Oral health needs among youth with a history of foster care

Sarvas, Elise; Eckerle, Judith K.; Gustafson, Kimara L.; Freese, Rebecca; Shlafer, Rebecca J.

doi:10.1016/j.adaj.2021.03.008

Cited by 7 publications

(5 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Residency types varied across the studies from orphanages, out-of-home care, foster care, residential care homes, kinship, asylum centres and refugee camps. The number of CYP in care included in the studies varied greatly from 30 [21] to 4696 [22]. When control groups were included, study samples ranged from 30 [21] to 154,774 [22].…”

Section: Resultsmentioning

confidence: 99%

“…The number of CYP in care included in the studies varied greatly from 30 [21] to 4696 [22]. When control groups were included, study samples ranged from 30 [21] to 154,774 [22].…”

Section: Resultsmentioning

confidence: 99%

“…Of the ten studies that reported on the impact of dental health on Quality of Life, all studies showed a negative impact of poor dental health on QoL [22,25,34,45,59,63,67,72,78,79]. Examples of this included 32% of 12 to 15 year olds reporting that poor oral health impacted their daily lives [34], reports of dental pain [22,59,63,72,79], dissatisfaction with the appearance of their teeth, with only 57-68% of CYP in care reporting that they were happy with their smile [67,78], and poorer social wellbeing than their peers [79]. Both caries experience and malocclusion were significantly associated with lower QoL [45,63,79].…”

Section: Oral Health-related Quality Of Lifementioning

confidence: 99%

See 2 more Smart Citations

A Scoping Review of the Oral Health Status, Oral Health Behaviours and Interventions to Improve the Oral Health of Children and Young People in Care and Care Leavers

Booth,

Erwin,

Burns

et al. 2024

Dentistry Journal

View full text Add to dashboard Cite

Background: Children and young people (CYP) in care experience poorer physical health and overall wellbeing in comparison to their peers. Despite this, relatively little is known about what their oral health needs and behaviours are. The aim of this scoping review was to provide a global perspective on the oral health status and behaviours of CYP in care and care leavers. It also aimed to synthesise interventions that have been trialled in this population to improve oral health. Methods: Five databases were searched, Ovid Embase, Ovid MEDLINE, CINAHL (EBSCOhost), SocINDEX (EBSCOhost) and Dentistry and Oral Sciences Source (EBSCOhost), alongside grey literature sources up to January 2023. Eligibility criteria were studies that (i) reported on children and adolescents aged 25 years or younger who are currently in formal/informal foster or residential care and care leavers, (ii) pertained to oral health profile, behaviours or oral health promotion interventions (iii) and were published in the English language. Thematic analysis was used to develop the domains for oral health behaviours and interventions. Results: Seventy-one papers were included. Most papers were published from very high or medium Human Development Index countries. CYP in care were found to experience high levels of decay, dental trauma, periodontal disease and poorer oral health-related quality of life. Oral health behaviours included limited oral health self-care behaviours and a lack of oral health-based knowledge. The trialled interventions involved oral health education, supervised brushing and treatment or preventative dental care. Conclusions: This scoping review reveals that CYP in care experience poorer oral health in comparison to their peers. They are also less likely to carry out oral health self-care behaviours. This review highlights a scarcity of interventions to improve the oral health of this population and a paucity of evidence surrounding the oral health needs of care leavers.

show abstract

Section: Resultsmentioning

confidence: 99%

“…The number of CYP in care included in the studies varied greatly from 30 [21] to 4696 [22]. When control groups were included, study samples ranged from 30 [21] to 154,774 [22].…”

Section: Resultsmentioning

confidence: 99%

Section: Oral Health-related Quality Of Lifementioning

confidence: 99%

See 1 more Smart Citation

A Scoping Review of the Oral Health Status, Oral Health Behaviours and Interventions to Improve the Oral Health of Children and Young People in Care and Care Leavers

Booth,

Erwin,

Burns

et al. 2024

Dentistry Journal

View full text Add to dashboard Cite

show abstract

“…In the US, children in OOHC are overwhelmingly insured by Medicaid; however, some children do retain private insurance or have alternate means of health care [ 37 ]. One of the biggest hurdles children in OOHC face in accessing dental care is finding a provider who accepts patients enrolled in Medicaid or the Children’s Health Insurance Program (CHIP) [ 38 ]. In 2019, 43% of general dentists and 73% of pediatric dentists participated in Medicaid or CHIP [ 39 ].…”

Section: Resultsmentioning

confidence: 99%

Knowledge, Attitudes, and Practices of Dental Practitioners in Providing Care to Children in Out-of-Home Care: A Scoping Review

