Socio‐economic inequality in oral health in childhood to young adulthood, despite full dental coverage

Verlinden, Deborah Ashley; Reijneveld, Sijmen A.; Lanting, C.I.; Wouwe, J.P. van; Schuller, Annemarie

doi:10.1111/eos.12609

Cited by 29 publications

(27 citation statements)

References 41 publications

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“…Previous research associated with caries experience in young adults lists risk factors such as socioeconomic and demographic factors, toothbrushing frequency, and dental anxiety. 4 – 6 , 34 – 36 The present study did not find similar associations in the logistic regression analysis. In fact, there were four other factors that were significantly associated with higher levels of caries disease: gingivitis, OHRQoL, sugary soda consumption, and dental attendance behavior.…”

Section: Discussioncontrasting

confidence: 86%

Oral health and oral health behavior in young adults with caries disease

et al. 2021

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Objective The aim of this study was to describe and analyze oral health, oral health behaviors, and oral health-related quality of life (OHRQoL) in relation to the level of caries disease among caries-active young adults. Material and methods This study presents data from a sample of young adults (n = 135) with active caries disease who were enrolled in a clinical, randomized controlled trial. The independent variables of sociodemographics, oral health (gingivitis, plaque), oral health behaviors (such as toothbrushing, dental attendance, sugar-containing sweets and drinks), dental anxiety, self-rated oral health, and OHRQoL were collected. Multinomial logistic regression was used to simultaneously evaluate the associations between the independent variables and caries severity. Results Multinominal logistic regression showed that poor OHRQoL and gingivitis were associated with caries severity in a gradient fashion in accordance with caries disease activity. Also, irregular dental care and frequent consumption of sugary soda were significantly associated with very high caries severity. Conclusions The risk factors related to caries severity among young adults were poor OHRQoL, gingivitis, consumption of sugary soda and irregular dental care attendance, indicating the need for a combination of different interventions specifically health behavior change. Furthermore, these findings may contribute to identifying high caries-risk individuals.

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Section: Discussioncontrasting

confidence: 86%

Oral health and oral health behavior in young adults with caries disease

et al. 2021

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“…Even after the expansion children in low SEP still had 1.5 times higher risk of having caries than children in higher SEP. This gap persisted beyond childhood and continued until they were young adults [10]. Similar results were found in Sweden, where the government provides free dental services for children and adolescents.…”

Section: Introductionsupporting

confidence: 76%

Did the extended coverage policy contribute to alleviating socioeconomic inequality in untreated dental caries of both children and adolescents in South Korea?

Shin

Jung

Kim³

et al. 2020

BMC Oral Health

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Background: Dental sealants have been covered by the National Health Insurance Service (NHIS) since December 2009 in South Korea. This study aims to determine whether the socioeconomic inequality in untreated dental caries decreased after implementing the extended coverage policy for dental sealant. Methods: The data were derived from the fourth (2007-2009) and sixth (2013-2015) waves of the Korean National Health and Nutrition Examination Survey (KNHANES) conducted by the Korea Centers for Disease Control and Prevention (KCDC). Dental caries and sealant experience by income quartiles were tested using the Rao-Scott chisquared test. In order to examine socioeconomic inequalities and their trends over time, the prevalence ratios (PRs), slope index of inequality (SII), and relative index of inequality (RII) were estimated for each wave and age group. All analyses were conducted using SAS version 9.3. Results: The adjusted PRs of untreated dental caries and sealants in the poorest in the aged 6-11 group were significantly higher and lower, respectively, compared to the most affluent quartile group for the fourth wave; however, all significant differences disappeared for the sixth wave, after the sealant coverage. The gap between the lowest and the highest was similar for the aged 12-18 group but it widened in the untreated dental caries even after the sealant coverage. The statistical significance of the PRs was maintained at the sixth wave for both caries and sealants. Children showed decreases in both SII and RII over time so its significance disappeared. The SII among adolescents decreased over time but the RII of untreated dental caries increased.

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“…Due to the impact of oral health on decreasing oral diseases and improving overall human health, several interventions are available to prevent oral diseases. These interventions include the widespread use of fluoride in various forms, brushing regularly twice a day, flossing at least once a day, changing health habits, regular dental visits, proper diet and reducing sugar intake [12,13].…”

Section: Introductionmentioning

confidence: 99%

Oral self-care behavior and its influencing factors in a sample of school children from Central Iran

et al. 2021

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Background Oral health is an important part of public health and crucial to health promotion and enhancing the quality of life. This research examined childhood oral self-care behavior and their related factors using extended Theory of Planned Behavior (TPB). Method This cross-sectional study was conducted on 368 sixth-grade elementary school students in Saveh city, Iran, in 2019. The students were selected using a random multi-stage sampling method. The instrument included the socio-demographic questions, TPB constructs, and action and coping plan items. Data were analyzed by SPSS software (Version 21) at alpha level p ≤ 0.05. Result Overall, 24 (6.6%) students have never used toothbrushes, 222 (62.7%) have never used dental floss, and 298 (82.7%) students have never used mouthwash. The stepwise multiple linear regression analysis results indicated that the TPB with action and coping planning constructs had better predictive power than the original model. In the final model, coping planning (β = .28), intention (β = .24), action planning (β = .23), and perceived behavior control (β = .15) were the most important predictors of oral self-care behavior. Conclusion The results indicated that the oral self-care behavior status in Iranian elementary students was not favorable, and the extended model of the TPB with action and coping plan constructs were significant predictors of self-care behavior. Therefore, these findings emphasize the need for expanding educational interventions based on the extended model of the TPB to improve the oral self-care behavior of students.

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Socio‐economic inequality in oral health in childhood to young adulthood, despite full dental coverage

Cited by 29 publications

References 41 publications

Oral health and oral health behavior in young adults with caries disease

Oral health and oral health behavior in young adults with caries disease

Did the extended coverage policy contribute to alleviating socioeconomic inequality in untreated dental caries of both children and adolescents in South Korea?

Oral self-care behavior and its influencing factors in a sample of school children from Central Iran

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