Social inequalities and dental caries in six-year-old children from the Netherland s

Tas, Justin T. van der; Kragt, Lea; Elfrink, M.E.C.; Bertens, Loes C. M.; Jaddoe, Vincent W. V.; Moll, Henriëtte A.; Ongkosuwito, Edwin M.; Wolvius, Eppo B.

doi:10.1016/j.jdent.2017.04.008

Cited by 58 publications

(67 citation statements)

References 29 publications

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“…Moreover, during the past decade, many Swedish dental clinics have been merged into larger units for better utilization of facilities [Hassel Gustafsson and Östberg, 2017], which may prevent the targeting of individuals from underprivileged areas. In line with our results, a recent study from the Netherlands found divisions into small areas useful to target prevention efforts [van der Tas et al, 2017].…”

Section: Discussionsupporting

confidence: 92%

Multilevel Analysis of Dental Caries in Swedish Children and Adolescents in Relation to Socioeconomic Status

et al. 2018

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The objective was to investigate the variability in dental caries experience in Swedish children and adolescents, at two different area levels: dental clinics and SAMS (small areas for market statistics), with respect to multiple individual socioeconomic factors (SES). Records of manifest caries using the DMFT indices (decayed, missing, filled teeth, dependent variables) were collected from electronic dental records for 300,988 individuals aged 3–19 years (97.3% coverage) from the Region Västra Götaland, Sweden. SES data were obtained from official registers and covered ethnicity, wealth, parental education, and employment. The SES variables were used as an independent aggregated variable – an in dex – categorized in deciles. Age and gender were independently included in the multilevel models. Two-level logistic regression analyses explored the probability of a dental caries experience and the variability (intracluster correlation) within dental clinic areas and SAMS, respectively. The most deprived (10th decile, SAMS level) 3- to 6-year-old children had an OR of 5.00 (95% CI 4.61–5.43) for dental caries experience (deft), compared with children in the 1st to 5th deciles. For older children and adolescents (≥7 years), the corresponding OR (DFT) was 2.25 (95% CI 2.15–2.35). Small geographical areas explained more of the variance in caries experience compared with the more aggregated level dental clinics. SES was more strongly related to the risk of dental caries experience than age and gender. In conclusion, the associations between SES and dental caries experience in Swedish children and adolescents were strong in the study and strongest in young children at a low level.

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Section: Discussionsupporting

confidence: 92%

Multilevel Analysis of Dental Caries in Swedish Children and Adolescents in Relation to Socioeconomic Status

et al. 2018

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“…A Belgian study found that 5-year-old children whose mothers with higher education levels were more likely to consume less sugary drinks, brush teeth more frequently, have more dental visits, and have lower prevalence of dental caries [27]. Similar pattern has also been reported previously in a study regarding to dental caries, suggesting that mother's education level was the most important index that affect dental caries than household income and parents' occupations [13]. In line with the study conducted by Franzman et al [28] showing that daily brushing frequency of a group of American children was positively associated with both mother's and father's education levels, our findings also demonstrated that both mother's and father's education levels had significant influences on COB.…”

Section: Discussionsupporting

confidence: 71%

Are parents’ education levels associated with either their oral health knowledge or the children’s oral health behaviors? a survey of 8446 families in Wuhan

Chen

Hong

Xiong

et al. 2020

Preprint

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Background: Children aged 6-7 years are in the early mixed dentition, which is a period of high prevalence of dental caries and other dental diseases and a critical period for the formation of oral health behaviors. Therefore, good oral hygiene habits of children and oral health knowledge of parents are very important. This study sought to explore the relationship between children’s oral health behaviors, parental oral health knowledge, parental choices of pit and fissure sealants, and parents’ education levels based on a large-scale sample size for the first time, and to compare the influences of parental education levels between parents. Methods: Families of the first and second graders of primary schools in Wuhan Hongshan District were included in this study. A total of 8446 questionnaires were collected to obtain comprehensive information on children’s oral health behaviors, parents’ oral health knowledge and parents’ pit and fissure sealants-related choices. The relationship between these outcome variables and parents’ education levels were studied using logistic regression analysis and chi-square test. Results: Parents who reported good educational background had more favorable oral health knowledge than those of other parents, and their children had better oral hygiene behaviors. Four indicators of five measures to children’s oral health behaviors were significantly associated with mother’s education level (P< 0.05), and three of them were related to father’s education level (P≤ 0.01). Moreover, seven indicators of eight measures to parents’ oral health knowledge were significantly related to mother’s education level (P< 0.05) and four of them were affected by the father’s (P< 0.05) . In addition, parents with higher educational attainments paid more attention to the completeness of medical facilities , the environment of dental practice, the distance to treatment sites, and took less concern of children’s willingness when choosing the pit and fissure sealants sites. Conclusions: In families with children at the early mixed dentition stage, parents with higher education levels tend to have better oral health knowledge and more oral health care needs, such as pit and fissure sealants. In addition, children of parents who have better educated parents tend to perform better oral hygiene practices.

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“…Dental caries negatively affects children's quality of life by their psychological and social relations, also causing feelings of discomfort from an early age [5,6]. Furthermore, dental caries leads to considerable cost in the short and long term [7].…”

Section: Introductionmentioning

confidence: 99%

“…For these reasons, a reduction in the prevalence of dental caries is desirable [8] and identifying high-risk populations for developing dental caries can help in achieving this goal by targeting the right audience with preventive strategies [7,9].…”

Section: Introductionmentioning

confidence: 99%

Socioeconomic Factors and Oral Health-Related Behaviours Associated with Dental Caries in Preschool Children from Central Italy (Province of Ascoli Piceno)

Nota

Caruso

Cantile

et al. 2019

BioMed Research International

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Background. Dental caries is a serious oral health concern with high prevalence in preschool children. Aim. To assess the association among oral health-related behaviors, socioeconomic factors, and dental caries in Italian preschool children. Design. 513 preschool children from 3 to 6 years of age, enrolled in nursery schools in central Italy, represent the population of the present study. The children underwent dental clinical examination and were divided on the basis of their caries experience in the primary dentition (“Yes” or “No”). Nonparametric analysis and univariate and multivariate logistic regression models were applied to evaluate the contribution of oral health-related behaviors and socioeconomic factors to the caries experience in the primary dentition. Results. 419 children were caries free, and 94 children had caries experience in the primary dentition, corresponding to the 18.4% of participants. Different oral health-related behaviors and socioeconomic factors resulted to be associated with caries development. In particular, the mother’s foreign nationality results in a strong predictive factor. Conclusions. The multivariate logistic model revealed factors significantly affecting caries experience in the primary dentition, which were the mother’s nationality, the number of dental visits in a year, and the personal impression by the mother.

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Social inequalities and dental caries in six-year-old children from the Netherland s

Cited by 58 publications

References 29 publications

Multilevel Analysis of Dental Caries in Swedish Children and Adolescents in Relation to Socioeconomic Status

Multilevel Analysis of Dental Caries in Swedish Children and Adolescents in Relation to Socioeconomic Status

Are parents’ education levels associated with either their oral health knowledge or the children’s oral health behaviors? a survey of 8446 families in Wuhan

Socioeconomic Factors and Oral Health-Related Behaviours Associated with Dental Caries in Preschool Children from Central Italy (Province of Ascoli Piceno)

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