Rural and Urban Disparities in Caries Prevalence in Children with Unmet Dental Needs: The New England Children's Amalgam Trial

Maserejian, Nancy N.; Tavares, Mary; Hayes, Catherine; Soncini, Jennifer; Trachtenberg, Felicia

doi:10.1111/j.1752-7325.2007.00057.x

Cited by 22 publications

(21 citation statements)

References 24 publications

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“…Our finding that children residing in a metropolitan area were more likely to have caries is consistent with results reported by Maserejian and colleagues who reported that children living in the metropolitan area of Boston, Massachusetts, USA had significantly more caries than children from the rural setting of Farmington, Maine, USA, even after controlling sociodemographic factors [13]. Similarly, Weyant and colleagues reported that children living in the metropolitan areas of Philadelphia and Pittsburg had the highest unfilled caries rate in permanent teeth than anywhere else in the state of Pennsylvania, USA [7].…”

Section: Discussionsupporting

confidence: 92%

“…The finding that children residing in the metropolitan area were more likely to have untreated caries than those residing in a non-metropolitan area led us to conduct additional analyses because of the varied reports in the literature concerning caries prevalence in rural/non-metropolitan areas and metropolitan areas in the USA [7,13,14]. Caries was detected in 40% of the children from metropolitan areas and in 26% of the children from non-metropolitan areas ( p ≤ 0.001, χ 2 (1df) = 72.680).…”

Section: Resultsmentioning

confidence: 99%

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

2012

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BackgroundUntreated dental caries afflicts almost one third of school-aged children in the United States and many of them are from disadvantaged families. This cross-sectional study was undertaken to investigate the prevalence of untreated caries in north central Kentucky, USA and to examine the relationships between the available demographic variables and untreated childhood caries as reported on the forms from the Smile Kentucky! program.MethodsDuring the fall of 2008, caries status was assessed during the visual oral screening examination component of “SmileKentucky!”– a model of the American Dental Association’s Give Kids A Smile program. Parents had completed brief surveys concerning 3,488 elementary school children aged 5 to 13 years who participated in the program. A secondary analysis was conducted using univariate, bivariate and multivariate statistical methods.ResultsUntreated caries was reported in 33% of children. Bivariate and logistic regression analyses found that the most significant risk factors for having untreated caries were living in the metropolitan Louisville, Kentucky area, not having had a dental visit in the previous 3 years and not having any form of dental insurance.ConclusionsUntreated caries in elementary school children is prevalent in north-central Kentucky despite efforts to improve access to care. The results suggest that additional family and community preventive initiatives are needed to reduce the development of childhood caries in this area of the United States.

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Section: Discussionsupporting

confidence: 92%

Section: Resultsmentioning

confidence: 99%

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

2012

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“…On the other hand, the lack of association between caries increment and sociodemographic characteristics – many of which were associated with the caries prevalence at baseline – may be a consequence of the frequent preventive dental care NECAT participants received (33). Statistically significant differences in the extent of decay were observed by race/ethnicity, urban versus rural dwelling, and immigrant versus US‐born caregiver at baseline (34, 35), but not during follow‐up. In addition, the strength of the association between baseline caries and increment was slightly lower in our study than in previous studies (5–9, 21, 25), which could partly be due to the dental care provided by NECAT.…”

Section: Discussionmentioning

confidence: 98%

Prospective study of 5‐year caries increment among children receiving comprehensive dental care in the New England children’s amalgam trial

Maserejian

Tavares²,

Hayes

et al. 2009

Comm Dent Oral Epid

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Despite the receipt of comprehensive semiannual dental care, the vast majority of these high-risk children continued to develop new caries within 5 years. While disparities were observed by age, extent of prior decay, and toothbrushing frequency, no other sociodemographic factors were associated with caries increment, suggesting that the dental care provided during the trial reduced sociodemographic disparities in prior caries experience that were observed at baseline.

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“…It has been shown that actions such as reducing the cost of dental care for people with low socioeconomic status 6 , changing the unfavorable mix of dental services 7,8 , or even the provision of free dental care, do not solve the problem of unequal distribution of dental disease or reduce the disparities in access to dental services 9,10 . The results of programs directed at reducing cost or access barriers show that these obstacles are merely part of this multidimensional dental health problem 3,11 .…”

Section: Introductionmentioning

confidence: 99%