Association between neighborhood disadvantage and children's oral health outcomes in urban families in the Chicago area
PurposeThe prevalence of childhood caries in urban Chicago, compared with national and state data, indicates that neighborhood context influences oral health. Our objective was to delineate the influence of a child's neighborhood on oral health outcomes that are predictive of caries (toothbrush...
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| Format: | Article |
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Frontiers Media S.A.
2023-06-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1203523/full |
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| author | Helen H. Lee Helen H. Lee John J. Dziak David M. Avenetti David M. Avenetti Michael L. Berbaum Yuwa Edomwande Margaret Kliebhan Tong Zhang Karla Licona-Martinez Molly A. Martin Molly A. Martin |
| author_facet | Helen H. Lee Helen H. Lee John J. Dziak David M. Avenetti David M. Avenetti Michael L. Berbaum Yuwa Edomwande Margaret Kliebhan Tong Zhang Karla Licona-Martinez Molly A. Martin Molly A. Martin |
| author_sort | Helen H. Lee |
| collection | DOAJ |
| description | PurposeThe prevalence of childhood caries in urban Chicago, compared with national and state data, indicates that neighborhood context influences oral health. Our objective was to delineate the influence of a child's neighborhood on oral health outcomes that are predictive of caries (toothbrushing frequency and plaque levels).MethodsOur study population represents urban, Medicaid-enrolled families in the metropolitan Chicago area. Data were obtained from a cohort of participants (child–parent dyads) who participated in the Coordinated Oral Health Promotion (CO-OP) trial at 12 months of study participation (N = 362). Oral health outcomes included toothbrushing frequency and plaque levels. Participants' neighborhood resource levels were measured by the Area Deprivation Index (ADI). Linear and logistic regression models were used to measure the influence of ADI on plaque scores and toothbrushing frequency, respectively.ResultsData from 362 child–parent dyads were analyzed. The mean child age was 33.6 months (SD 6.8). The majority of children were reported to brush at least twice daily (n = 228, 63%), but the mean plaque score was 1.9 (SD 0.7), classified as “poor.” In covariate-adjusted analyses, ADI was not associated with brushing frequency (0.94, 95% CI 0.84–1.06). ADI was associated with plaque scores (0.05, 95% CI 0.01–0.09, p value = 0.007).ConclusionsFindings support the hypothesis that neighborhood-level factors influence children's plaque levels. Because excessive plaque places a child at high risk for cavities, we recommend the inclusion of neighborhood context in interventions and policies to reduce children's oral health disparities. Existing programs and clinics that serve disadvantaged communities are well-positioned to support caregivers of young children in maintaining recommended oral health behaviors. |
| first_indexed | 2024-03-13T02:20:31Z |
| format | Article |
| id | doaj.art-f160fe306f6740cf886fabc7358fa8da |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-03-13T02:20:31Z |
| publishDate | 2023-06-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Public Health |
| spelling | doaj.art-f160fe306f6740cf886fabc7358fa8da2023-06-30T10:02:24ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-06-011110.3389/fpubh.2023.12035231203523Association between neighborhood disadvantage and children's oral health outcomes in urban families in the Chicago areaHelen H. Lee0Helen H. Lee1John J. Dziak2David M. Avenetti3David M. Avenetti4Michael L. Berbaum5Yuwa Edomwande6Margaret Kliebhan7Tong Zhang8Karla Licona-Martinez9Molly A. Martin10Molly A. Martin11Department of Anesthesiology, College of Medicine, University of Illinois Chicago, Chicago, IL, United StatesInstitute for Health Research and Policy, University of Illinois Chicago, Chicago, IL, United StatesInstitute for Health Research and Policy, University of Illinois Chicago, Chicago, IL, United StatesInstitute for Health Research and Policy, University of Illinois Chicago, Chicago, IL, United StatesDepartment of Pediatric Dentistry, College of Dentistry, University of Illinois Chicago, Chicago, IL, United StatesInstitute for Health Research and Policy, University of Illinois Chicago, Chicago, IL, United StatesInstitute for Health Research and Policy, University of Illinois Chicago, Chicago, IL, United StatesDepartment of Pediatrics, College of Medicine, University of Illinois Chicago, Chicago, IL, United StatesInstitute for Health Research and Policy, University of Illinois Chicago, Chicago, IL, United StatesInstitute for Health Research and Policy, University of Illinois Chicago, Chicago, IL, United StatesInstitute for Health Research and Policy, University of Illinois Chicago, Chicago, IL, United StatesDepartment of Pediatrics, College of Medicine, University of Illinois Chicago, Chicago, IL, United StatesPurposeThe prevalence of childhood caries in urban Chicago, compared with national and state data, indicates that neighborhood context influences oral health. Our objective was to delineate the influence of a child's neighborhood on oral health outcomes that are predictive of caries (toothbrushing frequency and plaque levels).MethodsOur study population represents urban, Medicaid-enrolled families in the metropolitan Chicago area. Data were obtained from a cohort of participants (child–parent dyads) who participated in the Coordinated Oral Health Promotion (CO-OP) trial at 12 months of study participation (N = 362). Oral health outcomes included toothbrushing frequency and plaque levels. Participants' neighborhood resource levels were measured by the Area Deprivation Index (ADI). Linear and logistic regression models were used to measure the influence of ADI on plaque scores and toothbrushing frequency, respectively.ResultsData from 362 child–parent dyads were analyzed. The mean child age was 33.6 months (SD 6.8). The majority of children were reported to brush at least twice daily (n = 228, 63%), but the mean plaque score was 1.9 (SD 0.7), classified as “poor.” In covariate-adjusted analyses, ADI was not associated with brushing frequency (0.94, 95% CI 0.84–1.06). ADI was associated with plaque scores (0.05, 95% CI 0.01–0.09, p value = 0.007).ConclusionsFindings support the hypothesis that neighborhood-level factors influence children's plaque levels. Because excessive plaque places a child at high risk for cavities, we recommend the inclusion of neighborhood context in interventions and policies to reduce children's oral health disparities. Existing programs and clinics that serve disadvantaged communities are well-positioned to support caregivers of young children in maintaining recommended oral health behaviors.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1203523/fullneighborhoodoral healthchildhood cariessocial determinants of healthplaque |
| spellingShingle | Helen H. Lee Helen H. Lee John J. Dziak David M. Avenetti David M. Avenetti Michael L. Berbaum Yuwa Edomwande Margaret Kliebhan Tong Zhang Karla Licona-Martinez Molly A. Martin Molly A. Martin Association between neighborhood disadvantage and children's oral health outcomes in urban families in the Chicago area Frontiers in Public Health neighborhood oral health childhood caries social determinants of health plaque |
| title | Association between neighborhood disadvantage and children's oral health outcomes in urban families in the Chicago area |
| title_full | Association between neighborhood disadvantage and children's oral health outcomes in urban families in the Chicago area |
| title_fullStr | Association between neighborhood disadvantage and children's oral health outcomes in urban families in the Chicago area |
| title_full_unstemmed | Association between neighborhood disadvantage and children's oral health outcomes in urban families in the Chicago area |
| title_short | Association between neighborhood disadvantage and children's oral health outcomes in urban families in the Chicago area |
| title_sort | association between neighborhood disadvantage and children s oral health outcomes in urban families in the chicago area |
| topic | neighborhood oral health childhood caries social determinants of health plaque |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1203523/full |
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