Skip to main content
Erschienen in: Maternal and Child Health Journal 3/2016

01.03.2016

Single and Cumulative Relations of Social Risk Factors with Children’s Dental Health and Care-Utilization Within Regions of the United States

verfasst von: Alyssa J. Yang, Andrea N. Gromoske, Melissa A. Olson, Jeffrey G. Chaffin

Erschienen in: Maternal and Child Health Journal | Ausgabe 3/2016

Einloggen, um Zugang zu erhalten

Abstract

Objectives The purpose is to examine the relation of social risk factors, and the cumulative burden of social risk factors, on parent-reported dental health and dental care-seeking behavior. Methods National Survey of Children’s Health data (2011–2012) were analyzed for US children by Title V Block Grant regions. Multivariate logistic regressions were estimated for ten social risk factors, as well as a cumulative risk index, to find any associations with poor condition of teeth, presence of dental caries, and no dental care visits. Results Almost all of the risk factors were significantly associated with poor condition of teeth and presence of dental caries for the US. Models associating no dental care visits suggested that low family income (OR 1.58), poor maternal mental health (OR 1.54), high school education or less (OR 1.34), and multi-racial/other race (OR 1.18) were significant factors for the US. Regional variation existed for those risk factors and their association with the outcomes, but income, education, and poor maternal mental health consistently played a significant role in adverse outcomes. The cumulative risk index was strongly related to poor oral health outcomes, with a weaker relationship to dental care utilization. Conclusions for Practice US children experiencing certain social risk factors, such as low family income, high school education or less, and poor maternal mental health, are likely to be at greater risk for poor dental health and low levels of dental-care seeking behavior. Children experiencing multiple social risks are at greater risk for poor oral outcomes than children who experience fewer social risks. An approach that involves the social determinants of health is needed to address these issues.
Literatur
1.
Zurück zum Zitat Dye, B. A., Tan, S., Smith, V., et al. (2007). Trends in oral health status: United States, 1988–1994 and 1999–2004. Vital and Health Statistics 11, 248, 1–92. Dye, B. A., Tan, S., Smith, V., et al. (2007). Trends in oral health status: United States, 1988–1994 and 1999–2004. Vital and Health Statistics 11, 248, 1–92.
2.
Zurück zum Zitat Blumenshine, S. L., Vann, W. F., Gizlice, Z., et al. (2008). Children’s school performance: Impact of general and oral health. Journal of Public Health Dentistry, 68(2), 82–87.CrossRefPubMed Blumenshine, S. L., Vann, W. F., Gizlice, Z., et al. (2008). Children’s school performance: Impact of general and oral health. Journal of Public Health Dentistry, 68(2), 82–87.CrossRefPubMed
3.
Zurück zum Zitat Filstrup, S. L., Briskie, D., Da Fonseca, M., et al. (2003). Early childhood caries and quality of life: Child and parent perspectives. Pediatric Dentistry, 25(5), 431–440.PubMed Filstrup, S. L., Briskie, D., Da Fonseca, M., et al. (2003). Early childhood caries and quality of life: Child and parent perspectives. Pediatric Dentistry, 25(5), 431–440.PubMed
4.
Zurück zum Zitat Hirsch, G. B., Edelstein, B. L., Frosh, M., et al. (2012). A simulation model for designing effective interventions in early childhood caries. Preventing Chronic Disease, 9, E66.PubMedCentralPubMed Hirsch, G. B., Edelstein, B. L., Frosh, M., et al. (2012). A simulation model for designing effective interventions in early childhood caries. Preventing Chronic Disease, 9, E66.PubMedCentralPubMed
5.
Zurück zum Zitat Nasseh, K., & Vujicic, M. (2013). Dental care utilization continues to decline among working-age adults, increases among the elderly, stable among children. Health Policy Resources Center Research Brief. American Dental Association. Nasseh, K., & Vujicic, M. (2013). Dental care utilization continues to decline among working-age adults, increases among the elderly, stable among children. Health Policy Resources Center Research Brief. American Dental Association.
6.
