Skip to main content
Erschienen in: International Journal of Public Health 1/2012

01.02.2012 | Original Article

The influence of social status on pre-school children’s eating habits, caries experience and caries prevention behavior

verfasst von: Klaus Pieper, Simone Dressler, Monika Heinzel-Gutenbrunner, Anne Neuhäuser, Matthias Krecker, Klaus Wunderlich, Anahita Jablonski-Momeni

Erschienen in: International Journal of Public Health | Ausgabe 1/2012

Einloggen, um Zugang zu erhalten

Abstract

Objectives

To assess the prevalence of Early Childhood Caries (ECC) in a county in Northern Hesse and to correlate this parameter to various independent variables. Additionally to investigate the relationship between preventive measures and the socioeconomic status (SES).

Methods

In spring 2006, 1,082 preschool children were examined. According to WHO-criteria d3+4mft scores were recorded. Information about eating habits and preventive measures were collected by structured questionnaires. To compare the mean caries scores and preventive measures of various subgroups, non-parametric tests were performed. Variables associated with caries were included in a binary stepwise backward logistic regression analysis.

Results

The mean d3+4mft score amounted to 1.88. Children with high SES had significantly less caries than children with low SES. Significant positive and negative associations of feeding practices and preventive measures to d3+4mft scores were observed. Differences between feeding practices and preventive measures were dependent on SES.

