Association between socioeconomic status and dental caries among Chinese preschool children: a cross-sectional national study

Zhang, Tingting; Hong, Jialan; Yu, Xiaohui; Liu, Qiulin; Li, Andi; Wu, Zhijing; Zeng, Xiaojuan

doi:10.1136/bmjopen-2020-042908

Cited by 14 publications

(12 citation statements)

References 37 publications

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“…However, at present, father is also a care giver for the children in Sri Lankan socio-cultural context as most of the other countries and it is worthwhile to investigate educational level of both father and the mother. It was found, a significant difference of the prevalence of untreated dental caries by different levels of father's education(p=0.027).It is in agreement with the study findings exist in literature demonstrating higher prevalence of untreated dental caries among children having parents with lower education compare to children who are having parents with higher education (Zhang et al, 2021). However, the prevalence of untreated dental caries was higher among children whose fathers received education G.C.E.…”

Section: Resultssupporting

confidence: 89%

Socio-economic and health determinants of untreated Dental Caries Burden of a group of children in rural Sri Lanka

Kumari¹,

Perera²,

Perera³

2022

IJMRGE

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Introduction/Background: Dental caries is a result of complex interactions between an array of biological, social and environmental factors. Since dental diseases are the 4th most expensive disease to be treated, poor people may not have financial security to access for treatments of dental caries of their children unless free oral health care services are provided. The low socio-economic status is categorized as a risk factor for dental caries along with equally important life-style-related factors such as high refined sugar consumption and poor oral hygiene. Methodology: A descriptive cross-sectional study was conducted to explore the relationship between prevalence and the severity of untreated dental caries with selected socio-economic and health service factors. A multi stage cluster sampling technique was employed to select 479 Grade I school children attending to Government schools of Wellawaya MOH area. A self- administered questionnaire was used to collect socio- demographic information. Dental caries was recorded using dmft index and severity of untreated dental caries was recorded using pufa index. Data analysis was done using SPSS version 20.The relationship of prevalence and severity of untreated dental caries with soc-economic and health service factors was assessed using Chi -square test. Results: There was a significant differences of untreated dental caries prevalence among children by different levels of father’s education (p =0 .027) and levels of family income (p= 0.018) There was a significant difference of severity of untreated dental caries among children by different levels of father’s occupation (p=0.001) and family income (p= 0.013). Conclusion: Prevalence of untreated dental caries was significantly associated with father’s educational attainment. Severity of untreated dental caries of children was significantly associated with father’s occupational status. Moreover, prevalence and severity of untreated dental caries of children were significantly associated with family income there by demonstrating oral health inequality patterned by their socio-economic status.

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Section: Resultssupporting

confidence: 89%

Socio-economic and health determinants of untreated Dental Caries Burden of a group of children in rural Sri Lanka

Kumari¹,

Perera²,

Perera³

2022

IJMRGE

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“…Therefore, these results suggest the impact of a parents' educational level in oral health of their children and confirm the results of a previous Libyan studies [11,12]. Furthermore, similar trends were confirmed by other studies [4,10,13,15,[38][39][40][41]. Parents play a key role in their children's dental health.…”

Section: Discussionsupporting

confidence: 91%

Potential risk factors associated with dental caries among Libyan children

Huew¹,

Elsheibani²,

Buzaribah³

et al. 2023

Magna Sci. Adv. Res. Rev.

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Aims: To investigate any association between the experience of dental caries and its potential risk factors in Libyan schoolchildren and to investigate any gender differences for these factors. Methods: A cross-sectional study was conducted among schoolchildren in Benghazi. A random sample of 8-10-year-old children underwent dental examination. Data on dietary habits, oral hygiene practices, parents’ educational levels were obtained by a survey. Dental caries was assessed using WHO recommendations. The data were entered and managed by using SPSS software version 25. Results: For the whole sample (372) caries prevalence was 86.6%. The experience of caries increased with increasing the frequency of sugared dietary items consumption. This was not statistically significant association. Of the sample; 37.9% who had experience of caries consumed sugared dietary items with frequency of twice per day, 28.0% with frequency once per day, and 18.0% with frequency of two or three times per week. The experience of caries decreased with increasing the frequency of tooth brushing; 21.90% of the subjects with caries reported frequency of tooth brushing of two or more per day, 32.30% with frequency of once per day. Girls reported a higher frequency of tooth brushing than boys. The experience of caries decreased with parents’ increasing educational level. Conclusions: The present findings have important implications for public health strategy and further studies. More research is also necessary to explore the effectiveness of various interventions whether diet or oral hygiene practice or parents’ educational levels in experience of caries in children from different social and cultural backgrounds.

