Spatio-temporal trends in caries: A study on children in Berlin-Mitte.
children
dental caries
health disparities
routinely collected data
small-area analysis
spatio-temporal analysis
Journal
Clinical and experimental dental research
ISSN: 2057-4347
Titre abrégé: Clin Exp Dent Res
Pays: United States
ID NLM: 101692332
Informations de publication
Date de publication:
04 2021
04 2021
Historique:
revised:
28
10
2020
received:
02
04
2020
accepted:
31
10
2020
pubmed:
18
11
2020
medline:
20
1
2022
entrez:
17
11
2020
Statut:
ppublish
Résumé
Significant inequalities in caries distribution among children in Germany have been reported, but small-scale areas remain understudied. To examine spatio-temporal trends in children's dental caries at the small-area level in Berlin-Mitte. Routinely collected data from Berlin's annual Health Examination Surveys were used, which also include information on age, sex, country of origin, and residential area. The study population consists of 14,866 children aged 5 to 7 between 2006 and 2014 in the district of Berlin-Mitte. Outcome variables are the dmft (decayed, missing, and filled teeth), the presence of any caries experience, untreated caries, and caries risk. The outcomes are summarized descriptively and graphically presented for 10 quarters and 41 communities within Berlin-Mitte. Relevant gaps in children's dental caries were discovered between the quarters of Mitte. Three quarters in the northeast part of Mitte have consistently indicated the lowest oral health status in all four outcomes, and children having high caries risk have been increasingly concentrating in this area over time. Despite the continuous improvements in the southern part, the averages in total of Mitte for all outcomes have risen. Our findings confirm the spatiotemporally mounting disparities in children's oral health between the quarters in Berlin-Mitte and that particular quarters need urgent attention. The small-area approach made it easier and more effective to reveal the spatial distribution of children's dental caries at the local level. The small-area analysis should be strongly encouraged in future caries research to narrow the inequalities in children's oral health.
Sections du résumé
BACKGROUND
Significant inequalities in caries distribution among children in Germany have been reported, but small-scale areas remain understudied.
AIM
To examine spatio-temporal trends in children's dental caries at the small-area level in Berlin-Mitte.
DESIGN
Routinely collected data from Berlin's annual Health Examination Surveys were used, which also include information on age, sex, country of origin, and residential area. The study population consists of 14,866 children aged 5 to 7 between 2006 and 2014 in the district of Berlin-Mitte. Outcome variables are the dmft (decayed, missing, and filled teeth), the presence of any caries experience, untreated caries, and caries risk. The outcomes are summarized descriptively and graphically presented for 10 quarters and 41 communities within Berlin-Mitte.
RESULTS
Relevant gaps in children's dental caries were discovered between the quarters of Mitte. Three quarters in the northeast part of Mitte have consistently indicated the lowest oral health status in all four outcomes, and children having high caries risk have been increasingly concentrating in this area over time. Despite the continuous improvements in the southern part, the averages in total of Mitte for all outcomes have risen.
CONCLUSION
Our findings confirm the spatiotemporally mounting disparities in children's oral health between the quarters in Berlin-Mitte and that particular quarters need urgent attention. The small-area approach made it easier and more effective to reveal the spatial distribution of children's dental caries at the local level. The small-area analysis should be strongly encouraged in future caries research to narrow the inequalities in children's oral health.
Identifiants
pubmed: 33200569
doi: 10.1002/cre2.354
pmc: PMC8019772
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
196-204Informations de copyright
© 2020 The Authors. Clinical and Experimental Dental Research published by John Wiley & Sons Ltd.
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