Psychosocial determinants of oral health outcomes in young children
ObjectiveTo examine the social determinants of early childhood caries (ECC), one of the greatest public health risks affecting children, and examine alternative pathways of influence.MethodsA physically healthy, socio-demographically high-risk sample of initially caries-free children, aged 1–4 years...
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Frontiers Media S.A.
2024-12-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2024.1478302/full |
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| author | Dorota T. Kopycka-Kedzierawski Patricia G. Ragusa Changyong Feng Kim Flint Gene E. Watson Cynthia L. Wong Steven R. Gill Ronald J. Billings Thomas G. O’Connor |
| author_facet | Dorota T. Kopycka-Kedzierawski Patricia G. Ragusa Changyong Feng Kim Flint Gene E. Watson Cynthia L. Wong Steven R. Gill Ronald J. Billings Thomas G. O’Connor |
| author_sort | Dorota T. Kopycka-Kedzierawski |
| collection | DOAJ |
| description | ObjectiveTo examine the social determinants of early childhood caries (ECC), one of the greatest public health risks affecting children, and examine alternative pathways of influence.MethodsA physically healthy, socio-demographically high-risk sample of initially caries-free children, aged 1–4 years, was prospectively studied for 2 years. At 6-month intervals, assessments were made of caries presence from a standard dental exam; oral microbiology was assayed from saliva samples; oral hygiene behaviors and psychological and psychosocial risk exposure were derived from interviews and questionnaires.Results189 children were enrolled; ECC onset occurred in 48 children over the 2-year study period. A composite measure of psychosocial risk was significantly associated with ECC onset over the course of the study (1.57, 95% CI 1.12–2.20, p < .001) and significantly associated with multiple risks for ECC, including poor diet/feeding (.92; 95% CI. 22–1.61, p < .01), poor oral hygiene (.39; 95% CI .09–.68), p < .05), and higher concentrations Lactobacilli (.96; 95% CI .43–1.49, p < .001). Multivariable regression analyses provided indirect support for the hypothesis that psychosocial risk exposure predicts ECC onset via behavioral and oral hygiene pathways.ConclusionsThe study provides novel evidence that psychosocial factors influence many of the purported risks for ECC and strong evidence that there are social and psychological determinants of ECC onset. |
| format | Article |
| id | doaj-art-e10edb4e03194a9191f4eed84fe5163d |
| institution | OA Journals |
| issn | 2296-2360 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj-art-e10edb4e03194a9191f4eed84fe5163d2025-08-20T02:19:21ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602024-12-011210.3389/fped.2024.14783021478302Psychosocial determinants of oral health outcomes in young childrenDorota T. Kopycka-Kedzierawski0Patricia G. Ragusa1Changyong Feng2Kim Flint3Gene E. Watson4Cynthia L. Wong5Steven R. Gill6Ronald J. Billings7Thomas G. O’Connor8Department of Oral and Craniofacial Sciences, Eastman Institute for Oral Health, University of Rochester, Rochester, NY, United StatesDepartment of Oral and Craniofacial Sciences, Eastman Institute for Oral Health, University of Rochester, Rochester, NY, United StatesDepartment of Biostatistics and Computational Biology and Department of Anesthesiology and Perioperative Medicine, University of Rochester, Rochester, NY, United StatesDepartment of Oral and Craniofacial Sciences, Eastman Institute for Oral Health, University of Rochester, Rochester, NY, United StatesDepartment of Oral and Craniofacial Sciences, Eastman Institute for Oral Health, University of Rochester, Rochester, NY, United StatesDepartment of Oral and Craniofacial Sciences, Eastman Institute for Oral Health, University of Rochester, Rochester, NY, United StatesDepartment of Immunology and Microbiology, University of Rochester, Rochester, NY, United StatesDepartment of Oral and Craniofacial Sciences, Eastman Institute for Oral Health, University of Rochester, Rochester, NY, United StatesDepartments of Psychiatry, Neuroscience, and Obstetrics and Gynecology, University of Rochester, Rochester, NY, United StatesObjectiveTo examine the social determinants of early childhood caries (ECC), one of the greatest public health risks affecting children, and examine alternative pathways of influence.MethodsA physically healthy, socio-demographically high-risk sample of initially caries-free children, aged 1–4 years, was prospectively studied for 2 years. At 6-month intervals, assessments were made of caries presence from a standard dental exam; oral microbiology was assayed from saliva samples; oral hygiene behaviors and psychological and psychosocial risk exposure were derived from interviews and questionnaires.Results189 children were enrolled; ECC onset occurred in 48 children over the 2-year study period. A composite measure of psychosocial risk was significantly associated with ECC onset over the course of the study (1.57, 95% CI 1.12–2.20, p < .001) and significantly associated with multiple risks for ECC, including poor diet/feeding (.92; 95% CI. 22–1.61, p < .01), poor oral hygiene (.39; 95% CI .09–.68), p < .05), and higher concentrations Lactobacilli (.96; 95% CI .43–1.49, p < .001). Multivariable regression analyses provided indirect support for the hypothesis that psychosocial risk exposure predicts ECC onset via behavioral and oral hygiene pathways.ConclusionsThe study provides novel evidence that psychosocial factors influence many of the purported risks for ECC and strong evidence that there are social and psychological determinants of ECC onset.https://www.frontiersin.org/articles/10.3389/fped.2024.1478302/fulloral healthearly childhood cariessocial conditionssocial determinants of healthInternational Caries Detection and Assessment System (ICDAS) |
| spellingShingle | Dorota T. Kopycka-Kedzierawski Patricia G. Ragusa Changyong Feng Kim Flint Gene E. Watson Cynthia L. Wong Steven R. Gill Ronald J. Billings Thomas G. O’Connor Psychosocial determinants of oral health outcomes in young children Frontiers in Pediatrics oral health early childhood caries social conditions social determinants of health International Caries Detection and Assessment System (ICDAS) |
| title | Psychosocial determinants of oral health outcomes in young children |
| title_full | Psychosocial determinants of oral health outcomes in young children |
| title_fullStr | Psychosocial determinants of oral health outcomes in young children |
| title_full_unstemmed | Psychosocial determinants of oral health outcomes in young children |
| title_short | Psychosocial determinants of oral health outcomes in young children |
| title_sort | psychosocial determinants of oral health outcomes in young children |
| topic | oral health early childhood caries social conditions social determinants of health International Caries Detection and Assessment System (ICDAS) |
| url | https://www.frontiersin.org/articles/10.3389/fped.2024.1478302/full |
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