Socioeconomic status, food security, and dental caries in US children: mediation analyses of data from the National Health and Nutrition Examination Survey, 2007-2008.
Socioeconomic status, food security, and dental caries in US children: mediation analyses of data from the National Health and Nutrition Examination Survey, 2007-2008.
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DOI：
10.2105/ajph.2013.301699
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发表时间：
2014-05
影响因子：
12.7
通讯作者：
Coldwell SE
中科院分区：
文献类型：
--
作者：
Chi DL;Masterson EE;Carle AC;Mancl LA;Coldwell SE
我们研究了家庭社会经济地位(SES)和食品安全与儿童口腔健康结果的关系。我们分析了2007年和2008年美国5至17岁儿童(n=2206)的国民健康和营养检查调查数据，以检验食品安全与未经治疗的龋齿之间的关系，并评估食品安全是否在SES-龋齿关系中起中介作用。约20.1%的儿童患有未经治疗的龋齿。大多数家庭拥有充分的粮食安全(62%)；13%的家庭处于边缘状态，17%的家庭粮食安全水平较低，8%的家庭粮食安全水平非常低。SES越高，患龋率越低(患病率[PR]=0.77；95%可信区间=0.63、0.94；P=0.01)。来自低或极低粮食安全家庭的儿童的龋齿患病率显著高于生活在完全粮食安全家庭的儿童(分别为2.00和1.70)。儿童的龋齿患病率在完全和略有食物安全的家庭中没有差别(P=.17)。食物不安全似乎没有调节SES与龋齿的关系。确保食品安全的干预措施和政策可能有助于解决美国的儿童龋病流行问题。
We examined associations of household socioeconomic status (SES) and food security with children's oral health outcomes. We analyzed 2007 and 2008 US National Health and Nutrition Examination Survey data for children aged 5 to 17 years (n = 2206) to examine the relationship between food security and untreated dental caries and to assess whether food security mediates the SES-caries relationship. About 20.1% of children had untreated caries. Most households had full food security (62%); 13% had marginal, 17% had low, and 8% had very low food security. Higher SES was associated with significantly lower caries prevalence (prevalence ratio [PR] = 0.77; 95% confidence interval = 0.63, 0.94; P = .01). Children from households with low or very low food security had significantly higher caries prevalence (PR = 2.00 and PR = 1.70, respectively) than did children living in fully food-secure households. Caries prevalence did not differ among children from fully and marginally food-secure households (P = .17). Food insecurity did not appear to mediate the SES–caries relationship. Interventions and policies to ensure food security may help address the US pediatric caries epidemic.