International comparisons of health inequalities in childhood dental caries

Cynthia M Pine; Pauline M Adair; Alison D Nicoll; Girvan Burnside; Poul Erik Petersen; David Beighton; Angela Gillett; Ruth Anderson; Shahid Anwar; Susan Brailsford; Zdenek Broukal; Ivor G Chestnutt; Dominique Declerck; Feng Xi Ping; Roberto Ferro; Ruth Freeman; Tshepo Gugushe; Rebecca Harris; Brent Lin; Edward C M Lo; Gerardo Maupomé; Mohamed Hanif Moola; Sudeshni Naidoo; Francisco Ramos-Gomez; Lakshman P Samaranayake; Swarngit Shahid; Marit Slåttelid Skeie; Christian Splieth; Betty King Sutton; Teo Choo Soo; Helen Whelton

International comparisons of health inequalities in childhood dental caries

Cynthia M Pine, Pauline M Adair, Alison D Nicoll, Girvan Burnside, Poul Erik Petersen, David Beighton, Angela Gillett, Ruth Anderson, Shahid Anwar, Susan Brailsford, Zdenek Broukal, Ivor G Chestnutt, Dominique Declerck, Feng Xi Ping, Roberto Ferro, Ruth Freeman, Tshepo Gugushe, Rebecca Harris, Brent Lin, Edward C M LoGerardo Maupomé, Mohamed Hanif Moola, Sudeshni Naidoo, Francisco Ramos-Gomez, Lakshman P Samaranayake, Swarngit Shahid, Marit Slåttelid Skeie, Christian Splieth, Betty King Sutton, Teo Choo Soo, Helen Whelton

Section 01 - Prosthetics

92 Citations (Scopus)

Abstract

OBJECTIVE: To undertake formative studies investigating how the experience of dental caries in young children living in diverse settings relates to familial and cultural perceptions and beliefs, oral health-related behaviour and oral microflora.

PARTICIPANTS: The scientific consortium came from 27 sites in 17 countries, each site followed a common protocol. Each aimed to recruit 100 families with children aged 3 or 4 years, half from deprived backgrounds, and within deprived and non-deprived groups, half to be "caries-free" and half to have at least 3 decayed teeth.

OUTCOME MEASURES: Parents completed a questionnaire, developed using psychological models, on their beliefs, attitudes and behaviours related to their child's oral health. 10% of children had plaque sampled.

RESULTS: 2,822 children and families were recruited. In multivariate analyses, reported toothbrushing behaviours that doubled the odds of being caries-free were a combination of brushing before age 1, brushing twice a day and adult involvement in brushing. Analyses combining beliefs, attitudes and behaviours found that parents' perceived ability to implement regular toothbrushing into their child's daily routine was the most important predictor of whether children had caries and this factor persisted in children from disadvantaged communities. 90% of children with lactobacillus had caries.

CONCLUSIONS: Parental beliefs and attitudes play a key role in moderating oral health related behaviour in young children and in determining whether they develop caries. Further research is indicated to determine whether supporting the development of parenting skills would reduce dental caries in children from disadvantaged communities independent of ethnic origin.

Original language	English
Journal	Community Dental Health
Volume	21
Issue number	1 Suppl
Pages (from-to)	121-30
Number of pages	10
ISSN	0265-539X
Publication status	Published - Mar 2004

Keywords

Adult
Age Factors
Attitude to Health
Child, Preschool
Cultural Deprivation
Culture
Dental Caries
Dental Plaque
Family
Health Behavior
Health Knowledge, Attitudes, Practice
Humans
International Cooperation
Lactobacillus
Multivariate Analysis
Parent-Child Relations
Parenting
Toothbrushing

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Pine, C. M., Adair, P. M., Nicoll, A. D., Burnside, G., Petersen, P. E., Beighton, D., Gillett, A., Anderson, R., Anwar, S., Brailsford, S., Broukal, Z., Chestnutt, I. G., Declerck, D., Ping, F. X., Ferro, R., Freeman, R., Gugushe, T., Harris, R., Lin, B., ... Whelton, H. (2004). International comparisons of health inequalities in childhood dental caries. Community Dental Health, 21(1 Suppl), 121-30.