Zurück zum Zitat Mobley, C., Marshall, T. A., Milgrom, P., et al. (2009). The contribution of dietary factors to dental caries and disparities in caries. Academic Pediatrics, 9(6), 410–414.PubMedCentralCrossRefPubMed Mobley, C., Marshall, T. A., Milgrom, P., et al. (2009). The contribution of dietary factors to dental caries and disparities in caries. Academic Pediatrics, 9(6), 410–414.PubMedCentralCrossRefPubMed
7.
8.
Zurück zum Zitat World Health Organization. (2003). The World Oral Health Report 2003: Continuous improvement of oral health in the 21st century—The approach of the WHO Global Oral Health Programme. Geneva: World Health Organization. World Health Organization. (2003). The World Oral Health Report 2003: Continuous improvement of oral health in the 21st century—The approach of the WHO Global Oral Health Programme. Geneva: World Health Organization.
9.
Zurück zum Zitat Nasseh, K., Krishna Aravamudhan, B., Vujicic, M., et al. (2013). Dental care use among children varies widely across states and between Medicaid and commercial plans within a state. Health Policy Resources Center Research Brief. American Dental Association. Nasseh, K., Krishna Aravamudhan, B., Vujicic, M., et al. (2013). Dental care use among children varies widely across states and between Medicaid and commercial plans within a state. Health Policy Resources Center Research Brief. American Dental Association. 
10.
Zurück zum Zitat Fisher-Owens, S. A., Gansky, S. A., Platt, L. J., et al. (2007). Influences on children’s oral health: A conceptual model. Pediatrics, 120(3), e510–e520.CrossRefPubMed Fisher-Owens, S. A., Gansky, S. A., Platt, L. J., et al. (2007). Influences on children’s oral health: A conceptual model. Pediatrics, 120(3), e510–e520.CrossRefPubMed
11.
Zurück zum Zitat Edelstein, B. L. (2002). Disparities in oral health and access to care: Findings of national surveys. Ambulatory Pediatrics, 2(2), 141–147.CrossRefPubMed Edelstein, B. L. (2002). Disparities in oral health and access to care: Findings of national surveys. Ambulatory Pediatrics, 2(2), 141–147.CrossRefPubMed
13.
Zurück zum Zitat Vargas, C. M., Dye, B. A., & Hayes, K. L. (2002). Oral health status of rural adults in the United States. Journal of the American Dental Association, 133(12), 1672–1681.CrossRefPubMed Vargas, C. M., Dye, B. A., & Hayes, K. L. (2002). Oral health status of rural adults in the United States. Journal of the American Dental Association, 133(12), 1672–1681.CrossRefPubMed
14.
Zurück zum Zitat Fisher-Owens, S. A., Isong, I. A., Soobader, M., et al. (2013). An examination of racial/ethnic disparities in children’s oral health in the United States. Journal of Public Health Dentistry, 73(2), 166–174.PubMedCentralCrossRefPubMed Fisher-Owens, S. A., Isong, I. A., Soobader, M., et al. (2013). An examination of racial/ethnic disparities in children’s oral health in the United States. Journal of Public Health Dentistry, 73(2), 166–174.PubMedCentralCrossRefPubMed
15.
17.
Zurück zum Zitat Propper, C., Rigg, J., & Burgess, S. (2007). Child health: Evidence on the roles of family income and maternal mental health from a UK birth cohort. Health Economics, 16(11), 1245–1269.CrossRefPubMed Propper, C., Rigg, J., & Burgess, S. (2007). Child health: Evidence on the roles of family income and maternal mental health from a UK birth cohort. Health Economics, 16(11), 1245–1269.CrossRefPubMed
18.
Zurück zum Zitat Repetti, R. L., Taylor, S. E., & Seeman, T. E. (2002). Risky families: Family social environments and the mental and physical health of offspring. Psychological Bulletin, 128(2), 330.CrossRefPubMed Repetti, R. L., Taylor, S. E., & Seeman, T. E. (2002). Risky families: Family social environments and the mental and physical health of offspring. Psychological Bulletin, 128(2), 330.CrossRefPubMed
19.
Zurück zum Zitat Youngblade, L. M., Theokas, C., Schulenberg, J., et al. (2007). Risk and promotive factors in families, schools, and communities: A contextual model of positive youth development in adolescence. Pediatrics, 119(Suppl 1), S47–S53.CrossRefPubMed Youngblade, L. M., Theokas, C., Schulenberg, J., et al. (2007). Risk and promotive factors in families, schools, and communities: A contextual model of positive youth development in adolescence. Pediatrics, 119(Suppl 1), S47–S53.CrossRefPubMed
20.
Zurück zum Zitat Bauman, L. J., Silver, E. J., & Stein, R. E. (2006). Cumulative social disadvantage and child health. Pediatrics, 117(4), 1321–1328.CrossRefPubMed Bauman, L. J., Silver, E. J., & Stein, R. E. (2006). Cumulative social disadvantage and child health. Pediatrics, 117(4), 1321–1328.CrossRefPubMed