Conclusions

Long-term use of baby bottles at night is the most important factor of ECC. Differences in feeding practices and preventive measures in the various SES groups are evident but not that significant as supposed.
Literatur
Zurück zum Zitat Adair PM, Pine CM, Burnside G et al (2004) Familial and cultural perceptions and beliefs of oral hygiene and dietary practices among ethnically and socio-economically diverse groups. Community Dent Health 21:102–111PubMed Adair PM, Pine CM, Burnside G et al (2004) Familial and cultural perceptions and beliefs of oral hygiene and dietary practices among ethnically and socio-economically diverse groups. Community Dent Health 21:102–111PubMed
Zurück zum Zitat Borutta A, Kneist S, Chemnitius P, Hufnagl S (2005) Veränderungen im Ernährungsverhalten und in der Mundgesundheit bei Vorschulkindern. Oralprophylaxe Kinderzahnheilk 27:100–104 Borutta A, Kneist S, Chemnitius P, Hufnagl S (2005) Veränderungen im Ernährungsverhalten und in der Mundgesundheit bei Vorschulkindern. Oralprophylaxe Kinderzahnheilk 27:100–104
Zurück zum Zitat Declerck D, Leroy R, Martens L, Lesaffre E, Garcia-Zattera MJ, Vanden Broucke S, Debyser M, Hoppenbrouwers K (2008) Factors associated with prevalence and severity of caries experience in preschool children. Community Dent Oral Epidemiol 36:168–178PubMedCrossRef Declerck D, Leroy R, Martens L, Lesaffre E, Garcia-Zattera MJ, Vanden Broucke S, Debyser M, Hoppenbrouwers K (2008) Factors associated with prevalence and severity of caries experience in preschool children. Community Dent Oral Epidemiol 36:168–178PubMedCrossRef
Zurück zum Zitat Grindefjord M, Dahllöf G, Nilsson B, Modéer T (1996) Stepwise prediction of dental caries in children up to 3.5 years of age. Caries Res 30:256–266PubMedCrossRef Grindefjord M, Dahllöf G, Nilsson B, Modéer T (1996) Stepwise prediction of dental caries in children up to 3.5 years of age. Caries Res 30:256–266PubMedCrossRef
Zurück zum Zitat Gülzow HJ, Hellwig E, Hetzer G (2006) Flouridierungsmaßnahmen. Leitlinie der Zahnärztlichen Zentralstelle Qualitätssicherung (ZZQ) im Institut der Deutschen Zahnärzte, Köln Gülzow HJ, Hellwig E, Hetzer G (2006) Flouridierungsmaßnahmen. Leitlinie der Zahnärztlichen Zentralstelle Qualitätssicherung (ZZQ) im Institut der Deutschen Zahnärzte, Köln
Zurück zum Zitat Harris R, Nicoll AD, Adair PM, Pine CM (2004) Risk factors for dental caries in young children: a systematic review of the literature. Community Dent Health 21:71–85PubMed Harris R, Nicoll AD, Adair PM, Pine CM (2004) Risk factors for dental caries in young children: a systematic review of the literature. Community Dent Health 21:71–85PubMed
Zurück zum Zitat Haugejorden O, Birkeland JM (2002) Evidence for reversal of the caries decline among Norwegian children. Int J Peadiatr Dent 12:306–315CrossRef Haugejorden O, Birkeland JM (2002) Evidence for reversal of the caries decline among Norwegian children. Int J Peadiatr Dent 12:306–315CrossRef
Zurück zum Zitat Jöckel KH (1998) Messung und Quantifizierung soziodemographischer Merkmale in epidemiologischen Studien. In: Ahrens W, Bellach BM, Jöckel KH (eds) Messung soziodemographischer Merkmale in der Epidemiologie. RKI-Schriften 1/98. MMV Medizin Verlag, München Jöckel KH (1998) Messung und Quantifizierung soziodemographischer Merkmale in epidemiologischen Studien. In: Ahrens W, Bellach BM, Jöckel KH (eds) Messung soziodemographischer Merkmale in der Epidemiologie. RKI-Schriften 1/98. MMV Medizin Verlag, München
Zurück zum Zitat Källestal C, Wall S (2002) Socio-economic effects on caries. Incidence data among Swedish 12–14-year-olds. Community Dent Oral Epidemiol 30:108–114PubMedCrossRef Källestal C, Wall S (2002) Socio-economic effects on caries. Incidence data among Swedish 12–14-year-olds. Community Dent Oral Epidemiol 30:108–114PubMedCrossRef
Zurück zum Zitat Kühnisch J, Heinrich-Weltzien R, Senkel H (2001) Dental health and caries topography in 8-year-old German and immigrant children. Eur J Paediatr Dent 2:191–196 Kühnisch J, Heinrich-Weltzien R, Senkel H (2001) Dental health and caries topography in 8-year-old German and immigrant children. Eur J Paediatr Dent 2:191–196
Zurück zum Zitat Litt M, Reisine S, Tinanoff N (1995) Multidimensional causal model of dental caries development in low-income preschool children. Public Health Rep 110:607–617PubMed Litt M, Reisine S, Tinanoff N (1995) Multidimensional causal model of dental caries development in low-income preschool children. Public Health Rep 110:607–617PubMed
Zurück zum Zitat Marthaler TM (1966) A standardized system of recording dental conditions. Helv Odontol Acta 10:1–18PubMed Marthaler TM (1966) A standardized system of recording dental conditions. Helv Odontol Acta 10:1–18PubMed