Pine, CM, Adair, PM, Nicoll, AD, Burnside, G, Petersen, PE, Beighton, D, Gillett, A, Anderson, R, Anwar, S, Brailsford, S, Broukal, Z, Chestnutt, IG, Declerck, D, Ping, FX, Ferro, R, Freeman, R, Gugushe, T, Harris, R, Lin, B, Lo, ECM, Maupomé, G, Moola, MH, Naidoo, S, Ramos-Gomez, F, Samaranayake, LP, Shahid, S, Skeie, MS, Splieth, C, Sutton, BK, Soo, TC & Whelton, H 2004, 'International comparisons of health inequalities in childhood dental caries', Community Dental Health, vol. 21, no. 1 Suppl, pp. 121-30.

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title = "International comparisons of health inequalities in childhood dental caries",

abstract = "OBJECTIVE: To undertake formative studies investigating how the experience of dental caries in young children living in diverse settings relates to familial and cultural perceptions and beliefs, oral health-related behaviour and oral microflora.PARTICIPANTS: The scientific consortium came from 27 sites in 17 countries, each site followed a common protocol. Each aimed to recruit 100 families with children aged 3 or 4 years, half from deprived backgrounds, and within deprived and non-deprived groups, half to be {"}caries-free{"} and half to have at least 3 decayed teeth.OUTCOME MEASURES: Parents completed a questionnaire, developed using psychological models, on their beliefs, attitudes and behaviours related to their child's oral health. 10% of children had plaque sampled.RESULTS: 2,822 children and families were recruited. In multivariate analyses, reported toothbrushing behaviours that doubled the odds of being caries-free were a combination of brushing before age 1, brushing twice a day and adult involvement in brushing. Analyses combining beliefs, attitudes and behaviours found that parents' perceived ability to implement regular toothbrushing into their child's daily routine was the most important predictor of whether children had caries and this factor persisted in children from disadvantaged communities. 90% of children with lactobacillus had caries.CONCLUSIONS: Parental beliefs and attitudes play a key role in moderating oral health related behaviour in young children and in determining whether they develop caries. Further research is indicated to determine whether supporting the development of parenting skills would reduce dental caries in children from disadvantaged communities independent of ethnic origin.",

keywords = "Adult, Age Factors, Attitude to Health, Child, Preschool, Cultural Deprivation, Culture, Dental Caries, Dental Plaque, Family, Health Behavior, Health Knowledge, Attitudes, Practice, Humans, International Cooperation, Lactobacillus, Multivariate Analysis, Parent-Child Relations, Parenting, Toothbrushing",

author = "Pine, {Cynthia M} and Adair, {Pauline M} and Nicoll, {Alison D} and Girvan Burnside and Petersen, {Poul Erik} and David Beighton and Angela Gillett and Ruth Anderson and Shahid Anwar and Susan Brailsford and Zdenek Broukal and Chestnutt, {Ivor G} and Dominique Declerck and Ping, {Feng Xi} and Roberto Ferro and Ruth Freeman and Tshepo Gugushe and Rebecca Harris and Brent Lin and Lo, {Edward C M} and Gerardo Maupom{\'e} and Moola, {Mohamed Hanif} and Sudeshni Naidoo and Francisco Ramos-Gomez and Samaranayake, {Lakshman P} and Swarngit Shahid and Skeie, {Marit Sl{\aa}ttelid} and Christian Splieth and Sutton, {Betty King} and Soo, {Teo Choo} and Helen Whelton",

