Journal article
Examining caries aetiology in adolescence with structural equation modelling
Community dentistry and oral epidemiology, Vol.46(3), pp.258-264
06/2018
DOI: 10.1111/cdoe.12359
PMCID: PMC5948128
PMID: 29266310
Abstract
This analysis examines the aetiology of caries development in adolescents using structural equation modelling to identify behavioural mediators of the relationship between socioeconomic status (SES) and caries incidence, and to investigate the role of sex on caries-preventive behaviour and caries. This analysis was based on data from the Iowa Fluoride Study, a longitudinal study of a birth cohort. We hypothesized that socioeconomic status earlier in life has a direct effect on caries development and an indirect effect from improved behavioural variables-dental visit attendance, toothbrushing frequency and percentage of beverage intake consisting of sugar-sweetened beverages-and that sex also plays a role in behavioural variables, as well as caries. A structural equation model was developed based on these hypotheses, and direct and indirect standardized path coefficients were calculated, as well as their standard errors. Based on our proposed model, SES at birth significantly influences SES during adolescence, but not adolescent behaviours. The effect of SES during adolescence on caries in the permanent dentition is mediated by adolescent behaviours. Female participants have worse caries than male participants, despite lower self-reported percentages of sugar-sweetened beverage intake and more frequent brushing and dental attendance. This analysis models the relationships among known causal factors for caries and suggests that the role of SES in caries may not be as important as previously thought and different behaviours that affect oral health between males and females as well as differences in caries between the sexes could begin during adolescence. These findings could help improve caries prevention programmes for adolescents.
Details
- Title: Subtitle
- Examining caries aetiology in adolescence with structural equation modelling
- Creators
- A M Curtis - Department of Biostatistics, College of Public Health, The University of Iowa, Iowa City, IA, USAJ E Cavanaugh - Department of Statistics and Actuarial Science, College of Liberal Arts, The University of Iowa, Iowa City, IA, USAS M Levy - Department of Epidemiology, College of Public Health, The University of Iowa, Iowa City, IA, USAJ VanBuren - Department of Pediatrics - Division of Critical Care, School of Medicine, The University of Utah, Salt Lake City, UT, USAT A Marshall - Department of Preventive & Community Dentistry, College of Dentistry, The University of Iowa, Iowa City, IA, USAJ J Warren - Department of Preventive & Community Dentistry, College of Dentistry, The University of Iowa, Iowa City, IA, USA
- Resource Type
- Journal article
- Publication Details
- Community dentistry and oral epidemiology, Vol.46(3), pp.258-264
- DOI
- 10.1111/cdoe.12359
- PMID
- 29266310
- PMCID
- PMC5948128
- NLM abbreviation
- Community Dent Oral Epidemiol
- ISSN
- 0301-5661
- eISSN
- 1600-0528
- Publisher
- Denmark
- Grant note
- R03 DE023784 / NIDCR NIH HHS M01 RR000059 / NCRR NIH HHS U54 TR001013 / NCATS NIH HHS R01 DE009551 / NIDCR NIH HHS UL1 RR024979 / NCRR NIH HHS R01 DE012101 / NIDCR NIH HHS UL1 TR000442 / NCATS NIH HHS R56 DE012101 / NIDCR NIH HHS
- Language
- English
- Date published
- 06/2018
- Academic Unit
- Statistics and Actuarial Science; Preventive and Community Dentistry; Epidemiology; Biostatistics; Injury Prevention Research Center
- Record Identifier
- 9983917782002771
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