Caries and background factors in Swedish 4-year-old children with special reference to immigrant status

Stecksén‐Blicks, Christina; Hasslöf, Pamela; Kieri, Catarina Falk; Widman, Kjerstin

doi:10.3109/00016357.2014.914569

Cited by 35 publications

(63 citation statements)

References 20 publications

(21 reference statements)

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“…In addition, oral health behaviour, such as toothbrushing frequency and sugar consumption, might play a mediating role in the association between ethnicity and dental caries. Obviously, oral health behaviour is the main determinant for oral health, but it also appears to be associated with immigrant status [Stecksén-Blicks et al, 2014]. Our hypothesis is that ethnic disparities in caries prevalence can be mostly explained by SES and differences in oral health behaviour between ethnic groups.…”

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confidence: 90%

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Ethnic Disparities in Dental Caries among Six-Year-Old Children in the Netherlands

Tas

Kragt²,

Veerkamp³

et al. 2016

Caries Res

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The aim of this study was to investigate potential differences in caries prevalence of children from ethnic minority groups compared to native Dutch children and the influence of socio-economic status (SES) and parent-reported oral health behaviour on this association. The study had a cross-sectional design, embedded in a population-based prospective multi-ethnic cohort study. 4,306 children with information on caries experience, belonging to 7 different ethnic groups, participated in this study. The decayed, missing, and filled teeth (dmft) index was assessed at the age of 6 and categorized in two ways for analysis: children without caries (dmft = 0) versus any caries experience (dmft >0) and children without caries (dmft = 0) versus children with mild caries (dmft = 1-3) or severe caries (dmft >3). Compared to native Dutch children, children with a Surinamese-Hindustani, Surinamese-Creole, Turkish, Moroccan, and Cape Verdean background had significantly higher odds for dental caries. Especially the Surinamese-Hindustani, Turkish, and Moroccan group had significantly higher odds for severe dental caries. Household income and educational level of the mother explained up to 43% of the association between ethnicity and dental caries, whereas parent-reported oral health behaviour did not mediate the association. Alarming disparities in caries prevalence between different ethnic (minority) groups exist, which cannot be fully explained by social inequalities. Public health strategies can apply this new knowledge and specifically focus on the reduction of ethnic disparities in oral health. More research is needed to explain the high caries prevalence among different ethnic minority groups.

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confidence: 90%

“…Thus far, European studies did not distinguish between major, country-dependent, ethnic minority groups [Marthaler, 2004;Truin et al, 2007;Wigen and Wang, 2010;Fontana et al, 2011;Schuller et al, 2013;Stecksén-Blicks et al, 2014]. It is important to fill this knowledge gap, to be able to aim prevention programmes at the most vulnerable groups.…”

mentioning

confidence: 99%

Ethnic Disparities in Dental Caries among Six-Year-Old Children in the Netherlands

Tas

Kragt²,

Veerkamp³

et al. 2016

Caries Res

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“…This was also true when caries frequency was compared. Our result was in accordance with previous studies from Sweden (Bankel, Eriksson et al 2006, Jacobsson, Koch et al 2011, Stecksén-Blicks, Hasslöf et al 2014) and other Scandinavian countries (Skeie, Riordan et al 2006, Christensen, Twetman et al 2010. The number of children with CL/P and immigrant background (n = 9) was too small and therefore suboptimal for looking at differences in caries prevalence/frequency and birthplace.…”

Section: Dental Caries Risksupporting

confidence: 81%

“…The reason for this seems to be a high consumption of sugary products and poor oral hygiene within these risk groups (Skeie, Riordan et al 2006, Stecksén-Blicks, Hasslöf et al 2014.…”

Section: Etiology To Dental Cariesmentioning

confidence: 99%

Children with orofacial clefts : dental caries and health-related quality of life

Sundell¹

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“…SES indices based on individuals are uncommon in dentistry [Havard et al, 2008]. Hitherto, mostly specific SES factors, such as immigrant status, have been studied in relation to children's dental health [Wendt et al, 1999;Julihn et al, 2010, Stecksén-Blicks et al, 2014. Only a few Swedish studies have investigated the influence of more than 1 SES factor on dental health, like education, income, and immigrant status [Hjern et al, 2001;Källestål and Wall, 2002], and the combined effect of multiple SES factors based on individuals has been less explored.…”

mentioning

confidence: 99%

Multiple Socioeconomic Factors and Dental Caries in Swedish Children and Adolescents

Kramer¹,

Petzold

Hakeberg³

et al. 2017

Caries Res

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The study aimed to explore associations between multiple socioeconomic factors and dental caries experience in Swedish children and adolescents (3-19 years old). Electronic dental records from 300,988, in a Swedish region (97.3% coverage) were collected using the DMFT indices (decayed, missing, filled teeth: dependent variables). Socioeconomic status (SES) data (ethnicity, wealth, parental education, and employment) for individuals, parents, and families were obtained from official registers. Principal component analysis was used to explore SES data. Scores based on the first factor were used as an independent aggregated socioeconomic variable in logistic regression analyses. Dental caries experience was low in the participants: 16% in 3- to 6-year-olds (deft index: decayed, extracted, filled teeth) and 47% in 7- to 19-year-olds (DFT index). Both separate and aggregated socioeconomic variables were consistently associated with the dental caries experience irrespective of the caries index used: the crude odds ratio (OR) for having at least 1 caries lesion in 3- to 6-year-olds (deft index) in the lowest SES quintile was 3.26 (95% confidence interval [CI] 3.09-3.43) and in ≥7-year-olds (DFT index) OR 1.80 (95% CI 1.75-1.84) compared with children in the 4 higher SES quintiles. Overall, associations were stronger in the primary dentition than in the permanent dentition. Large SES models contributed more to explaining the caries experience than slim models including fewer SES indicators. In conclusion, socioeconomic factors were consistently associated with dental caries experience in the children and adolescents both as single factors and as multiple factors combined in an index. Socioeconomic inequalities had stronger associations to caries experience in young children than in older children and adolescents.

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Caries and background factors in Swedish 4-year-old children with special reference to immigrant status

Cited by 35 publications

References 20 publications

Ethnic Disparities in Dental Caries among Six-Year-Old Children in the Netherlands

Ethnic Disparities in Dental Caries among Six-Year-Old Children in the Netherlands

Children with orofacial clefts : dental caries and health-related quality of life

Multiple Socioeconomic Factors and Dental Caries in Swedish Children and Adolescents

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