Childhood caries in the state of Kentucky, USA: a cross-sectional study

Kandel, Elizabeth A; Richards, Jenna M; Binkley, Catherine J.

doi:10.1186/1472-6831-12-38

Cited by 7 publications

(8 citation statements)

References 16 publications

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“…Second, urban versus rural areas may be defined differently. A study from Louisville, Kentucky, for example, showed that children living in the Louisville metro area, defined by the city zip codes, were more likely to have untreated caries compared to children living outside the metro area [11]. Other research uses the metropolitan area-based definition which includes suburban or fringe counties of a metropolitan area as ‘urban’ [45].…”

Section: Discussionmentioning

confidence: 99%

“…Rural residents in Kentucky are less likely to have dental insurance, compared to urban residents, and not having any form of dental insurance is associated with childhood dental caries [10,11]. Compared to rural areas, a greater proportion of residents living in urban areas have higher dental insurance coverage and dental care utilization rates but they do not necessarily have better dental health [11-13].…”

Section: Introductionmentioning

confidence: 99%

“…Compared to rural areas, a greater proportion of residents living in urban areas have higher dental insurance coverage and dental care utilization rates but they do not necessarily have better dental health [11-13]. Various social and physical barriers to oral health care, such as no means of transportation to dental clinics and dentists not willing to accept Medicaid-insured children, are important issues related to poor dental health [14-16].…”

Section: Introductionmentioning

confidence: 99%

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Dental caries among children visiting a mobile dental clinic in South Central Kentucky: a pooled cross-sectional study

et al. 2013

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BackgroundDental caries is one of the most common chronic childhood diseases affecting a large portion of children in the United States. The prevalence of childhood dental caries in Kentucky is among the highest in the nation. The purposes of this study are to (1) compare sociodemographic differences between caries and no caries groups and (2) investigate factors associated with untreated dental caries among children who visited a mobile dental clinic in South Central Kentucky.MethodsStudy subjects were children aged 6 to 15 years who participated in the school-based dental sealant program through the mobile dental clinic operated by the Institute for Rural Health at Western Kentucky University between September 2006 and May 2011 (n = 2,453). Descriptive statistics were calculated for sociodemographic factors (age, gender, race/ethnicity, insurance status, and urban versus rural residential location) and caries status. We used chi-square tests to compare sociodemographic differences of children stratified by caries and no caries status as well as three levels of caries severity. We developed a logistic regression model to investigate factors associated with untreated dental caries while controlling for sociodemographic characteristics.ResultsThe proportion of children having untreated dental caries was 49.7% and the mean number of untreated dental caries was 2.0. The proportion of untreated dental caries was higher in older children, children with no insurance and living in rural residential locations, and caries severity was also higher in these groups. Odds ratio indicated that older ages, not having private insurance (having only public, government-sponsored insurance or no insurance at all) and rural residential location were associated with having untreated dental caries after controlling for sociodemographic characteristics of children.ConclusionsUntreated dental caries was more likely to be present in older children living in rural areas without insurance. Health interventionists may use this information and target rural children without having proper insurance in order to reduce geographic disparities in untreated dental caries in South Central Kentucky.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Dental caries among children visiting a mobile dental clinic in South Central Kentucky: a pooled cross-sectional study

et al. 2013

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“…T ‐test and Chi‐Square analyses were performed to compare baseline and follow‐up screening exam results for students who participated both times; and to compare demographic characteristics, OH behaviors, and screening exam results at baseline for students who did and did not participate at follow up. Finally, based on research demonstrating the efficacy of fluoride varnishing in preventing caries and impact of dental disease on school attendance , we estimated the potential dollars saved by both the health and school system and compared this with program costs. Analysis of the data by academic partners was reviewed by the UCLA IRB and determined to be exempt.…”

Section: Methodsmentioning

confidence: 99%

A school‐based public health model to reduce oral health disparities

Dudovitz

Valiente

Espinosa

et al. 2017

J Public Health Dent

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“…More than half (51.2%) of children aged 6 to 11 years have decay in their primary teeth, and among them, 24.5% have untreated decay [2]. In fact, almost one-third of school-aged children in the United States have untreated dental decay [3]. Tooth decay can impact these children in multi-factorial ways, including causing pain and tooth loss [4], affecting their overall health [5], and limiting their ability to eat, sleep, and learn [6].…”

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confidence: 99%

Disparities in Oral Health among School-Aged Children in Kansas

Dong

Ablah

Hines

et al. 2015

OJPM

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Background: The effects of age, rural-urban geographic location, and percentage of Free and Reduced Price Meal Program (FRPMP) participation on children's oral health outcome measures (untreated decay, treated decay, and sealants) have not been fully explored in Kansas. Methods: The current study utilized a surveillance sample of 140,217 children (grades K through 12) attending 200 schools in Kansas, which requested screening assistance from the Kansas Department of Health and Environment (KDHE) from 2012 to 2013. Multilevel logistic regression analysis was conducted to identify significant factors associated with oral health outcome measures. Results:Older children were associated with decreased odds of having untreated decay, and increased odds of having treated decay and sealants. Children attending very rural schools had increased odds of untreated and treated decay and decreased odds of presence of sealants. For every 5% increase in the school-level %FRPMP, the odds of having untreated and treated decay increased by 5% and 3%, respectively. However, %FRPMP was not statistically associated with the presence of sealants. Conclusions: Children attending schools in very rural and rural areas appear to have worse oral health outcomes, as measured by higher proportions of untreated and treated decay, and a smaller proportion of presence of sealants.

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Childhood caries in the state of Kentucky, USA: a cross-sectional study

Cited by 7 publications

References 16 publications

Dental caries among children visiting a mobile dental clinic in South Central Kentucky: a pooled cross-sectional study

Dental caries among children visiting a mobile dental clinic in South Central Kentucky: a pooled cross-sectional study

A school‐based public health model to reduce oral health disparities

Disparities in Oral Health among School-Aged Children in Kansas

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