The Association between Sense of Coherence and Dental Caries in Low Social Status Schoolchildren

Tomazoni, Fernanda; Vettore, Mário Vianna; Mendes, Fausto Medeiros; Ardenghi, Thiago Machado

doi:10.1159/000493537

Cited by 25 publications

(26 citation statements)

References 45 publications

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“…Besides that, children from low-income families also were more likely to have dental caries, in accordance with previous studies [26][27][28][29][30][31][32][33][34]. Income can affect ECC etiological chain thru different ways.…”

Section: Discussionsupporting

confidence: 90%

The Role of Mother’s Knowledge, Attitudes, Practices in Dental Caries on Vulnerably Preschool Children

Luz

Pereira

Knorst

et al. 2020

Pesqui. Bras. Odontopediatria Clín. Integr.

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To analyze the association between Early Childhood Caries (ECC) and mother´s knowledge, attitudes, and practices (KAP). Material and Methods: This cross-sectional study included a random sample of 163 preschool children aged 3-4 old in southern Brazil. The severity of dental caries and ECC was assessed by ICDAS criteria, while mothers completed the semi-structured questionnaire (KAP-ECC). Maternal behavior characteristics and answered questions about socioeconomic and demographic variables. Logistic regression was performed to evaluate the association of exploratory variables with ECC. For this approach, we calculated the odds ratio (OR) and 95% confidence intervals (95% IC). Results: Dental examinations revealed that 91.4% of children presented ECC (ICDAS = 3, 4, 5 or 6). Among those children, 31.9% presented cavities (ICDAS ≥ 3). Family income was significantly associated with the presence of ECC (OR 2.17; 95% CI: 1.41-3.36). Regarding KAP-ECC, mothers have knowledge related to ECC etiology, reported dental hygiene attitudes and practices that can prevent ECC but reported less healthy attitudes and practices regarding child's diet, specifically with respect to bottle and breastfeeding habits (OR 0.52; 95% CI: 0.33-0.81). Conclusion: ECC was more frequent in children from low-income families and whose mothers reported the belief that milk with chocolate does not contribute to caries and that disagreed that it is normal that a 2-year-old baby wakes up during the night to suckle. That is, good knowledge toward health habits may impact on lower occurrence of ECC; however, this condition also depends on the socioeconomic level.

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Section: Discussionsupporting

confidence: 90%

The Role of Mother’s Knowledge, Attitudes, Practices in Dental Caries on Vulnerably Preschool Children

Luz

Pereira

Knorst

et al. 2020

Pesqui. Bras. Odontopediatria Clín. Integr.

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“…Many investigators have reported the association between parental education and children's caries [12,13]. Oral health disparity caused by education continues into adolescence [14][15][16][17]32]. Parental education is one of the main determinants of cavities among children.…”

Section: Discussionmentioning

confidence: 99%

“…One survey among school children showed that the amount of cavities differs significantly according to SES at the community level [11]. A few studies have found an association between caries and household income among preschool children [12][13][14]. However, improvements in economic status from childhood to adolescence have been shown to contribute only to increased dentist consultations and are not associated with healthy behaviors, such as more frequent teeth brushing or lower sugar consumption [15].…”

mentioning

confidence: 99%

Does the association between guardians’ sense of coherence and their children’s untreated caries differ according to socioeconomic status?

