Oral Health Problems among Children with Neurodevelopmental Disorders in the United States
Related Experiment Video
Updated: Dec 27, 2025

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
Zenab I Yusuf1, Deepa Dongarwar2, Rafeek A Yusuf3
1Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, USA; Houston VA Health Services Research and Development Service Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, TX, USA; and VA South Central Mental Illness Research, Education and Clinical Center, Houston, TX, USA.
Insights
Children with neurodevelopmental disabilities (NDD) face a significantly higher risk of poor oral health problems (OHP). Protective factors include higher income, private insurance, and educated household adults.
Area of Science:
- Pediatric Health
- Public Health
- Neurodevelopmental Disabilities
Background:
- Children with neurodevelopmental disabilities (NDD) experience disproportionately high rates of poor oral health problems (OHP).
- OHP in this population can lead to severe, adverse health outcomes, highlighting a critical public health concern.
- Understanding the factors associated with OHP in children with NDD is crucial for targeted interventions.
Purpose of the Study:
- To investigate the association between neurodevelopmental disabilities (NDD) and the prevalence of poor oral health problems (OHP) in US children.
- To identify demographic and socioeconomic factors that may influence the risk of OHP in children with NDD.
Main Methods:
- Utilized data from the 2016-17 National Survey of Children's Health (NSCH) for children aged 3-17 years in the United States.
- Employed statistical analysis to compare the prevalence of OHP between children with and without NDD.
- Identified protective factors against OHP, including socioeconomic status, insurance coverage, and parental education.
Main Results:
- The overall prevalence of poor oral health problems (OHP) was 19.1% among the surveyed children.
- Children with neurodevelopmental disabilities (NDD) exhibited a 40% greater likelihood of experiencing OHP compared to their peers without NDD (p <0.0001).
- Factors such as living at or above 200%-300% of the federal poverty level (FPL), private insurance, and having a college-educated adult in the household were associated with reduced OHP risk.
Conclusions:
- Neurodevelopmental disabilities (NDD) are significantly associated with an increased risk of poor oral health problems (OHP) in children.
- Socioeconomic factors, including income, insurance status, and parental education, play a vital role in mitigating OHP risk.
- Targeted oral health interventions and support systems are essential for children with NDD to improve health outcomes.
Abstract:
Children with neurodevelopmental disabilities (NDD) suffer poor oral health problems (OHP) leading to adverse health outcomes. We examined the association between NDD and OHP among children in the United States (US) ages 3-17 years using data from the National Survey of Children's Health (NSCH) 2016-17. The prevalence of OHP was 19.1%. Children with NDD had about 40% greater likelihood of poor oral health compared to their non-NDD counterparts (p <0.0001). Living at or above 200%-300% of the federal poverty level (FPL), private insurance coverage, and living with a least a college educated adult were found to be protective factors against poor oral health among children.
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