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Published on: June 28, 2024
Early childhood caries and its relationship with perinatal, socioeconomic and nutritional risks: a cross-sectional
Valdeci Elias dos Santos Junior1, Rebeca Maria Brasileiro de Sousa, Maria Cecília Oliveira
1Department of Paediatric Dentistry, Faculty of Dentistry, University of Pernambuco, Recife, Brazil. valdeciodonto@gmail.com.
Insights
Low family income, premature birth, and infant obesity are linked to early childhood caries (ECC). These socioeconomic and health factors significantly increase the prevalence of ECC in children.
Area of Science:
- Pediatric Dentistry
- Public Health
- Epidemiology
Background:
- Socioeconomic and perinatal factors significantly influence individual and population health.
- Early childhood caries (ECC) is a prevalent issue with multifactorial origins.
- Understanding determinants of ECC is crucial for targeted public health interventions.
Purpose of the Study:
- To assess the prevalence of early childhood caries (ECC).
- To investigate the association between perinatal factors (gestational age, teenage pregnancy, birth weight), family income, and nutritional risk with ECC.
- To identify key risk factors for ECC in a pediatric population.
Main Methods:
- A cross-sectional study involving 320 children examined using World Health Organization criteria.
- Validated questionnaires collected data on family income, gestational age, and birth weight.
- Nutritional risk assessed using CDC criteria; statistical analyses included Pearson's, chi-square, and multivariate Poisson regression.
Main Results:
- Approximately 20% of children presented with ECC.
- Multivariate Poisson analyses revealed significant associations between increased ECC prevalence and lower family income (p=0.009), lower birth weight (p<0.001), and infant obesity (p<0.001).
- Gestational age (p=0.149) and teenage pregnancy (p>0.05) were not significantly associated with ECC in this cohort.
Conclusions:
- The prevalence of ECC is significantly associated with socioeconomic status, specifically low family income.
- Perinatal factors, including premature birth (low birth weight) and infant obesity, are critical determinants of ECC.
- These findings highlight the need for integrated strategies addressing socioeconomic and health factors to prevent ECC.
Background:
Socioeconomic, perinatal and other life cycle events can be important determinants of the health status of the individual and populations. This study aimed to assess the prevalence of early childhood caries (ECC), perinatal factors (gestational age, teenage pregnancy and birth weight), family income and nutritional risk in children.
Methods:
A cross-sectional study in which 320 children were examined according to the criteria established by the World Health Organization. A previously validated questionnaire was used to obtain information from parents and guardians about family income, gestational age and birth weight. To check the nutritional risk, we used the criteria provided by the CDC (Center for Disease Control). For Statistics, Pearson's, chi-square and the multivariate Poisson analyses were used to determine the association among variables.
Results:
Approximately 20% of children had ECC, and the Poisson multivariate analyses indicated that family income (p = 0.009), birth weight (p < 0.001) and infant obesity (p < 0.001) were related to the increase of ECC, and gestational age was not significantly associated with ECC (p = 0.149). Pregnancy in adolescence was not included in the regression analyses model because it was not statistically significant in the chi-square test (p > 0.05).
Conclusion:
The prevalence of ECC was related to low family income, premature birth and infant obesity.
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