Risk factors for oral health in young, urban, Aboriginal and Torres Strait Islander children

Background The caries process follows a strong social gradient which can commence in the first years of life. Yet data on young children remain limited. This study reports the potential risk factors and indicators in urban, Aboriginal and Torres Strait Islander children aged less than 5 and estimate...

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Vydané v:Australian dental journal Ročník 64; číslo 1; s. 72 - 81
Hlavní autori: Butten, K, Johnson, NW, Hall, KK, Anderson, J, Toombs, M, King, N, O'Grady, KF
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: Australia John Wiley and Sons Inc 01.03.2019
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ISSN:0045-0421, 1834-7819, 1834-7819
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Abstract Background The caries process follows a strong social gradient which can commence in the first years of life. Yet data on young children remain limited. This study reports the potential risk factors and indicators in urban, Aboriginal and Torres Strait Islander children aged less than 5 and estimates the prevalence of caries. Methods Demographic and risk factor and risk indicator data were collected at baseline in a cohort study of children attending a health clinic in north Brisbane. Dentulous children received a basic oral examination to explore the presence of decayed, missing and filled teeth (dmft). Descriptive analyses were performed. A backwards stepwise logistic regression model was performed to identify potential associations with dmft status. Results In this study, 180 children enrolled: 111 children received the oral examination, of whom 14 (12.6%) (mean age 35 months) were estimated to have dmft >0. There was a high prevalence of socio‐economic, dietary and behavioural risk factors/indicators present for children. Due to the small sample size, planned regression was not performed. Conclusions Overall, the prevalence of risk factors and risk indicators for caries in the study population is high. More culturally appropriate resources that support preventive care need to be invested before children are school aged.
AbstractList Background The caries process follows a strong social gradient which can commence in the first years of life. Yet data on young children remain limited. This study reports the potential risk factors and indicators in urban, Aboriginal and Torres Strait Islander children aged less than 5 and estimates the prevalence of caries. Methods Demographic and risk factor and risk indicator data were collected at baseline in a cohort study of children attending a health clinic in north Brisbane. Dentulous children received a basic oral examination to explore the presence of decayed, missing and filled teeth (dmft). Descriptive analyses were performed. A backwards stepwise logistic regression model was performed to identify potential associations with dmft status. Results In this study, 180 children enrolled: 111 children received the oral examination, of whom 14 (12.6%) (mean age 35 months) were estimated to have dmft >0. There was a high prevalence of socio‐economic, dietary and behavioural risk factors/indicators present for children. Due to the small sample size, planned regression was not performed. Conclusions Overall, the prevalence of risk factors and risk indicators for caries in the study population is high. More culturally appropriate resources that support preventive care need to be invested before children are school aged.
The caries process follows a strong social gradient which can commence in the first years of life. Yet data on young children remain limited. This study reports the potential risk factors and indicators in urban, Aboriginal and Torres Strait Islander children aged less than 5 and estimates the prevalence of caries. Demographic and risk factor and risk indicator data were collected at baseline in a cohort study of children attending a health clinic in north Brisbane. Dentulous children received a basic oral examination to explore the presence of decayed, missing and filled teeth (dmft). Descriptive analyses were performed. A backwards stepwise logistic regression model was performed to identify potential associations with dmft status. In this study, 180 children enrolled: 111 children received the oral examination, of whom 14 (12.6%) (mean age 35 months) were estimated to have dmft >0. There was a high prevalence of socio-economic, dietary and behavioural risk factors/indicators present for children. Due to the small sample size, planned regression was not performed. Overall, the prevalence of risk factors and risk indicators for caries in the study population is high. More culturally appropriate resources that support preventive care need to be invested before children are school aged.
The caries process follows a strong social gradient which can commence in the first years of life. Yet data on young children remain limited. This study reports the potential risk factors and indicators in urban, Aboriginal and Torres Strait Islander children aged less than 5 and estimates the prevalence of caries.BACKGROUNDThe caries process follows a strong social gradient which can commence in the first years of life. Yet data on young children remain limited. This study reports the potential risk factors and indicators in urban, Aboriginal and Torres Strait Islander children aged less than 5 and estimates the prevalence of caries.Demographic and risk factor and risk indicator data were collected at baseline in a cohort study of children attending a health clinic in north Brisbane. Dentulous children received a basic oral examination to explore the presence of decayed, missing and filled teeth (dmft). Descriptive analyses were performed. A backwards stepwise logistic regression model was performed to identify potential associations with dmft status.METHODSDemographic and risk factor and risk indicator data were collected at baseline in a cohort study of children attending a health clinic in north Brisbane. Dentulous children received a basic oral examination to explore the presence of decayed, missing and filled teeth (dmft). Descriptive analyses were performed. A backwards stepwise logistic regression model was performed to identify potential associations with dmft status.In this study, 180 children enrolled: 111 children received the oral examination, of whom 14 (12.6%) (mean age 35 months) were estimated to have dmft >0. There was a high prevalence of socio-economic, dietary and behavioural risk factors/indicators present for children. Due to the small sample size, planned regression was not performed.RESULTSIn this study, 180 children enrolled: 111 children received the oral examination, of whom 14 (12.6%) (mean age 35 months) were estimated to have dmft >0. There was a high prevalence of socio-economic, dietary and behavioural risk factors/indicators present for children. Due to the small sample size, planned regression was not performed.Overall, the prevalence of risk factors and risk indicators for caries in the study population is high. More culturally appropriate resources that support preventive care need to be invested before children are school aged.CONCLUSIONSOverall, the prevalence of risk factors and risk indicators for caries in the study population is high. More culturally appropriate resources that support preventive care need to be invested before children are school aged.
Author O'Grady, KF
Toombs, M
Anderson, J
Butten, K
King, N
Johnson, NW
Hall, KK
AuthorAffiliation 1 Queensland University of Technology Institute of Health & Biomedical Innovation Centre for Children's Health Research South Brisbane Queensland Australia
2 Menzies Health Institute Queensland and School of Dentistry and Oral Health Griffith University Gold Coast Queensland Australia
5 Rural Clinical School The University of Queensland South Toowoomba Queensland Australia
6 Faculty of Health Queensland University of Technology Kelvin Grove Queensland Australia
3 Dental Institute King's College London London UK
7 Present address: Griffith University 170 Kessels Road Nathan Campus Qld 4111 Australia
4 Caboolture Community Medical Caboolture Queensland Australia
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Issue 1
Keywords dental caries
Aboriginal and Torres Strait Islander
risk factors
urban
children
Language English
License Attribution
2018 The Authors. Australian Dental Journal published by John Wiley & Sons Australia, Ltd on behalf of Australian Dental Association.
This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
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Snippet Background The caries process follows a strong social gradient which can commence in the first years of life. Yet data on young children remain limited. This...
The caries process follows a strong social gradient which can commence in the first years of life. Yet data on young children remain limited. This study...
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wiley
SourceType Open Access Repository
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StartPage 72
SubjectTerms Aboriginal and Torres Strait Islander
Australian Aboriginal and Torres Strait Islander Peoples
Child
Child, Preschool
children
Cohort Studies
dental caries
Dental Caries - epidemiology
Female
Humans
Infant
Male
Oral Health
Risk Factors
Scientific
urban
Title Risk factors for oral health in young, urban, Aboriginal and Torres Strait Islander children
URI https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fadj.12662
https://www.ncbi.nlm.nih.gov/pubmed/30375649
https://www.proquest.com/docview/2127200772
https://pubmed.ncbi.nlm.nih.gov/PMC6392135
Volume 64
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