Mizuta

Aida

Nakamura

et al. 2019

Preprint

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Background Untreated caries is the most prevalent disease in the world. A sense of coherence (SOC) is believed to contribute to oral health. However, it is unclear whether the contribution of SOC is larger among children with lower socioeconomic status (SES). We aimed to clarify the association between guardians' SOC and their children's caries based on socioeconomic status (SES) in Japan.Methods This study's subjects were Japanese public junior high schoolers, aged 12-15, and their guardians. We administered a questionnaire survey among guardians in 2016 to assess their SOC and family environment. With their students' consent, public junior high schools shared the results of the dental examinations that were part of their school physicals. Multivariate logistic regression was conducted to clarify the association between guardians' SOC and their children's untreated decayed permanent teeth. We also conducted a stratified analysis according to a relative poverty line. Furthermore, the interaction between annual equivalent incomes, educational attainment with guardians' SOC was evaluated by including the interaction term respectably.Results Proportion of untreated decayed permanent teeth of adolescents was 9.37% for 12 -13 years, 9.02% for 14 years, and 11.78% for 15 years. Guardians' SOC score was 15.1 (SD 3.2, range 3 -21).We observed in the multivariate regression, a significant inverse association between children's untreated decay and their guardians' SOC (OR 0.93, 95%CI 0.87-1.00). Equivalent annual income had a significant marginal association with decayed teeth (OR 0.14, 95%CI 0.02-1.04). The association of SOC was stronger in the low economic group (OR 0.64, 95%CI 0.43-0.95). The interaction terms of educational attainment and guardians' SOC was not significant. In the high economic group, educational attainment was significantly associated with decayed teeth (OR 0.50, 95%CI 0.27-0.91).The interaction terms of educational attainment and guardians' SOC was not significant.Conclusions Guardians with higher SOC were associated with children having fewer caries. Guardians' SOC is an important factor for the incidence of caries and access to dental care, especially among children with low economic status.

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“…One survey among school children showed that the amount of caries differs significantly according to SES at the community level [11]. A few studies have found an association between caries and household income among preschool children [12][13][14]. However, improvements in economic status from childhood to adolescence have been shown to contribute only to increased dentist consultations and are not associated with healthy behaviors, such as more frequent teeth brushing or lower sugar consumption [15].…”

Section: Introductionmentioning

confidence: 99%

“…In Japan, where universal healthcare insurance covers dental treatment, absolute inequalities and lower parental education increase the rate of treatment for caries [17]. In particular, a mother's low education level is a significant risk factor for caries [12][13][14]18,19]. Health inequalities expand in relation to access to dental treatment in children.…”

Section: Introductionmentioning

confidence: 99%

Does the Association between Guardians’ Sense of Coherence and their Children’s Untreated Caries Differ According to Socioeconomic Status?

Mizuta

Aida

Nakamura

et al. 2020

IJERPH

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Untreated caries is the most prevalent disease in the world. A sense of coherence (SOC) is believed to contribute to oral health. We aimed to clarify the association between guardians’ SOC and their children’s caries based on socioeconomic status (SES) in Japan. This study’s subjects were Japanese public junior high schoolers (N = 1730), aged 12–15, and their guardians in Kosai City. We administered a questionnaire survey among guardians in 2016 to assess their SOC and family environment. With their students’ consent, public junior high schools shared the results of the dental examinations that were part of their school physicals. Multivariate logistic regression was conducted to clarify the association between guardians’ SOC and their children’s untreated decayed permanent teeth. We also conducted a stratified analysis according to a relative poverty line. We observed in the multivariate regression a significant inverse association between children’s untreated decay and their guardians’ SOC (OR 0.93, 95%CI 0.87–1.00). The association of SOC was stronger in the low economic group (OR 0.64, 95%CI 0.43–0.95). Guardians with higher SOC were associated with children having fewer caries. Guardians’ SOC is a factor for the prevalence of caries and access to dental care, especially among children with low economic status.

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The Association between Sense of Coherence and Dental Caries in Low Social Status Schoolchildren

Cited by 25 publications

References 45 publications

The Role of Mother’s Knowledge, Attitudes, Practices in Dental Caries on Vulnerably Preschool Children

The Role of Mother’s Knowledge, Attitudes, Practices in Dental Caries on Vulnerably Preschool Children

Does the association between guardians’ sense of coherence and their children’s untreated caries differ according to socioeconomic status?

Does the Association between Guardians’ Sense of Coherence and their Children’s Untreated Caries Differ According to Socioeconomic Status?

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