{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T10:25:55Z","timestamp":1783074355782,"version":"3.54.6"},"reference-count":28,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2017,3,27]],"date-time":"2017-03-27T00:00:00Z","timestamp":1490572800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2017,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To explore the potential presence of a social\/behavioural gradient in dental health among Italian adults using a cross-sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Caries indices were recorded among 480 subjects (52.9% men, 47.1% women) who also completed a structured self-administered social and behavioural questionnaire. A social\/behavioural gradient was generated as the sum of the worst circumstances recorded on the questionnaire (cariogenic diet, smoking, lowest occupational profile, brushing teeth\u2009&lt;\u2009twice daily, lowest educational level, uneven dental examination attendance).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Caries figures (DMFT) and the number of filled sound teeth (FS-T) were statistically significantly linked to the social\/behavioural gradient (DMFT: \u03c7\n                      <jats:sup>2<\/jats:sup>\n                      <jats:sub>(9)<\/jats:sub>\n                      \u2009=\u200920.17 p\u2009=\u20090.02, Z\u2009=\u20090.02 p\u2009=\u20090.99; FS-T: \u03c7\n                      <jats:sup>2<\/jats:sup>\n                      <jats:sub>(9)<\/jats:sub>\n                      \u2009=\u200925.68 p\u2009&lt;\u20090.01, Z\u2009=\u2009\u22124.31 p\u2009&lt;\u20090.01). DMFT was statistically significantly associated with gender and with social and behavioural variables. FS-T was higher in women (p\u2009=\u20090.03) and was linked to smoking ( p\u2009&lt;\u20090.01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The proposed social\/behavioural gradient demonstrated how subjects reporting the worst circumstances on the questionnaire exhibited the worst dental health. The use of the gradient demonstrates that health promotion and prevention cannot be compartmentalized.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0300060516675682","type":"journal-article","created":{"date-parts":[[2017,3,27]],"date-time":"2017-03-27T08:08:41Z","timestamp":1490602121000},"page":"451-461","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":24,"title":["Does a social\/behavioural gradient in dental health exist among adults? A cross-sectional study"],"prefix":"10.1177","volume":"45","author":[{"given":"Mariantonietta","family":"Arrica","sequence":"first","affiliation":[{"name":"Depertment of Surgical, Microsurgical and Medical Sciences, University of Sassari, Sassari, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanna","family":"Carta","sequence":"additional","affiliation":[{"name":"Depertment of Surgical, Microsurgical and Medical Sciences, University of Sassari, Sassari, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabio","family":"Cocco","sequence":"additional","affiliation":[{"name":"Depertment of Surgical, Microsurgical and Medical Sciences, University of Sassari, Sassari, Italy"},{"name":"World Health Organization, Collaborating Centre for Epidemiology and Preventive Dentistry, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Grazia Cagetti","sequence":"additional","affiliation":[{"name":"World Health Organization, Collaborating Centre for Epidemiology and Preventive Dentistry, Milan, Italy"},{"name":"Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Lombardia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvana","family":"Sale","sequence":"additional","affiliation":[{"name":"Depertment of Surgical, Microsurgical and Medical Sciences, University of Sassari, Sassari, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaetano","family":"Ierardo","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillo Facial Sciences, University of Rome La Sapienza, Rome, Lazio, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Strohmenger","sequence":"additional","affiliation":[{"name":"World Health Organization, Collaborating Centre for Epidemiology and Preventive Dentistry, Milan, Italy"},{"name":"Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Lombardia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Livia","family":"Ottolenghi","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillo Facial Sciences, University of Rome La Sapienza, Rome, Lazio, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guglielmo","family":"Campus","sequence":"additional","affiliation":[{"name":"Depertment of Surgical, Microsurgical and Medical Sciences, University of Sassari, Sassari, Italy"},{"name":"World Health Organization, Collaborating Centre for Epidemiology and Preventive Dentistry, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,3,27]]},"reference":[{"key":"bibr1-0300060516675682","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2011.300215"},{"key":"bibr2-0300060516675682","doi-asserted-by":"publisher","DOI":"10.12688\/f1000research.8641.1"},{"key":"bibr3-0300060516675682","unstructured":"Sanders A.