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Obesity and Dental Caries in Young Children in Plymouth, United Kingdom: A Spatial Analysis
Insights
Childhood obesity and dental caries show spatial clustering, particularly in deprived areas. Neighbourhood factors significantly influence these health conditions, highlighting the need for geographically targeted interventions.
Area of Science:
- Public Health
- Spatial Epidemiology
- Child Health
Background:
- Childhood obesity and dental caries are significant public health concerns.
- Understanding their spatial distribution and relationship with socioeconomic factors is crucial for effective interventions.
Purpose of the Study:
- To investigate the spatial clustering of obesity and dental caries in young children in Plymouth, UK.
- To assess the association between these conditions and socioeconomic deprivation.
- To explore the impact of neighbourhood characteristics on their distribution.
Main Methods:
- Cross-sectional study utilizing data from the National Child Measurement Programme and Local Dental Health Survey.
- Analysis included ANOVA, Poisson models, Global Moran's I, Local Indicators of Spatial Association, and variograms.
- Log-linear Poisson models assessed neighbourhood characteristics' influence on overweight/obesity and caries.
Main Results:
- Deprivation predicted caries at the individual level, and both conditions at the area level.
- Significant spatial autocorrelation was found for caries, extending up to 3 km.
- Proportion of people on benefits was a key neighbourhood predictor for caries rates.
Conclusions:
- Geographic location and environmental characteristics are vital for developing targeted strategies for childhood obesity and caries.
- Interventions should consider the broader neighbourhood context to address these health issues effectively.
Objective:
To examine the spatial clustering of obesity and dental caries in young children in Plymouth, United Kingdom, to evaluate the association between these conditions and deprivation, and explore the impact of neighbourhood-level characteristics on their distribution.
Basic Research Design:
Cross-sectional study analysing data from the National Child Measurement Programme (N=2427) and the Local Dental Health Survey (N=1425). The association of deprivation with weight status and caries was determined at individual and area level, using ANOVA and Poisson models. The overall spatial clustering was assessed using a modified version of the Global Moran's I, while clusters were located through Local Indicators of Spatial Association. Spatial autocorrelation was assessed using the variograms of the raw values. Log-linear Poisson models were fitted to assess the significance of neighbourhood characteristics on overweight/obesity and caries distribution.
Results:
At an individual level, deprivation was not associated with BMI z-scores but was a significant predictor of caries (p⟨0.05). However, at area level, deprivation related to the rates of both conditions. A significant positive autocorrelation was observed across neighbourhoods for caries. The variograms suggested spatial autocorrelations up to 2.5 km and 3 km for overweight/obesity and caries, respectively. Among several neighbourhood characteristics, the proportion of people on benefits was found to be a significant predictor of caries rates.
Conclusions:
Our results underline the importance of considering geographic location and characteristics of the broader environment when developing strategies to target obesity and caries.
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