Fenwicke,

George,

Blythe

et al. 2024

IJERPH

View full text Add to dashboard Cite

A scoping review was conducted to synthesize available evidence of knowledge, attitudes, and practices of dental practitioners in providing care to children in out-of-home care (OOHC). Scientific databases and the grey literature were searched: 855 studies were screened after removing duplicates; 800 studies were excluded based on the title and/or abstract, and the full text of 55 studies was reviewed, with 7 included in the analysis. These included three peer-reviewed articles regarding the knowledge, attitudes, and practices of dental practitioners in providing care to children in OOHC, as well as four guidelines. Dental practitioners had some knowledge of the high health care needs of OOHC children, but knowledge regarding when children entering care received dental assessment and about OOHC dental care pathways was low. Practices of dental practitioners were varied, most gave oral hygiene instructions, but there was inconsistency in practices regarding continuity of care following placement changes and failure to attend policies. There was more consensus with dental practitioner attitudes, with practitioners in private settings seeming to prefer not to treat children in OOHC. Three of the identified guidelines provided logistical information about OOHC and consent. The final guideline gave practical information on treating children with a background of adverse childhood events (ACEs), including children in OOHC. Further research and education is warranted to aid dental practitioners in providing care to children in OOHC.

show abstract

“…Research demonstrates that children in foster care are more likely than those in the general population to have fair to poor physical health, learning disabilities, speech problems, and obesity (Turney & Wildeman, 2016). Between 35% and 45% of children entering foster care have at least one chronic physical health condition, and 60% of children under 5 years old have developmental delays (Turney & Wildeman, 2016), along with significant oral health problems compared to children not in foster care (Morón et al, 2019; Sarvas et al, 2021). Youth in foster care are also at increased risk of engaging in health-compromising behaviors (e.g., unprotected sex, alcohol and marijuana use, trading sex for money; Winter et al, 2016) and have an increased likelihood of becoming pregnant (Eastman et al, 2019; Svoboda et al, 2012) and contracting sexually transmitted infections (STIs) and human immunodeficiency virus or acquired immunodeficiency syndrome (HIV/AIDS) (Ahrens et al, 2010; Taylor et al, 2020) compared to their non-foster care peers.…”

Section: Physical Health Of Children In Foster Carementioning

confidence: 99%

Racial and Ethnic Disparities in the Physical Health Outcomes of Children in Foster Care: A Systematic Review

Lee

Kirsch

Presley

et al. 2023

Trauma, Violence, & Abuse

View full text Add to dashboard Cite

Children of color—especially Black and Indigenous children—are disproportionately overrepresented in foster care and experience barriers in accessing services and receiving physical and behavioral healthcare compared to their White counterparts. Although racial disparities in mental health outcomes of children in foster care have been examined systematically, less is known about racial disparities in their physical health outcomes. This systematic review aimed to examine disparities in physical health outcomes (i.e., general health, developmental delays and disability, chronic illness, health-compromising behaviors, all-cause mortality) of children in foster care by their race and ethnicity (PROSPERO ID: CRD42021272072). Systematic literature searches were conducted in PubMed, EMBASE, PsycINFO, CINAHL, Cochrane Library, and Psychology and Behavioral Sciences Collection. Of the 6,102 unique studies identified, 24 met inclusion criteria: peer-reviewed journal article; published from 1991 to 2021; written in English; involved children in the U.S. foster care system; children were primarily in family-based placements; included health outcomes; included children’s race and ethnicity; conducted quantitative analyses; and had an observational study design. There was limited evidence to suggest racial disparities among physical health domains examined, in part, due to the small number of studies, variability across study measures and designs, how race and ethnicity were categorized, and how related results were reported. Research that disaggregates results by more nuanced race and ethnicity categories, goes beyond including race and ethnicity as control variables, and uses more robust study designs to understand where racial disparities lie is necessary to inform practice and policy efforts to attain race and health equity in child welfare.

show abstract

Oral health needs among youth with a history of foster care

Cited by 7 publications

References 12 publications

A Scoping Review of the Oral Health Status, Oral Health Behaviours and Interventions to Improve the Oral Health of Children and Young People in Care and Care Leavers

A Scoping Review of the Oral Health Status, Oral Health Behaviours and Interventions to Improve the Oral Health of Children and Young People in Care and Care Leavers

Knowledge, Attitudes, and Practices of Dental Practitioners in Providing Care to Children in Out-of-Home Care: A Scoping Review

Racial and Ethnic Disparities in the Physical Health Outcomes of Children in Foster Care: A Systematic Review

Contact Info

Product

Resources

About