Risk factors for oral health in young, urban, Aboriginal and Torres Strait Islander children.
Aboriginal and Torres Strait Islander
children
dental caries
risk factors
urban
Journal
Australian dental journal
ISSN: 1834-7819
Titre abrégé: Aust Dent J
Pays: Australia
ID NLM: 0370612
Informations de publication
Date de publication:
03 2019
03 2019
Historique:
accepted:
23
10
2018
pubmed:
31
10
2018
medline:
4
12
2019
entrez:
31
10
2018
Statut:
ppublish
Résumé
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.
Sections du résumé
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.
Identifiants
pubmed: 30375649
doi: 10.1111/adj.12662
pmc: PMC6392135
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
72-81Subventions
Organisme : Supervisor Scholarship
Pays : International
Organisme : UQ Foundation Research Excellence Award
Pays : International
Organisme : Queensland University of Technology Indigenous Health start-up research grant
Pays : International
Organisme : Australian Postgraduate Award
Pays : International
Organisme : Queensland Children's Medical Research Institute Project Grant
Pays : International
Organisme : Queensland Smart Futures Fellowship
Pays : International
Organisme : NHMRC Career Development Fellowship
ID : 1045157
Pays : International
Organisme : NHMRC Centre for Research Excellence in Lung Health for Indigenous children
ID : 1040830
Pays : International
Informations de copyright
© 2018 The Authors. Australian Dental Journal published by John Wiley & Sons Australia, Ltd on behalf of Australian Dental Association.
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