www.regjeringen.no\/contentassets\/f82624bd14e04c02803f931a0cc79edc\/no\/sved\/vedl03.pdf."},{"key":"e_1_2_9_48_1","unstructured":"P.Goldblatt A.Castedo Garcia andJ.Allen \u201cRapid Review of Inequalities in Health and Wellbeing in Norway Since 2014\u2012 Full Report \u201d(2023)."},{"key":"e_1_2_9_49_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.13715"},{"key":"e_1_2_9_50_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2021.113895"},{"key":"e_1_2_9_51_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech\u20102020\u2010214545"},{"key":"e_1_2_9_52_1","doi-asserted-by":"publisher","DOI":"10.1177\/0898264312464497"},{"key":"e_1_2_9_53_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12782"},{"key":"e_1_2_9_54_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600\u2010051x.2001.028003241.x"},{"key":"e_1_2_9_55_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2008.10.001"},{"key":"e_1_2_9_56_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ssresearch.2014.05.005"},{"key":"e_1_2_9_57_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2018.02.014"},{"key":"e_1_2_9_58_1","doi-asserted-by":"publisher","DOI":"10.1111\/prd.12063"},{"key":"e_1_2_9_59_1","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/274056"},{"key":"e_1_2_9_60_1","doi-asserted-by":"publisher","DOI":"10.1136\/tobaccocontrol\u20102014\u2010051630"},{"key":"e_1_2_9_61_1","unstructured":"C.Le H. S.Finbr\u00e5ten K. S.Pettersen P.Joranger and\u00d8.Guttersrud \u201cHealth Literacy in the Norwegian Population. English Summary. In Befolkningens Helsekompetanse Del I. The International Health Literacy Population Survey 2019\u20132021 (HLS19) \u2013 Et Samarbeidsprosjekt Med Nettverket M\u2010POHL Tilknyttet WHO\u2010EHII \u201d(2021)."},{"key":"e_1_2_9_62_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.12093"}],"container-title":["Community Dentistry and Oral Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cdoe.70006","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/cdoe.70006","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cdoe.70006","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T03:27:26Z","timestamp":1777606046000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/cdoe.70006"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,29]]},"references-count":61,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1111\/cdoe.70006"],"URL":"https:\/\/doi.org\/10.1111\/cdoe.70006","archive":["Portico"],"relation":{},"ISSN":["0301-5661","1600-0528"],"issn-type":[{"value":"0301-5661","type":"print"},{"value":"1600-0528","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,29]]},"assertion":[{"value":"2025-02-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}