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Published on: December 31, 2017
An International Research Agenda for Oral Health Birth Cohort Studies
K G Peres1,2, A C Kalhan1,2, S Sarawagi1,2
1National Dental Research Institute Singapore, National Dental Centre Singapore, Singapore.
Insights
The Global Consortium of Oral Health Birth Cohort Studies identified key research priorities to improve children's oral health. Future studies will focus on life course perspectives for oral health equity.
Area of Science:
- Oral Health Research
- Pediatric Dentistry
- Public Health
Background:
- The Lancet Series on Oral Health highlighted the need for a global agenda shift.
- Existing Oral Health Birth Cohort Studies (OHBCS) formed the GLOBICS-Global Consortium.
- There is a need to identify priority research for OHBCS to improve global child oral health.
Purpose of the Study:
- To identify priority research questions for OHBCS.
- To leverage OHBCS to enhance children's global oral health outcomes.
- To establish a life course perspective for future OHBCS research.
Main Methods:
- A two-phase online Delphi process was employed to achieve consensus on research priorities.
- Participants were identified through mapping of existing OHBCS.
- Consensus criteria included specific Likert-type scale scoring, interquartile range, and standard deviation thresholds.
Main Results:
- Eight priority research questions were identified across four thematic areas.
- Key priorities include the long-term impact of childhood dental visits, sugar consumption's role in dental caries, infant growth and dental diseases, and fluoride's effect on socioeconomic disparities in caries.
- Forty-four of 114 participants completed the survey.
Conclusions:
- Future OHBCS research should adopt a life course perspective.
- Addressing identified knowledge gaps is crucial for improving children's oral health.
- Priorities aim to enhance oral health equity in children globally.
Abstract:
The GLOBICS-Global Consortium of Oral Health Birth Cohort Studies (OHBCS)-is a long-lasting international collaborative research group among existing OHBCS, established in response to the Lancet Series on Oral Health, which pointed out the need to shift the global oral health agenda. This study aimed to identify priority research questions from OHBCS that can be leveraged to improve children's global oral health. A 2-phase online Delphi process sought consensus over research priorities for OHBCS. Participants were identified by mapping existing OHBCS. Fourteen research questions were grouped into 4 thematic areas. A 9-point Likert-type scale was applied. Consensus was achieved if the question had (1) at least 51% of participants scoring a research question as "high priority," (2) an interquartile range of <2.5, and (3) a standard deviation of <1.7 or 75% of responses falling between 2 points above and below the mean score. Forty-four of 114 participants completed the Delphi survey. The 8 research priorities identified included questions about the effect of childhood dental visits on oral health throughout life (n = 2), questions related to sugar consumption and dental caries in childhood and adolescence (n = 4), infant growth and dental diseases (n = 1), and whether socioeconomic inequalities in dental caries are mitigated by fluoride exposure (n = 1). Guided by expert insight, the priorities identified for future OHBCS research should leverage a life course perspective to address knowledge gaps in children's oral health and oral health equity.
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