ISSN 2415-3060 (print), ISSN 2522-4972 (online)
  • 4 of 45
Up
УЖМБС 2023, 8(1): 30–40
https://doi.org/10.26693/jmbs08.01.030
Medicine. Reviews

Socio-Economic Determinants of Children`s Dental Health. Literature Review

Mochalov Iu. O.
Abstract

The purpose of the work was to study the world literature on the socio-economic determinants of dental health among children. Materials and methods. An online information search was performed in the databases “PubMed”, “SciELO”, “Medcape” and “Science of Ukraine: access to knowledge” using the keywords “children caries”, “dental (oral) health”, “children and adolescents”, “social and economic determinants of health” with appropriate translations in foreign languages. Results and discussion. At the global level, dental diseases lead to serious medical and economic consequences which manifest themselves in the form of a significant decrease in the quality of life. The foundations of the dental health level are laid in childhood and are strengthened in adolescence, so these age groups of the population are the main “target audience” for disease prevention measures, valeological research, sanitary and educational work and the formation of appropriate habits. Socio-economic determinants of dental health in children, adolescents and adults on a global scale have been studied unevenly. Mostly, the results of research performed in the developed countries of the world are available. Such a situation creates a need for rethinking approaches and methods for assessing the problem of health care systems in separate countries and changing the methods for developing measures to influence the dental health of children and adolescents with high individualization and adaptation of socially oriented program products in health care. Giving a priority in the development of preventive programs in the field of health care to only individual and collective training measures and communal prevention does not allow to neutralize the negative impact of socio-economic conditions, and even more – it deepens inequality in dental health in the population, which is recognized as a problem by the World Health Organization. With regard to Ukraine, the presence of martial law and the continuation of fighting in certain countries have caused a number of demographic and socio-economic processes, which will be measured and evaluated after some time. But, unequivocally, the existing economic crisis, a decrease in the level of income of the population, negative demographic processes, complications of work in the health care system and other factors that can be defined as determinants of children's dental health continue to operate. Therefore, it is expected that we should be prepared for the deterioration of dental health indicators at the national level and the negative consequences of this. Conclusion. The main socio-economic determinants of children's dental health are recognized as: the level of economic development of the country, access to medical and dental care, the level of family wealth, the age and level of education of parents, their employment, the number of children in the family, the migration status of the family and separately – parents, local peculiarities of the culture of oral cavity care and nutrition, availability and level of coverage of educational and sanitary-educational measures, local levels of development of the system of health care institutions, effectiveness of interaction between health care institutions, education and social protection management bodies

Keywords: children and adolescents, dental (oral) health, caries, socio-economic determinants, prevention

Full text: PDF (Ukr) 291K

References
  1. An R, Li S, Li Q, Luo Y, Wu Z, Liu M, et al. Oral Health Behaviors and Oral Health-Related Quality of Life Among Dental Patients in China: A Cross-Sectional Study. Patient Prefer Adherence. 2022 Nov 7;16:3045-3058. PMID: 36387048. PMCID: PMC9651070. https://doi.org/10.2147/PPA.S385386
  2. Novak B, Matajs M, Sangalli AE, Pruts H, Korpasova A, Leptos N, et al. Evaluation of Mobile and Community Dental Service Use among People Experiencing Homelessness. Int J Environ Res Public Health. 2023;20(1):845. PMID: 36613167. PMCID: PMC9819721. https://doi.org/10.3390/ijerph20010845
  3. Fiorillo L. Oral Health: The First Step to Well-Being. Medicina (Kaunas). 2019;55(10):676. PMID: 31591341. PMCID: PMC6843908. https://doi.org/10.3390/medicina55100676
  4. Peres MA, Macpherson LMD, Weyant RJ, Daly B, Venturelli R, Mathur MR, et al. Oral diseases: a global public health challenge. Lancet. 2019;394(10194):249-260. PMID: 31327369. https://doi.org/10.1016/S0140-6736(19)31146-8
  5. Amilani U, Jayasekara P, Carter HE, Senanayake S, Kularatna S. Key factors associated with oral health-related quality of life in Sri Lankan adolescents: a cross sectional study. BMC Oral Health. 2021;21(1):218. PMID: 33926434. PMCID: PMC8082852. https://doi.org/10.1186/s12903-021-01569-1
  6. Lam PPY, Chua H, Ekambaram M, Lo ECM, Yiu CKY. Does Early Childhood Caries Increase Caries Development among School Children and Adolescents? A Systematic Review and Meta-Analysis. Int J Environ Res Public Health. 2022;19(20):13459. PMID: 36294037. PMCID: PMC9603429.