21.
Zurück zum Zitat National Center for Health Statistics. (2013). Health, United States, 2012. Hyattsville, MD. National Center for Health Statistics. (2013). Health, United States, 2012. Hyattsville, MD.
22.
Zurück zum Zitat Vargas, C. M., Crall, J. J., & Schneider, D. A. (1998). Sociodemographic distribution of pediatric dental caries: NHANES III, 1988–1994. Journal of the American Dental Association, 129(9), 1229–1238.CrossRefPubMed Vargas, C. M., Crall, J. J., & Schneider, D. A. (1998). Sociodemographic distribution of pediatric dental caries: NHANES III, 1988–1994. Journal of the American Dental Association, 129(9), 1229–1238.CrossRefPubMed
23.
Zurück zum Zitat Boyce, W. T., Den Besten, P. K., Stamperdahl, J., et al. (2010). Social inequalities in childhood dental caries: the convergent roles of stress, bacteria and disadvantage. Social Science and Medicine, 71(9), 1644–1652.PubMedCentralCrossRefPubMed Boyce, W. T., Den Besten, P. K., Stamperdahl, J., et al. (2010). Social inequalities in childhood dental caries: the convergent roles of stress, bacteria and disadvantage. Social Science and Medicine, 71(9), 1644–1652.PubMedCentralCrossRefPubMed
24.
Zurück zum Zitat Stansfeld, S. (1999). Social support and social cohesion. In M. Marmot & R. Wilkinson (Eds.), Social Determinants of Health (pp. 155–174). New York, NY: Oxford University Press. Stansfeld, S. (1999). Social support and social cohesion. In M. Marmot & R. Wilkinson (Eds.), Social Determinants of Health (pp. 155–174). New York, NY: Oxford University Press.
25.
Zurück zum Zitat Bonomi, A. E., Anderson, M. L., Rivara, F. P., et al. (2007). Health outcomes in women with physical and sexual intimate partner violence exposure. Journal of Women’s Health, 16(7), 987–997.CrossRefPubMed Bonomi, A. E., Anderson, M. L., Rivara, F. P., et al. (2007). Health outcomes in women with physical and sexual intimate partner violence exposure. Journal of Women’s Health, 16(7), 987–997.CrossRefPubMed
26.
Zurück zum Zitat Bronfenbrenner, U. (2009). The ecology of human development: Experiments by nature and design. Cambridge, MA: Harvard University Press. Bronfenbrenner, U. (2009). The ecology of human development: Experiments by nature and design. Cambridge, MA: Harvard University Press.
27.
Zurück zum Zitat Rutter, M. (1979). Protective factors in children’s responses to stress and disadvantage. Annals of the Academy of Medicine, Singapore, 8(3), 324–338.PubMed Rutter, M. (1979). Protective factors in children’s responses to stress and disadvantage. Annals of the Academy of Medicine, Singapore, 8(3), 324–338.PubMed
28.
Zurück zum Zitat Sameroff, A. J. (2000). Dialectical processes in developmental psychopathology. In A. Sameroff, M. Lewis, & S. Miller (Eds.), Handbook of developmental psychopathology. (2nd ed., pp. 23–40). New York, NY: Kluwer Academic/Plenum Publishers.CrossRef Sameroff, A. J. (2000). Dialectical processes in developmental psychopathology. In A. Sameroff, M. Lewis, & S. Miller (Eds.), Handbook of developmental psychopathology. (2nd ed., pp. 23–40). New York, NY: Kluwer Academic/Plenum Publishers.CrossRef
29.
Zurück zum Zitat Burchinal, M., Vernon-Feagans, L., Cox, M., et al. (2008). Cumulative social risk, parenting, and infant development in rural low-income communities. Parenting: Science and Practice, 8(1), 41–69.CrossRef Burchinal, M., Vernon-Feagans, L., Cox, M., et al. (2008). Cumulative social risk, parenting, and infant development in rural low-income communities. Parenting: Science and Practice, 8(1), 41–69.CrossRef
30.
Zurück zum Zitat Geyer, S., Schneller, T., & Micheelis, W. (2010). Social gradients and cumulative effects of income and education on dental health in the Fourth German Oral Health Study. Community Dentistry and Oral Epidemiology, 38(2), 120–128.CrossRefPubMed Geyer, S., Schneller, T., & Micheelis, W. (2010). Social gradients and cumulative effects of income and education on dental health in the Fourth German Oral Health Study. Community Dentistry and Oral Epidemiology, 38(2), 120–128.CrossRefPubMed
31.
Zurück zum Zitat Child and Adolescent Health Measurement Initiative (CAHMI). 2011/2012 National Survey of Children’s Health. Indicator Data Set. Data Resource Center for Child and Adolescent Health., 2011–2012. Child and Adolescent Health Measurement Initiative (CAHMI). 2011/2012 National Survey of Children’s Health. Indicator Data Set. Data Resource Center for Child and Adolescent Health., 2011–2012.
