The impact of the Great Recession on untreated dental caries among kindergarten students in North Carolina

Abasaeed, Rania; Kranz, Ashley M.; Rozier, R. Gary

doi:10.14219/jada.archive.2013.0232

Cited by 6 publications

(7 citation statements)

References 25 publications

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“…Both studies were based on cross-sectional data and could therefore reflect secular trends not attributable to the Recession, such as changes in demographic composition. Participation in a school lunch program, an indicator of declining household income during the Recession, was positively correlated with the prevalence of dental caries among kindergarteners [20]. …”

Section: Resultsmentioning

confidence: 99%

Health Impacts of the Great Recession: a Critical Review

et al. 2016

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The severity, sudden onset, and multipronged nature of the Great Recession (2007–2009) provided a unique opportunity to examine the health impacts of macroeconomic downturn. We comprehensively review empirical literature examining the relationship between the Recession and mental and physical health outcomes in developed nations. Overall, studies reported detrimental impacts of the Recession on health, particularly mental health. Macro- and individual-level employment- and housing-related sequelae of the Recession were associated with declining fertility and self-rated health, and increasing morbidity, psychological distress, and suicide, although traffic fatalities and population-level alcohol consumption declined. Health impacts were stronger among men and racial/ethnic minorities. Importantly, strong social safety nets in some European countries appear to have buffered those populations from negative health effects. This literature, however, still faces multiple methodological challenges, and more time may be needed to observe the Recession’s full health impact. We conclude with suggestions for future work in this field.

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Section: Resultsmentioning

confidence: 99%

Health Impacts of the Great Recession: a Critical Review

et al. 2016

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“…Faced with the economic crisis, the indicator "untreated dental caries" was evaluated in the United States 20 and Spain 24 , respectively. Both studies showed an increased need for dental treatment in the assessed population.…”

Section: Main Results Conclusionmentioning

confidence: 99%

“…Abasaeed et al, 2013 20 On the other hand, the adult population showed a reduction in access to dental services, particularly when assessing the lower income ranges. This is due to the fact that adult dental services are not a mandatory benefit under Medicaid.…”

Section: Author Year Study Design Objective Economic Crisis Considermentioning

confidence: 99%

“…The greatest example of this situation in Brazil was the approval of Constitutional Amendment N. 95, in December 2016, which deals with the New Fiscal Regime (NFR) 4 . Starting on December 16, 2016, when it was approved, a number of provisions were introduced into the Transitional Constitutional Provisions Act that programmed a new fiscal regime with a cap on federal government spending, a cap that spared neither the Health nor the Education sectors and will be in effect for the next twenty (20) years.…”

Section: Introductionmentioning

confidence: 99%

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Impacto das crises financeiras sobre os indicadores de saúde bucal: revisão integrativa da literatura

Probst

Pucca

Pereira

et al. 2019

Ciênc. saúde coletiva

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Resumo O objetivo desse estudo foi analisar, por meio de uma revisão integrativa da literatura, os possíveis impactos das crises financeiras sobre os indicadores de saúde bucal em diferentes países, bem como verificar as medidas adotadas de forma a traçar um paralelo com a realidade brasileira. Uma busca de artigos que atendessem a estes critérios foi realizada nas bases PUBMED, EMBASE, Lilacs, SCOPUS e também na literatura cinzenta. Ao final, nove estudos foram incluídos. Os resultados indicam que a população em maior vulnerabilidade, menor renda e menor escolaridade são as mais afetadas, independentemente do indicador avaliado (cárie dentária não tratada, acesso aos serviços de Atenção Odontológica e hábitos de higiene). Quando medidas protetivas com alocação de recursos financeiras foram tomadas, as disparidades diminuíram. Concluiu-se que, frente às crises econômicas, a saúde bucal passa a não ser prioridade enquanto centro nucleador de políticas, o que impacta o acesso ao cuidado dos estratos sociais menos favorecidos.

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“…We adjusted for creatinine to account for urinary dilution. There are other possible BPA exposure routes that we considered a priori as potential confounders of the association with dental sealants (or restorations) based on published literature 19,20 and biological plausibility. These included number of restaurant meals per week, number of school lunches per week, amount of bottled water consumption , tap water source and serum cotinine concentrations (an indicator of active or passive smoking).…”

Section: Methodsmentioning

confidence: 99%

Dental sealants and restorations and urinary bisphenol A concentrations in children in the 2003-2004 National Health and Nutrition Examination Survey

McKinney¹,

Rue²,

Sathyanarayana³

et al. 2014

The Journal of the American Dental Association

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Background Resin-based dental sealants and composites contain bisphenol A-glycidyl methacrylate, a bisphenol A (BPA) derivative. The authors hypothesized that a greater number of sealants or restorations would be associated with higher urinary BPA concentrations. Methods The authors examined urinary BPA measurements (in nanograms per milliliter) and oral examination data for 1,001 children aged 6 to 19 years from the dataset of the 2003-2004 National Health Examination and Nutrition Survey (NHANES). They categorized children into four groups according to number of occlusal sealants and number of restorations, separately. They estimated associations by using unadjusted and adjusted tobit regression models. Results The lowest quartile of BPA concentrations ranged from 0.3 ng/mL to 1.9 ng/mL, whereas the highest quartile ranged from 7.3 ng/mL to 149 ng/mL. In adjusted analysis, children with seven to 16 sealants had geometric mean BPA concentrations 25 percent higher than those of children with no sealants (95 percent confidence interval [CI], −14 percent to 82 percent; P = .23). In adjusted analyses, children with seven to 42 restorations had geometric mean BPA concentrations 20 percent higher than those of children with no restorations (95 percent CI, −6 percent to 53 percent; P = .13). Neither of these adjusted estimates was statistically significant. Conclusions Though the findings were in the direction hypothesized, the authors did not observe a statistically significant association between a greater number of sealants or restorations and higher urinary BPA concentrations. Additional studies are needed to determine the extent of oral and systemic exposure to BPA from resin-based dental restorative materials over time. Practical Implications Dentists should follow this issue carefully as it develops and as the body of evidence grows. There is insufficient evidence to change practice at this time.

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The impact of the Great Recession on untreated dental caries among kindergarten students in North Carolina

Cited by 6 publications

References 25 publications

Health Impacts of the Great Recession: a Critical Review

Health Impacts of the Great Recession: a Critical Review

Impacto das crises financeiras sobre os indicadores de saúde bucal: revisão integrativa da literatura

Dental sealants and restorations and urinary bisphenol A concentrations in children in the 2003-2004 National Health and Nutrition Examination Survey

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