Journal article
Factors associated with dental caries in a group of American Indian children at age 36 months
Community dentistry and oral epidemiology, Vol.44(2), pp.154-161
04/2016
DOI: 10.1111/cdoe.12200
PMCID: PMC4777677
PMID: 26544674
Abstract
Early childhood caries (ECC) is rampant among American Indian children, but there has been relatively little study of this problem. This article reports on risk factors for caries for a group of American Indian children at age 36 months as part of a longitudinal study. Pregnant women from a Northern Plains Tribal community were recruited to participate in a longitudinal study of caries and caries risk factors. Standardized dental examinations were completed on children, and questionnaires were completed by mothers at baseline and when children were 4, 8, 12, 16, 22, 28, and 36 months of age. Examinations were surface-specific for dental caries, and the questionnaires collected data on demographic, dietary, and behavioral factors. Nonparametric bivariate tests and logistic regression models were used to identify risk factors for caries at 36 months, and negative binomial regression was used to identify factors related to caries severity (dmf counts). Among the 232 children, and caries prevalence for cavitated lesions was 80%, with an additional 15% having only noncavitated lesions. The mean dmfs was 9.6, and of the total dmfs, nearly 62% of affected surfaces were decayed, 31% were missing, and 7% were filled. Logistic regression identified higher added-sugar beverage consumption, younger maternal age at baseline, higher maternal DMFS at baseline, and greater number of people in the household as significant (P < 0.05) risk factors. Negative binomial regression found that only maternal DMFS was associated with child dmf counts. By the age of 36 months, dental caries is nearly universal in this population of American Indian children. Caries risk factors included sugared beverage consumption, greater household size, and maternal factors, but further analyses are needed to better understand caries in this population.
Details
- Title: Subtitle
- Factors associated with dental caries in a group of American Indian children at age 36 months
- Creators
- John J Warren - Department of Preventive and Community Dentistry, University of Iowa, Iowa City, IA, USADerek Blanchette - Dows Institute for Dental Research, University of Iowa, Iowa City, IA, USADeborah V Dawson - Dows Institute for Dental Research, University of Iowa, Iowa City, IA, USATeresa A Marshall - Department of Preventive and Community Dentistry, University of Iowa, Iowa City, IA, USAKathy R Phipps - Dental Public Health Consultant, Morro Bay, CA, USADelores Starr - Indian Health Service, Rapid City, SD, USADavid R Drake - Dows Institute for Dental Research, University of Iowa, Iowa City, IA, USA
- Resource Type
- Journal article
- Publication Details
- Community dentistry and oral epidemiology, Vol.44(2), pp.154-161
- DOI
- 10.1111/cdoe.12200
- PMID
- 26544674
- PMCID
- PMC4777677
- NLM abbreviation
- Community Dent Oral Epidemiol
- ISSN
- 0301-5661
- eISSN
- 1600-0528
- Publisher
- Denmark
- Grant note
- R01 DE017736 / NIDCR NIH HHS
- Language
- English
- Date published
- 04/2016
- Academic Unit
- Preventive and Community Dentistry; Endodontics; Biostatistics; Pediatric Dentistry; Dental Research
- Record Identifier
- 9983917665502771
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