year = "2004",

month = mar,

language = "English",

volume = "21",

pages = "121--30",

journal = "Community Dental Health",

issn = "0265-539X",

publisher = "F D I World Dental Press Ltd.",

number = "1 Suppl",

}

TY - JOUR

T1 - International comparisons of health inequalities in childhood dental caries

AU - Pine, Cynthia M

AU - Adair, Pauline M

AU - Nicoll, Alison D

AU - Burnside, Girvan

AU - Petersen, Poul Erik

AU - Beighton, David

AU - Gillett, Angela

AU - Anderson, Ruth

AU - Anwar, Shahid

AU - Brailsford, Susan

AU - Broukal, Zdenek

AU - Chestnutt, Ivor G

AU - Declerck, Dominique

AU - Ping, Feng Xi

AU - Ferro, Roberto

AU - Freeman, Ruth

AU - Gugushe, Tshepo

AU - Harris, Rebecca

AU - Lin, Brent

AU - Lo, Edward C M

AU - Maupomé, Gerardo

AU - Moola, Mohamed Hanif

AU - Naidoo, Sudeshni

AU - Ramos-Gomez, Francisco

AU - Samaranayake, Lakshman P

AU - Shahid, Swarngit

AU - Skeie, Marit Slåttelid

AU - Splieth, Christian

AU - Sutton, Betty King

AU - Soo, Teo Choo

AU - Whelton, Helen

PY - 2004/3

Y1 - 2004/3

N2 - OBJECTIVE: To undertake formative studies investigating how the experience of dental caries in young children living in diverse settings relates to familial and cultural perceptions and beliefs, oral health-related behaviour and oral microflora.PARTICIPANTS: The scientific consortium came from 27 sites in 17 countries, each site followed a common protocol. Each aimed to recruit 100 families with children aged 3 or 4 years, half from deprived backgrounds, and within deprived and non-deprived groups, half to be "caries-free" and half to have at least 3 decayed teeth.OUTCOME MEASURES: Parents completed a questionnaire, developed using psychological models, on their beliefs, attitudes and behaviours related to their child's oral health. 10% of children had plaque sampled.RESULTS: 2,822 children and families were recruited. In multivariate analyses, reported toothbrushing behaviours that doubled the odds of being caries-free were a combination of brushing before age 1, brushing twice a day and adult involvement in brushing. Analyses combining beliefs, attitudes and behaviours found that parents' perceived ability to implement regular toothbrushing into their child's daily routine was the most important predictor of whether children had caries and this factor persisted in children from disadvantaged communities. 90% of children with lactobacillus had caries.CONCLUSIONS: Parental beliefs and attitudes play a key role in moderating oral health related behaviour in young children and in determining whether they develop caries. Further research is indicated to determine whether supporting the development of parenting skills would reduce dental caries in children from disadvantaged communities independent of ethnic origin.

AB - OBJECTIVE: To undertake formative studies investigating how the experience of dental caries in young children living in diverse settings relates to familial and cultural perceptions and beliefs, oral health-related behaviour and oral microflora.PARTICIPANTS: The scientific consortium came from 27 sites in 17 countries, each site followed a common protocol. Each aimed to recruit 100 families with children aged 3 or 4 years, half from deprived backgrounds, and within deprived and non-deprived groups, half to be "caries-free" and half to have at least 3 decayed teeth.OUTCOME MEASURES: Parents completed a questionnaire, developed using psychological models, on their beliefs, attitudes and behaviours related to their child's oral health. 10% of children had plaque sampled.RESULTS: 2,822 children and families were recruited. In multivariate analyses, reported toothbrushing behaviours that doubled the odds of being caries-free were a combination of brushing before age 1, brushing twice a day and adult involvement in brushing. Analyses combining beliefs, attitudes and behaviours found that parents' perceived ability to implement regular toothbrushing into their child's daily routine was the most important predictor of whether children had caries and this factor persisted in children from disadvantaged communities. 90% of children with lactobacillus had caries.CONCLUSIONS: Parental beliefs and attitudes play a key role in moderating oral health related behaviour in young children and in determining whether they develop caries. Further research is indicated to determine whether supporting the development of parenting skills would reduce dental caries in children from disadvantaged communities independent of ethnic origin.

KW - Adult

KW - Age Factors

KW - Attitude to Health

KW - Child, Preschool

KW - Cultural Deprivation

KW - Culture

KW - Dental Caries

KW - Dental Plaque

KW - Family

KW - Health Behavior

KW - Health Knowledge, Attitudes, Practice

KW - Humans

KW - International Cooperation

KW - Lactobacillus

KW - Multivariate Analysis

KW - Parent-Child Relations

KW - Parenting

KW - Toothbrushing

M3 - Journal article

C2 - 15072481

SN - 0265-539X

VL - 21

SP - 121

EP - 130

JO - Community Dental Health

JF - Community Dental Health

IS - 1 Suppl

ER -

International comparisons of health inequalities in childhood dental caries

Abstract

Keywords

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