\n                      Social determinants of oral health: conditions linked to socioeconomic inequalities in oral health in the Australian population\n                      . Population health series no. 7. Cat. no. POH 7. Canberra: AIHW. http:\/\/www.aihw.gov.au\/publication-detail\/?id=6442468051 (2007, accessed 15 September 2016)."},{"key":"bibr4-0300060516675682","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.2006.00286.x"},{"key":"bibr5-0300060516675682","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.2006.00261.x"},{"key":"bibr6-0300060516675682","doi-asserted-by":"publisher","DOI":"10.1159\/000322852"},{"key":"bibr7-0300060516675682","doi-asserted-by":"publisher","DOI":"10.1080\/00016350310007798"},{"key":"bibr8-0300060516675682","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-6632.1999.tb08129.x"},{"key":"bibr9-0300060516675682","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0528.2000.280301.x"},{"key":"bibr10-0300060516675682","doi-asserted-by":"publisher","DOI":"10.1177\/154405910708601014"},{"key":"bibr11-0300060516675682","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph9103540"},{"key":"bibr12-0300060516675682","doi-asserted-by":"publisher","DOI":"10.1002\/j.0022-0337.2001.65.10.tb03443.x"},{"key":"bibr13-0300060516675682","doi-asserted-by":"publisher","DOI":"10.1111\/idh.12098"},{"key":"bibr14-0300060516675682","doi-asserted-by":"publisher","DOI":"10.1590\/1807-3107BOR-2015.vol29.0126"},{"key":"bibr15-0300060516675682","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.0040297"},{"key":"bibr16-0300060516675682","first-page":"255","volume":"5","author":"Castiglia P","year":"2007","journal-title":"Oral Health Prev Dent"},{"key":"bibr17-0300060516675682","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0722.2001.00016.x"},{"key":"bibr18-0300060516675682","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.1995.tb00198.x"},{"key":"bibr19-0300060516675682","doi-asserted-by":"publisher","DOI":"10.1177\/154405910408301212"},{"key":"bibr20-0300060516675682","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.2012.00739.x"},{"key":"bibr21-0300060516675682","unstructured":"ISTAT Italian National Institute of Statistics. http:\/\/www.istat.it\/en\/ (2016, accessed 10 July 2016)."},{"key":"bibr22-0300060516675682","doi-asserted-by":"publisher","DOI":"10.1080\/00016350510019694"},{"key":"bibr23-0300060516675682","doi-asserted-by":"publisher","DOI":"10.4317\/medoral.15.e538"},{"key":"bibr24-0300060516675682","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(02)00345-3"},{"key":"bibr25-0300060516675682","doi-asserted-by":"crossref","unstructured":"Petersen PE. The World Oral Health Report 2003. Continuous improvement of oral health in the 21st century\u2009-\u2009the approach of the WHO Global Oral Health Programme. http:\/\/www.who.int\/oral_health\/media\/en\/orh_report03_en.pdf (2003, accessed 10 July 2016).","DOI":"10.1046\/j..2003.com122.x"},{"key":"bibr26-0300060516675682","doi-asserted-by":"publisher","DOI":"10.1177\/0022034511402084"},{"key":"bibr27-0300060516675682","doi-asserted-by":"publisher","DOI":"10.1353\/hpu.2012.0054"},{"key":"bibr28-0300060516675682","doi-asserted-by":"publisher","DOI":"10.1177\/154405910808700110"}],"container-title":["Journal of International Medical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0300060516675682","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0300060516675682","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0300060516675682","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:53:24Z","timestamp":1777460004000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0300060516675682"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,3,27]]},"references-count":28,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2017,4]]}},"alternative-id":["10.1177\/0300060516675682"],"URL":"https:\/\/doi.org\/10.1177\/0300060516675682","relation":{},"ISSN":["0300-0605","1473-2300"],"issn-type":[{"value":"0300-0605","type":"print"},{"value":"1473-2300","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,3,27]]}}}