March 2018

Volume 35, Issue 1

Obesity and dental caries in young children in Plymouth, United Kingdom: A Spatial Analysis

Authors: Martha Paisi Elizabeth Kay Irene Kaimi Robert Witton Robert Nelder Christophi Costas Debra Lapthorne
doi: 10.1922/CDH_4214Paisi07


Objective: To examine the spatial clustering of obesity and dental caries in young children in Plymouth, United Kingdom, to evaluate the association between these conditions and deprivation, and explore the impact of neighbourhood-level characteristics on their distribution. Basic research design: Cross-sectional study analysing data from the National Child Measurement Programme (N=2427) and the Local Dental Health Survey (N=1425). The association of deprivation with weight status and caries was determined at individual and area level, using ANOVA and Poisson models. The overall spatial clustering was assessed using a modified version of the Global Moran’s I, while clusters were located through Local Indicators of Spatial Association. Spatial autocorrelation was assessed using the variograms of the raw values. Log-linear Poisson models were fitted to assess the significance of neighbourhood characteristics on overweight/obesity and caries distribution. Results: At an individual level, deprivation was not associated with BMI z-scores but was a significant predictor of caries (p<0.05). However, at area level, deprivation related to the rates of both conditions. A significant positive autocorrelation was observed across neighbourhoods for caries. The variograms suggested spatial autocorrelations up to 2.5 km and 3 km for overweight/obesity and caries, respectively. Among several neighbourhood characteristics, the proportion of people on benefits was found to be a significant predictor of caries rates. Conclusions: Our results underline the importance of considering geographic location and characteristics of the broader environment when developing strategies to target obesity and caries. Key words: Obesity, Caries, Children, Inequalities, Socioeconomic factors, Geographic location


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Editorial 3-4 Download
Review and action plan for oral health improvement in Sheffield special schools 5-8 Download
Impact of stress on dentists’ clinical performance. A systematic review 9-15 Download
Illness perceptions amongst individuals with dental caries 16-22 Download
The relationship between depression and periodontal diseases 23-29 Download
The use of cost-utility analysis for the evaluation of caries prevention: an exploratory case study of two community-based public health interventions in a high-risk population in the UK 30-36 Download
A systematic review of interventions using cue-automaticity to improve the uptake of preventive healthcare in adults: applications to dental visiting 37-46 Download
Turkish Adaptation of Dentine Hypersensitivity Experience Questionnaire (DHEQ) 47-51 Download
Recall intervals and time used for examination and prevention by dentists in child dental care in Denmark, Iceland, Norway and Sweden in 1996 and 2014 52-57 Download
Obesity and dental caries in young children in Plymouth, United Kingdom: A Spatial Analysis 58-64 Download


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