Ethnic Disparities in Dental Caries among Six-Year-Old Children in the Netherlands

Autor: Henriëtte A. Moll, Eppo B. Wolvius, Lea Kragt, Justin T van der Tas, Jaap J S Veerkamp, Marlies E C Elfrink, Edwin M. Ongkosuwito, Vincent W. V. Jaddoe
Přispěvatelé: ACTA, Pedodontologie (OII, ACTA), Academic Centre for Dentistry Amsterdam, Paediatric Dentistry
Rok vydání: 2016
Předmět:
Male
Parents
medicine.medical_specialty
Pediatrics
Cross-sectional study
Population
Health Behavior
Ethnic group
Oral Health
Dental Caries
Cohort Studies
03 medical and health sciences
0302 clinical medicine
Surveys and Questionnaires
Epidemiology
Ethnicity
Odds Ratio
Prevalence
Medicine
Humans
Minority Health
030212 general & internal medicine
Prospective Studies
Healthcare Disparities
education
Child
Dental Care
General Dentistry
Socioeconomic status
Netherlands
education.field_of_study
business.industry
DMF Index
Public health
030206 dentistry
Odds ratio
Reconstructive and regenerative medicine Radboud Institute for Health Sciences [Radboudumc 10]
stomatognathic diseases
Reconstructive and regenerative medicine Radboud Institute for Molecular Life Sciences [Radboudumc 10]
Cross-Sectional Studies
Social Class
Female
business
Demography
Cohort study
Zdroj: Caries Research, 50, 489-497
van der Tas, J T, Kragt, L, Veerkamp, J S J, Jaddoe, V W V, Moll, H A, Ongkosuwito, E M, Elfrink, M E C & Wolvius, E B 2016, ' Ethnic Disparities in Dental Caries among Six-Year-Old Children in the Netherlands ', Caries Research, vol. 50, no. 5, pp. 489-497 . https://doi.org/10.1159/000448663
Caries Research, 50(5), 489-497. Karger
Caries Research, 50(5), 489-497. S. Karger AG
Caries Research, 50, 5, pp. 489-497
ISSN: 0008-6568
DOI: 10.1159/000448663
Popis: Contains fulltext : 172490.pdf (Publisher’s version ) (Closed access) The aim of this study was to investigate potential differences in caries prevalence of children from ethnic minority groups compared to native Dutch children and the influence of socio-economic status (SES) and parent-reported oral health behaviour on this association. The study had a cross-sectional design, embedded in a population-based prospective multi-ethnic cohort study. 4,306 children with information on caries experience, belonging to 7 different ethnic groups, participated in this study. The decayed, missing, and filled teeth (dmft) index was assessed at the age of 6 and categorized in two ways for analysis: children without caries (dmft = 0) versus any caries experience (dmft >0) and children without caries (dmft = 0) versus children with mild caries (dmft = 1-3) or severe caries (dmft >3). Compared to native Dutch children, children with a Surinamese-Hindustani, Surinamese-Creole, Turkish, Moroccan, and Cape Verdean background had significantly higher odds for dental caries. Especially the Surinamese-Hindustani, Turkish, and Moroccan group had significantly higher odds for severe dental caries. Household income and educational level of the mother explained up to 43% of the association between ethnicity and dental caries, whereas parent-reported oral health behaviour did not mediate the association. Alarming disparities in caries prevalence between different ethnic (minority) groups exist, which cannot be fully explained by social inequalities. Public health strategies can apply this new knowledge and specifically focus on the reduction of ethnic disparities in oral health. More research is needed to explain the high caries prevalence among different ethnic minority groups.
Databáze: OpenAIRE