Socio‐economic inequalities in dental pain in children: A birth cohort study

Costa, Francine dos Santos; Costa, Cleide; Chisini, Luiz Alexandre; Wendt, Andrea; Santos, Iná da Silva dos; Matijasevich, Alícia; Corrêa, Marcos Britto; Demarco, Flávio Fernando

doi:10.1111/cdoe.12660

Cited by 14 publications

(10 citation statements)

References 26 publications

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“…Brazil is a country with socioeconomic inequality, and this factor influences dental pain and the presence of dental caries in childhood 28 . The negative maternal perception of children's oral health is also influenced by the family income, the maternal educational level and the presence of dental caries in their children 2–4,7,29 .…”

Section: Discussionmentioning

confidence: 99%

“…Brazil is a country with socioeconomic inequality, and this factor influences dental pain and the presence of dental caries in childhood. 28 The negative maternal perception of children's oral health is also influenced by the family income, the maternal educational level and the presence of dental caries in their children. [2][3][4]7,29 Belonging to a lower socioeconomic level and being a young mother is associated with a higher prevalence of dental caries experience in their children.…”

Section: Re Sultsmentioning

confidence: 99%

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Socioeconomic inequalities related to maternal perception of children's oral health at age 4: Results of a birth cohort

Karam

Costa

Corrêa

et al. 2022

Comm Dent Oral Epid

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ObjectivesTo estimate socioeconomic inequalities in the maternal perception of children's oral health from a birth cohort study in Brazil.MethodsThe data from this study were collected through perinatal interviews and at the 48‐month follow‐up from the 2015 Pelotas Birth Cohort Study. The main outcome was the maternal perception of children's oral health, dichotomized into positive (good/very good) and negative (fair/bad/very bad). The secondary outcome was untreated dental caries (absence and presence, according to the ICDAS index – International Caries Detection and Assessment System). For the statistical analysis, the absolute inequality index (Slope Index of Inequality – SII) and the relative concentration index (Concentration Index – CIX) were used. Analyses were stratified by maternal educational level, family income and wealth index.ResultsThe prevalence of outcomes was 19.4% (95% CI 18.2; 20.7) for the negative maternal perception of children's oral health and 15.6% (95% CI 14.4; 16.8) for untreated dental caries. Socioeconomics inequalities were observed in negative maternal perception of children's oral health in both absolute and relative terms. A SII of −16.6 (95% CI −20.8; −12.5) was observed for family income, with higher prevalence in poor families. A higher prevalence of the negative maternal perception of children's oral health was observed in mothers without any educational level or a few years of study (CIX −21.1 [95% CI −24.5; −17.7]).ConclusionsThis study demonstrates socioeconomics disparities in the maternal perception of children's oral health and in the prevalence of untreated caries in children. A higher concentration of negative maternal perception of children's oral health was identified among the most socioeconomically vulnerable individuals. The findings reinforce the presence of socioeconomic inequalities in subjective measures about children's oral health.

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Section: Discussionmentioning

confidence: 99%

Section: Re Sultsmentioning

confidence: 99%

Socioeconomic inequalities related to maternal perception of children's oral health at age 4: Results of a birth cohort

Karam

Costa

Corrêa

et al. 2022

Comm Dent Oral Epid

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“…The prevalence of toothache among Brazilian adolescents increased and was found linked to race and region 18 . Another study in Brazil showed that the economically disadvantaged group had a higher prevalence of toothache in primary and mixed dentition 17 . Furthermore, a study in Australia found that lower-income family was related to more frequent toothache across the 14-years follow up 12 .…”

Section: Introductionmentioning

confidence: 99%

“…Most of the studies in dental pain are cross-sectional 1,[13][14][15] . Few studies have focused on changes in toothache experiences at two or more points in time 12,[16][17][18] . Some studies examined the trend of toothache over the different periods of life and found socioeconomic conditions were related to toothache experience.…”