Zurück zum Zitat Micheelis W, Reiter F (2006) Soziodemographische und verhaltensbezogene Aspekte oraler Risikofaktoren in den vier Alterskohorten. In: Institut der Deutschen Zahnärzte (ed) Vierte Deutsche Mundgesundheitsstudie (DMS IV). Deutscher Ärzteverlag, Köln Micheelis W, Reiter F (2006) Soziodemographische und verhaltensbezogene Aspekte oraler Risikofaktoren in den vier Alterskohorten. In: Institut der Deutschen Zahnärzte (ed) Vierte Deutsche Mundgesundheitsstudie (DMS IV). Deutscher Ärzteverlag, Köln
Zurück zum Zitat Momeni A, Stoll R, Schulte A, Pieper K (2007a) Kariesprävalenz und Behandlungsbedarf bei 15-Jährigen in Deutschland im Jahr 2004. Dtsch Zahnärztl Z 62:168–175 Momeni A, Stoll R, Schulte A, Pieper K (2007a) Kariesprävalenz und Behandlungsbedarf bei 15-Jährigen in Deutschland im Jahr 2004. Dtsch Zahnärztl Z 62:168–175
Zurück zum Zitat Momeni A, Hartmann T, Born C, Heinzel-Gutenbrunner M, Pieper K (2007b) Association of caries experience in adolescents with different preventive measures. Int J Public Health 52:393–401PubMedCrossRef Momeni A, Hartmann T, Born C, Heinzel-Gutenbrunner M, Pieper K (2007b) Association of caries experience in adolescents with different preventive measures. Int J Public Health 52:393–401PubMedCrossRef
Zurück zum Zitat Oulis CJ, Raadal I, Martens L (2000) Guidelines on the use of fluoride in children: an EAPD policy document. Eur J Paediatr Dent 1:7–12 Oulis CJ, Raadal I, Martens L (2000) Guidelines on the use of fluoride in children: an EAPD policy document. Eur J Paediatr Dent 1:7–12
Zurück zum Zitat Pieper K (2005) Epidemiologische Begleituntersuchungen zur Gruppenprophylaxe 2004. Deutsche Arbeitsgemeinschaft für Jugendzahnpflege (DAJ), Bonn Pieper K (2005) Epidemiologische Begleituntersuchungen zur Gruppenprophylaxe 2004. Deutsche Arbeitsgemeinschaft für Jugendzahnpflege (DAJ), Bonn
Zurück zum Zitat Pienihäkkinen K, Jokela J (2002) Clinical outcomes of risk-based caries prevention in preschool-aged children. Community Dent Oral Epidemiol 30:143–150PubMedCrossRef Pienihäkkinen K, Jokela J (2002) Clinical outcomes of risk-based caries prevention in preschool-aged children. Community Dent Oral Epidemiol 30:143–150PubMedCrossRef
Zurück zum Zitat Poulsen S (1996) Dental caries in Danish children and adolescents 1988–94. Community Dent Oral Epidemiol 24:282–285PubMedCrossRef Poulsen S (1996) Dental caries in Danish children and adolescents 1988–94. Community Dent Oral Epidemiol 24:282–285PubMedCrossRef
Zurück zum Zitat Psoter W, Pendrys D, Morse D, Zhang H, Mayne S (2006) Associations of ethnicy/race and socioeconomic status with early childhood caries patterns. J Publlic Health Dent 66:23–29CrossRef Psoter W, Pendrys D, Morse D, Zhang H, Mayne S (2006) Associations of ethnicy/race and socioeconomic status with early childhood caries patterns. J Publlic Health Dent 66:23–29CrossRef
Zurück zum Zitat Schenk L, Knopf H (2007) Mundgesundheitsverhalten von Kindern und Jugendlichen in Deutschland. Erste Ergebnisse aus dem Kinder- und Jugendgesundheitssurvey (KiGGS). Bundesgesundheitsbl- Gesundheitsforsch-Gesundheitsschutz 50:653–658CrossRef Schenk L, Knopf H (2007) Mundgesundheitsverhalten von Kindern und Jugendlichen in Deutschland. Erste Ergebnisse aus dem Kinder- und Jugendgesundheitssurvey (KiGGS). Bundesgesundheitsbl- Gesundheitsforsch-Gesundheitsschutz 50:653–658CrossRef
Zurück zum Zitat Schiffner U, Gülzow H-J, Schulte T, Wandel C (2001) Zahngesundheit und Kariesbefall an bleibenden Zähnen Hamburger Schulkinder von 1988 bis 1997. Dtsch Zahnärztl Z 56:388–392 Schiffner U, Gülzow H-J, Schulte T, Wandel C (2001) Zahngesundheit und Kariesbefall an bleibenden Zähnen Hamburger Schulkinder von 1988 bis 1997. Dtsch Zahnärztl Z 56:388–392
Zurück zum Zitat Schou L, Uitenbroek D (1995) Social and behavioural indicators of caries experience in 5-year-old children. Community Dent Oral Epidemiol 23:276–281PubMedCrossRef Schou L, Uitenbroek D (1995) Social and behavioural indicators of caries experience in 5-year-old children. Community Dent Oral Epidemiol 23:276–281PubMedCrossRef
Zurück zum Zitat Schulte AG, Momeni A, Pieper K (2006) Caries prevalence in 12-year-old children from Germany. Results of the 2004 national survey. Community Dent Health 23:197–202PubMed Schulte AG, Momeni A, Pieper K (2006) Caries prevalence in 12-year-old children from Germany. Results of the 2004 national survey. Community Dent Health 23:197–202PubMed
Zurück zum Zitat Skeie MS, Raadal M, Strand GV, Espelid L (2006) The relationship between caries in the primary dentition at 5 years of age and permanent dentition at 10 years of age—a longitudinal study. Int J Paediatr Dent 16:152–160PubMedCrossRef Skeie MS, Raadal M, Strand GV, Espelid L (2006) The relationship between caries in the primary dentition at 5 years of age and permanent dentition at 10 years of age—a longitudinal study. Int J Paediatr Dent 16:152–160PubMedCrossRef
