Journal article
Oral health behaviours and dental caries in low-income children with special healthcare needs: A prospective observational study
International journal of paediatric dentistry, Vol.30(6), pp.749-757
11/01/2020
DOI: 10.1111/ipd.12656
PMID: 32306501
Abstract
Background Dental caries is a significant public health problem for low-income children with special healthcare needs (CSHCN).
Aim We evaluated associations between oral health behaviours (eg diet, fluoride, dental care) and dental caries for CSHCN enrolled in Medicaid, a health insurance programme for low-income populations that provides comprehensive dental coverage for children.
Design We recruited 116 CSHCN ages 7-20 years from Medicaid enrolment files in Washington state, USA. Caregivers completed a 166-item questionnaire, and children received a dental screening. The outcome was dental caries, defined as total pre-cavitated, decayed, missing or filled tooth (PDMF) surfaces. We ran log-linear regression models and generated prevalence rate ratios (PRR).
Results The mean age of study participants was 12.4 +/- 3.1 years, 41.4% were female, and 38.8% were white. The mean PDMF surfaces were 6.4 +/- 9.4 (range: 0-49). Only sugar-sweetened beverage intake was significantly associated with dental caries. CSHCN who consumed >4 sugar-sweetened beverages per week were significantly more likely to have dental caries than those who consumed no sugar-sweetened beverages (PRR: 2.58; 95% CI: 1.37, 4.85; P < .01).
Conclusion Sugar-sweetened beverages are an important target for future behavioural interventions aimed at preventing dental caries in low-income CSHCN.
Details
- Title: Subtitle
- Oral health behaviours and dental caries in low-income children with special healthcare needs: A prospective observational study
- Creators
- Jeffrey N. Lee - University of WashingtonJoAnna M. Scott - University of Missouri–Kansas CityDonald L. Chi - University of Washington
- Resource Type
- Journal article
- Publication Details
- International journal of paediatric dentistry, Vol.30(6), pp.749-757
- DOI
- 10.1111/ipd.12656
- PMID
- 32306501
- NLM abbreviation
- Int J Paediatr Dent
- ISSN
- 0960-7439
- eISSN
- 1365-263X
- Publisher
- Wiley
- Number of pages
- 9
- Grant note
- Center for Advanced Study in the Behavioural Sciences (CASBS) at Stanford University William T. Grant Foundation Scholars Program K08DE020856 / US National Institute of Dental and Craniofacial Research Grant
- Language
- English
- Date published
- 11/01/2020
- Academic Unit
- Public Policy Center (Archive)
- Record Identifier
- 9984283857802771
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