Socio-economic status and caries experience in primary teeth among schoolchildren of 1-st grade in Bucharest (original) (raw)
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Journal of Dental …, 2005
Purpose: Dental caries is one of the most common and costly chronic diseases in the world. Many studies have reported socio-economic status (S.E.S) as an important factor predisposing caries. This investigation was carried out to evaluate the effect of differences in socio-economic status of parents as a multidimensional factor on caries development in a group of 8-year-old children in Tehran during the year 2000. Materials & Methods: A total of 1024 children were randomly selected from 99 primary schools throughout the greater Tehran.The prevalence of dental caries was recorded using the "DMFT" and "dmft" indices. S.E.S was assessed through evaluating, parents' educational level, fathers' job. Collected data was then analyzed using Chi-square and oneway ANOVA tests, in association to a regression analysis. Result: Results showed that, the mean caries prevalence in primary teeth (d) to be at 2.4±2.4 and 4.6±2.3 in the highest and lowest socio-economic status respectively. This value was at 2.1±2.4 and 4.5±2.3 in children of highly educated mothers and illiterate ones, respectively. There were similar findings for the effect of the other factors determining S.E.S, on caries prevalence of the children. Regression Analysis showed that, mothers' education was as important as the other factors to determine the familys' S.E.S . This was in fact found to be the most effective factor on caries prevalence.(PV=0.01) Conclusion: S.E.S is an important factor on caries prevalence, with mothers' educational level being the main determining factor on S.E.S.
Impact of socioeconomic and clinical factors on child oral health-related quality of life (COHRQoL
Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2010
Purpose Child oral health-related quality of life (COHRQoL) has been increasingly assessed; however, few studies appraised the influence of socioeconomic status on COHRQoL in developing countries. This study assessed the relationship of COHRQoL with socioeconomic backgrounds and clinical factors. Methods This study followed a cross-sectional design, with a multistage random sample of 792 schoolchildren aged 12 years, representative of Santa Maria, a southern city in Brazil. Participants completed the Brazilian version of the Child Perceptions Questionnaire (CPQ11–14), their parents or guardians answered questions on socioeconomic status, and a dental examination provided information on the prevalence of caries, dental trauma and occlusion. The assessment of association used hierarchically adjusted Poisson regression models. Results Higher impacts on COHRQoL were observed for children presenting with untreated dental caries (RR 1.20; 95% CI 1.07–1.35) and maxillary overjet (RR 1.19; 95% CI 1.02–1.40). Socioeconomic factors also associated with COHRQoL; poorer scores were reported by children whose mothers have not completed primary education (RR 1.30; 95% CI 1.17–1.44) and those with lower household income (RR 1.13; 95% CI 1.02–1.26). Conclusion Poor socioeconomic standings and poor dental status have a negative impact on COHRQoL; reducing health inequalities may demand dental programmes and policies targeting deprived population.
The correlation between dental caries and socio-economic status in children from 4-6 year
2016
The purpose of our researching is to examine the connection of between the presence of dental caries and socio-economic conditions in children aged 4-6 years. Included in the survey were 74 examinees, aged 4-6 years, divided into two groups, experimental group of 43 examinees and control group of 31 examinees.For determining the socio-economic status of the examinees we used specially structured questionnaire, which contain questions about the monthly income of the family, where according to the statistics of the State service for the year 2015 the average wage was 22.300 denars.Based on the answers of all questions of socio-economic status among families, evaluation was the following: Score 0 - High, Skor 1- Medium, Skor 2- Humilis.The distribution of the data pertaining to the socio-economic status of children with primary dentition from the control group, pointing out that there is no significant difference between the two groupes.Information obtained for studied group are pointi...
Oral health behaviors of children of low and high socioeconomic status
Pediatric dentistry
A cross a wide range of health measures, it is recognized A cross a wide range of health measures, it is recognized A that people from lower socioeconomic backgrounds A that people from lower socioeconomic backgrounds Aha ve higher rates of disease and disability. These Aha ve higher rates of disease and disability. These A health disparities include shorter life expectancy among the poor and higher rates of cardiovascular disease, cancer, diabetes, and birth defects. 1-3 It is also known that such disparities in health arise from a number of factors, including:
Soc Sci Med , 2009
We evaluate the association between income inequality (Gini index) and oral health and in particular the role of alternative models in explaining this association. We also studied whether or not income at the individual level modifies the Gini effect. We used data from an oral health survey in Brazil in 2002–2003. Our analysis included 23,568 15–19 and 22,839 35–44 year-olds nested in 330 municipalities. Different models were fitted using multilevel analysis. The outcomes analysed were the number of untreated dental caries (count), having at least one missing tooth (dichotomous) and being edentulous (dichotomous). To assess interaction as a departure from additivity we used the Synergy Index. For this, we dichotomized the Gini coefficient (high vs low inequality) by the median value across municipalities and the individual income in the point beyond which it showed roughly no association with oral health. Adjusted rate ratio of mean untreated dental caries, respectively for the 15–19 and 35–44 age groups, was 1.12 and 1.16 for each 10 points increase in Gini scale. Adjusted odds ratio of a 15–19 year-old having at least one missing tooth or a 35–44 year-old being edentulous was, respectively, 1.19 and 1.01. High income inequality had no statistically significant synergistic effect with being poor or living in a poor municipality. Higher levels of income inequality at the municipal level were as sociated with worse oral health and there was an unexplained residual effect after controlling for potential confoundings and mediators. Municipal level income inequality had a similar, detrimental effect, among individuals with lower or higher income.
