Trends in Social Inequality in Tooth Brushing among Adolescents: 1991-2014

Bast, Lotus Sofie; Brixval, Carina Sjöberg; Damsgaard, Mogens Trab

doi:10.1159/000441196

Cited by 7 publications

(7 citation statements)

References 22 publications

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“…The findings also indicate that the proportion of adolescents brushing more than once day has decreased in this part of Norway since the early 1990s, among both boys and girls (17). The proportion and gender distri-bution were similar to that observed in Scotland in 2010 (26) and later in the Czech Republic (27), but the proportion was lower than in Denmark (28). This decrease falls in line with the findings in a European study, which demonstrates that the prevalence of brushing more than once a day has shown a downward tendency among young adolescents in Scandinavian countries (23).…”

Section: Discussionsupporting

confidence: 67%

Frequency of tooth brushing and associated factors among adolescents in western Norway

Vaktskjold¹

2019

Nor J Epidemiol

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Dental caries is the most prevalent disease in Norway and worldwide, and daily tooth brushing with fluoridated toothpaste is the main preventative measure when diets contain sugary foods. Tooth brushing is an important public health indicator, as the frequency of brushing also has been positively associated with good health in general. In Norway, brushing twice a day is the official recommendation. Our aim was to assess the frequency of tooth brushing among pupils in secondary school in two counties in western Norway, and to identify factors associated with brushing more than once a day. All 59 borough administrations in the two counties were invited to participate in the Ungdata survey in 2015-16; 26 agreed. In total 8,725 pupils filled in the electronic questionnaire (82%). Some 69% brushed their teeth more frequently than once a day, specifically 76% of whom were girls and 63% were boys (adjusted odds ratio=2.0). Of the boys, 6.5% did not brush daily. In 8-10th school grade 71% brushed more than once a day, compared to 65% in 11-13th grade. Out of 28 a priori selected factors, eight were independently associated with frequency of tooth brushing. Besides gender, the strongest associations observed were for frequency of brisk physical exercise, parents being informed about their adolescent’s whereabouts, and satisfaction with one’s own health.

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Section: Discussionsupporting

confidence: 67%

Frequency of tooth brushing and associated factors among adolescents in western Norway

Vaktskjold¹

2019

Nor J Epidemiol

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“…With respect to client‐related factors, children from low‐SES groups have been shown to have a greater risk of unfavourable preventive oral health behaviour than their high‐SES counterparts, resulting in the gradient found in caries experience . Low‐SES households consume larger quantities of highly processed carbohydrate‐rich foods (because such foods are inexpensive) than do high‐SES households .…”

Section: Discussionmentioning

confidence: 99%

“…Risk factors, on the other hand, include brushing teeth less than two times a day, frequent consumption of cariogenic foods, skipping breakfast, and lower parental educational level and income . Low‐SES individuals have been found to be more likely to have inadequate preventive oral‐health behaviour .…”

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confidence: 99%

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

Verlinden

Reijneveld

Lanting

et al. 2019

European J Oral Sciences

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The aim of this cross‐sectional study was to assess differences in caries experience according to socio‐economic status (SES) in a health‐care system with full coverage of dental costs for children up to the age of 18 yr. In 2011 and 2014, by performing hurdle negative binomial models, we obtained data on 3,022 children and young adults aged 5, 8, 11, 14, 17, 20, and 23 yr, living in four cities in the Netherlands. At all ages between 5 and 23 yr, the percentages of children with caries‐free dentitions were lower and mean caries experience were higher in low‐SES than in high‐SES participants. In 5‐yr‐old children with dmft > 0, mean caries experience was 3.6 in those with low SES and 2.3 in those with high SES. In 23‐yr‐old participants, these estimates were 6.8 and 4.4, respectively (P < 0.05). Low‐SES children have a greater risk of more caries experience than high‐SES children. Thus, in a system with full free paediatric dental coverage, socio‐economic inequality in caries experience still exists. Dental health professionals, well‐child care doctors and nurses, general practitioners, and elementary school teachers should collaborate to promote oral health at the community level, with specific targeting of low‐SES families. We further need policy measures to curtail, at community level, the increasing availability and consumption of highly processed, carbohydrate‐rich foods, with particular attention for low‐SES families.

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“…Los encuestados mostraron valores de AFC por encima del 95% en todos los años incluidos en el reporte (29) . En Dinamarca, al igual que con el presente trabajo, las tasas de adherencia a una AFC era superior en los niños y adolescentes de estrato socio-económico alto (30) , incrementando la brecha de inequidades sociales para el mantenimiento de la salud.…”

Section: Discussionunclassified

Tendencia y factores asociados a la frecuencia de cepillado dental en menores de doce años, Perú 2013-2018

Solis

Pesaressi

Mormontoy

2019

Rev Peru Med Exp Salud Publica

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Objetivos. Determinar la tendencia y factores asociados al cepillado de dos o más veces por día en niños menores de doce años entre el 2013 y 2018 en Perú. Materiales y métodos. Se realizó un estudio transversal mediante análisis secundario de datos reportados por la Encuesta Demográfica y de Salud Familiar. Se consideró la información de niños con al menos un cepillado al día, considerando como «Adecuada Frecuencia de Cepillado Dental» (AFC) para quienes reportaban de dos a más; se generaron medidas porcentuales por ámbito geográfico, características sanitarias, de vivienda y hogar. Se determinaron los factores asociados a la AFC mediante regresión logística binaria para encuestas complejas, la variabilidad de la tendencia se identificó mediante regresión joinpoint con un 95% de confianza. Resultados. En el 2013, la AFC fue del 79,0% con un aumento a 83,9% para el 2018; se identificó que cuatro de 25 espacios geográficos se mantuvieron sin variación de AFC, y otros cuatro disminuyeron. Todas las características sanitarias mostraron favorecer el cepillado, destacándose que el no compartir el cepillo generó un OR de 2,30, IC 95%: 1,46 a 3,60. La región natural, el tipo de lugar de residencia y el quintil de riqueza afectaron la AFC; la AFC fue mayor según se incrementa el grupo etario. Conclusiones. El porcentaje de AFC ha aumentado en los últimos años, siendo influenciado favorablemente por los aspectos sanitarios; a nivel rural este porcentaje es significativamente menor, algo que también se evidencia en la región sierra.

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Trends in Social Inequality in Tooth Brushing among Adolescents: 1991-2014

Cited by 7 publications

References 22 publications

Frequency of tooth brushing and associated factors among adolescents in western Norway

Frequency of tooth brushing and associated factors among adolescents in western Norway

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

Tendencia y factores asociados a la frecuencia de cepillado dental en menores de doce años, Perú 2013-2018

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