Journal article
Socioeconomic Status, Food Security, and Dental Caries in US Children: Mediation Analyses of Data From the National Health and Nutrition Examination Survey, 2007-2008
American journal of public health (1971), Vol.104(5), pp.860-864
05/01/2014
DOI: 10.2105/AJPH.2013.301699
PMCID: PMC3987603
PMID: 24625141
Abstract
Objectives. We examined associations of household socioeconomic status (SES) and food security with children's oral health outcomes.
Methods. We analyzed 2007 and 2008 US National Health and Nutrition Examination Survey data for children aged 5 to 17 years (n = 2206) to examine the relationship between food security and untreated dental caries and to assess whether food security mediates the SES-caries relationship.
Results. About 20.1% of children had untreated caries. Most households had full food security (62%); 13% had marginal, 17% had low, and 8% had very low food security. Higher SES was associated with significantly lower caries prevalence (prevalence ratio [PR] = 0.77; 95% confidence interval = 0.63, 0.94; P = .01). Children from households with low or very low food security had significantly higher caries prevalence (PR = 2.00 and PR = 1.70, respectively) than did children living in fully food-secure households. Caries prevalence did not differ among children from fully and marginally food-secure households (P = .17). Food insecurity did not appear to mediate the SES-caries relationship.
Conclusions. Interventions and policies to ensure food security may help address the US pediatric caries epidemic.
Details
- Title: Subtitle
- Socioeconomic Status, Food Security, and Dental Caries in US Children: Mediation Analyses of Data From the National Health and Nutrition Examination Survey, 2007-2008
- Creators
- Donald L. Chi - Florida State UniversityErin E. Masterson - University of WashingtonAdam C. Carle - University of CincinnatiLloyd A. Mancl - University of WashingtonSusan E. Coldwell - University of Washington
- Resource Type
- Journal article
- Publication Details
- American journal of public health (1971), Vol.104(5), pp.860-864
- Publisher
- Amer Public Health Assoc Inc
- DOI
- 10.2105/AJPH.2013.301699
- PMID
- 24625141
- PMCID
- PMC3987603
- ISSN
- 0090-0036
- eISSN
- 1541-0048
- Number of pages
- 5
- Grant note
- William T. Grant Foundation Scholars Program T90DE021984 / NATIONAL INSTITUTE OF DENTAL & CRANIOFACIAL RESEARCH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Dental & Craniofacial Research (NIDCR) K08DE020856; L60MD003921; T90DE021884; U54DE019346. / National Institute of Dental and Craniofacial Research; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Dental & Craniofacial Research (NIDCR)
- Language
- English
- Date published
- 05/01/2014
- Academic Unit
- Public Policy Center (Archive)
- Record Identifier
- 9984283852702771
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