Associations between school deprivation indices and oral health status
Community Dentistry and Oral Epidemiology, 2010
Over the past few decades a substantial decrease in the prevalence of chronic oral diseases (COD) has been observed in most industrialized countries (1, 2). However, COD remain a major public health concern throughout most of the world. Dental caries, the most prevalent COD, affects 60-90% of the population (1) and is among the four most expensive diseases to treat (3). Furthermore, COD have a major impact on overall health, well-being, and constitute a public health burden (4, 5). Evidence has consistently shown that health outcomes, including COD, are associated with individual socioeconomic position (SEP) (6, 7), primarily affecting those in the lower social strata (8-11). In several populations, the prevalence of dental caries in primary and permanent dentitions
BMC Medical Research Methodology, 2011
Background Despite the importance of collecting individual data of socioeconomic status (SES) in epidemiological oral health surveys with children, this procedure relies on the parents as respondents. Therefore, type of school (public or private schools) could be used as an alternative indicator of SES, instead of collecting data individually. The aim of this study was to evaluate the use of the variable type of school as an indicator of socioeconomic status as a substitute of individual data in an epidemiological survey about dental caries in Brazilian preschool children. Methods This study followed a cross-sectional design, with a random sample of 411 preschool children aged 1 to 5 years, representative of Catalão, Brazil. A calibrated examiner evaluated the prevalence of dental caries and parents or guardians provided information about several individual socioeconomic indicators by means of a semi-structured questionnaire. A multilevel approach was used to investigate the association among individual socioeconomic variables, as well as the type of school, and the outcome. Results When all significant variables in the univariate analysis were used in the multiple model, only mother's schooling and household income (individual socioeconomic variables) presented significant associations with presence of dental caries, and the type of school was not significantly associated. However, when the type of school was used alone, children of public school presented significantly higher prevalence of dental caries than those enrolled in private schools. Conclusions The type of school used as an alternative indicator for socioeconomic status is a feasible predictor for caries experience in epidemiological dental caries studies involving preschool children in Brazilian context.
Dental caries experience and socio-economic status among Iranian children: a multilevel analysis
BMC Public Health
Background Socio-economic factors are considered as main determinants causing disparities in oral health across different countries. The aim of the present study was to investigate the associations of social and economic factors with dental caries experience among 6- and 12-year-old Iranian children. Methods In this cross-sectional study, a total of 31,146 students, aged 6 and 12 years old, were enrolled from all (31) provinces in Iran. Based on the standardized World Health Organization (WHO) criteria for oral health surveys, dental caries indices in primary and permanent teeth were assessed by clinical examination in schools. Data on socio-economic status was obtained from the modified WHO questionnaire and national data bank. The decayed, missing and filled teeth (dmft/DMFT) indices for primary and permanent dentition were compared at the individual and provincial levels using multilevel regression analysis. Poisson regression analysis was used to evaluate the association of soci...
Healthcare
Approaching inequalities to achieve health equity requires joint action. Early childhood caries affects disadvantaged population groups. The objective of this study was to determine the relevance of sociocultural inequalities and parental origin with respect to oral health in preschool children in Lanzarote. A transversal epidemiological study was carried out. Sociocultural data and information about parental origin were collected via a questionnaire. The decayed and filled teeth (dft), decayed teeth (dt), filled teeth (ft), restorative index (RI), plaque index (PI) and gingival index (GI) were obtained via an investigator’s examination. Statistical analysis of the data indicated that children of semi-skilled manual workers (28.15%) had the highest prevalence of caries (46.9%). Additionally 43.7 of the mothers had second grade and first cycle studies. When relating the medium and high level of education, there were statistically significant differences in relation to the cod index (...