32.
Zurück zum Zitat Belsley, D. A., Kuh, E., & Welsch, R. E. (2005). Regression diagnostics: Identifying influential data and sources of collinearity. Hoboken, NJ: Wiley. Belsley, D. A., Kuh, E., & Welsch, R. E. (2005). Regression diagnostics: Identifying influential data and sources of collinearity. Hoboken, NJ: Wiley.
33.
Zurück zum Zitat Peres, M. A., Latorre, M. D. R. D. D., Sheiham, A., et al. (2005). Social and biological early life influences on severity of dental caries in children aged 6 years. Community Dentistry and Oral Epidemiology, 33(1), 53–63.CrossRefPubMed Peres, M. A., Latorre, M. D. R. D. D., Sheiham, A., et al. (2005). Social and biological early life influences on severity of dental caries in children aged 6 years. Community Dentistry and Oral Epidemiology, 33(1), 53–63.CrossRefPubMed
34.
Zurück zum Zitat Appleyard, K., Egeland, B., Dulmen, M. H., et al. (2005). When more is not better: The role of cumulative risk in child behavior outcomes. Journal of Child Psychology and Psychiatry, 46(3), 235–245.CrossRefPubMed Appleyard, K., Egeland, B., Dulmen, M. H., et al. (2005). When more is not better: The role of cumulative risk in child behavior outcomes. Journal of Child Psychology and Psychiatry, 46(3), 235–245.CrossRefPubMed
35.
Zurück zum Zitat Watt, R. G. (2007). From victim blaming to upstream action: Tackling the social determinants of oral health inequalities. Community Dentistry and Oral Epidemiology, 35(1), 1–11.CrossRefPubMed Watt, R. G. (2007). From victim blaming to upstream action: Tackling the social determinants of oral health inequalities. Community Dentistry and Oral Epidemiology, 35(1), 1–11.CrossRefPubMed
36.
Zurück zum Zitat Finlayson, T. L., Siefert, K., Ismail, A. I., et al. (2007). Psychosocial factors and early childhood caries among low-income African–American children in Detroit. Community Dentistry and Oral Epidemiology, 35(6), 439–448.CrossRefPubMed Finlayson, T. L., Siefert, K., Ismail, A. I., et al. (2007). Psychosocial factors and early childhood caries among low-income African–American children in Detroit. Community Dentistry and Oral Epidemiology, 35(6), 439–448.CrossRefPubMed
37.
Zurück zum Zitat Coulter, I. D., Heslin, K. C., Marcus, M., et al. (2002). Associations of self-reported oral health with physical and mental health in a nationally representative sample of HIV persons receiving medical care. Quality of Life Research, 11(1), 57–70.CrossRefPubMed Coulter, I. D., Heslin, K. C., Marcus, M., et al. (2002). Associations of self-reported oral health with physical and mental health in a nationally representative sample of HIV persons receiving medical care. Quality of Life Research, 11(1), 57–70.CrossRefPubMed
38.
Zurück zum Zitat Park, S. J., Ko, K. D., Shin, S., et al. (2014). Association of oral health behaviors and status with depression: Results from the Korean National Health and Nutrition Examination Survey, 2010. Journal of Public Health Dentistry, 74(2), 127–138.CrossRefPubMed Park, S. J., Ko, K. D., Shin, S., et al. (2014). Association of oral health behaviors and status with depression: Results from the Korean National Health and Nutrition Examination Survey, 2010. Journal of Public Health Dentistry, 74(2), 127–138.CrossRefPubMed
39.
Zurück zum Zitat Thorpe, J. M., Kalinowski, C. T., Patterson, M. E., et al. (2006). Psychological distress as a barrier to preventive care in community-dwelling elderly in the United States. Medical Care, 44(2), 187–191.CrossRefPubMed Thorpe, J. M., Kalinowski, C. T., Patterson, M. E., et al. (2006). Psychological distress as a barrier to preventive care in community-dwelling elderly in the United States. Medical Care, 44(2), 187–191.CrossRefPubMed
Metadaten
Titel
Single and Cumulative Relations of Social Risk Factors with Children’s Dental Health and Care-Utilization Within Regions of the United States
verfasst von
Alyssa J. Yang
Andrea N. Gromoske
Melissa A. Olson
Jeffrey G. Chaffin
Publikationsdatum
01.03.2016
Verlag
Springer US
Erschienen in
Maternal and Child Health Journal / Ausgabe 3/2016
Print ISSN: 1092-7875
Elektronische ISSN: 1573-6628
DOI
https://doi.org/10.1007/s10995-015-1847-2

Weitere Artikel der Ausgabe 3/2016

Maternal and Child Health Journal 3/2016 Zur Ausgabe