Maternal factors and risk of early childhood caries: A prospective cohort study.


Journal

Community dentistry and oral epidemiology
ISSN: 1600-0528
Titre abrégé: Community Dent Oral Epidemiol
Pays: Denmark
ID NLM: 0410263

Informations de publication

Date de publication:
10 2023
Historique:
revised: 25 08 2022
received: 12 10 2021
accepted: 07 09 2022
medline: 19 9 2023
pubmed: 29 9 2022
entrez: 28 9 2022
Statut: ppublish

Résumé

To evaluate the associations between time-varying factors (mother's oral health, oral hygiene, smoking habits, diet, food insecurity and stress) socioeconomic factors (mother's employment, marital status, household income, insurance status, household size) and medical history on children's risk of developing a carious lesion in the first 3 years of life. Longitudinal data from the Center for Oral Health Research in Appalachia Cohort Two (COHRA2) were analysed. Pregnant women ≥18 years in the USA were recruited during pregnancy; all consenting women delivering at term and their babies had regular dental assessments and complete in-person surveys and telephone interviews regarding sociodemographic factors, medical and dental history, and oral health behaviours. In a logistic regression model adjusting for covariates, children whose mother had two or more prior pregnancies, smoked cigarettes post-partum, or had a recent unfilled carious lesion were at least twice as likely to experience a dental lesion by the three-year visit. The magnitude of these associations varied by maternal education and state of residence. Untreated maternal decay but not maternal oral hygiene or diet were associated with cumulative risk of childhood caries by age three but were modified by maternal education and state of residence. Addressing structural and behavioural issues that reduce use of restorative dental care are needed to prevent the adverse impacts associated with early childhood caries.

Identifiants

pubmed: 36168961
doi: 10.1111/cdoe.12794
pmc: PMC10043047
mid: NIHMS1880827
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

953-965

Subventions

Organisme : NIDCR NIH HHS
ID : R01 DE014899
Pays : United States

Commentaires et corrections

Type : CommentIn

Informations de copyright

© 2022 The Authors. Community Dentistry and Oral Epidemiology published by John Wiley & Sons Ltd.

Références

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Auteurs

Betsy Foxman (B)

Center of Molecular and Clinical Epidemiology of Infectious Diseases, Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, Michigan, USA.

Elyse Davis (E)

Center of Molecular and Clinical Epidemiology of Infectious Diseases, Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, Michigan, USA.

Katherine Neiswanger (K)

Center for Craniofacial and Dental Genetics, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

Daniel McNeil (D)

Departments of Psychology and Dental Practice & Rural Health, and Center for Oral Health Research in Appalachia, West Virginia University, Morgantown, West Virginia, USA.

John Shaffer (J)

Center for Craniofacial and Dental Genetics, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Department of Oral and Craniofacial Sciences, School of Dental Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Department of Human Genetics, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

Mary L Marazita (ML)

Center for Craniofacial and Dental Genetics, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Department of Oral and Craniofacial Sciences, School of Dental Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Department of Human Genetics, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Clinical and Translational Science, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

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