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Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
Relationship between oral health in children and poverty related factors
Aldo Squassi1, Silvia Mauro, María José Mauro
1Preventive and Community Dentistry, School of Dentistry, University of Buenos Aires, Argentina.
Insights
Poverty significantly impacts children's oral health in Buenos Aires. Children facing social risks exhibited higher rates of dental caries, directly linked to socioeconomic factors like parental education and healthcare access.
Area of Science:
- Public Health
- Pediatric Dentistry
- Socioeconomic Determinants of Health
Background:
- Poverty is a significant determinant of health outcomes, particularly in vulnerable populations.
- Oral health in children is influenced by socioeconomic status, access to care, and environmental factors.
- Suburban areas often present unique challenges regarding health disparities.
Purpose of the Study:
- To investigate the relationship between poverty-related variables and oral health status in children.
- To analyze the influence of socioeconomic factors on dental caries prevalence in a suburban population.
- To identify specific poverty indicators associated with poor oral health outcomes in children.
Main Methods:
- A comparative study involving 1,049 children, divided into a social risk group (n=579) and a control group (n=470).
- Analysis of poverty-related variables: parental education, employment, and oral healthcare access.
- Clinical oral examinations assessing DMFS, dmfs, DS, ds, Care Index, and plaque index, analyzed with statistical tests (t-test, ANOVA, Chi-square).
Main Results:
- Children in the social risk group showed significantly higher dental caries indicators (DMFS, dmfs, DS, ds) compared to the control group.
- A positive correlation was observed between increased poverty indicators and higher dental caries prevalence.
- Neighborhoods with higher social risk incidence had a greater proportion of children with high cariogenic risk.
Conclusions:
- Poverty-related variables are significantly associated with adverse oral health outcomes in children.
- Socioeconomic factors play a crucial role in the development of dental caries among preschool and school-aged children.
- Targeted interventions addressing socioeconomic disparities are essential for improving pediatric oral health in the studied region.
Abstract:
The aim of this investigation was to analyze the variables related to poverty and its influence on oral health in children living in a suburban area ofBuenos Aires, Argentina. The study population consisted of 1,049 children. 579 children at social risk (Group I) were recruited from five neighborhoods with critical lacks (Katzman, 1989) and divided into 2 subgroups according to age: (A) preschool children and (B) school children. 470 preschool and school children from the same district but living in homes without critical lacks served as controls (Group II). The following variables associated with poverty were analyzed: (a) parents' instructional level, (b) employment conditions, and (c) accessibilty to regular oral health care. Group I comprised children from five neighborhoods categorized according to the incidence rate of each variable. Clinical examinations were performed under similar conditions by three calibrated investigators. DMFS, dmfs, total DMFS + dmfs, DS + ds, Care Index and Loe & Silness plaque index were recorded and analyzed using Students t test, ANOVA and Chi square test (level of significance p < 0.05). Dental indicators were significantly higher in Group I than in Group II. The dental caries indicators increased as the incidence rate of the poverty-related variables rose. The highest number of children with high cariogenic risk was observed in neighborhoods with the highest social risk (c2 = 30.48; p < 0.005). The analyzed poverty-related variables seemed to be associated with factors that play a role in the dental caries development process in school and preschool children living in the Metropolitan area of Buenos Aires.
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