Association between psychosocial determinants of adverse childhood experiences and severe early childhood caries among First Nations children
Autor: | Herenia P. Lawrence, Wan Ting Tsai |
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Rok vydání: | 2021 |
Předmět: |
Dental Caries Susceptibility
business.industry Perceived Stress Scale Odds ratio Overcrowding Dental Caries Logistic regression medicine.disease Social support Cross-Sectional Studies Adverse Childhood Experiences Pregnancy Child Preschool Environmental health Income Humans Medicine Female business General Dentistry Psychosocial Early childhood caries Social status |
Zdroj: | International Journal of Paediatric Dentistry. 32:352-366 |
ISSN: | 1365-263X 0960-7439 |
Popis: | Aim To determine whether psychosocial determinants of adverse childhood experiences (ACE), from pregnancy to 2 years old, are associated with severe early childhood caries (S-ECC) in Indigenous children. Design Secondary data analyses from an ECC prevention trial among 344 First Nations mother-child dyads living on- and off-reserve in Ontario and Manitoba, Canada. Stratified (on-/off-reserve) logistic regression, controlling for mother's age and income source, assessed three categories of psychosocial ACE determinants: alcohol/drug misuse, household financial hardship (overcrowding and food insecurity) and emotional/social well-being (Perceived Stress Scale (PSS-14), sense of personal control (SOC), social support, subjective social status). Results Household overcrowding [adjusted odds ratio (AOR) = 1.89 (95% CI: 1.06-3.38)], food insecurity [AOR = 2.86 (1.53-5.34)] and mothers' high perceived stress [AOR = 2.48 (1.40-4.37)] were associated with S-ECC (dmft > 9) for those on-reserve. Maternal SOC had a protective effect for off-reserve children [AOR = 0.17 (0.03-0.95)]. Conclusions Increased efforts to reduce psychosocial ACE determinants are paramount to decreasing Indigenous children's vulnerability to S-ECC. |
Databáze: | OpenAIRE |
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