  7. https://doi.org/10.3390/ijerph192013459
  8. Boyland E, McGale L, Maden M, Hounsome J, Boland A, Angus K, et al. Association of Food and Nonalcoholic Beverage Marketing With Children and Adolescents' Eating Behaviors and Health: A Systematic Review and Meta-analysis. JAMA Pediatr. 2022;176(7):e221037. PMID: 35499839. PMCID: PMC9062773. https://doi.org/10.1001/jamapediatrics.2022.1037
  9. Hajek A, König HH. Oral health-related quality of life, probable depression and probable anxiety: evidence from a representative survey in Germany. BMC Oral Health. 2022;22(1):9. PMID: 35034663. PMCID: PMC8761375.
  10. https://doi.org/10.1186/s12903-022-02047-y
  11. Aarabi G, Walther C, Kretzler B, Zwar L, König HH, Hajek A. Association between migration and oral health-related quality of life: results from a nationally representative online survey. BMC Oral Health. 2022;22(1):309. PMID: 35883079. PMCID: PMC9321273. https://doi.org/10.1186/s12903-022-02337-5
  12. Uguru N, Onwujekwe O, Uguru C, Ogu U, Okwuosa C, Okeke C. Oral health-seeking behavior among different population groups in Enugu Nigeria. PLoS One. 2021;16(2):e0246164. PMID: 33524044. PMCID: PMC7850484. https://doi.org/10.1371/journal.pone.0246164
  13. WHO. Global oral health status report: towards universal health coverage for oral health by 2030. Available from: https://www.who.int/publications/i/item/9789240061484
  14. Van Meijeren-van Lunteren AW, You Y, Raat H, Wolvius EB, Kragt L. Caries Preventive Interventions and Oral Health Inequalities: A Scoping Review. JDR Clin Trans Res. 2022:23800844221109116. PMID: 35912710. https://doi.org/10.1177/23800844221109116
  15. Skeie MS, Klock KS. Dental caries prevention strategies among children and adolescents with immigrant - or low socioeconomic backgrounds- do they work? A systematic review. BMC Oral Health. 2018;18(1):20. PMID: 29415706. PMCID: PMC5803902. https://doi.org/10.1186/s12903-018-0478-6
  16. Shen A, Bernabé E, Sabbah W. Systematic Review of Intervention Studies Aiming at Reducing Inequality in Dental Caries among Children. Int J Environ Res Public Health. 2021;18(3):1300. PMID: 33535581. PMCID: PMC7908536. https://doi.org/10.3390/ijerph18031300
  17. Yousaf M, Aslam T, Saeed S, Sarfraz A, Sarfraz Z, Cherrez-Ojeda I. Individual, Family, and Socioeconomic Contributors to Dental Caries in Children from Low- and Middle-Income Countries. Int J Environ Res Public Health. 2022;19(12):7114. PMID: 35742362. PMCID: PMC9222700.
  18. https://doi.org/10.3390/ijerph19127114
  19. Sabbagh HJ, Albeladi NH, Altabsh NZ, Bamashmous NO. Risk Factors Associated with Children Receiving Treatment at Emergency Dental Clinics: A Case-Control Study. Int J Environ Res Public Health. 2023;20(2):1188. PMID: 36673944. PMCID: PMC9858666. https://doi.org/10.3390/ijerph20021188
  20. Kassebaum NJ, Bernabé E, Dahiya M, Bhandari B, Murray CJ, Marcenes W. Global burden of untreated caries: a systematic review and metaregression. J Dent Res. 2015;94(5):650-8. PMID: 25740856. https://doi.org/10.1177/0022034515573272
  21. Selwitz RH, Ismail AI, Pitts NB. Dental caries. Lancet. 2007;369(9555):51-9. PMID: 17208642. https://doi.org/10.1016/S0140-6736(07)60031-2
  22. Pitts NB, Zero DT, Marsh PD, Ekstrand K, Weintraub JA, Ramos-Gomez F, Tagami J, Twetman S, Tsakos G, Ismail A. Dental caries. Nat Rev Dis Primers. 2017;3:17030. PMID: 28540937. https://doi.org/10.1038/nrdp.2017.30
  23. Kanyura O, Bidenko N, Kolenko Yu, Filonenko V, Khrol N, Shpak D. Dosvid nadannya stomatologichnoyi dopomogy [Experience of providing dental care in the conditions of the military state]. Actual Dentistry (Suchasna stomatologiya). 2022;3-4:38-44. [Ukrainian]. https://doi.org/10.33295/1992-576X-2022-3-38
  24. Schuller AA, Vermaire JH, van Kempen CPF, van Dommelen O, Verrips GHW. Een onderzoek naar mondgezondheid en preventief tandheelkundig gedrag van jeugdigen hoofdmeting 2017, een vervolg op de reeks tjz-onderzoeken. Leiden: TNO. 2018. No. 978-90-5986-489-4. 83 p. Available from: https://research.rug.nl/en/publications/kies-voor-tanden-2017-een-onderzoek-naar-mondgezondheid-en-preven
  25. Forster T, Kentikelenis A, Bambra C. Health inequalities in Europe: setting the stage for progressive policy action. Technical report. Dublin: Foundation for European Progressive Studies and the Think Tank for Action on Social Change (TASC) 2018. 91 p. https://doi.org/10.13140/RG.2.2.20665.21608
  26. Lorenc T, Petticrew M, Welch V, Tugwell P. What types of interventions generate inequalities? Evidence from systematic reviews. J Epidemiol Community Health. 2013;67(2):190-3. PMID: 22875078.
