Association between neighborhood disadvantage and children's oral health outcomes in urban families in the Chicago area.
Association between neighborhood disadvantage and children's oral health outcomes in urban families in the Chicago area.
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DOI：
10.3389/fpubh.2023.1203523
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发表时间：
2023
影响因子：
5.2
通讯作者：
Martin, Molly A.
中科院分区：
文献类型：
--
作者：
Lee, Helen H.;Dziak, John J.;Avenetti, David M.;Berbaum, Michael L.;Edomwande, Yuwa;Kliebhan, Margaret;Zhang, Tong;Licona-Martinez, Karla;Martin, Molly A.
与全国和州数据相比，芝加哥市区儿童龋齿的患病率表明，社区环境影响口腔健康。我们的目标是描绘儿童的社区对可预测龋齿的口腔健康结果（刷牙频率和牙菌斑水平）的影响。我们的研究人群代表了芝加哥大都市地区参加医疗补助的城市家庭。数据来自参加协调口腔健康促进 (CO-OP) 试验的一组参与者（儿童-父母二人组），这些参与者在 12 个月的研究参与期间（N = 362）。口腔健康结果包括刷牙频率和牙菌斑水平。参与者的邻里资源水平通过面积剥夺指数（ADI）来衡量。线性和逻辑回归模型分别用于测量 ADI 对牙菌斑评分和刷牙频率的影响。分析了 362 个子女与父母的数据。平均儿童年龄为 33.6 个月 (SD 6.8)。据报告，大多数儿童每天至少刷牙两次（n = 228，63%），但平均菌斑评分为 1.9（SD 0.7），被归类为“差”。在协变量调整分析中，ADI 与刷牙频率无关（0.94，95% CI 0.84-1.06）。 ADI 与菌斑评分相关（0.05，95% CI 0.01–0.09，p 值 = 0.007）。研究结果支持邻里因素影响儿童牙菌斑水平的假设。由于牙菌斑过多会使儿童面临蛀牙的高风险，因此我们建议将社区环境纳入干预措施和政策中，以减少儿童口腔健康差异。为弱势社区服务的现有计划和诊所能够很好地支持幼儿的护理人员保持建议的口腔健康行为。
The prevalence of childhood caries in urban Chicago, compared with national and state data, indicates that neighborhood context influences oral health. Our objective was to delineate the influence of a child's neighborhood on oral health outcomes that are predictive of caries (toothbrushing frequency and plaque levels). Our study population represents urban, Medicaid-enrolled families in the metropolitan Chicago area. Data were obtained from a cohort of participants (child–parent dyads) who participated in the Coordinated Oral Health Promotion (CO-OP) trial at 12 months of study participation (N = 362). Oral health outcomes included toothbrushing frequency and plaque levels. Participants' neighborhood resource levels were measured by the Area Deprivation Index (ADI). Linear and logistic regression models were used to measure the influence of ADI on plaque scores and toothbrushing frequency, respectively. Data from 362 child–parent dyads were analyzed. The mean child age was 33.6 months (SD 6.8). The majority of children were reported to brush at least twice daily (n = 228, 63%), but the mean plaque score was 1.9 (SD 0.7), classified as “poor.” In covariate-adjusted analyses, ADI was not associated with brushing frequency (0.94, 95% CI 0.84–1.06). ADI was associated with plaque scores (0.05, 95% CI 0.01–0.09, p value = 0.007). Findings support the hypothesis that neighborhood-level factors influence children's plaque levels. Because excessive plaque places a child at high risk for cavities, we recommend the inclusion of neighborhood context in interventions and policies to reduce children's oral health disparities. Existing programs and clinics that serve disadvantaged communities are well-positioned to support caregivers of young children in maintaining recommended oral health behaviors.
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影响因子：
39.2
作者：
Kind AJ;Jencks S;Brock J;Yu M;Bartels C;Ehlenbach W;Greenberg C;Smith M
通讯作者：
Smith M
DOI：
10.14219/jada.archive.1964.0034
发表时间：
1964-01-01
影响因子：
3.9
作者：
GREENE, JC;VERMILLION, JR
通讯作者：
VERMILLION, JR
影响因子：
7.6
作者：
Macpherson, L. M. D.;Anopa, Y.;McMahon, A. D.
通讯作者：
McMahon, A. D.
影响因子：
12.7
作者：
Gaskin DJ;Thorpe RJ Jr;McGinty EE;Bower K;Rohde C;Young JH;LaVeist TA;Dubay L
通讯作者：
Dubay L
影响因子：
--
作者：
Lee, Helen H. H.;Avenetti, David;Edomwande, Yuwa;Sundararajan, Vyshiali;Cui, Liyong;Berbaum, Michael;Nordgren, Rachel;Sandoval, Anna;Martin, Molly A.
通讯作者：
Martin, Molly A.