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“…Socioeconomic status relating to family income and parental education level is a widely documented risk indicator for ECC ( 4 , 21 , 22 ). In this study, the chi-square test and logistic regression analysis showed that lower family income was significantly associated with higher ECC prevalence, which was also demonstrated in children from Japan ( 23 ), America ( 24 ), Australia ( 25 ), Italy ( 26 ), and Mongolia ( 27 ).…”

Section: Discussionmentioning

confidence: 99%

“…However, no association between parental education and caries prevalence existed in a sample from Mongolia ( 27 ). The inconsistency of results among various studies may be due to the differences in study methodology, such as the study design, sample size, the time of data collection, and the methods for assessing ECC ( 21 , 28 ).…”

Section: Discussionmentioning

confidence: 99%

“…In this study, both higher parental education level and family income were related to the notably higher frequency of brushing teeth and parental supervision of brushing teeth, a higher proportion of children using fluoride toothpaste and receiving fluoride varnish, and better knowledge about whether decayed primary teeth need treatment and teeth need protections ( Tables 4 , 5 ). In general, parents with higher socioeconomic status will have much more opportunities to access health information, preferentially attend public dental services, and receive oral health advice ( 13 , 21 ), which, in turn, can contribute to caries prevention for children. Nevertheless, high socioeconomic status did not correlate with good dietary habits for caries prevention in the present study.…”

Section: Discussionmentioning

confidence: 99%

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Early childhood caries prevalence and associated factors among preschoolers aged 3–5 years in Xiangyun, China: A cross-sectional study

Liu

Song

et al. 2022

Front. Public Health

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PurposeThis study aimed to investigate the early childhood caries (ECC) prevalence among preschoolers aged 3-5 years in Xiangyun of Yunnan, China and explore the factors associated with the prevalence.Materials and methodsA cross-sectional survey including 3-5-year-old children was conducted in Xiangyun County, China, between September and November 2020. According to the dental examination standard of the WHO 2013 criteria, the presence of ECC was recorded. Besides the dental examination for children, their parents completed questionnaires about caries-related factors, including demographic variables, family socioeconomic status, feeding, and oral health-related habits, parental dental knowledge, and the condition of dental service utilization. SPSS Statistics 25.0 (IBM, Chicago, IL, USA) was used for data analysis. Statistical significance was set at p < 0.05.ResultsThe ECC prevalence among a sample of 1,280 children aged 3–5 years consisting of 665 boys and 615 girls in this study, was 74.3%, and the mean decayed-missing-filled teeth (dmft) was 4.9 ± 5.0. There were no statistically significant differences in the ECC prevalence between the sexes and among different ethnic groups. Children with different dietary and oral hygiene habits showed no significantly different prevalence of ECC. Logistic regression analysis showed that the most significantly associated factors were older age, lower family income, and worse parental perception of children's oral health status.ConclusionThe ECC prevalence among 3–5-year-old preschool children in Xiangyun was higher than the average national ECC prevalence in China. This study implies that more attention should be given to children's caries prevention from early childhood; oral health education and promotion should be intensified to reduce the ECC prevalence and improve the oral health status of children in Xiangyun.

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Association between socioeconomic status and dental caries among Chinese preschool children: a cross-sectional national study

Cited by 14 publications

References 37 publications

Socio-economic and health determinants of untreated Dental Caries Burden of a group of children in rural Sri Lanka

Socio-economic and health determinants of untreated Dental Caries Burden of a group of children in rural Sri Lanka

Potential risk factors associated with dental caries among Libyan children

Early childhood caries prevalence and associated factors among preschoolers aged 3–5 years in Xiangyun, China: A cross-sectional study

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