An epidemiological study of dental caries and associated factors among children residing in orphanages in Kerala, India: Health in Orphanages Project (HOPe).
Dental caries
children
epidemiology
oral health
orphanages
Journal
International dental journal
ISSN: 1875-595X
Titre abrégé: Int Dent J
Pays: England
ID NLM: 0374714
Informations de publication
Date de publication:
Apr 2019
Apr 2019
Historique:
pubmed:
14
8
2018
medline:
30
10
2019
entrez:
14
8
2018
Statut:
ppublish
Résumé
It is estimated that, as of 2010, there were 32 million orphaned children in India. There is little published information on the oral health of children in orphanages in India. To determine caries status and associated risk factors among children in orphanages in Kerala, India. This cross-sectional study assessed caries using World Health Organization (WHO) criteria, and caries experience was reported as decayed, missing and filled primary or secondary teeth (dmft or DMFT, respectively). A brief questionnaire captured information on child oral health behaviours. Mean [standard deviation (SD)] and median [interquartile range (IQR)] scores were used to describe caries rates. Multivariable logistic regression analysis was conducted to identify independent disease predictors. Study design complexities, such as clustering by orphanage and stratification by district, were accounted for in the multivariable regression analysis. This was carried out using the survey commands in STATA 13. A value of P<0.05 was considered as statistically significant. Overall, 1,137 children residing in 31 orphanages across the State of Kerala were recruited to the study. Female children made up 82% of the sample. In 6-year-old children the prevalence of caries was 77% and the mean dmft score was 3.60 (SD= 3.50); in 12-year-old children the prevalence of caries was 44% and the mean DMFT score was 1.35 (SD = 1.96). Among 12-year-old children, those who reported being shown how to clean their teeth were less likely to have caries (odds ratio = 0.62; 95% confidence interval: 0.38-0.95). Caries rates among children in orphanages were much higher than among children in the general population in Kerala. There is an urgent need for evidence-based and sustainable primary prevention strategies to reduce the burden of caries in this highly vulnerable population.
Sections du résumé
BACKGROUND
BACKGROUND
It is estimated that, as of 2010, there were 32 million orphaned children in India. There is little published information on the oral health of children in orphanages in India.
AIM
OBJECTIVE
To determine caries status and associated risk factors among children in orphanages in Kerala, India.
METHODS
METHODS
This cross-sectional study assessed caries using World Health Organization (WHO) criteria, and caries experience was reported as decayed, missing and filled primary or secondary teeth (dmft or DMFT, respectively). A brief questionnaire captured information on child oral health behaviours. Mean [standard deviation (SD)] and median [interquartile range (IQR)] scores were used to describe caries rates. Multivariable logistic regression analysis was conducted to identify independent disease predictors. Study design complexities, such as clustering by orphanage and stratification by district, were accounted for in the multivariable regression analysis. This was carried out using the survey commands in STATA 13. A value of P<0.05 was considered as statistically significant.
RESULTS
RESULTS
Overall, 1,137 children residing in 31 orphanages across the State of Kerala were recruited to the study. Female children made up 82% of the sample. In 6-year-old children the prevalence of caries was 77% and the mean dmft score was 3.60 (SD= 3.50); in 12-year-old children the prevalence of caries was 44% and the mean DMFT score was 1.35 (SD = 1.96). Among 12-year-old children, those who reported being shown how to clean their teeth were less likely to have caries (odds ratio = 0.62; 95% confidence interval: 0.38-0.95).
CONCLUSION
CONCLUSIONS
Caries rates among children in orphanages were much higher than among children in the general population in Kerala. There is an urgent need for evidence-based and sustainable primary prevention strategies to reduce the burden of caries in this highly vulnerable population.
Identifiants
pubmed: 30101521
doi: 10.1111/idj.12419
pmc: PMC9379072
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
113-118Subventions
Organisme : International Association for Dental Research
Informations de copyright
© 2018 FDI World Dental Federation.
Références
Community Dent Oral Epidemiol. 2007 Jun;35(3):170-8
pubmed: 17518963
AIDS. 2008 Mar 30;22(6):759-66
pubmed: 18356606
Int J Paediatr Dent. 2005 Nov;15(6):420-8
pubmed: 16238652
Aust Dent J. 2013 Jun;58 Suppl 1:17-25
pubmed: 23721334
Trop Med Int Health. 2007 May;12(5):584-93
pubmed: 17445126
Ann N Y Acad Sci. 2008;1136:101-10
pubmed: 17954681
AIDS Care. 2005 Oct;17(7):785-94
pubmed: 16120495
J Clin Periodontol. 2004 Jan;31(1):25-9
pubmed: 15058371
Child Adolesc Psychiatry Ment Health. 2011 Sep 25;5:29
pubmed: 21943214
PLoS One. 2012;7(6):e38109
pubmed: 22719867
Soc Psychiatry Psychiatr Epidemiol. 2011 Aug;46(8):787-96
pubmed: 20571756
Int J Paediatr Dent. 2009 Sep;19(5):330-7
pubmed: 19486374
J Int Soc Prev Community Dent. 2011 Jul;1(2):71-5
pubmed: 24478958
J Am Dent Assoc. 1998 Sep;129(9):1261-9
pubmed: 9766107