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Oral health inequalities in Italian schoolchildren - a cross-sectional evaluation

Artikel i vetenskaplig tidskrift
Författare G. Carta
M. G. Cagetti
S. Sale
G. Congiu
L. Strohmenger
F. Oleari
M. Bossu
Peter Lingström
G. Campus
Publicerad i Community Dental Health
Volym 31
Nummer/häfte 2
Sidor 123-128
ISSN 0265-539X
Publiceringsår 2014
Publicerad vid Institutionen för odontologi, sektion 3
Sidor 123-128
Språk en
Länkar dx.doi.org/10.1922/CDH_3300Carta06
Ämnesord dental caries, socio-economic status, socio-behavioural variables, primary dentition, Italian, NATIONAL PATHFINDER SURVEY, DENTAL-CARIES, CHILDREN, ADOLESCENTS, SEVERITY, VALIDITY, COUNTY, INCOME, Dentistry, Oral Surgery & Medicine
Ämneskategorier Odontologi

Sammanfattning

Objective: To evaluate which of the following indicators of socio-economic status (SES) has the strongest association with dental caries status in a 6-year-old population: the educational level of each parent (individual-level); the mean price of housing/m(2) in the area where the family resides; or the mean per capita income in the area where the family lives (area-level). Material and Methods: Dental caries was recorded in 2,040 schoolchildren (42.5% boys, 57.5% girls) using decayed/missed/filled surface index (d(3) level) in primary dentition. Parents filled in a standardised questionnaire regarding nationality, level of education, frequency of dental check-up and perception of child's oral health and child's oral hygiene habits. Results: At the individual-level of SES, mothers' educational level was associated with their children's caries severity (chi(2)((9)) (9)= 147.51 p<0.01): as educational level rose the proportion of children with high numbers of carious lesions fell. The two income indicators (area-level SES) were not associated. A multinomial logistic regression model was run for caries risk factors. Caries severity was used as dependent variable and the model was stratified by mothers' educational level. Mothers' perception of child's oral health was the only covariate that was always associated in every caries severity strata and for each level of mothers' education. Conclusions: The present study shows that mothers' educational level is a useful individual SES indicator for caries in Italian children living in a low-income population.

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