  27. https://doi.org/10.1136/jech-2012-201257
  28. Balasooriyan A, Dedding C, Bonifácio CC, van der Veen MH. Professionals' perspectives on how to address persistent oral health inequality among young children: an exploratory multi-stakeholder analysis in a disadvantaged neighbourhood of Amsterdam, the Netherlands. BMC Oral Health. 2022;22(1):488. PMID: 36376910. PMCID: PMC9664661. https://doi.org/10.1186/s12903-022-02510-w
  29. Qadri G, Alkilzy M, Franze M, Hoffmann W, Splieth C. School-based oral health education increases caries inequalities. Community Dent Health. 2018;35(3):153-159. PMID: 30106523. https://doi.org/10.1922/CDH_4145Qadri07
  30. Childsmile Core Toothbrushing Programme. NHS Health Scotland. Available from: https://www.child-smile.org.uk/
  31. Lems E. Engaging adolescents from disadvantaged neighbourhoods as knowledgeable social actors in health promotion. PhD thesis. Vrije Universiteit Amsterdam. 2020. 229 p. Available from: https://research.vu.nl/ws/portalfiles/portal/119841480/330334.pdf
  32. Blomma C, Krevers B. Important aspects of conducting an interdisciplinary public preventive oral health project for children in areas with low socioeconomic status: staff perspective. BMC Oral Health. 2020;20(1):362. PMID: 33334322. PMCID: PMC7745486. https://doi.org/10.1186/s12903-020-01352-8
  33. Dijkstra I, Horstman K. "Known to be unhealthy": Exploring how social epidemiological research constructs the category of low socioeconomic status. Soc Sci Med. 2021;285:114263. PMID: 34411967. https://doi.org/10.1016/j.socscimed.2021.114263
  34. Petersen PE, Kwan S. Equity, social determinants and public health programmes--the case of oral health. Community Dent Oral Epidemiol. 2011;39(6):481-7. PMID: 21623864. https://doi.org/10.1111/j.1600-0528.2011.00623.x
  35. Albino J, Tiwari T. Preventing Childhood Caries: A Review of Recent Behavioral Research. J Dent Res. 2016;95(1):35-42. PMID: 26438210. PMCID: PMC4700662. https://doi.org/10.1177/0022034515609034
  36. Wagner Y, Heinrich-Weltzien R. Evaluation of a regional German interdisciplinary oral health programme for children from birth to 5 years of age. Clin Oral Investig. 2017;21(1):225-235. PMID: 26979442. https://doi.org/10.1007/s00784-016-1781-8
  37. Schuller A, Verlinden A. Interventies ter bevordering van de mondgezondheid jeugd; stand van zaken GigaGaaf! Rapport in opdracht van het ministerie van VWS. R11201 ed. Leiden: TNO; 2017. 37 p. Available from: https://repository.tno.nl/islandora/object/uuid%3A5af94622-5d41-44de-9d51-c8ca62c78438
  38. Bhatti A, Wray F, Eskytė I, Gray-Burrows KA, Owen J, Giles E, et al. HABIT (Health visitors delivering Advice in Britain on Infant Toothbrushing): a qualitative exploration of the acceptability of a complex oral health intervention. BMC Prim Care. 2022;23(1):55. PMID: 35346054. PMCID: PMC8962587. https://doi.org/10.1186/s12875-022-01659-1
  39. Campus G, Cocco F, Strohmenger L, Wolf TG, Balian A, Arghittu A, et al. Inequalities in caries among pre-school Italian children with different background. BMC Pediatr. 2022;22(1):443. PMID: 35869462. PMCID: PMC9308358. https://doi.org/10.1186/s12887-022-03470-4
  40. Bencze Z, Mahrouseh N, Andrade CAS, Kovács N, Varga O. The Burden of Early Childhood Caries in Children under 5 Years Old in the European Union and Associated Risk Factors: An Ecological Study. Nutrients. 2021;13(2):455. PMID: 33573027. PMCID: PMC7911369. https://doi.org/10.3390/nu13020455
  41. Campus G, Cocco F, Strohmenger L, Cagetti MG. Caries severity and socioeconomic inequalities in a nationwide setting: data from the Italian National pathfinder in 12-years children. Sci Rep. 2020;10(1):15622. PMID: 32973175. PMCID: PMC7515882. https://doi.org/10.1038/s41598-020-72403-x
  42. Julihn A, Cunha Soares F, Hjern A, Dahllöf G. Development level of the country of parental origin on dental caries in children of immigrant parents in Sweden. Acta Paediatr. 2021;8:2405-2414. PMID: 33876448. https://doi.org/10.1111/apa.15882
  43. Vega-López S, Armenta K, Eckert G, Maupomé G. Cross-Sectional Association between Behaviors Related to Sugar-Containing Foods and Dental Outcomes among Hispanic Immigrants. Int J Environ Res Public Health. 2020;17(14):5095. PMID: 32679717. PMCID: PMC7400676.