Zurück zum Zitat Stecksén-Blicks C, Sunnegårdh K, Borssén E (2004) Caries experience and background factors in 4-year-old Children: time trends 1967–2002. Caries Res 38:149–155PubMedCrossRef Stecksén-Blicks C, Sunnegårdh K, Borssén E (2004) Caries experience and background factors in 4-year-old Children: time trends 1967–2002. Caries Res 38:149–155PubMedCrossRef
Zurück zum Zitat Traebert J, Guimaraes Ldo A, Durante EZ, Serratine AC (2009) Low maternal schooling and severety of dental caries in Brazilian preschool children. Oral Health Prev Dent 7:39–45PubMed Traebert J, Guimaraes Ldo A, Durante EZ, Serratine AC (2009) Low maternal schooling and severety of dental caries in Brazilian preschool children. Oral Health Prev Dent 7:39–45PubMed
Zurück zum Zitat Truin GJ, König KG, Bronkhorst EM, Frankenmolen F, Mulder J, van’t Hof MA (1998) Time trends in caries experience of 6- and 12-year-old children of different socioeconomic status in The Hague. Caries Res 32:1–4PubMedCrossRef Truin GJ, König KG, Bronkhorst EM, Frankenmolen F, Mulder J, van’t Hof MA (1998) Time trends in caries experience of 6- and 12-year-old children of different socioeconomic status in The Hague. Caries Res 32:1–4PubMedCrossRef
Zurück zum Zitat Van Steenkiste M (2003) Zahngesundheitliches Verhalten bei türkischen und deutschen Vorschulkindern. Oralprophylaxe 25:121–129 Van Steenkiste M (2003) Zahngesundheitliches Verhalten bei türkischen und deutschen Vorschulkindern. Oralprophylaxe 25:121–129
Zurück zum Zitat Verrips GH, Frencken JE, Kalsbeek H, ter Horst G, Fieldt Kok-Weimar TL (1992) Risk indicators and potential risk factors for caries in 5-years-olds of different ethnic groups in Amsterdam. Community Dent Oral Epidemiol 2:256–260CrossRef Verrips GH, Frencken JE, Kalsbeek H, ter Horst G, Fieldt Kok-Weimar TL (1992) Risk indicators and potential risk factors for caries in 5-years-olds of different ethnic groups in Amsterdam. Community Dent Oral Epidemiol 2:256–260CrossRef
Zurück zum Zitat Warren JJ, Weber-Gasparoni K, Marshall TA, Drake DR, Dehkordi-Vakil F, Dawson DV, Tharp KM (2009) A longitudinal study of dental caries risk among very young low SES children. Communitiy Dent Oral Epidemiol 37:116–122CrossRef Warren JJ, Weber-Gasparoni K, Marshall TA, Drake DR, Dehkordi-Vakil F, Dawson DV, Tharp KM (2009) A longitudinal study of dental caries risk among very young low SES children. Communitiy Dent Oral Epidemiol 37:116–122CrossRef
Zurück zum Zitat Wendt LK, Hallonsten AL, Koch G (1999) Oral health in pre-school children living in Sweden. Part III—a longitudinal study. Risk analyses based on caries prevalence at 3 years of age and immigrant status. Swed Dent J 23:17–25PubMed Wendt LK, Hallonsten AL, Koch G (1999) Oral health in pre-school children living in Sweden. Part III—a longitudinal study. Risk analyses based on caries prevalence at 3 years of age and immigrant status. Swed Dent J 23:17–25PubMed
Zurück zum Zitat Wenhall I, Matsson l, Schröder U, Twetman S (2002) Caries prevalence in 3-year-old children living in a low socio-economic multicultural urban area in Southern Schweden. Swed Dent J 26:166–172 Wenhall I, Matsson l, Schröder U, Twetman S (2002) Caries prevalence in 3-year-old children living in a low socio-economic multicultural urban area in Southern Schweden. Swed Dent J 26:166–172
Zurück zum Zitat Winkler J (1998) Die Messung des sozialen Status mit Hilfe eines Index in den Gesundheitsurveys der DHP. In: Ahrens W, Bellach BM, Jöckel KH (eds) Messung soziodemographischer Merkmale in der Epidemiologie. RKI-Schriften 1/98. MMV Medizin Verlag, München Winkler J (1998) Die Messung des sozialen Status mit Hilfe eines Index in den Gesundheitsurveys der DHP. In: Ahrens W, Bellach BM, Jöckel KH (eds) Messung soziodemographischer Merkmale in der Epidemiologie. RKI-Schriften 1/98. MMV Medizin Verlag, München
Zurück zum Zitat Wyne AH (1999) Early childhood caries: nomenclature and case definition. Community Dent Oral Epidemiol 27:313–315PubMedCrossRef Wyne AH (1999) Early childhood caries: nomenclature and case definition. Community Dent Oral Epidemiol 27:313–315PubMedCrossRef
Metadaten
Titel
The influence of social status on pre-school children’s eating habits, caries experience and caries prevention behavior
verfasst von
Klaus Pieper
Simone Dressler
Monika Heinzel-Gutenbrunner
Anne Neuhäuser
Matthias Krecker
Klaus Wunderlich
Anahita Jablonski-Momeni
Publikationsdatum
01.02.2012
Verlag
SP Birkhäuser Verlag Basel
Erschienen in
International Journal of Public Health / Ausgabe 1/2012
Print ISSN: 1661-8556
Elektronische ISSN: 1661-8564
DOI
https://doi.org/10.1007/s00038-011-0291-3

Weitere Artikel der Ausgabe 1/2012

International Journal of Public Health 1/2012 Zur Ausgabe

Editorial

Editorial