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Data for this cross-sectional and longitudinal observation study came from a socially and geographically representative cohort of men aged 71 to 92 y in 2010\u201312 ( n = 1,622), drawn from British general practices, which was followed up in 2018\u201319 (aged 78\u201398 y; N = 667). Dental measures at both times included number of teeth, periodontal pocket depth, self-rated oral health, and dry mouth. Neighborhood deprivation was based on Index of Multiple Deprivation (IMD) and a cumulative index measuring perceptions about local environment. Individual-level socioeconomic position was based on longest-held occupation. Multilevel and multivariate logistic regressions, adjusted for relevant sociodemographic, behavioral, and health-related factors, were performed to examine the relationships of dental measures with IMD and perceived neighborhood quality index, respectively. Cross-sectionally, risks of tooth loss, periodontal pockets, and dry mouth increased from IMD quintiles 1 to 5 (least to most deprived); odds ratios (ORs) for quintile 5 were 2.22 (95% confidence interval [CI], 1.41\u20133.51), 2.82 (95% CI, 1.72\u20134.64), and 1.51 (95% CI, 1.08\u20132.09), respectively, after adjusting for sociodemographic, behavioral, and health-related factors. Risks of increased pocket depth and dry mouth were significantly greater in quintile 5 (highest problems) of perceived neighborhood quality index compared to quintile 1. Over the 8-y follow-up, deterioration of dentition (tooth loss) was significantly higher in the most deprived IMD quintiles after full adjustment (OR for quintile 5 = 2.32; 95% CI, 1.09\u20134.89). Deterioration of dentition and dry mouth were significantly greater in quintile 5 of perceived neighborhood quality index. Neighborhood-level factors were associated with poor oral health in older age, both cross-sectionally and longitudinally, particularly with tooth loss, and dry mouth, independent of individual-level socioeconomic position.<\/jats:p>","DOI":"10.1177\/00220345231224337","type":"journal-article","created":{"date-parts":[[2024,2,28]],"date-time":"2024-02-28T01:51:25Z","timestamp":1709085085000},"page":"434-441","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Neighborhood Deprivation and Changes in Oral Health in Older Age: A Longitudinal Population-Based Study"],"prefix":"10.1177","volume":"103","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1580-5795","authenticated-orcid":false,"given":"S.G.","family":"Ganbavale","sequence":"first","affiliation":[{"name":"Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, North East England, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Papachristou","sequence":"additional","affiliation":[{"name":"Department of Primary Care and Population Health, UCL, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.C.","family":"Mathers","sequence":"additional","affiliation":[{"name":"Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, North East England, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.O.","family":"Papacosta","sequence":"additional","affiliation":[{"name":"Department of Primary Care and Population Health, UCL, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.T.","family":"Lennon","sequence":"additional","affiliation":[{"name":"Department of Primary Care and Population Health, UCL, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.H.","family":"Whincup","sequence":"additional","affiliation":[{"name":"Population Health Research Institute, St George\u2019s, University of London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.G.","family":"Wannamethee","sequence":"additional","affiliation":[{"name":"Department of Primary Care and Population Health, UCL, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.E.","family":"Ramsay","sequence":"additional","affiliation":[{"name":"Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, North East England, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,2,27]]},"reference":[{"key":"bibr1-00220345231224337","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-012750"},{"issue":"1","key":"bibr2-00220345231224337","first-page":"20","volume":"71","author":"Ayo-Yusuf I","year":"2016","journal-title":"S Afr Dent J"},{"key":"bibr3-00220345231224337","doi-asserted-by":"publisher","DOI":"10.1177\/0022034520908533"},{"key":"bibr4-00220345231224337","doi-asserted-by":"publisher","DOI":"10.1007\/s11524-013-9802-2"},{"key":"bibr5-00220345231224337","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.2010.00603.x"},{"key":"bibr6-00220345231224337","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.2007.00308.x"},{"key":"bibr7-00220345231224337","doi-asserted-by":"publisher","DOI":"10.1136\/jech.2005.039032"},{"key":"bibr8-00220345231224337","unstructured":"Broomhead T. 2017. Neighbourhood effects: spatial inequalities in tooth decay [eThesis]. Sheffield: University of Sheffield [accessed 2023 Dec 18]. https:\/\/etheses.whiterose.ac.uk\/20729\/1\/Final%20thesis%20w_corrections%20-%20Tom%20Broomhead.pdf."},{"key":"bibr9-00220345231224337","doi-asserted-by":"publisher","DOI":"10.1111\/j.1752-7325.2002.tb03435.x"},{"key":"bibr10-00220345231224337","unstructured":"Department for Levelling Up, Housing & Communities. 2022. Indices futures: updating the English Indices of Deprivation (iod) consultation\u2014government response. 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