Dental Caries: Racial and Ethnic Disparities Among North Carolina Kindergarten Students

Matsuo, Go; Rozier, R. Gary; Kranz, Ashley M.

doi:10.2105/ajph.2015.302884

Cited by 11 publications

(11 citation statements)

References 38 publications

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“…This phenomenon has been described as double disadvantage in the scientific literature. Double disadvantage has also been reported in previous studies on oral epidemiology [21,22]. Oral health disparities related to racial/ethnic background among children were greater in wealthy schools than in deprived schools [21].…”

Section: Discussionsupporting

confidence: 75%

“…Double disadvantage has also been reported in previous studies on oral epidemiology [21,22]. Oral health disparities related to racial/ethnic background among children were greater in wealthy schools than in deprived schools [21]. Differences in dental care utilization between older adults with different levels of education were attenuated by country-specific dentist density [22].…”

Section: Discussionsupporting

confidence: 69%

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Individual- and City-Level Socioeconomic Factors and Tooth Loss among Elderly People: A Cross-Level Multilevel Analysis

Vettore

Vieira

Gomes

et al. 2020

IJERPH

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This study aimed to test the association of contextual and individual socioeconomic status with tooth loss among Brazilian elderly people aged 65–74 years. Data from 5435 elderly participants from the Brazilian National Oral Health Survey (2010) were linked to city-level data for 27 state capitals and the Federal District. Tooth loss was clinically assessed according to the number of missing natural teeth. Contextual social variables included Human Development Index income (HDI-income) and HDI-education. Individual socioeconomic measures were monthly family income and years of schooling. Covariates included sex, skin colour, number of residents per room and number of goods. Multilevel Negative Binomial regression models were used to estimate rate ratios (RR) and 95% confidence intervals between contextual and individual variables and tooth loss. Contextual and individual income and education measures were consistently associated with tooth loss. Elderly people living in cities with low HDI-income and low HDI-education were respectively 21% and 33% more likely to present tooth loss. Cross-level interaction suggested that the relationship of lower income and lower schooling with tooth loss is different across levels of city-level income and city-level education inequality, respectively. Public policies aiming to reduce the income and education gaps and preventive dental interventions are imperative to tackle tooth loss among elderly people.

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Section: Discussionsupporting

confidence: 75%

Section: Discussionsupporting

confidence: 69%

Individual- and City-Level Socioeconomic Factors and Tooth Loss among Elderly People: A Cross-Level Multilevel Analysis

Vettore

Vieira

Gomes

et al. 2020

IJERPH

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“…Ethnic disparities in dental caries risk have been reported from all over the world [Matsuo et al, 2015;Delgado-Angulo et al, 2016]. Most studies were conducted in subjects having a permanent dentition, but we showed that these already exist during childhood.…”

Section: Discussionmentioning

confidence: 51%

“…They have a higher risk of being born preterm or postterm, having respiratory allergies, or having an adverse cardiovascular risk profile [Mehta et al, 2013;Gishti et al, 2015;Khanolkar et al, 2015]. Moreover, differences in oral health among ethnic groups have been reported by various studies from the Netherlands and other parts of the world [Truin et al, 2010;Wigen and Wang, 2010;Guarnizo-Herreño and Wehby, 2012;Schuller et al, 2014;Matsuo et al, 2015]. These studies indicate a higher prevalence of caries among children from immigrant or ethnic minority 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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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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“…Studies have indicated that people of certain races/ethnicities are more susceptible to dental caries due to their SES, local underlying cultural beliefs, ethnic origin, and other common risk factors (Matsuo et al 2015; Schluter and Lee 2016; van der Tas et al 2016). In China, several studies have also indicated the presence of oral health disparities among children of different ethnicities (Lo et al 2000; Leung and Chu 2003; Zhang et al 2014; Zhang et al 2019).…”

Section: Introductionmentioning

confidence: 99%

Ethnic Disparities in Dental Caries among Adolescents in China

Zhang

et al. 2020

J Dent Res

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Comprehensive research on ethnic disparities in dental caries in China is limited. The aims of this cross-sectional study were to compare the levels of dental caries in adolescents between the Han ethnic group and ethnic minority groups in China and to explore the risk indicators for dental caries within ethnic subgroups. Data from the Fourth National Oral Health Survey in 2015, which covered all 31 province-level administrative divisions in mainland China, were used. The dental caries status in the permanent dentition of adolescents aged 12, 13, 14, and 15 y was measured using the decayed, missing, and filled teeth (DFMT) score, and sociodemographic characteristics and oral health–related behaviors were also collected. A total of 118,601 adolescents were included, with ethnic minority groups accounting for 13.15%. Of the Han and minority groups, the standardized prevalence of dental caries experience was 40.58% and 47.67%, and the mean DMFT scores were 0.97 and 1.28, respectively. According to the multivariate zero-inflated negative binomial regression analysis, the caries status of minorities was more severe than Han adolescents (adjusted prevalence rate ratio [PRR], 1.14; 95% confidence interval [CI], 1.10–1.18). This disparity was greater among adolescents who lived in rural areas, had mid-level economic status, and frequently consumed sugary beverages. After propensity score matchings, Uygur (PRR, 1.44; 95% CI, 1.25–1.67), Tibetan (PRR, 1.39; 95% CI, 1.3–1.48), and Yi (PRR, 1.24; 95% CI, 1.04–1.48) adolescents were significantly more likely to have caries than Han adolescents. Subgroup analyses revealed that gender, age, location of residence, economic status, region, consumption of sweet snacks and sugary beverages, and dental visit pattern were significantly associated with dental caries within ethnic minorities.

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Dental Caries: Racial and Ethnic Disparities Among North Carolina Kindergarten Students

Cited by 11 publications

References 38 publications

Individual- and City-Level Socioeconomic Factors and Tooth Loss among Elderly People: A Cross-Level Multilevel Analysis

Individual- and City-Level Socioeconomic Factors and Tooth Loss among Elderly People: A Cross-Level Multilevel Analysis

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

Ethnic Disparities in Dental Caries among Adolescents in China

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