Section: Introductionmentioning

confidence: 99%

Toothache experiences

et al. 2022

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Aim: To describe the pattern of toothache experience in a cohort of children aged 2-5 over 21 years and to find the relationship between previous toothache experience and later reports of toothache to get finding on the most critical period of toothache as a problem in life. Methods: This is a secondary data analysis from Indonesia Family Life Survey (IFLS). A total of 1,927 children from IFLS-1 with complete data were included as baseline participants. They were followed up four times within 21 years (age 6-9y, age 9-12y, age 16-19y, age 23- 26y). Toothache was based on the question of self-reported toothache experience during the last four weeks. After 21 years, a total of 1,098 individuals could be traced and completed every cohort of the survey. Toothache experiences were reported for frequencies in every cohort and accumulative experiences over 21 years. Logistic regression tests were performed to analyze the association of previous toothache experience and later toothache experience. Results: Almost 40% of the respondents reported toothache at least once in their life. The age of 6-9 years is the period when a high percentage of children had teeth-related pain. The experience of toothache at this period was significantly related to every period of age in life. Conclusions: The period of early mixed dentition is important. Oral health status in this period is associated with future oral health. A comprehensive dental health prevention program targeting this population is essential to increase the quality of life.

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“…Caregivers, particularly mothers, play a crucial role in their children's oral health, not only because of individual and biological factors but also because their socio-economical determinants are related to infants' caries risk [22]. The experience of ECC and dental pain in children is related to parents' educational and economic level: the most disadvantaged mothers have offspring with the highest prevalence of dental caries in both dentitions [23]. In a study conducted in the USA, the cumulative risk of caries at three years was lower among children whose mothers had more than a high school diploma [24].…”

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confidence: 99%

Knowledge and Habits on Oral Health of Highly Educated Women During Pregnancy and Their Babies. A Cross-sectional Questionnaire Survey in Northern-italy

Cagetti,

Salerno,

Ionescu

et al. 2023

Preprint

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Background: Life-long healthy behaviors are established during pregnancy and the first years of life. This cross-sectional survey aimed to interview new mothers with a high level of schooling living in Northern Italy (Lombardy Region) to assess their knowledge and habits relating to their oral health and their children’s oral health. Methods: A questionnaire (27 items) was developed to assess socio-demographic factors, knowledge, and attitudes toward mothers’ and child’s oral health. The questionnaire was disseminated in perinatal courses, private gynecological clinics, and via social media. Mothers aged ≥ 18 years, with at least a child aged 0-36 months, with a high school diploma or higher, were included in the survey. Results: Overall, 1340 women completed the questionnaire, 1297 of whom had a child aged 0-36 months, 792 were residents in Lombardy, and 600 had a high level of education and were finally included. About half of the sample (44.67%) were between 31 and 35 years, 76.50% were employed, and the majority had only one child (81.50%). During pregnancy, 28.33% of the sample reported problems with teeth and/or gums, while only 36.00% visited a dentist. More than 40% of the sample reported not being aware of a possible correlation between oral health and pregnancy, and 73.17% did not receive advice about their oral health or the future health of the baby’s mouth. Less than 20% of the women was aware of the increased caries risk due to prolonged or nocturnal breastfeeding. Better knowledge/attitude was associated with the age of the child (p<0.01), the number of children (p=0.04), and whether the mother had received advice during pregnancy (p<0.01). Conclusions: The findings of the present survey show a lack of dental care during pregnancy, a lack of information on oral health received from medical personnel during and after pregnancy, and, consequently, gaps in the knowledge needed to care for her and her child’s oral health. There is a need for training courses on oral health for pregnant women and new mothers, but also for a change in the behaviour of health professionals who care for pregnant women.

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Socio‐economic inequalities in dental pain in children: A birth cohort study

Cited by 14 publications

References 26 publications

Socioeconomic inequalities related to maternal perception of children's oral health at age 4: Results of a birth cohort

Socioeconomic inequalities related to maternal perception of children's oral health at age 4: Results of a birth cohort

Toothache experiences

Knowledge and Habits on Oral Health of Highly Educated Women During Pregnancy and Their Babies. A Cross-sectional Questionnaire Survey in Northern-italy

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