June 2014

Volume 31, Issue 2

Oral health inequalities in Italian schoolchildren a cross-sectional evaluation

Authors: G. Carta M.G. Cagetti S. Sale G. Congiu L. Strohmenger F. Oleari M. Bossù P. Lingström G. Campus
doi: 10.1922/CDH_3300Carta06


Objective: To evaluate which of the following indicators of socio-economic status (SES) has the strongest association with dental caries status in a 6-year-old population: the educational level of each parent (individual-level); the mean price of housing/m2 in the area where the family resides; or the mean per capita income in the area where the family lives (area-level). Material and Methods: Dental caries was recorded in 2,040 schoolchildren (42.5% boys, 57.5% girls) using decayed/missed/filled surface index (d3 level) in primary dentition. Parents filled in a standardised questionnaire regarding nationality, level of education, frequency of dental check-up and perception of child’s oral health and child’s oral hygiene habits. Results: At the individual-level of SES, mothers’ educational level was associated with their children’s caries severity (χ2(9)=147.51 p<0.01): as educational level rose the proportion of children with high numbers of carious lesions fell. The two income indicators (area-level SES) were not associated. A multinomial logistic regression model was run for caries risk factors. Caries severity was used as dependent variable and the model was stratified by mothers’ educational level. Mothers’ perception of child’s oral health was the only covariate that was always associated in every caries severity strata and for each level of mothers’ education. Conclusions: The present study shows that mothers’ educational level is a useful individual SES indicator for caries in Italian children living in a low-income population. Key words: dental caries, socio-economic status, socio-behavioural variables, primary dentition, Italian schoolchildren.


Other articles in this issue

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Editorial - Delivering Better Oral Health 2014 – What’s new in the third edition? 66-67 Download
The extent of food advertising to children on Greek television: focus on foods potentially detrimental to oral health 68-74 Download
Parental views on delivering preventive advice to children referred for treatment of dental caries under general anaesthesia: A qualitative investigation 75-79 Download
Preventing caries in young children of immigrant Bangladeshi families in New York: Perspectives of mothers and paediatricians 80-84 Download
Predicting geographically distributed adult dental decay in the greater Auckland region of New Zealand 85-90 Download
Dentists’ perspectives on caries-related treatment decisions 91-98 Download
Determinants and trends in dental expenditures in the adult US population: Medical Expenditure Panel Survey 1996-2006 99-104 Download
The caries experience of 5-year-old children in Scotland, Wales and England in 2011-2012: Reports of cross-sectional surveys using BASCD criteria 105-110 Download
What are the most accurate predictors of caries in children aged 5 years in the UK? 111-116 Download
Bruxism and health related quality of life in Southern Italy’s prison inmates 117-122 Download
Oral health inequalities in Italian schoolchildren a cross-sectional evaluation 123-128 Download


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