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Psychosocial determinants of oral health outcomes in young children

To examine the social determinants of early childhood caries (ECC), one of the greatest public health risks affecting children, and examine alternative pathways of influence. A physically healthy, socio-demographically high-risk sample of initially caries-free children, aged 1-4 years, was prospecti...

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Bibliographic Details
Published in:Frontiers in pediatrics 2024, Vol.12, p.1478302
Main Authors: Kopycka-Kedzierawski, Dorota T, Ragusa, Patricia G, Feng, Changyong, Flint, Kim, Watson, Gene E, Wong, Cynthia L, Gill, Steven R, Billings, Ronald J, O'Connor, Thomas G
Format: Article
Language:English
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Summary:To examine the social determinants of early childhood caries (ECC), one of the greatest public health risks affecting children, and examine alternative pathways of influence. A physically healthy, socio-demographically high-risk sample of initially caries-free children, aged 1-4 years, was prospectively studied for 2 years. At 6-month intervals, assessments were made of caries presence from a standard dental exam; oral microbiology was assayed from saliva samples; oral hygiene behaviors and psychological and psychosocial risk exposure were derived from interviews and questionnaires. 189 children were enrolled; ECC onset occurred in 48 children over the 2-year study period. A composite measure of psychosocial risk was significantly associated with ECC onset over the course of the study (1.57, 95% CI 1.12-2.20,  
ISSN:2296-2360
2296-2360
DOI:10.3389/fped.2024.1478302