  44. https://doi.org/10.3390/ijerph17145095
  45. Hämmig O, Gutzwiller F, Kawachi I. The contribution of lifestyle and work factors to social inequalities in self-rated health among the employed population in Switzerland. Soc Sci Med. 2014;121:74-84. PMID: 25310888. https://doi.org/10.1016/j.socscimed.2014.09.041
  46. Eirey SM, San-Roman-Montero J, Gil de Miguel A, Rojo R, López Sánchez AF. Effect of the 2008 economic crisis on oral health in Spain: analysis of serial cross-sectional, population-based health surveys. BMJ Open. 2022;12(12):e061947. PMID: 36517101. PMCID: PMC9756153.
  47. https://doi.org/10.1136/bmjopen-2022-061947
  48. Liu M, Song Q, Xu X, Lai G. Early childhood caries prevalence and associated factors among preschoolers aged 3-5 years in Xiangyun, China: A cross-sectional study. Front Public Health. 2022;10:959125. PMID: 36052000. PMCID: PMC9424677. https://doi.org/10.3389/fpubh.2022.959125
  49. Qu X, Houser SH, Tian M, Zhang Q, Pan J, Zhang W. Effects of early preventive dental visits and its associations with dental caries experience: a cross-sectional study. BMC Oral Health. 2022;22(1):150. PMID: 35488264. PMCID: PMC9052678. https://doi.org/10.1186/s12903-022-02190-6
  50. Chhabra C, Sogi HPS, Chhabra KG, Rana S, Gupta S, Sharma P. Social and behavioral determinants of early childhood caries: A cross-sectional study within region of Ambala, Haryana. J Educ Health Promot. 2022;11:168. PMID: 35847138; PMCID: PMC9277766. https://doi.org/10.4103/jehp.jehp_1060_21
  51. Okolo CC, Oredugba FA, Denloye OO, Adeyemo YI. Dental Caries Prevalence, Severity, and Pattern Among Male Adolescents in Kano, Nigeria. J West Afr Coll Surg. 2022;12(4):88-93. PMID: 36590770. PMCID: PMC9802605. https://doi.org/10.4103/jwas.jwas_101_22
  52. Chinnakotla B, Susarla SM, Mohan DC, Turton B, Husby HM, Morales CP, et al. Associations between Maternal Education and Child Nutrition and Oral Health in an Indigenous Population in Ecuador. Int J Environ Res Public Health. 2022;20(1):473. PMID: 36612796. PMCID: PMC9819843. https://doi.org/10.3390/ijerph20010473
  53. Rai NK, Tiwari T. Parental Factors Influencing the Development of Early Childhood Caries in Developing Nations: A Systematic Review. Front Public Health. 2018;6:64. PMID: 29616206. PMCID: PMC5865069.
  54. https://doi.org/10.3389/fpubh.2018.00064
  55. Folayan MO, El Tantawi M, Aly NM, Al-Batayneh OB, Schroth RJ, Castillo JL, et al. Association between early childhood caries and poverty in low and middle income countries. BMC Oral Health. 2020;20:8. PMID: 31906944. PMCID: PMC6945445. https://doi.org/10.1186/s12903-019-0997-9
  56. Paiva SM, Abreu-Placeres N, Camacho MEI, Frias AC, Tello G, Perazzo MF, Pucca-Júnior GA. Dental caries experience and its impact on quality of life in Latin American and Caribbean countries. Braz Oral Res. 2021;35(suppl 01):e052. PMID: 34076076. https://doi.org/10.1590/1807-3107bor-2021.vol35.0052